No. of Printed Pages : 4 2019 t Pii i: -ii MEDICAL SCIENCE : Paper — II fri ffftr [&191r ] [Maximum Marks 200 Time Allowed Three Hours] (I) RZ 3T : 200 fi (ii) f41fti (Ili) Nc 3T (iv) THl'1 I Note : (i) There are eight questions divided in two Sections and printed both in Hindi and in English. (ii) Answer five questions, selecting atleast two from each Section. (iii) Marks are given against each of the question. (iv) All questions carry equal marks. — 31/Section — A 1c 25c4{Tq [f1l 3 l*czfl ilci TT3 c*U3Tt I A 25 year old lady presented with high grade fever and with altered sensorium in emergency on examination neck rigidity is present: (a) I i Give provisional diagnosis of the case and discuss its differential diagnosis. 15 38/Medical Science-Il 1 P.T.O. 4) (b) fttR*qI i ii? 15 What is the probable C.S.F. picture in this case ? (c) 1 fl c1I'1 1kd c11L& I t 10 Outline the treatment of this case. 5RUii, 1ui 1c4 2. (a) 1i'.& I 1II Discuss the causes, diagnosis and treatment of P.P.H. 15 How will you investigate a couple for primary infertility? 15 (b) (c) tft *TR t ks ii). 10 Mention clinical features and management of a case of Cancer Cervix. 3. (a) q3 cbIkuI ?d I1c1 ctc1l What are common causes of upper GI bleed? How will you manage a case of acute oesophageal variceal bleed? (b) M'ci klI'I fI1 c4 1bI IR 15 I Write down briefly etiopathogenesis and management of cerebral malaria. 15 (C) 1II H 4z1 I4Ictc1dt TU1t ' 1T 18PT I Discuss briefly the clinical feature and management of organophosphorous poisoning. TtT' cbiUi'i c Fi-u& I 4. (a) cflc I '1I~.cidI ftWI1%T Iftc1R 10 M1-Tf 4 Enumerate the causes of acute retention of urine. Discuss the management and complications of benign enlargement of prostate. c4 'iN (b) 15 I 15 Discuss the causes, investigation and management of renal calculi. (c) **'ii 3Iic4 ctI cIIUj ? ii il i1-1-ii c ic1I T What are the causes of nipple discharge? How can you manage a case 10 of fibro adenoma of breast in a young female? 38/Medical Science-H 2 - v/Section it k1I-i)It 5. (a) cj cJl fi.ii ?. - B I 1fl ~czlfl ' TtT1 1 flI Enumerate the cynotic heart diseases with reduced blood flow. What are the clinical features seen in a patient of Tetralogy Of Fallot (TOF) ? Discuss 15 the management of cynotic spefl in a patient of TOF. (b) 3T cluI.1 II&T c1'iH 1-i'i I Enumerate the benefits of breast feeding and discuss the ideal technique 15 of breast feeding. (c) .iiici fT ci -nrii .1ci'1Id fT ii t! ftf14I 1ti ctU What are the causes of Jaundice in new born? Discuss the measures to 10 treat Jaundice in a new born. 50 6. ci1T iiicti. 150/9Oft. 4) %, , cc R1t 108 1ffl. (Icik)t: A 50 year old male, chronic cigarette smoker and having a history of diabetes mellitus presented in emergency department with severe retrosternal chest pain with profuse sweating and vomitting. His blood pressure is 150/90 M.M.Hg and pulse rate is 108/minute regular. (a) What are the differential diagnosis in this case? ii TTt?1 cit 3fl1 1i '$ (b) 1i What further investigation are required to confirm the diagnosis? (c) i1tthTl 15 kift&(15r) Write down the acute management of this patient (in brief). 38/Medical Science-lI 15 3 10 P.T.O. 7. (a) i.1 5 ct ii c1ii? What are the differentiating features between tuberculoid and Lepromatous Leprosy? Discuss the drug regimes recommended for the 15 treatment of Leprosy in adults. (b) ~Riñ ' 1Jlc1Rct '?1lT M1 c t1r1 c11 15 Discuss the etiopathogenesis and management of vitiligo. (c) rft c4fUj 11 4;i1i I1f I &d1 Discuss the classification of Eczema. How can you manage a case of atopic dermatitis? 8. (a) %? i TI II1tcl dO ii 1T c i 10 c1I ctfl What are the indicators of maternal and child health care ? What are the preventive and social measures to reduce infant mortality in Uttar Pradesh? 15 (b) oj t 1iii lc*-TTt 9-fl ' ctU*) T Enumerate occupational diseases and describe the measure for prevention of occupational diseases. liT1d c4 (c) I f1R ficci -) ctl {iii 1. Define epidemiology. Enumerate different epidemiological studies. Describe case and control study. 38/Medicat Science-Il 4 15 I 10