Question Code: CD-I:
Note: Each scenario carries 3 Marks
A 10 year old boy gives history of stray dog bite. On examination, there are abrasions seen over
his left thigh.
[Link] about the local wound management in this case. [1.5 Marks]
Ans: Local Treatment:
• Gently wash under running water with soap over a period of 15-20 minutes which
reduces chance of getting rabies by up to 80% if washed immediately after dog bite.
• Disinfectants – virucidal agents: Povidone Iodine, Spirit, etc.
• Suturing only if required after 24-48 hours only after RIG.
• Simple, non-occlusive dressing can be done if required
• TT and antibiotics to be given to prevent wound infection
ii. Write about the Intramuscular route of immunization regimen for this case.
[1.5 Marks]
Ans: Post-exposure vaccination schedule is based on the injecting 1 ml or 0.5 ml into
the deltoid muscle (or anterolateral thigh in children aged <2 years) of patients
with category II and III exposures.
1. Essen regimen : The 5-dose regimen prescribes 1 dose on
each of days 0, 3, 7, 14, and 28.
2. Zareb regimen : The 4-dose abbreviated multisite regimen
prescribes
2 doses on day 0 (1 in each of the 2
deltoid or thigh sites)followed by 1 dose
on each of days 7 and 21.
Question Code: CD-II:
Note: Each scenario carries 3 Marks
A 9 months old baby was taken to a health sub-centre with the history of cough and difficulty in
breathing for 2 days. On examination, child had no general danger signs; her respiratory rate is
65 per minute and chest in drawing is present.
i. What could be the possible diagnosis? [0.5 Marks]
Ans: Pneumonia
ii. How will you treat the child? [1 Mark]
Ans: Treatment: Oral amoxicillin for 5 days.
Advice the mother when to return/ ask for follow up in 3 days.
iii. What are the general danger signs in the severe form of this condition? [1 Mark]
Ans: Inability to feed normally, vomiting, convulsions, lethargy, unconsciousness
iv. List the vaccines available against this condition in children. [0.5 Marks]
Ans: 1. Measles vaccine 2. Haemophilus influenzae type B (Hib) vaccine
3. Pneumococcal pneumonia vaccine
Question Code: CD-II:
Note: Each scenario carries 3 Marks
A 36 year old male presented to PHC with complaints of high fever with chills and rigors, followed
by profuse sweating, after which fever comes down, and this cycle of fever episodes continues.
i. What could be the possible diagnosis? [0.5 Marks]
Ans: Malaria
ii. Write about the treatment for this condition? [1 Mark]
Ans: Treatment of P. vivax malaria:
- Chloroquine (25 mg/ kg body weight divided over 3 days)
- Primaquine (0.25 mg/ kg body weight daily for 14 days)
Treatment of P. falciparum malaria:
- Artemisinin based combination therapy (ACT-SP/ ACT-AL)
- Primaquine (0.75 mg/ kg body weight on day 2)
iii. List the current parasitological parameters for measuring the disease burden?
[1 Mark]
Ans: 1. Annual Parasite Incidence 2. Annual Blood Examination Rate
3. Annual Falciparum Incidence 4. Slide Positivity Rate
5. Slide Falciparum Rate
iv. Name the National Health Programme related to the disease.
[0.5 Marks]
Ans: NVBDCP: National Vector Borne Disease Control Programme
Question Code: NCD:
Note: Each scenario carries 3 Marks
“Rule of halves” for Hypertension in the community is represented below:
i. What does the ‘number 3’ represent in the above picture? [0.5 Marks]
Ans: ‘Number 3’: Hypertensive subjects in the whole population
ii. What does the ‘number 8’ represent in the above picture? [0.5 Marks]
Ans: ‘Number 8’: Hypertensive subjects who are diagnosed but inadequately treated
iii. List two lifestyle modifications for managing hypertension?
[0.5 Marks]
Ans: 1. Weight reduction 2. DASH eating plan
3. Dietary sodium reduction 4. Physical activity
5. Moderation of alcohol consumption
iv. Elaborate the term ‘DASH’ in the management of Hypertension.
[0.5 Marks]
Ans: ‘DASH’: Dietary Approaches to Stop Hypertension
v. Name the National Health Programme related to the disease.
[1 Mark]
Ans: NPNCD : National Programme for Prevention and Control of
Non Communicable Disease
Question Code: MCH:
Note: Each scenario carries 3 Marks
i. How do you make the ORS drink which is available in powder form? [1 Mark]
Ans: 1. The contents of the packet are to be dissolved in one litre of drinking water.
2. The solution should be made fresh daily and used within 24 hours.
3. It should not be boiled or otherwise sterilized.
ii. Write down the steps in preparing ORS solution at home. [1.5 Marks]
Ans: Steps in preparing ORS solution at home if ORS packets are not available:
1. Clean Water - 1 litre - 5 cupful (each cup about 200 ml.)
2. Sugar - Six level teaspoons (1 teaspoon = 5grams)
3. Salt - Half level teaspoon
4. Stir the mixture till the sugar dissolves
iii. Mention some fluids that should be avoided during diarrhea. [0.5 Marks]
Ans: Drinks sweetened with sugar, like commercial carbonated beverages,
commercial fruit juices, sweetened tea, etc.
Stimulant diuretic or purgatives like coffee, medicinal tea etc.