- Malaria treatment policy 2010
- Active surveillance of malaria/Parameters of malaria surveillance
- Behavior change communication in malaria
- Anti-malaria month campaign
- Vectors of malaria and their breeding places
- Treatment of resistant malaria
- Dots plus/ Directly observed treatment short course plus in tuberculosis
- Drugs used in the category 1 of tuberculosis treatment
- Drugs used in category II of tuberculosis treatment
- Plumbism
- Post exposure prophylaxis for category II animal bite
- Post exposure prophylaxis for category Ill animal bite
- Multi drug therapy in leprosy
- Treatment of paucibacillary leprosy in adults
- Treatment of multibacillary leprosy in a child aged 12 years
- Treatment of multi-bacillary leprosy in adults
- Deformities in leprosy
- National guinea worm eradication programme
- Carriers in typhoid
- Laboratory diagnosis of cholera
- Louse borne diseases
- Indirect transmission of infectious diseases
- Mass drug administration for control of filariasis
- Primary prevention of rheumatic heart disease
- Tracking of BP
- Modifiable risk factors of hypertension
- Risk factors for diabetes
- Oral rehydration solution
- Indicators of Obesity
- Hepatitis B vaccination for health care workers
- Blocked flea
- Fly control measures
Problems
- Four months old Priya is brought to the primary health center with fever and cold for 3days. She is alert and her respiratory rate is 58/min. Grunting is present. How will you classify her diagnosis and what treatment will you give
- Suma 6 years old child is studying in a school of your PHC area. She presents with fever of 3 days duration. On examination you find maculo-papular rashes and some vesicles. The lesions are well distributed all over the trunk as medical officer how will you manage the situation.
- As a medical officer of a primary health centre what are the steps that you will take to investigate the outbreak of food poisoning following a village festival
- What are the critical factors that you will consider, when taking the history of a 40 years old male whose BMI is 28.5, who presents to you at an annual medical check-up conducted by his company
- Rashmi a 4 years old who is attending the anganwadi is brought to your PHC with history of 7-8 episodes of loose stools. On examination her systolic BP is 80mmHg. How will you manage the case?
- As medical officer of the PHC, what are the strategies you will plan to ensure eradication of poliomyelitis from your area?
- Many cases of malaria are reported in a primary health centre area. How will you investigate. What are the malariometric indices you take to analyze and manage the situation.
- A 3 years child was brought with fever and rashes on the body. The child was partially immunized. How will you diagnose and manage the case
- Many cases of diarrhea are reported to a primary health centre. List how will you investigate and how will you categories individual cases. What is the treatment plan and what are the preventive measures.
- There has been reports of increased incidence of mortality due to coronary artery disease in your area. What steps will you take to manage the situation in your area
- The Warden of a hostel brings a child to you with scabies. What advice will you give to the Warden in managing the case
- Suma 9 years old child from a boarding school in the area covered by your primary health centre, presents with signs suggestive of scabies. As medical officer how will you manage the situation
- As a medical officer of an urban health centre what are the steps that you will take to investigate the outbreak of gastroenteritis in an under-privileged area in the area
- A truck driver with HIV may have developed tuberculosis chest. What problems do you anticipate in the diagnosis and management of the case.
Essays
1. A man aged of fifty years comes to outpatient department
with H/o cough, irregular fever, chest pain and at times hemoptysis for the
past 2 months. Answer the following:
- What are the possible causes.
- How will you diagnose this case.
- State the method of managing the patient
- State the objective of the management (2+2+4+2=10)
2. Raju 12 years old boy, bitten by a stray dog and was brought
to you. On examination there were 2 lacerated wound on the right leg and small
abarations on left leg. Dog was killed. Answer the following: ·Which category
the exposure belongs
- List the classification of animal bite exposure
- Mention the management of this case
- Explain the strategies of prevention of rabies in India(1+2+3+4=10)
3. Sujatha is an 18 months old girl who is brought to you with
a history of cough and breathing difficulty over the past three days. Answer
the following:
- What are the danger signs that you would ask or look for.
- How would you classify the disease and on what basis
- How would you treat the child if there is at least one general danger sign (3+5+2=10)
4. Rama a 27 years old daily wages labourer is having cough
of three weeks duration. Answer the following:
- List the criteria of diagnosis
- How will you initiate the treatment in this case?
- List the objectives of the programme for control of this disease
- When we will state that, control of disease is achieved (2+4+2+2=10)
5. Susheela is an 18 months old girl who is brought to you with a history of diarrhea for the past two days. Answer the following:
- What are the danger signs that you would ask or look for.
- How would you classify the disease and on what basis
- How would you treat the child if she is unable to drink fluids offered to her. (3+5+2=10)
6. Asha a 6 years old child is brought to the primary health
center with fever for 3 days and tourniquet test is positive indicating
probable case of dengue.
- What investigations will you do.
- How will you manage.
- As a medical officer what actions will you take to control the disease in the community. (2+4+4=10)
7. The district hospital reports a confirmed case of anthrax
from one of the villages in your primary health center and you are tasked to
investigate it. Answer the following.
- Describe the steps you take for the investigation.
- How will you manage the case
- What are the preventive measures (5+3+2)
8. Srikrishna a 36 years old man has been diagnosed to have
pulmonary tuberculosis. His 5 years old daughter Neethu is brought to you with
a history of cough. As the medical officer of the PMC.
- How would you confirm the diagnosis of tuberculosis in the child
- If diagnosed positive, what is the regimen that you would follow to treat the child
- If negative, what are the next steps to be taken (3+4+3=10)
9. A 10 years old boy studying in a primary school had hypo
pigmented patches at the back detected during school health checkup. Answer the
following:
- What are the probable causes
- How will you diagnose the condition
- What are the tests you perform
- How will you manage this case
10.A mother brings her 8 years old son with history of stray
dog bite to the community medicine clinic. The wound is lacerated and bleeding.
As the medical officer
- What all history will you ask
- How will you manage the case
- What are the pre-exposure and re-exposure strategies (2+4+4)
Differentiate between
- Type I and type II diabetes mellitus
- Type I & type II reaction in leprosy
- Lepromatous and tuberculoid leprosy
- Stable & unstable malaria
- Vivax and falciparum malaria
- Active and passive surveillance of malaria
- Definitive host and intermediate host in malaria
- Anopheles and aedes mosquito
- Isolation and quarantine
- Active and passive immunization
- Antigenic shift and drift
- Rubella and measles
- Street virus and fixed virus in rabies
- Staphylococcal food poisoning and salmonella food poisoning
- Small pox and chicken pox
- Trans-ovarian and trans-stadial transmission of diseases
Substantiate your answer with reasons
- Targeted interventions are important components of HIV prevention
- AIDS is reviving the old problem of tuberculosis
- Integrated approach for prevention of non-communicable disease- need of the hour
- Blanket treatment is essential for the control of trachoma
- Integrated vector management is an effective strategy for malaria control
- Surveillance has to be improved if annual blood examination rate is less than10% in an endemic area for malaria
- Mass therapy is essential for the control of filariasis
- DOTS strategy can reduce the burden of tuberculosis
- Herd Immunity does not protect against tetanus
- Vitamin A supplement is given to a child recovering from measles
- Checking blood pressure is the single most useful test in identifying individuals at risk of developing coronary heart disease.
- insecticide treated bed nets are the most effective method of protection against mosquitoes
- Live polio vaccine is still used in India
- Cholera is both an epidemic and endemic disease
