UPSC Mains MEDICAL-SCIENCE-PAPER-II 2017

A young 23-year-old lady had attempted suicide thrice in last one year. What is the cause of her condition? How do you diagnose and manage Major Depressive Disorder?

A 40-year-old man gives history of gradual loss of weight and altered bowel habits for last two years. What differential diagnosis would you consider? How will you manage Idiopathic Tropical Malabsorption Syndrome?

What are the principles of Echocardiography? What is its diagnostic significance?

A baby is delivered at 34 weeks of gestation; develops respiratory distress soon after birth. List the important causes of respiratory distress in this baby.

Mention the pathogenesis of Respiratory Distress Syndrome.

Outline the management of the baby.

Mention the important causes of mortality in children under 5 years of age.

Enlist the vaccines which can reduce the incidence of Acute Respiratory Infection in children.

Mention the measures to reduce mother to child transmission of HIV (Human Immunodeficiency Virus) infection.

A 70-year-old man was found comatose on the road by a passerby. There were no external injuries. He was brought to the casualty. What are the common medical conditions in his case? How will you manage Diabetic Ketoacidosis?

A 2-month-old infant presents with Central Cyanosis. He had two episodes of cyanotic spells. Enlist the differential diagnosis of Congenital Cyanotic Heart Diseases with reduced pulmonary blood flow.

Mention the complications of Congenital Cyanotic Heart Diseases.

Outline the management of a cyanotic spell.

A 45 year old man presents with a business of agri-business, who, for the past one year, has had recurrent itchy scaly lesions on the face, neck, upper and lower limbs. Examination reveals hyperpigmented scaly lesions on the face, neck, upper and lower limbs. There was involvement of skin creases, eyelids, post auricular area, nasolabial folds. He gave history of photosensitivity. What is your likely diagnosis?

What tests will you perform to establish the cause of his condition? Describe in brief.

How will you treat this gentleman?

What are the likely causes for it?

How will you diagnose and manage Japanese Encephalitis?

What are the bad prognostic indicators for it?

A 4-year-old child presents with stunted growth and moderate pallor. The child had history of intermittent diarrhoea. Mention the differential diagnosis.

Mention the investigations required for diagnosis of celiac diseases.

Outline the management of celiac diseases in children.

A 30-year-old female presents with itchy lesions over upper and lower limbs of one month duration. On examination, multiple discrete flat-topped skin-coloured and violaceous papules were present around ankles, wrist and forearms. What other areas will you examine to arrive at a clinical diagnosis?

What are the tests will you perform to confirm the diagnosis?

How will you treat this lady?

What is the diagnosis of the above-mentioned clinical condition, its etiopathogenesis and differential diagnosis?

Outline the management of chronic cholecystitis with cholelithiasis.

A 75-year-old male presented with acute retention of urine with haematuria. On per rectal examination, hard nodular prostatic enlargement is present. Discuss the diagnosis and its investigation.

Outline the management of the above-mentioned condition.

Enumerate commonly used methods of female sterilization. What are the advantages and disadvantages of each method?

Define Assisted Reproductive Technology. Mention briefly the commonly used reproductive technologies. What are the indications and contraindications of each method?

What are trans-fatty acids?

Which foods are major source of trans-fatty acids?

What is the significance of trans-fatty acids from public health viewpoint?