Question 1: Observe the skin rash in a given model.

What is your provisional

aonosis? Give the reasons to justify your diagnosis. Write down the immunization
schedule followed for its prevention?
Ans: CHICKEOPx Mumpg

Juslilialioo sapoàs.urdecaas naculepoßalan

ash a< Ponola,
duw dop appecane glard
swODunded by axea Blanchig

lombinee! ke Afentuated
Immunizato0 lie Atlenuaee vacïne.
xhudule Vaccine (MMR)MR) Combincol.
(Ib -2h months) qmonths
oSml m 4months

following for a 10 year

Question 2: Choose & write the appropriate regimen from the
diagnosed with paucibacillary leprosy. State the reasons to justify
oldfemale child
your choice.

Ans:

Pigarricin - WFog gn rdsN Sugoisn one a noth

adminidge

389
 Ans: to
ideal her Question
abdominal one
(Observer
statíon)
her. first
Question
choose
second year Ans: child
oCP'b rbaindiatiooyan Co candidate nthods
Bonen
haek until 3:
from? comes
child pain. 4: d) a)Fhysical
b) Ask
gocNsely
Intaduce A
A
Havmonal chanca another 25
(0bserver for only She to 25 year
tem you year Rabònb
oral
afterwants with
he two old
contraceptive old, nullipara,
lombied station)another mcthads >foam. Pabiont years.
undom, S
complaints to P1L1
switch name
graduate gen DiscuSs
recently
Pells Toscmbophlebitucs, ocp- year.
over -ccAm.
Abnaxmaites
Cmaas pills? of Combined
dippe daphragm and
the
Abtolub How to foul
woman, married,
390
Cmala What oral
willsmelling
OAS contraceptive

-N,
contraceptive
are you
who pil, loop Jely Dn
would
the
(ancer evaluate
0CPs
vaginal has
nieclables,
bubdomal
nplanb she
Maa been
Came
options like
ay that discharge
pills. to
-) the
if using
withdelay
brcak you
woman She
will Copper
isand nang having
offerplanninglower
?gnllads is
an since T her
her

Immunizatio9 delivered
thwhere
e Ouestion
Ans: Ans: (Observer
station)
cOUnseligM lQuest
ing ion
fon otubella
Poevebo
immunization
Impoxance she bilh. positive.
works. her 6:
Vaccie
daksBaby intasnt 5;
DPV BCo
UPV Pentavelend
after
the :A
tompliabions fifth A
Acotaninophon + Counsel 22
-2schedle
D95 scheduleAdvise 30
bhmd year
BoCsy daops. ml
baby year
angboy
Rabelloyorn antenatal
the
old
(Temale)her old couple
primigravida
for
l6- o.Sml sD
ax regarding
the migrant not mothe
mOdiuobioo
búg an check-up
24 (oPV a child.(Observer at duxing regarding

-4. 2,3) childnon:. home, be

391 mondhs , vaccine thelabourer vin snauld at
has 14
the
importance revealed
6,lo, one further weeks

2 poov station) woman day atee! of

dueps l4wk9. ofago
qet lines that
gestation
entab immunization in from MnR haling
byptoms. of
the
management.mothercomes
arally. d'anse k construction
the
Uttar
vacúne is to
and Pradesh Rubella you
explain boon for
site has
 Ans: cOunsel Ans: TeachQuestion
claims
smellingQuestion
menstruation The
Counsdling
Adauio your
child
her not and
on to 8 ANM has You 7:
is :A
reproductive benotevery 22 Abudr - -Abldoinek do how been are
sexually
accompanied year accompanying
to
suffering
month. look
old
active.
and for
female
The danger from
sexXual by
Whatdischarge
pain. reports fever your
392 tclusia
spauibeaslg health.
is
your Her white
signs ANM
and
induing
menstrual is
(Observer the
difficult
diagnosis? minimal
vaginal child. her

station) cycles breathing visit

(0bserver
Use discharge to
to
moderate,
this are an
regular
opportunity 2 station)sinceinfant
days
not
and before
one at
home
foul day.
toshe

Ans:
Ans:
(0bserver
estion Question
-
-Meastore Place station) 10:
Calculate 9:
Measure

BP tanearm the BMI13-S

Namal
-24:9
BMI
the
blood
by of
this
oth pressure
on person.Interpret

393
Pulbe table of -14b6.
this
t a person.
stotesope the
wel Interpret results.
a (Observer
makod hot the
results.
and station)
place
ihe
 Ans:
AnsDiabetes
: Question Questwaistion
5Avid /hip
- ratio 11:
ncCAEdMellitus. 12: Measure
Mr. and
wak stoh AdviseJaved p interpret the
aie intake
sacd
tote
him 42
year
on
caurjecre waist
the
ih selfmale results. and
hip
30 vesdabes a care is toramel
lich is = circumference
(0bserver
394 mns es recently
ibpractices. 98
wEmiLo8sn cm
5 diagnosed station)
day (Observer of
this
of
a having
station)
person.
week
type Calculate
2

hüaltry de
Recently daily 14:
Question
Ans:Question
hypertension.
Advise
Sadue
youssely
Ans:addiction
"
Gusellirg
"Potdettoz *6pl
"About ain About " "
speak
labourer.
Bousk sall Yoga, Dasdihel
i he
esyle
13:
ofwasManohar isa Mr.
agin de alcohol.
diagnosed He in
meditatioo
obout has walk Jake himRavi,
addeaduose
adelctud (Observer been
42-year-old
with
cdifiatoo
aeast Avaid about a
39
he natue
tonditoo his an lifestyle year

completes e<ect chiden,

alcoholic
station) case a
so 10 male
oneatment married
of man ’Avoid
ms
yateeliee
ip modification.(Observer
395 al a< severe for
is
an
alhohol gunk
recently
dealchohl
be Cono
many
6 sas
-additico -
gastrnitis.
yearshaving Amokig.
cays food diagnosed
measuneel Hrco bot usesCondion Counsel and 3 station)
PhyScal efec children a
is
a deinkig
aweck. of
teaent (ause thheavy
e having
anel tuenes patient
working
t drinker.
alcholol pre
diacd moataly for as
a

a
 Total Ans:
dehydration.
Question
rehydration ’malnoukac! 12:s Zi3s
-13S
Milroin Ans:
Question
(Observer
station)
1f Sf Cyl2-isoo)
(RId
amoud Amsunl oRS 16: Colouwts 3 15:
oRS solution Namal Ag
-n
15 e
Packel
malnowished
>seuee
Instruct A
3
year >N`Id
Measure
: Packel atthe gxp -
o lo old the
be -20oml nol home.
25
male - :1-5 (xcen. mid
gWen 1Lhe year Maderet arm
(0bserver child yrs yeloo,
Resent6
(a
old
-’amal713 5 circumference
8co-200 : illiterate is
eAch hal baied suffering
station)
396
malncnshed Ree
lbose
stool do Esp and mother from
of
ml one olcc acute
the
ur the
of
baby.
lavgc diarrhoeal
+
wabi child
Interpret
Cup) |E9p about
+
afler IPacket disease your
sll preparation
with results
oRS some
of
oral

Add Measnement. natient

Ovestion
Ans:
Ans:coffeeQuestion
can
Speaktty*Stengh
**Temporial cause
7S0
all with
as
ese suPra
thT0tal!Regon
bmm Hanpen 17:
Ehe a
cancer, 18:
causative mm
use
Measure
If of
the
->Obese A den this
2’ Aso name
instrument the
Asociatio0Asaiatiotinticn
research
factor g\mm sin skin
tofonance for least
at
n fold
studies
(u0 cabpen
o cancer. 4 and
thickness
(oad's (Cause criteria
show interpret
(Af mm)
a at
oratio efocl) 4
397 that that

assotiation ibutable drinking

should
appropriate
the
results.(Observer
aiea) be
cisk) fulfilledlarge
amounts
site
in
a
before station)given
of
labelingcoffee
 Ans Narme
ldentify Ans b) the a)
ldentify Question 19
Question 20
Describe
two
Dengue b)Aedesa) the b) a)
diseases
species EnHaman
v HOxt fpidA
tmio dengue
kungunyachiyellow
tven > diagram
below
given
transmitted of Humucity
iTenp,
OlAbBial
hor Dengue with
the logial the
moSquito
by
vus help

it. collecbion tund ofthe

diagram
398

af
water

Agent

Host

Environment

Coloun
well Question
Horrock's
Calculate
Ans: rectangular
A22: pokningouaing 3
Ans:
changes
given
in 21:
Question
drons
a
and 00mg of
h53b volumeexplain (in from TH2.
sample
the test
change mobe
\0Do1S L redColor
amountdone well Teus
fos ubic the oater
->Handoate to 10ml
measuring blue,turns
(0) AS3booo af of ona
practical of
n m a
Roetanglebleachingsample
should what red.water
: Ca1Ss After
chloina.
49.1s kg 453b steps2mx3mxm
J2x18
X2\m is is
cup: of your mixed
ites powder
in
water
Ppi) adding

19153
-
Ax2 x\ooo :
|xbxh shows in
disinfection. be inference?
with
6
399
4536000 required
dimension moderately mg|xn
50 drops one
>8
> = bluish 50
gams 453600o
gm 4536 to xb
spoonful
TH6
of

x af
chlorinate needs
discoloration
solution
S/aSsChlosineq m hand of
od I3 to TH1S
(So be
the the and
chloane disinfected.
cywater
in (so-Iso color10-12
lihde the
Sar 3°
in
Ass the cup. mg|L)
it 6h)
Hao elae
 Ans:
Question give uestion
and
2
SpoTMAP
droPs yournitntes
24: opinion 23:
he ldentify a pm A
with sample
boundaies
CHoERA Tt Rtomnent
andhlorides
9o98A
the reasons
diagram sola
if
and tolbi the analyzed
when
s9M

and water
400 state Charge
Patouts the fit
is

uses. for
om drinking
ol ewho qualftytheoR
coliform
disease Rec
dost bovon
2-2.
209
Jdisease
larded
-as o count
destib seo of of
ble. 15/100
water
it
atin? cchich : ang ml
),

dlays Ouestion
foomattend
eocposñe Ans
What
h) redness
Describe
a)
1t
b-19olatio0 a) will of upon 25
standard
ontanAainsbratioo
" . outeak be the
the a :Ás
complaint
yoursituation eyes
to medical a
next and 5"
cough/coryza. standard of
diatd a a line officer
a
nearby
PalismeasBres action?
of
have
a! of
acmiises developed primary a
residential
measwMes
401 or
health
tday fever school
a whereincenter,
with
Iimimuroglo aLcie
maculopapular you
around
have
wibulthin 3 uith
24been
days 3
students
rash called
with
to
a
 Ans
stools ThiQuestion Ans:
s 27 b) a) Question
respiratory nose
entino
PoxcNayHook
b)woom specimen
b. a. How State
of e)
d) ) symplmati
bcament
b). Pheumla a) and
2 PncumocOCal PevAnibetes
List
ldentify a
chest Hamelall wil the noisy 26
Poewenbon two
boy "Rnsses
wing
Aduie
sigrs you rate Mrs.
diagnosis
12was
measures the
years
vocïne pa, manage breathing.
was
detected Rathna
specimen.
Poy (Pcvccugh 34/minute.
sup uih
old.
for et this On
’ from sa brought
prevention.
cchaude hih I3Podoe child? examination
use hygicne
orhandood stan
3
PevIS, Heah es her
days C)Mediiaibo
3)vacohatio
a yeve. inhalats,
TheÔ1aPy. year
2
402
Atiheihie vacce PU there
old
Crills,
20) educatoo
molhen o was child
(PPSV Rest Saline
Dy d)wnng
to no
PreveM chest with
23) sPnca nasal symptoms
xe indrawing
pl dop aunway oanals
peuaze. and
of
running
unler
ti

due Ans the Questions

Identify
the 29:
Ans Question 28
b.
- - ’ treatment Marasus
(PEM) a) Liststatus
Observe
Natioa
PooPhylas's Bilot b)Pos the
cto 's condition
prescribeand
bith
- ->>un of

vit Wbually for

poSSible the the

spos auNees child.child

this t esty
PophyA : condition,
erate sOCi0-environmental
and
dalionuy gap blaloralPeay dusardes (gon cormment
laxis Paxcnts
ptngoammot
Poogsame
Naaonal Caus
(NPPNB)
Arogsanmebmorths white
on on
euohich the
403 bulba risk
nutritional
factors.
langua.any tob?lised)
deery
aganst conjunetiwa

mettinal spot

binclres EyX
 Ans:
following
Question Question
b) Disease
Give
Identify
water:b) a)
Cnolene 30:
Posbtute Common an an31:
exampleexposure
thObserve
e Observe
tieleD- CA-Tout
ad dingnoss
B-ostPossblepoin
otfcal
Kaxaning -
type
sone, for of tothe the
epidem a
the casegraph diagram
same
ContnusUs of
(oeye)
Thme infectious
icwhere
cine and
x identify
404 axis

Repeatod disease. is
time points
and
A
epOwe y and
axis DiagnosisUsual
time of
B
is and
number
label

cases and C
D2

following:the
AnsQuestion
frequency)would
Ans
strength
Question
What Ahat
ITD you pointb) a) January
fax C Inddonce is is 32:
33: the thechildren,
for 20
vacine recommend
for Cases
Mr. Observe
the
yelloco the incidence
point

same.
Arvind Porevelae of
>oSml in prevalence
cold
and
has
feb on
vafeer) fai
prescribe
planned
infections
common thechart

disubutaneus
ty titi Bn
2o February of month
showing
es feb common
the to in cold
lo cohee travel 28 lbo x ciass
of
infection January,
405 yeans. dose
4J
cold
common
ths from
(Time, =
o 20
:Class
infection
February
in
vaccn India xloo cold
alteast route size the
to infection
month
isBrazil, =20 on
of 51 March
28
and
aval
administration,
2 of of March in
wckslable?validuy what February
February
tavel. and
class
a
vaccination
answer
befove with
ceatitn2,
as
 Ans 10
86 age
Question Ans
the
Question
y 2.G| 1-
3.CPyoamidal 4
male pyramid
Birth boy
2
He Weight-forage
BYS
lrdallbbulan 0
2
35: weighd whose
to
5 34:
for
46
female ldentify &s years

India ldentify
weight
(

8 noomal Pox score)

shapeshape 10 with the

shape GAmake
respecttypes age
is the
10
slouo - Noomal ( below
kg

z80| ( india chat

2 of and
toage chart
goouth 2
the years 2
406 don in 64
femake
pyramids
year.
gsooth (os years)
and
s
and

lased thå 8239male 1940

birth
Yearof
Before
1920 old.
comment
doveloping soge( and Boys).
g 64
ed
ooth choose
on
(ocparswe development)
Cdou
0
2
2

hl. the wHO

hild nutritional
the

cowty) 4 femalke most Grwth

elo 6
Standards

ped Type) appropriate

730bese o Undon status
severely to-3- -2
to to L-3 Nosmalo-2
of
ty 2)
undo
Nomal

Immuneg dgnos~sTB. Ans

Question37:
Ans
abrasions cough
Question
do
. for
lobalin M¯COOPy) sputun 9Puum
Smmunwe with 236:
gweall all weeks,
A
docal bleeding A are 34
pregnant fos how year
-ve
wound advice
CBNA Saudchy AB will old
cwith woman rg§e you man
beeatment on /cxR-ne: (2
investigatevisits
tantment
vaccnatio0 management was anhbloie sanples
your
bitten Qwailablo.
outpatient
407
se an and
for
by chack manage
a coch Spol
and thisrabid
itb Oiher hon department
patient. dog 4 this
wighyaclminister on
doeanlay patient?
her not Causes ceArT
rnosng) with
leg
fata! leaving anti complaints
Rabis TBclintal
dug. Chat
of
 6 nfectioo
daoplet Ansfrom
Question
breast The39: prescribe
Ans
Ouestion
months *shoul 4
Mother * * *Terofoui
Baby Mothen When acquiring
this
feeding *Anti
the 38:
along of
cchoNÍNAJ treatment
Antenatal
should should bxea the
infection mother (300mg)+
baby? long e
with fecdug mother
regimen
be in b)
has
Thciay
Pyoidozine gwenshictly be tuberculosis,
thewhat
aninidie l for
on
advisecd molhenimmediate routine
TE (eRn) antenatal
measures the
408
lboniaziladhee a) screening

folawe shouldpostnatal
period?
shouldwhat Xegien
(300mg) should
about
instructions mother.
oT be
be
test
Preverive
by ough wean taken
4 at was

Bco gauivcenz intbato found

to
would
prevent
any
hygone made to
vacênatioo.
Thecpy you geslationa! be

to
the
give (6oo and HIV
baby positive
PJevent for mg)
tan
age

oung /E
aba Anchild.
s to
mother
positive,
measure
Ans
CaseS Question
axis,
x Question
10 12 14

fscuswe Regmen
identify awaio
A. 12

dabowr what 40:

Medn 41:
Minmum Probable
exposure
period
the
This
Antenatal

bear AROM, -TenD

farir he
graph is
graph a inmie
ubation in 8

9 incubationitime
maximum label mo you
will
mother

Cubatioo 10
11
showing
fecling to Eher
eay done. be take on
B
12 and A vaginal 30 on routine
13 to
Poubd 14 B.the und prevent
Rexod 15
number yar clarnping. mg Amscreening
16

409 - +
olloing
epoawe
OCCwn
17
eoaninatins
Larnivudíne (TDE the

9CCUw im e - 18
of iny
Time 19
cases
transmission test
20

21
oanb +37c+E2)
was
upuwinoqig neoloequied on
22
found
Thma
axis
y
al 20mg
and
,awoid HIV
of
to
Yan tar bmorth
+Eauierz from be

essue.
marinum ew
duration
pso
HiV

on longed
Cases bo
wse ng)
to
 Uaing meh undertake young Question Ans
the Ans Tho
Afe biting and types
S.Sian 2.Poámauy exhi In
Question 42:
Prndi I. peoplehealth
-bacaot The The Praon. state ofthis
habib for worker 43:
lonting
ice
Pon 2this two cases berg
daxy dibeasC
Axcuenhon
prevention in In
that a munps ubnitged phenomenon.
ioha,communicable which
peventio omong edig
Prevonhio0
the primary
there p colch phenomenon,
villages
and Can are
health
chäldren)poper control
under center
is
an lonposed
ip doe
be
ont N
2
submerged
diseases
CD list
increased
Esxdy oba ’ of fo (oith the
410 coweaning 2ünmin the the as dalint 4
soarug cosalon PHC. medical a
same? number sening clinicaly
abion
Poxocies What of
deathsofficer ap
Requlax a<
intervention do pancal
Aruoke dav
ok due you be appanent
were donepcsymplomalbe
ldake) Phy
to
elofacosg
p stroke
would reported
buntment .actwity, heatthy among
to Cases.
(educate you by
fod
al el
and

lonesca
al
Qwane
3om| kg
Ro Ans child?
mucosa, wasQuestion
thisfor episodes
Prepanaioo *
AnsQuestion
and

Duing *Data
* organize
drowsy
Diathea *
colectioo
calwus
about
+A 44:
* reduced
withwatery
of45:
a
the HosptaliAe tears rapid
A
2
Pooensand Coll|ectioo
survey
dietBeing
a
diarrhea year medical
end andfeeble
uith urine
radial with girl
old
Can
in
tofficer
he
3
cth al
senslizabio0
sesfon, community?
howvs dehyhation
iv. sNDe output fever child
pulse, ench be of
a
for was sed primary
411

Jeeses lids was poor

also
past
brought age
skin 2 health
decreased.turgor, days, gooup
dhe
Ringer with
on
center,
complaints
dry
examination andshoud
otaf be
chi. dacato What lips how
would and casawatmo wil
dry of you
the
solutioo youbuccal
do
child
6
to plan
7
 Questions. wasViHe
AnsVictim ctim belowSudden
Question Ans
Question
2: dazed 1:and rush
Biackyelou)
5. H2.G6ee0 young
viCimh
man
confused,
Teen do
and age triage casesofYou
47:
"efagrlaimoobiallyalshapiBl
d nomaCwe
gBandand 46:
ldentify
with boy usibecause
ng are
a the
multiple 2having the medical below
ro
the standard of -25

chispech
ldabrasion, bomb
ábrasions officer diagram
with was explosion.
color
412
bruises, at and
over distorted
oi9ged coding. district
hands
mention
and See
and the
hospital any
and large
louwe he 2 two
feet, swelling
was individuals
unable
mbg.
where characteristic
on there
as
to described
forehead.
answer was features
a

Ans the were

3. 2 Response,4 Ouestion
Training Settlement
shifted
k following
floods.
risIncreasing the followingtaken
5.Dfsasto
Respone.
oigaster 1.ofsaskor
h- 3-
poerancsegE migatioo
Q. 4. 48:
Disasler osasle 5.5io to
13ola.Ln of Rehabilitation, and
residual different
officials, statements
a
population Following
then

Sha'ng Plaemergency
gehabli cornstauclion,. n chlorine
al the
post
mi appzoval Dead
place
appropriately
Mitigation on disaster
disaster
tig the
atioo. talion level away
banks various
2
response
immediate from and of
dutomposed
faom of with flash
Preparedness.
the the preventive
413 floods
teams riverriversdifferent
delst post
and side side in
bods disaster Uttarakhand,
measures
phases
Lael education where was
in allotted of
da) the much disaster were
to
- thewater damagehousesundertaken. relief
an cycle
rorsi populationbodies.occurred and measures
viz
Fit
bfy at
44

(c6al9)
 Question 54: What is the type of
chart? What is your
appropriate bin. Leading
and causes
inference?
Question 53: Put the hospital waste in the
of death in
in the the English- and
OECS cOuntrles and
Treatment Biomedical Type of the Dutch-speaking Carlbbean
Mainland
Hospital Waste Type of bag & Disposal
/ container
to be used option
Waste bag /
container
Treatment
&Disposal
option
territories, 2006 Q.(ompento bar
Chars
to be used English and (eakogyion data)
countrieDut
s ch-speaking Caribbean
Ere.

Pyolgs Blood soaked

Tin dnevatuty
BMaintand territories b.Bs chn (ohog)
Aspirated body yeilouo t. Bcalles Plo
fluids
yelp Plagma
Deer bafa cotton PIaSma Pyro lse
Desp buial (Numasa) daa)
InCneatoin ]PEn Cytotoxic
Discarded
disinfectants ye tloo LncaPsulaljon drugs Jelouw Incineo
Encapgu\aionN
d. Dorut chas
Ccakegaia)
Broken vial Blue Fulungdone
Urine bag Red
Butterfly needle Auocavekoy heat Placenta yelou |mCaoDing
CinaHON
e. Popuaion Pyoonid
on, a Discarded
Amputated limb
ye tloco Yelcw WOn-chlpindad numeicai)
Deep buia linen
chen duanian
Ans: cluslaned Bar chat
CrSplama
In! core baovasculax diaense s MoA tommon Cause af daath
Pyrolysis. among DE CS and mainlard oune.

tounbues
Question 55
* ldentify the picture.
Write the Public health
importance
How will you avoid this source of
breeding of mosquito?
What type of disease you expect
where?

Ans: I Pislio Plat.

moqio
a.Puomoles brcoding ay margonca rom wate)
3.Poúosal woDual a planes man Sunids mosqito
tanSmitted by
H- All di~ease Ceanasis)
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416
 Question 58: A30
denefy the picthure Wth ergectoration for
We he Pubic Health mpotance found 3-. He ges a
4Ho w you aidssource for breeding treated with a tistory f er
f mosauto? Giscontinued the
+what tyoe of isease you evpect and Categonze thís treztmet
fte tn
Programme TEPpatiert % e the merts
Bteire to teira
here fa
ersure compiance2 What s tte dre
*hat she significance of this sorce?
*inct e yo fnd this soue Ans.
mgmy
regre te reteTtecácSs
for Emiration
tim? ow o

Ouestion 59: A40 yezr oid femle complzins of

Queston 57:
forearm, which seem to feel numb. On eeinationhypo-igmented pates on he
you find that she has a total of
three patches on the whole body alof wich are
4 ldentify the test don't fee thickened on eramination. What is hypcaesthetic He nene trurKs
the most
4 Write the stegs of the test Categorise the type of tisease. What is the drug regimen you willprobabie
prscrbe
agnoss
for he?
4 Mention the Ans:

communicable disease
in which it is used

Ars:

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418
 history of
Question 60: A 10year old boy is brought to the hospital with a Question 62: How
unprovoked bite by astray dog whose immunisation status against rabies i will you
njections educate
which is 2 administering 10-15 a
to the nursing assistant who is
unknown. On examination the wound in the left ankle is a laceration
the needle stick injury? i(Observer
station) patients per day regarding prienvent
caused by the nalls of
by 3cm and is also deep. There are other abrasions volved inof
line o
dog in the left lower limb. Categorise this case of dog bite. What is the
management?
ion
Ans:
uyching and
Local 18EAMENTOE WOUND Cleaning Inm @dialo needles.
Jhe end lt Pleny a< soap and wator tunden ounnig shanpg dispoai tonaiou
CHEMYCAL TRAIMEAI vimidal Agonb-Alchohd , tinchua Povfdone

detnd
2010n Rgincn >2dose ndayohen, dose on day 2
1sib 3o Refnen >o\m) at 2Slu (odloid Tgh) endau
Di3,1,28- iD.
(200 |k9 boyct )
IMMUNDGDpUIN. HRIG
ERICC AO 1v] kg badyo)
Question 61: In your clinic, a 40 year old male patient was diagnosed as a case
of end stage squamous cell carcinoma of tongue with life expectancy of just 4
to 6 months. How will you deliver the bad news. (Observer station)

Inboduce yansey ard ask fos any altender do stay o dhe

Ans
Ouestion 63: A22 year old P1L1 having a 3 days old healthy
2.8 kg visited your immunization clinic for BCG male child weighing
on exclusive breastfeeding vaccination. Advise the mother
Follow SPIkES Pootocol BREAKS Pootocol. Ans:
practice.(0bserver station)
scting up fntowaus Backgond
Asses Paliont poneptev even wat
obta Palionds ionabun
Polied () Announe demands
E Adde paiond toith ernd) + 4Baby shoulel be od on
engatuy olsoductioo a tomplermenhayfoods beyond b morhs
(S ammaxizO * Timcly
along uth lonlruel boeas
sbakgg and sunany
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 their 5 month old healt. Question 66: Mrs.
Sridevi is 36 weeks of
has come to your clinic with
Question 64: This couple
breastfeeding since birth. They are plannina feeding practices. gestational age. Advise her on
baby, The baby has been exclusively complementary feeding practice (Obser (Observer
to start weaning. Advise the mother on
Ans: station) breast
station)
Ans:

*AL Slalfhg moh. tomplincntoy fecding must be lnitos

Amall quanl}és ad. thin thoUN.
t Nau feods haue do be go
feod shold be toid at a dine food be g0.
adet

fods
*oy do aód Packcd
Ouestion 67: Antenatal mother visits you as a medical
advice would you give her regarding her diet during officer at 16 weeks, what
(Observer station)
antenatal and postnatal period?
year old primigravida
Question 65: What dietary advice you will give to a 29 Ans.
(0bserver station )
with gestational diabetes mellitus during pregnancy.
Ans: *Reqüe addhonal enogy and Poot e
*Inocase itake o Pooheo ich foods.
food's.
* Inceased intake a Pooten oklch *Take tods ch on
* Dont add eabno sugan, Re duce swet ntake
* Amall diudec meals
+Svon oli aidt Calcim supplaments
* Avoid spiy foods, diocase salt iojake

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