Medical Science Paper Optional Paper 2- 2015 | UPSC Previous Year Question Papers and Video Analysis PDF Download

 Page 1


C -A V Z -O -N F E B 
IMPORT / M E D I C A L S C I E N C E
II / P a p e r II
3& F: 250 
Maximum M arks: 250
< U 7 & 0 v f t < f t isvsl ^ f $ < J t y f f $ * i . f ) 3 $ T ft $ /
Vftfflsff fW tffw Wft f t > 3 r fT $ft f /
wrw&ffl #fr5 f m $ $ w fe w g $ m -d -w jm 1 ^ % im $8?y /
sicfc; w r/m & a ? w 3 & & m d % w ? i i
w ft & 3fK m m ft f&£ wft T ? r f f h ? ffimr z$w 3m& xfor-m ft Mm w #, a #r w sthw m ? w 3 ^ 
w?-m-3m (*%.&%.) jf&m & w 3 t & < t fflife w w wm wf& / w & 3 t M w
3 7?^ ^ ^7^ ?# ?7 , y7 ?f ff W 3 F j f t R t y /% 3 7 W lf& /
^ ^ m$, 3v$m fcwf * m zwft zmf J ft &rmn / f? 7 % ^ $3 ^ ' ^7 3 7 3 ^ few ^
tfficni} 1
3 7 ? * 7 ? « £ ¦ 3 W ? t ^ W F f T s H W t y H K tff * f /( ( T f t / W Z f J R y f ( f t , e f t W T f t > 3 fR $t W R T Wf W & 3 r F T 37W : f c & T W T
if f im-w-zrKjfSfcr ft ® 7(# &fw§w ys m wivftFizmift /
Question Paper Specific Instructions
Please read each of the following instructions carefully before attempting questions:
There are EIGHT questions divided in TWO SECTIONS and printed both in HINDI and in 
ENGLISH.
Candidate has to attempt FIVE questions in all.
Questions no. 1 and 5 are compulsory and out of the remaining, any THREE are to be attempted 
choosing at least ONE from each section.
The number of marks carried by a question /part is indicated against it.
Answers must be written in the medium authorized in the Admission Certificate which must be 
stated clearly on the cover of this Question-cum-Answer (QCA) Booklet in the space provided. No 
marks will be given for answers written in a medium other than the authorized one.
Word limit in questions, wherever specified, should be adhered to.
Illustrate your answers with suitable sketches and diagrams, wherever considered necessary. 
Coloured pencils may be used for the purpose.
Attempts of questions shall be counted in sequential order. Unless struck off, attempt of a question 
shall be counted even if attempted partly. Any page or portion of the page left blank in the 
Question-cum-Answer Booklet must be clearly struck off.
_ C f\ ^ * *
Hwm wft: w&wz
Time Allow ed: T hree Hours
#
C-AVZ-O-NFEB 1
Page 2


C -A V Z -O -N F E B 
IMPORT / M E D I C A L S C I E N C E
II / P a p e r II
3& F: 250 
Maximum M arks: 250
< U 7 & 0 v f t < f t isvsl ^ f $ < J t y f f $ * i . f ) 3 $ T ft $ /
Vftfflsff fW tffw Wft f t > 3 r fT $ft f /
wrw&ffl #fr5 f m $ $ w fe w g $ m -d -w jm 1 ^ % im $8?y /
sicfc; w r/m & a ? w 3 & & m d % w ? i i
w ft & 3fK m m ft f&£ wft T ? r f f h ? ffimr z$w 3m& xfor-m ft Mm w #, a #r w sthw m ? w 3 ^ 
w?-m-3m (*%.&%.) jf&m & w 3 t & < t fflife w w wm wf& / w & 3 t M w
3 7?^ ^ ^7^ ?# ?7 , y7 ?f ff W 3 F j f t R t y /% 3 7 W lf& /
^ ^ m$, 3v$m fcwf * m zwft zmf J ft &rmn / f? 7 % ^ $3 ^ ' ^7 3 7 3 ^ few ^
tfficni} 1
3 7 ? * 7 ? « £ ¦ 3 W ? t ^ W F f T s H W t y H K tff * f /( ( T f t / W Z f J R y f ( f t , e f t W T f t > 3 fR $t W R T Wf W & 3 r F T 37W : f c & T W T
if f im-w-zrKjfSfcr ft ® 7(# &fw§w ys m wivftFizmift /
Question Paper Specific Instructions
Please read each of the following instructions carefully before attempting questions:
There are EIGHT questions divided in TWO SECTIONS and printed both in HINDI and in 
ENGLISH.
Candidate has to attempt FIVE questions in all.
Questions no. 1 and 5 are compulsory and out of the remaining, any THREE are to be attempted 
choosing at least ONE from each section.
The number of marks carried by a question /part is indicated against it.
Answers must be written in the medium authorized in the Admission Certificate which must be 
stated clearly on the cover of this Question-cum-Answer (QCA) Booklet in the space provided. No 
marks will be given for answers written in a medium other than the authorized one.
Word limit in questions, wherever specified, should be adhered to.
Illustrate your answers with suitable sketches and diagrams, wherever considered necessary. 
Coloured pencils may be used for the purpose.
Attempts of questions shall be counted in sequential order. Unless struck off, attempt of a question 
shall be counted even if attempted partly. Any page or portion of the page left blank in the 
Question-cum-Answer Booklet must be clearly struck off.
_ C f\ ^ * *
Hwm wft: w&wz
Time Allow ed: T hree Hours
#
C-AVZ-O-NFEB 1
#
A 
SECTION A
Q l. (a) * I T C T 3 ^ 40-^#T a r fte r r c ft iroffa = F t f l K c T 3 1=^ ^fI?T % % U = f i
W H 1 I 5 ^ c f t i J , 3 H i < t > ( ^ H = t > W H W R (¥ R T 'JWl) ^ ^Idl ^ I1 «tf ^ > T
t o t f | 3ffc 3*G F t ^ ^ ^ R m r a 'K T #?R T % I |
(i) ^?R I
(ii)
A newborn baby weighing 1*5 kg develops respiratory distress on the 
first day of life.
(i) List the differential diagnosis.
(ii) How would you assess this baby ?
(iii) How would you manage the most common condition manifesting
with respiratory distress in the newborn ? 2+4+4=10
(c) 30-= i # t ^ ^tasfopsft w t o %
IrR spfTr^ w f i t 11
(i) am fa% 3 T F t t o 3 t o (^ifg) ^ ?
(ii) 3IN 351^ ?
A 30-year-old business executive, who is asymptomatic, has been tested 
positive for Hepatitis-B surface antigen.
(i) How ^ould you further investigate this individual ?
(ii) What steps would you take for the management ? 5+5-10
1 7 ,
j 'l t .
71
A 40-year-old Non-Resident Indian visiting India develops acute, sudden 
breathlessness one week after landing in India. A resident of USA, he 
has no such previous history of breathlessness.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ? 3+7=10
(b) 1-5-ft.in. *ir % ^ • r a « n < r % -q # # % % ft
• ^ m n % i
® ^ jr e g c t i
(ii) 3 T H c F T 3n^rR t o ?
(iii) 3T R 3T R ^ ? T T ^ > 1 t o H « F R W tR J
^ ?
#il 
# ,
t.:
%
fi
X *F -
I
C-AVZ-O-NPEB
Page 3


C -A V Z -O -N F E B 
IMPORT / M E D I C A L S C I E N C E
II / P a p e r II
3& F: 250 
Maximum M arks: 250
< U 7 & 0 v f t < f t isvsl ^ f $ < J t y f f $ * i . f ) 3 $ T ft $ /
Vftfflsff fW tffw Wft f t > 3 r fT $ft f /
wrw&ffl #fr5 f m $ $ w fe w g $ m -d -w jm 1 ^ % im $8?y /
sicfc; w r/m & a ? w 3 & & m d % w ? i i
w ft & 3fK m m ft f&£ wft T ? r f f h ? ffimr z$w 3m& xfor-m ft Mm w #, a #r w sthw m ? w 3 ^ 
w?-m-3m (*%.&%.) jf&m & w 3 t & < t fflife w w wm wf& / w & 3 t M w
3 7?^ ^ ^7^ ?# ?7 , y7 ?f ff W 3 F j f t R t y /% 3 7 W lf& /
^ ^ m$, 3v$m fcwf * m zwft zmf J ft &rmn / f? 7 % ^ $3 ^ ' ^7 3 7 3 ^ few ^
tfficni} 1
3 7 ? * 7 ? « £ ¦ 3 W ? t ^ W F f T s H W t y H K tff * f /( ( T f t / W Z f J R y f ( f t , e f t W T f t > 3 fR $t W R T Wf W & 3 r F T 37W : f c & T W T
if f im-w-zrKjfSfcr ft ® 7(# &fw§w ys m wivftFizmift /
Question Paper Specific Instructions
Please read each of the following instructions carefully before attempting questions:
There are EIGHT questions divided in TWO SECTIONS and printed both in HINDI and in 
ENGLISH.
Candidate has to attempt FIVE questions in all.
Questions no. 1 and 5 are compulsory and out of the remaining, any THREE are to be attempted 
choosing at least ONE from each section.
The number of marks carried by a question /part is indicated against it.
Answers must be written in the medium authorized in the Admission Certificate which must be 
stated clearly on the cover of this Question-cum-Answer (QCA) Booklet in the space provided. No 
marks will be given for answers written in a medium other than the authorized one.
Word limit in questions, wherever specified, should be adhered to.
Illustrate your answers with suitable sketches and diagrams, wherever considered necessary. 
Coloured pencils may be used for the purpose.
Attempts of questions shall be counted in sequential order. Unless struck off, attempt of a question 
shall be counted even if attempted partly. Any page or portion of the page left blank in the 
Question-cum-Answer Booklet must be clearly struck off.
_ C f\ ^ * *
Hwm wft: w&wz
Time Allow ed: T hree Hours
#
C-AVZ-O-NFEB 1
#
A 
SECTION A
Q l. (a) * I T C T 3 ^ 40-^#T a r fte r r c ft iroffa = F t f l K c T 3 1=^ ^fI?T % % U = f i
W H 1 I 5 ^ c f t i J , 3 H i < t > ( ^ H = t > W H W R (¥ R T 'JWl) ^ ^Idl ^ I1 «tf ^ > T
t o t f | 3ffc 3*G F t ^ ^ ^ R m r a 'K T #?R T % I |
(i) ^?R I
(ii)
A newborn baby weighing 1*5 kg develops respiratory distress on the 
first day of life.
(i) List the differential diagnosis.
(ii) How would you assess this baby ?
(iii) How would you manage the most common condition manifesting
with respiratory distress in the newborn ? 2+4+4=10
(c) 30-= i # t ^ ^tasfopsft w t o %
IrR spfTr^ w f i t 11
(i) am fa% 3 T F t t o 3 t o (^ifg) ^ ?
(ii) 3IN 351^ ?
A 30-year-old business executive, who is asymptomatic, has been tested 
positive for Hepatitis-B surface antigen.
(i) How ^ould you further investigate this individual ?
(ii) What steps would you take for the management ? 5+5-10
1 7 ,
j 'l t .
71
A 40-year-old Non-Resident Indian visiting India develops acute, sudden 
breathlessness one week after landing in India. A resident of USA, he 
has no such previous history of breathlessness.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ? 3+7=10
(b) 1-5-ft.in. *ir % ^ • r a « n < r % -q # # % % ft
• ^ m n % i
® ^ jr e g c t i
(ii) 3 T H c F T 3n^rR t o ?
(iii) 3T R 3T R ^ ? T T ^ > 1 t o H « F R W tR J
^ ?
#il 
# ,
t.:
%
fi
X *F -
I
C-AVZ-O-NPEB
(d) (i) “ftig (3 T T ^ .T T R .3 IK .)” ^i:rf^TTm I
(ii) * T R W 3 3nf .t t > T . 3 T R . % Jig® ^ B R ® f f ^ ^ « H T 5 t T |
(iii) % ^c?T f ^ m s 3 3 T rf.iC p .3 T R . * F t ^ c T T T T S F c f f ?
(i) Define "Infant Mortality Rate (IMR)”.
(ii) List the major causes of IMR in India. : <
(iii) What are the key steps that can bring down the IMR in
India ? 2+4+4=10
(e) 25-^pfl^ 3rf^rf|cT ^rft, ^ r , T fte, ; srft zWt jr. $
3T O T -3 T O T 3 T R > R t ^ 3TrT8rt faftpff % S T T S ? 3T T # | I
(i) f^ c R ftc^ff T jjft « T C T ^ I
(ii) 3 T N ^ T T M « F T 3T^P JI («fkj foff '5 T O T ?
(iii) ^ (fH FdM ^M ) % fflSf WR. # W ft Traffic ^ T T
^ 3 T T T 3 P T 5 R ?
A 25-year-old unmarried female presents with asymptomatic
depigmented macules of varying sizes over the breast, back, arms and 
legs for the last two years.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ?
(iii)’ How would you treat the most common condition manifesting with
the given symptomatology ? 2+4+4=10
Q2. (a) ^ 60-^f#T ifc ftfir c T , 6-8 m f I
% S T f c t f t r F W T * T T f I 8 ’T #
w i -piA h fe n w m 3fft < f ? t = i? T^terfr^fcr sftr
^ 3M T^te « F T T T fT t I
(i) IH M 3 T^WfT ^ t ?
(ii) 3*?% W R 3 Ml'WIMI 3t N ?
(iii) ^IT % ? ? T T f ?
A 60-year-old gentleman presents with anaemia, Hb 6*8 gm/dl. Apart 
from weakness, there are no localizing symptoms or signs. He was 
diagnosed with myocardial infarction 8 years earlier and remains 
asymptomatic on atorvastatin and low dose aspirin since the M.I.
(i) What is the likely cause for anaemia in this patient ?
(ii) Which laboratory investigations are helpful in his management ?
(iii) What is the appropriate treatment for this condition ? 3+7+7=17
C-AVZ-O-NFEB 3
Page 4


C -A V Z -O -N F E B 
IMPORT / M E D I C A L S C I E N C E
II / P a p e r II
3& F: 250 
Maximum M arks: 250
< U 7 & 0 v f t < f t isvsl ^ f $ < J t y f f $ * i . f ) 3 $ T ft $ /
Vftfflsff fW tffw Wft f t > 3 r fT $ft f /
wrw&ffl #fr5 f m $ $ w fe w g $ m -d -w jm 1 ^ % im $8?y /
sicfc; w r/m & a ? w 3 & & m d % w ? i i
w ft & 3fK m m ft f&£ wft T ? r f f h ? ffimr z$w 3m& xfor-m ft Mm w #, a #r w sthw m ? w 3 ^ 
w?-m-3m (*%.&%.) jf&m & w 3 t & < t fflife w w wm wf& / w & 3 t M w
3 7?^ ^ ^7^ ?# ?7 , y7 ?f ff W 3 F j f t R t y /% 3 7 W lf& /
^ ^ m$, 3v$m fcwf * m zwft zmf J ft &rmn / f? 7 % ^ $3 ^ ' ^7 3 7 3 ^ few ^
tfficni} 1
3 7 ? * 7 ? « £ ¦ 3 W ? t ^ W F f T s H W t y H K tff * f /( ( T f t / W Z f J R y f ( f t , e f t W T f t > 3 fR $t W R T Wf W & 3 r F T 37W : f c & T W T
if f im-w-zrKjfSfcr ft ® 7(# &fw§w ys m wivftFizmift /
Question Paper Specific Instructions
Please read each of the following instructions carefully before attempting questions:
There are EIGHT questions divided in TWO SECTIONS and printed both in HINDI and in 
ENGLISH.
Candidate has to attempt FIVE questions in all.
Questions no. 1 and 5 are compulsory and out of the remaining, any THREE are to be attempted 
choosing at least ONE from each section.
The number of marks carried by a question /part is indicated against it.
Answers must be written in the medium authorized in the Admission Certificate which must be 
stated clearly on the cover of this Question-cum-Answer (QCA) Booklet in the space provided. No 
marks will be given for answers written in a medium other than the authorized one.
Word limit in questions, wherever specified, should be adhered to.
Illustrate your answers with suitable sketches and diagrams, wherever considered necessary. 
Coloured pencils may be used for the purpose.
Attempts of questions shall be counted in sequential order. Unless struck off, attempt of a question 
shall be counted even if attempted partly. Any page or portion of the page left blank in the 
Question-cum-Answer Booklet must be clearly struck off.
_ C f\ ^ * *
Hwm wft: w&wz
Time Allow ed: T hree Hours
#
C-AVZ-O-NFEB 1
#
A 
SECTION A
Q l. (a) * I T C T 3 ^ 40-^#T a r fte r r c ft iroffa = F t f l K c T 3 1=^ ^fI?T % % U = f i
W H 1 I 5 ^ c f t i J , 3 H i < t > ( ^ H = t > W H W R (¥ R T 'JWl) ^ ^Idl ^ I1 «tf ^ > T
t o t f | 3ffc 3*G F t ^ ^ ^ R m r a 'K T #?R T % I |
(i) ^?R I
(ii)
A newborn baby weighing 1*5 kg develops respiratory distress on the 
first day of life.
(i) List the differential diagnosis.
(ii) How would you assess this baby ?
(iii) How would you manage the most common condition manifesting
with respiratory distress in the newborn ? 2+4+4=10
(c) 30-= i # t ^ ^tasfopsft w t o %
IrR spfTr^ w f i t 11
(i) am fa% 3 T F t t o 3 t o (^ifg) ^ ?
(ii) 3IN 351^ ?
A 30-year-old business executive, who is asymptomatic, has been tested 
positive for Hepatitis-B surface antigen.
(i) How ^ould you further investigate this individual ?
(ii) What steps would you take for the management ? 5+5-10
1 7 ,
j 'l t .
71
A 40-year-old Non-Resident Indian visiting India develops acute, sudden 
breathlessness one week after landing in India. A resident of USA, he 
has no such previous history of breathlessness.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ? 3+7=10
(b) 1-5-ft.in. *ir % ^ • r a « n < r % -q # # % % ft
• ^ m n % i
® ^ jr e g c t i
(ii) 3 T H c F T 3n^rR t o ?
(iii) 3T R 3T R ^ ? T T ^ > 1 t o H « F R W tR J
^ ?
#il 
# ,
t.:
%
fi
X *F -
I
C-AVZ-O-NPEB
(d) (i) “ftig (3 T T ^ .T T R .3 IK .)” ^i:rf^TTm I
(ii) * T R W 3 3nf .t t > T . 3 T R . % Jig® ^ B R ® f f ^ ^ « H T 5 t T |
(iii) % ^c?T f ^ m s 3 3 T rf.iC p .3 T R . * F t ^ c T T T T S F c f f ?
(i) Define "Infant Mortality Rate (IMR)”.
(ii) List the major causes of IMR in India. : <
(iii) What are the key steps that can bring down the IMR in
India ? 2+4+4=10
(e) 25-^pfl^ 3rf^rf|cT ^rft, ^ r , T fte, ; srft zWt jr. $
3T O T -3 T O T 3 T R > R t ^ 3TrT8rt faftpff % S T T S ? 3T T # | I
(i) f^ c R ftc^ff T jjft « T C T ^ I
(ii) 3 T N ^ T T M « F T 3T^P JI («fkj foff '5 T O T ?
(iii) ^ (fH FdM ^M ) % fflSf WR. # W ft Traffic ^ T T
^ 3 T T T 3 P T 5 R ?
A 25-year-old unmarried female presents with asymptomatic
depigmented macules of varying sizes over the breast, back, arms and 
legs for the last two years.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ?
(iii)’ How would you treat the most common condition manifesting with
the given symptomatology ? 2+4+4=10
Q2. (a) ^ 60-^f#T ifc ftfir c T , 6-8 m f I
% S T f c t f t r F W T * T T f I 8 ’T #
w i -piA h fe n w m 3fft < f ? t = i? T^terfr^fcr sftr
^ 3M T^te « F T T T fT t I
(i) IH M 3 T^WfT ^ t ?
(ii) 3*?% W R 3 Ml'WIMI 3t N ?
(iii) ^IT % ? ? T T f ?
A 60-year-old gentleman presents with anaemia, Hb 6*8 gm/dl. Apart 
from weakness, there are no localizing symptoms or signs. He was 
diagnosed with myocardial infarction 8 years earlier and remains 
asymptomatic on atorvastatin and low dose aspirin since the M.I.
(i) What is the likely cause for anaemia in this patient ?
(ii) Which laboratory investigations are helpful in his management ?
(iii) What is the appropriate treatment for this condition ? 3+7+7=17
C-AVZ-O-NFEB 3
I
. . t 
(b) 1 3 3 5 io-^i#r a # 'sa # ^R-^n
^ ¦# ^ ftc r r t . 1 *rw i % % w tr ^N rrtt
sft I
(i) T tn = ft Sffct 3 * k ? W c T w | ?
. ¦ (ii) S ^T f | T T 1 ^ f?T ^ IT ^t ^ % ?
(iii) w 331MFsif^wftit 5 f n w t ?
(iv) 3^ tn c n % w I ?
A iO-year-old boy presented with history of recurrent joint swelling of 
knees, elbows and ankles, following trivial injuries. His maternal uncle 
had similar illness.
(i) What is the nature of disease and the likely diagnosis ?
(ii) Which investigations can confirm this disease ?
. (iii) What is the medical management in this young patient ?
(iv) What is the advice for his mother ? 3+4+7+4=18
(e) T 3 = R 45-c[#f tJ % F T % ^ ^ 3*R N ufft,<)5 %
^ I I ^ ^ T fi?'I# W n ¦p: ^
11
(i) . wra 1 ^ r w | ?
(ii) ^ iw 1 ^FT t^FT f% ^ T T ?
(iii) w ^ W t ^ 3 r r t ?
A 45-year-old lady develops itchy, hyperpigmented, scaly lesions on face.
These lesions become worse after the use of hair dye which she started 
using five months earlier.
(i) What is the most likely diagnosis ?
(ii) How can this diagnosis be confirmed ?
(iii) What medical advice can be given to this lady ? 3+5+7=15
Q3. (a) 45-^Pffa W53R W 4W % W *T 3irW>l«i f S W P T 3 f » I ^SPT %
tW = T 'Tlf ¦ q f I
(i) % t t N -# «FfIfq i
(ii)
(iii) erf& fa M # (w g ) f ?
(iv) 3n w i^ifir f w M % srnfira j w % cp^f ^ Pri^ ( j . i
C-AVZ-O-NFEB 4
Page 5


C -A V Z -O -N F E B 
IMPORT / M E D I C A L S C I E N C E
II / P a p e r II
3& F: 250 
Maximum M arks: 250
< U 7 & 0 v f t < f t isvsl ^ f $ < J t y f f $ * i . f ) 3 $ T ft $ /
Vftfflsff fW tffw Wft f t > 3 r fT $ft f /
wrw&ffl #fr5 f m $ $ w fe w g $ m -d -w jm 1 ^ % im $8?y /
sicfc; w r/m & a ? w 3 & & m d % w ? i i
w ft & 3fK m m ft f&£ wft T ? r f f h ? ffimr z$w 3m& xfor-m ft Mm w #, a #r w sthw m ? w 3 ^ 
w?-m-3m (*%.&%.) jf&m & w 3 t & < t fflife w w wm wf& / w & 3 t M w
3 7?^ ^ ^7^ ?# ?7 , y7 ?f ff W 3 F j f t R t y /% 3 7 W lf& /
^ ^ m$, 3v$m fcwf * m zwft zmf J ft &rmn / f? 7 % ^ $3 ^ ' ^7 3 7 3 ^ few ^
tfficni} 1
3 7 ? * 7 ? « £ ¦ 3 W ? t ^ W F f T s H W t y H K tff * f /( ( T f t / W Z f J R y f ( f t , e f t W T f t > 3 fR $t W R T Wf W & 3 r F T 37W : f c & T W T
if f im-w-zrKjfSfcr ft ® 7(# &fw§w ys m wivftFizmift /
Question Paper Specific Instructions
Please read each of the following instructions carefully before attempting questions:
There are EIGHT questions divided in TWO SECTIONS and printed both in HINDI and in 
ENGLISH.
Candidate has to attempt FIVE questions in all.
Questions no. 1 and 5 are compulsory and out of the remaining, any THREE are to be attempted 
choosing at least ONE from each section.
The number of marks carried by a question /part is indicated against it.
Answers must be written in the medium authorized in the Admission Certificate which must be 
stated clearly on the cover of this Question-cum-Answer (QCA) Booklet in the space provided. No 
marks will be given for answers written in a medium other than the authorized one.
Word limit in questions, wherever specified, should be adhered to.
Illustrate your answers with suitable sketches and diagrams, wherever considered necessary. 
Coloured pencils may be used for the purpose.
Attempts of questions shall be counted in sequential order. Unless struck off, attempt of a question 
shall be counted even if attempted partly. Any page or portion of the page left blank in the 
Question-cum-Answer Booklet must be clearly struck off.
_ C f\ ^ * *
Hwm wft: w&wz
Time Allow ed: T hree Hours
#
C-AVZ-O-NFEB 1
#
A 
SECTION A
Q l. (a) * I T C T 3 ^ 40-^#T a r fte r r c ft iroffa = F t f l K c T 3 1=^ ^fI?T % % U = f i
W H 1 I 5 ^ c f t i J , 3 H i < t > ( ^ H = t > W H W R (¥ R T 'JWl) ^ ^Idl ^ I1 «tf ^ > T
t o t f | 3ffc 3*G F t ^ ^ ^ R m r a 'K T #?R T % I |
(i) ^?R I
(ii)
A newborn baby weighing 1*5 kg develops respiratory distress on the 
first day of life.
(i) List the differential diagnosis.
(ii) How would you assess this baby ?
(iii) How would you manage the most common condition manifesting
with respiratory distress in the newborn ? 2+4+4=10
(c) 30-= i # t ^ ^tasfopsft w t o %
IrR spfTr^ w f i t 11
(i) am fa% 3 T F t t o 3 t o (^ifg) ^ ?
(ii) 3IN 351^ ?
A 30-year-old business executive, who is asymptomatic, has been tested 
positive for Hepatitis-B surface antigen.
(i) How ^ould you further investigate this individual ?
(ii) What steps would you take for the management ? 5+5-10
1 7 ,
j 'l t .
71
A 40-year-old Non-Resident Indian visiting India develops acute, sudden 
breathlessness one week after landing in India. A resident of USA, he 
has no such previous history of breathlessness.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ? 3+7=10
(b) 1-5-ft.in. *ir % ^ • r a « n < r % -q # # % % ft
• ^ m n % i
® ^ jr e g c t i
(ii) 3 T H c F T 3n^rR t o ?
(iii) 3T R 3T R ^ ? T T ^ > 1 t o H « F R W tR J
^ ?
#il 
# ,
t.:
%
fi
X *F -
I
C-AVZ-O-NPEB
(d) (i) “ftig (3 T T ^ .T T R .3 IK .)” ^i:rf^TTm I
(ii) * T R W 3 3nf .t t > T . 3 T R . % Jig® ^ B R ® f f ^ ^ « H T 5 t T |
(iii) % ^c?T f ^ m s 3 3 T rf.iC p .3 T R . * F t ^ c T T T T S F c f f ?
(i) Define "Infant Mortality Rate (IMR)”.
(ii) List the major causes of IMR in India. : <
(iii) What are the key steps that can bring down the IMR in
India ? 2+4+4=10
(e) 25-^pfl^ 3rf^rf|cT ^rft, ^ r , T fte, ; srft zWt jr. $
3T O T -3 T O T 3 T R > R t ^ 3TrT8rt faftpff % S T T S ? 3T T # | I
(i) f^ c R ftc^ff T jjft « T C T ^ I
(ii) 3 T N ^ T T M « F T 3T^P JI («fkj foff '5 T O T ?
(iii) ^ (fH FdM ^M ) % fflSf WR. # W ft Traffic ^ T T
^ 3 T T T 3 P T 5 R ?
A 25-year-old unmarried female presents with asymptomatic
depigmented macules of varying sizes over the breast, back, arms and 
legs for the last two years.
(i) List the differential diagnosis.
(ii) How would you investigate this patient ?
(iii)’ How would you treat the most common condition manifesting with
the given symptomatology ? 2+4+4=10
Q2. (a) ^ 60-^f#T ifc ftfir c T , 6-8 m f I
% S T f c t f t r F W T * T T f I 8 ’T #
w i -piA h fe n w m 3fft < f ? t = i? T^terfr^fcr sftr
^ 3M T^te « F T T T fT t I
(i) IH M 3 T^WfT ^ t ?
(ii) 3*?% W R 3 Ml'WIMI 3t N ?
(iii) ^IT % ? ? T T f ?
A 60-year-old gentleman presents with anaemia, Hb 6*8 gm/dl. Apart 
from weakness, there are no localizing symptoms or signs. He was 
diagnosed with myocardial infarction 8 years earlier and remains 
asymptomatic on atorvastatin and low dose aspirin since the M.I.
(i) What is the likely cause for anaemia in this patient ?
(ii) Which laboratory investigations are helpful in his management ?
(iii) What is the appropriate treatment for this condition ? 3+7+7=17
C-AVZ-O-NFEB 3
I
. . t 
(b) 1 3 3 5 io-^i#r a # 'sa # ^R-^n
^ ¦# ^ ftc r r t . 1 *rw i % % w tr ^N rrtt
sft I
(i) T tn = ft Sffct 3 * k ? W c T w | ?
. ¦ (ii) S ^T f | T T 1 ^ f?T ^ IT ^t ^ % ?
(iii) w 331MFsif^wftit 5 f n w t ?
(iv) 3^ tn c n % w I ?
A iO-year-old boy presented with history of recurrent joint swelling of 
knees, elbows and ankles, following trivial injuries. His maternal uncle 
had similar illness.
(i) What is the nature of disease and the likely diagnosis ?
(ii) Which investigations can confirm this disease ?
. (iii) What is the medical management in this young patient ?
(iv) What is the advice for his mother ? 3+4+7+4=18
(e) T 3 = R 45-c[#f tJ % F T % ^ ^ 3*R N ufft,<)5 %
^ I I ^ ^ T fi?'I# W n ¦p: ^
11
(i) . wra 1 ^ r w | ?
(ii) ^ iw 1 ^FT t^FT f% ^ T T ?
(iii) w ^ W t ^ 3 r r t ?
A 45-year-old lady develops itchy, hyperpigmented, scaly lesions on face.
These lesions become worse after the use of hair dye which she started 
using five months earlier.
(i) What is the most likely diagnosis ?
(ii) How can this diagnosis be confirmed ?
(iii) What medical advice can be given to this lady ? 3+5+7=15
Q3. (a) 45-^Pffa W53R W 4W % W *T 3irW>l«i f S W P T 3 f » I ^SPT %
tW = T 'Tlf ¦ q f I
(i) % t t N -# «FfIfq i
(ii)
(iii) erf& fa M # (w g ) f ?
(iv) 3n w i^ifir f w M % srnfira j w % cp^f ^ Pri^ ( j . i
C-AVZ-O-NFEB 4
A 45-year-old gentleman presented in emergency With haematemesis. 
Examination revealed massive splenomegaly.
(i) List five differential diagnosis of‘massive splenomegaly’.
(ii) What is the most likely diagnosis in this patient ?
(iii) Which investigations are warranted in the patient described 
above ?
(iv) Enumerate the steps in the initial management of this patient in
emergency. 5+2+5+6=18
(b) l i r^ r ark c t r -^r ^ T 3 if
% 31Wdld c T R T T ^ T R I T t I s T S S T *TT^k, = T 3 R 5-5 fo/JTT., 3R3R; sfk
(oedema of limbs) ^ W S T W rT W I
(i) ft^R *R T | ?
(ii) m S T R B cR 3?ft fiRT^ ^ 3 H «i| R
I '
(iii) W 3T k 3WIT TOW sff
I
An 11-month-old infant is brought to hospital with delayed weaning and 
history of recurrent diarrhoeal episodes. The child is apathic, weighs 
5*5 kg, has depigmented hair and oedema over the limbs.
(i) What is the most likely diagnosis ?
(ii) Enumerate the clinical assessment and investigations that would 
be helpful in this infant.
(iii) Enumerate the ten essential steps and two phases of treatment for .
this child. 2+7+8=17
(c) T r s f c 18-^ffa stftcnfta irftrn, * fr arc}
I , % cj?R 3 | i 1 s r r N (ffiRtilm)
| 3Tk 3 ^ t I
(i) w t ?
(ii) ^ ¦ ^ T TR*R c H j i gl'ii ?
An 18-year-old unmarried young lady, highly conscious of her body 
image, develops severe weight loss. She has amenorrhoea for 7 months 
and her food intake is minimal.
(i) What is the most likely diagnosis ?
(ii) What is the management in such a case ? 3+12=15
C-AVZ-O-NFEB 5