Viva: 5.

Nutrition: (ilyas)
1. Nutrition
Identify picture = corneal ulcer and bitot spots
Which one appear first = bitot spots
Examiner questions:
 
2. Communicable disease:
Name infections of liver beside viral hepatitis = yellow
fever, CMV
Incubation period of Hep A and Hep B = 15-30 days and
…….
Examiner questions
 
3. Tuberculosis:
Picture = PPD test
Material used = PPD
Positive test = 10 cm induration
Examiner questions
 
4. Maternal and child health care:
Most common deficiency in reproductive women = iron
deficiency
Cause = malnutrition, fertility, infections
Examiner questions:
 
Spots:
1. Malaria: (Ilyas)
Malaria cause = high morbidity
Transmission index = infant parasite rate
All cause malaria except = flavivirus
Knock down agent = pyrethrum
Use of malaria survey = malaria status
 
2. Tuberculosis: (Ilyas)
World TB day = 24 march
Re emergence of TB in developed world = HIV
Mode of transmission = droplet infection
Food protective for TB = protein
Reason of dec incidence of TB = improved living
condition
3. Measles: (Ilyas)
In Pakistan = endemic
Koplick spot = measles
Not a symptom of measles = pneumonia
Rare complication = encephalitis
Affected age = less than 3 years
 
4. Reproductive health: ?(ilyas)
MMR in pak = ???
Measure of reduce MMR = safe motherhood
Start breastfeeding = ½ hour after birth
Calori requirement of lactating mother = 3100 Kcals
Reproductive health = definition likhi thi
 
Balance diet = definition
Vegetables are good source of = carbohydrates
Sophistication = thickening agents
Oldest method of perseveration = salting and prickling
Variation in paki deit = ????
 
6. Schizophrenia (ilyas)
Scenario = schizophrenia
Prevalence in pak = 1%
Common misconception = jinnic possetion (jin charh
gaya hai)
Difficulty in treating = lack of understanding
Etiologic factor = genetic (nt sure)
 
7. Hospital administration: (ilyas)
Scenario = nosocomial infection
Cause of decrease apeptive of old man = dec BMR
A hospital administrator acces = planning, organizing,
auditiog (pata nhi kia answer tha)
Which is not duty of hospital administrator = ????
 
8. Tetnus
Picture = tetnus
Organism = gram +ve spore forming
Picture = opisthotonus
Picture= trismus
Picture = ????
 
9. Diabetes mellitus:
American association recommended screening tst for
DM type II = FBG
Ketoacidosis is = biochemical abnormality
Uncontrolled DM in first trimester cause = major birth
defects
Uncontrolled DM in second or third trimester cause =
overweight baby
Spontaneous abortions in first trimester due to DM = 15-
20%
10. Contraceptive:
Most common male contraceptive = condom
Adavtage of condom = prevent STD
Preventing pregnancy while using condom = spermicidal jelly
Complication of vasectomy = infection
After vasectomy contraception is achieved at = 6-8 weeks
 
11. Non-communicable:
Impact of health economics = high cost
Misconception = disease of affluent socity
Prevelance of non communicable in developoing world = 40%
 
 
12. Topic yad nhi
IMCI = defition
Bovie TB transmitted by = milk
Botulism = ???