UPSC Mains MEDICAL-SCIENCE-PAPER-II 2014

A 42-year-old lady from rural area has come with hugely distended abdomen, protuberant umbilicus and visible veins. She recently had bleeding per rectum. She has been running low-grade fever and cough for long.

Give your differential diagnosis giving five important diagnostic features of each.

Give a flowchart of your approach to this case.

A 40-year-old drug addict was found in a drowsy state on road. He was severely malnourished, cachectic and dehydrated. His blood pressure was 70 mm of Hg.

Name the diseases with their five distinctive features to which drug addicts are prone to.

What is Pneumocystis carinii pneumonia? How would you investigate and treat?

Enumerate the common causes of community-acquired pneumonia in under-five children.

Discuss the criteria for diagnosis and classification of pneumonia in the community, without resorting to investigations.

Enlist the diagnostic criteria for severe malnutrition according to WHO classification in under-five children.

Discuss the home/community-based management of children with moderate malnutrition.

Enumerate the points of differentiation between psoriatic and rheumatoid arthropathy.

A 60-year-old chronic smoker, obese gentleman who had been suffering from diabetes for last five years, not on regular treatment, developed 'Ghabarahat' and sudden breathless and perspiration.

How would you work up this case? Draw a flowchart.

Enumerate the line of treatment in case ECG indicates acute inferior wall myocardial infarction.

Which lifestyle measures would you suggest to this person?

How can you recognize heart failure in infants below 1 year of age?

Enumerate the common causes of heart failure in infants.

"Vitiligo is a multifactorial, polygenic disorder." Give your justification to support the statement.

It is late September month of year. A 25-year-old young executive from tribal area has been brought to hospital with high fever, rashes all over the body and bleeding nose.

Give your differential diagnosis.

Name the investigations you will carry out in this case to confirm your diagnosis.