OSPE 2021-2022 - Compatibility Mode + Saved V fee @or) HO- © Home Insert Draw Design Layout References Mailings Review View Hel [pscE/OsPE O° Q 1. Here is a 30-year-old female with a history of generalized weakness for the past 2 months. and her hemoglobin level is 10 g/dl, No other investigations are (On examination, she looks pal done. a) What other investig: b) How will you ma ©) What are the prever d) Mention the national health programmes, [Link] ITEM "MARKS ‘A _| Investigations: Blood grouping & Rh typing, total serum ferritin 15 levels, serum iron binding capacity, serum transferrin, peripheral smear, ie: | b. | Plan of management: Theraypetic dose of IFA tablets (Itablet OD) 15 c. _ | Preventive measures: dewormimg with Tab. Albendazole 400 mg, consumption iron rich food d. | POSHAN abhiyan, Anaemia Mukt Bharat (AMB) 1Search © muments (7 Eating © Q2. A 15-year-old boy was brought with a history of one hypo-pigmented patch over the Help (Acc forearm with loss of sensation, a) What is your probable diagnosis’ b) Comment on clinical examination. ©) Write about the laboratory diagnosis 4) How do you manage this ca [Link] ITEM MARKS, ‘A. | Probable diagnosis: leprosy — paucibacillary (PB) Ti I b. | Clinical examination. Tin 2 Local examination: inspection of whole body under natural light. Testing the sensation over the skin, Neurologi examtination: palpation of nerves for thiekening, tenderness and consistency; assessment of nerve function, © | Laboratory diagnosis: slit skin smear (SSS) examination 1 ‘| PB:6 months duration- dapsone 100mg daily self administe 1 Clofazaming 300mg once a month under supervision, Clofazamine 50 mg daily, rifampicin 600 mg once a month under supervision. arc Total 5 Di Focus Ea & -—t>7ve @ oH) FE] D~ © = __ osPe2021-2022 - Compatibility Mode + Saved v me Insert Draw Design Layout References Mailings Review View H Q33: Here is a 1.5 year old male child with complaints of loose stools since 2 days. No history of blood in stools. On examination child is conscious, has sunken eyes, skin pinch goes back slowly. On offering water, child drinks it eagerly. Weight of the child is I lkgs. a) What is the probable diagnosis? b) What is the immediate plan of management as per IMNCI guidelines? ©) What points of instruction you will give the mother to implement the plan management? d) Name the vaccine you will advise to decrease the frequency of above mentioned episodes [Link]. ITEM | MARKS a. Diagnosis : Acute diarrhoeal disease with some 1 dehydration b. Plan of management: ORS, zinc syrup_and home 1 available fluids ©. Instruction: | 2 Preparation of ORS solution Nutrition advice: continuation of breast feeding and complimentary feeds Watch for signs of dehydration d. Vaccine : Rota virus 1 Total | 2193 words [XX TextPredictions:On {> Acces: ity: Unavailable2 Search Q 4: Madhu aged 12 years is bitten by street dog, about half an hour back on his palm. On examination, there is a 4em lacerated wound with bleedin; Wei No. 1 | Comments of the child is 35kgs. Answer Classify category of exposure as Cat-III b) Rabies immunoglobulin: Human rabies Te 2 body weight or Horse anti-rabies serum- 401U/kg body yt after test dose ©) Anti-rabies vaccination with schedule: 0,3, d) TT injection 14,28- IM route Dressing/ Suturing the wound DY Focus How do you manage the case? MarksNee Poe Cc) OSPE 2021-2022 - Compatibility Mode + Saved v me Insert Draw Design Layout References Mailings Review View Q5: Here is an adult male aged 55 years, diagnosed with essential hypertension, on anti- hypertensives for last 5 years, with h/o smoking and alcohol consumption from last 20 years. His BMTis 29. He has come for follow up. What advice do you give to the patient? | SL No. | 1 | Salt restriction, not to have pickles, papad, deep fried items, not to add Marks extra salt to food/salad | 2 _| Increased consumption of legumes, fruits, vegetable: +0.5 3 ‘Cut down consumption of saturated fats- ghee, butter, dairy products | 10.5 4 | Regular physical activity: 30 minutes of walk +0.5 [5 | Maintenance of optimum weight +05 | it alcohol consumption Til epee +0.5 | Compliance to anti-hypertensive drugs = 9 | Regular monitoring of BP & maintaining a log book of the same _| +0.5 | | Lee Total 5 2193 words [Jf Text Predictions: On $¥3 Accessibility: UnavailableSearch © - «0 | (Z Editing | {n Comments Q6: A LS year old child was brought to the OPD with the complaints of fever and cough since $ days. Local cxamination:Temp-101°F, RR-48epm, HR-90bpm Systemic examination: RS - Fast breathing +, chest indrawing + Other systems-Normal ‘a)What is the probable diagnosis? )What is the immediate plan of management as per IMNCI guidelines? )What advise you will provide the care giver to imp vat the plan management, [Link]. Sree —_ | MARKS] a. | Diagnosis: Pneumonia a “fi a b, | Plan of management: i | eee ‘Advise mother to give home care | Fever - Syp Paracetamol 2 | Antibiotics: oral amoxicillin 4omg/k/dose wice 2 day for 5 days Cough relief by using safe home remedies like te | To continue feeding if the child is breast fed Adequate rehydration | © Instruction: | ‘Advise mother to return with child in 2 days for reassessment or earlier if symptoms worsen. 4. | Wass Weases and bela vaeine MR ve =P 2nd dose 1 | To administer the due vaccines ‘Di Focuse HD» © = _ 0sre 2021-2022 - Compatibility Mode « Saved V me Insert Draw Design Layout References Mailings Review View He Q7. A 37 year old man came to PHC with complaints of complaints of continuous f& and chest pain for the past 3 weeks. What is the probable . Mention the cause of this condition? c. How will you treat this condition? “d. What control measures will you advice for that family? | SLNO. ITEM MARKS | A. _| Scabies i osm B. Sarcoptes scabiei(itch mite) : 05 ae © Good serub with soap and water. 05 [Link] benzoate(25%) should be applied with a} 0.5 paint brush to every inch of body below the chin. ele ‘Application should be repeated after 12 hours and | after 12 hours a_bath is given. 05 Application should not exceed twice per week. 05 [Link](5%): Applied thrice daily [Link] ointment:2.5 to 10% ointment daily for 4 days ie 3 Health education about scabies a “© Seperate bed sheet,towel and soap for each member ia of the family 2 i “All clothes should be washed in hot water and sunQ10: Mrs. Lakshmi,23 year old, is a working mother. She had her first baby 6 weeks came to PHC to postpone the second child. Mention the approach followed under National Family Welfare Program? Whaat is the appropriate contraceptive method for the given case scenario? ‘What are the advantages of recommended contraceptive for the given case scenario? List_any 3 contraindications for the recommended method? What will you do, if any complication occurs? eae re [Link]. | ITEM | A. | "Cafeteria choice'-offer all the methods from which an j individual can choose according to the needs and wishes. | Intra Uterine Contraceptive Device(IUCD)-Copper T B. C. | 1. Suitable for women, already having a child. 2. It will not affect lactation 3, Easy to insert and easy to remove. 4. Copper T are_effective for 1-10 years J. Absolute contraindicatior i y Suspected pregnancy, PID, vaginal bleeding, pelv Relative contraindications: oo ree eee unmotivated personEO ~ © =F __ osre 2021-2022 - Compatibility Mode + Saved v i¢ Insert Draw Design Layout References Mailings Review View He QUI: A 30-year old man came to PHC with complaints of fever with rash, headache, myalgia, arthralgia, retro orbital pain for the past 1 week a. What is the probable di b, What are the essential investigations you will do to confirm the diagnosis? €. How will you treat this condition, ifthe diagnosis is confirmed by investigations? 4. What are the environmental measures taken to prevent the disease? SLNO. ITEM ARKS A Dengue fever 1 B. © Analysis of haematological parameters- platelet count. | «LS and haematocrit Antigen detection( NS1) ‘* Immunological response and serological tests. Symptomatic treatment — Oral rehydration, Paracetamol, 1 tepid sponging D. Mosquito control measures :Source reduction, antilarval 15 and anti adult measures, personal protection and health education Total 5 _ Text Predictions: On $%% Accessibility: Unavailable 7Q12: This is one of the equipment in the cold chain a. Name this equipment? ‘Name the vaccines that must be stored in the freezer compartment. : At the PHC level where are vaccines stored. What is the recommended temperature to store the vaccine? Mention the vaccines for which Open Vial Policy is applicable, [Link] ITEM 1. | Vaceine carriers paos 2. | OPVand Measles Rubella(MR) Vaccine 3, Ice Lined Refrigerator(ILR) | ct (aaa, ‘Vaccine must be stored at a temperature of + 2° to + 8% 5. DPT, TT, Liquid Pentavalent, OPV, Hepatitis B ‘Total very iii bidDelaOSPE 2021-2022 - Compatibility Mode + Saved Y sign Layout References Mailings Review View t foul smelling vaginal discharge since Iweek and Qi4: A 24 year old women presented Jower abdominal pain & fever since 5 days. She also gives history of multiple sexual partners. . What is your probable diagnosis? a 'b. Mention colour coded kits for syndromic manag snt_for the above scenario? ‘Mention the Syndromic treatm |. What is Suraksha Clinic? What is its main purpose? SLNo Marks 1__| Pelvic Inflammatory Disease 1 | 2 | Syndromic Rx of STI using colour coded kits | Kit] ~grey (Urethral, cervical discharge and painful 2 | scrotal swelling) Kit 2 — green (vaginal discharge) Kit 2_And Kit4— White and blue_( Genital uleer- non herpetic) | Kit 5 —red (Genital ulcer- herpetic) | Kit 6— yellow (lower abdominal pain) | Kit 7 - black (inguinal Bubo) 3 | Kit 6: Celixime Metsnnidiz eosin) ¢- Suraksha clinic a the chain of STURTI Clinics, 7 | , Established by National AIDS Control Organisation, * Main purpose is “to provide better heal rovide better health care service & fo Prevention of HIV/AIDS & STI Counselling ervicca ot ot “TotalQIS: Here is a 25 year old married lady with history of 5 completed months of amenomhoca. UPT is positive. H1b% is 10gms/dl. No other investigations are dane. a) What are the other investigations you would recommend? 'b) What is plan of management in the above scenario? c) What “danger signs” you will elicit? d) Is she a “high risk” mother? Why? (SLNO- ITEM ‘A | Investigations: Blood grouping & Rh typing, RBS urine for albumin & sugar, HIV, HbsAg, VDRL, USG abdomen Plan of management: Therauneic dose of IFA tablets_ | (1 tablet BD) ‘Danger signs: lVo bleeding p/v, headache, blurring of vision, severe epigastric pain, pedal edema Yes, because she is anemic Total) OSPE 2021-2022 - Compatibility Mode + Saved v He ) i eview View e Insert Draw Design Layout References Mailings R 4. What ts the uses ofthis Tha CardMCP card? ee ere ee aang perce jrevear eacie net eral sed dea «How many doses of Td injetions sre recommended during antenatal pesid for primigravida [Link] SL 1TEM | MARKS | in Post Nota Car svice delivery a their doot | B Aims attacking every child rom the tine oft 2 lic acid tablet "i ia 1 ss of Iai, Td, = - 1 | 4 sand Blood pressure of antenatal women 1 is OR __ Text Predictions: On Q Search