estion 1: Observe the skin rash in a given model. What is your provisional nosis? Give the reasons to justify your di Feacle followed for its prevantint? your diagnosis. Write down the immunization nst Uncen pox Meow MUM ps Ce - 24 ments - Comap wd: cls Bare O-5m. im CRIM On F tion 2: Choose & write the appropriate regimen from the following for a 10 year id female child diagnosed with paucibacillary leprosy. State the reasons to justify il choice. ATI RER OWES An = BO mg Sap Vind undan s SURQAN qin oO rent Gara hrannes 34 eee an Papeome = 50 rng. AMY Seth aie mintoraet ~ Me Ont, aged Blo yx ¢rkeutal “Whe” qévien ests ot ogee. days 2)? . slneeh WotR” PTR tt. mg ~Macetne Couey ~Question 3: A 25 year old nullipara, recently married, would like to det: first child until eother two yeu: Discuss the contraceptive options with having | her.(Observer station) ans: Spacd rautrraot Ronri en Mimo ol Qusstigt 2 R28 eer ola, PICT fraduate woman, who has been using Copper T since {one year comes to you with-complaints of foul smelting vaginal discharge and owe Sheeminal pain. She wants to switch over to oral contraceptive pills. She fs plannin aaec mond child only after another year. How will you evaluate if the woman isan Pieal candidate for oral contraceptive pills? What are the OCPs that you will offer to choose from? (Observer station) oe * »* _ 7 See Char e OOP me Rpgetiare yom TOF \atout) Me Unr Mb cote, We KUT pL ZA, Candine Prorotune (PAA ng g were che” > wo Hyeak Unites, .ChMest. tnar dironre, eplupsy , Ocps Phin 1h is ~ Comloinsd — pre C Mara M, Mw 4 >) * Ne ch Nteaaae YOmPR, MeTEquestion 5 :A 22 year old primigravida counselling after the antenatal check- {gn positive. Counsel the couple regar (Observer station) at 14 weeks of gestation comes to you for “up has revealed that the mother is Rubella ding the further lines of management. ans: Fes MetWurn- io om } i “ 4 ‘ . FOS » Bed paste te hese: COLLIN) doun Tosung Mmatug syn ns : Tene bar epeton, pox mtd Be Vocunourd cut te peseiote Perestin, Aub alla ar bedles Win Ata frown Question 6: A 30 year old migrant labourer woman from Uttar Pradesh has delivered her fifth baby (female) at home, one day ago in the construction site |where she works. Advise her regarding the importance of immunization and explain the immunization schedule for the child. (Observer station) Ans: Peeti XS dine Cth ee. bervow, junc & Carpet Coens |, rey), .Vacean 1 phe Went oll: lis Cates IMM OLN — Gotrechutr = fe eAEH: Roo 4 — Be gms, lo z ag DOV (2 os aeeee ; sleccull techs narecen sateg fs \e,\4 vos: PEAKOVGLenr ~ Oem 1m A meet 5 MHR- 0-GmA -Se SE Cenclume) Wem ak wrentne- DPT peeetr) 8:t- ost 1m Sus — pPT wor pee = jestion 7: You are accompanying your ANM during her visit to an infant at home, ne child has been suffering from fever and difficult breathing since one day, Teach your ANM how to look for danger signs in the child. (Observer station) ANS! Upp. tet baoky pnoea , vi > Rou ww, Aun, : pote, Xf “a. Gust lehes ore ¢:" ‘ sohfe Mp. Sec, Utd lon eda 3 ee ‘ (Question 8 :A 22 year old female reports white vaginal discharge 2 days before menstruation every month. The discharge is minimal to moderate, not foul ‘smelling and is not accompanied by pain. Her menstrual cycles are regular and she claims not to be sexually active. What is your diagnosis? Use this opportunity to ‘counsel her on reproductive and sexual heaith. (Observer station) A, rsbaotos Vag crak dis Ura Aint te: “gear 5, Course, odin ee P pacing +) enclave larucae tercieng fet 6 enany ee sou SOARS ron Hhoquestior Ans: BMI = Weaw un \eqy fee aps Queene an aye * ky ent DELO AE = 68 tq Retqnur “=. T] om Ces 4 n 9: Calculate the BM! of this person. Interpret the results. (Observer station) Question 10: Measure the blood pressure of this person. Interpret the results. (Observer station) Ans: Bret BN 5 peo eats Pele clei ii cer ere tees Be SES EL oleic ; > pp She Recene Aaoe 2 Voluu unr © gap ef 3Ans aust 2A Question 11: Measure the waist and hip circumference of this person. Calculate waist/hip ratio and interpret the results. (Observer station) Ans: gt 5 IMa@ Ginn Surjwr wait tiguumeenunes Blom tito ee = A Oy ne worse pi as eee, | Rei Fl Oyo mp le ieee Baa 1, Soejeer, Watacn- vic p Rau Netumad Vole os: ae ae Wewun' Zo .g5) sup 7 Question 12: Mr. Javed 42 year male is recently diagnosed of having type 2 i Diabetes Mellitus. Advise him on self care practices. (Observer station) 4 s a e 8 due oO 1b Bay “a 4 Ex omtnoarlien oO wis une a ; “Bieod’ ~ gundete : raat ening ; POSTIA ene - Pe! Poteet «7 Penibdte * fete © "tap DER PDY Oy ae ig + san Detrromnd UA toRe, % tarQuestion 13: Mr. Ravi, a 39 year male is recently diagnosed of having pre- hypertension. Advise him about lifestyle modification. (Observer station) Ans: wagquer Aductor- Matntoln neural ee ot Cem) 18-5 Ay. eed Dase er - Consume a olver fie win foe Vegetovtr, %& ew Ge ata poll - DuFong — Sediiun ; | Giudee! ~ Soe Raed, «Rae Uetory | | | | Pde shee by pruycczas oa enqceeee” ead ee Othotove en Cree. Sul) eneieeete Coomeing, ModulLom ateotrof Covrgtrraple eee oe on- Unk ent EO ee ope“ Diwaulie! ome aati Question 14: Manohar is a 42-year-old married man having 3 children ae asa daily labourer. He has been an alcoholic for many years and is a heavy drinker. Recently he was diagnosed with a case of severe gastritis. Counsel the patient for de addiction of alcohol.(Observer station) i ; daa» toceuete soa’ | Erp eeur Sag RON tke ne ygeets rs £ noth “MATa ee Soetos Clam era onsQuestion 15: Measure the mid arm circumference of the baby. Interpret your results, (Observer station) Ans: To te sed oat AKL peta © ecw eun acuwion pie one. S ohonen iam WW purrotion ~ Bren bond (712-5 wn) ~ Neb bond’ Ues- 16.5) -— RA bond Cares om) Question 16: A 3 year old male child is suffering from acute diarthdeal deen ine dehydration. Instruct the 25 year old illiterate mother of the child about preparation of oral rehydration solution at home. (Observer station) Ans row els apponot-us PAK Cookie \ COs 0% apr nein” si ' oe : nreitg : i Mix wi : Stor Srtusion te Se , Nha Py the wp WUE AuTi Ur bus | gt, Coherrrowi i (455 Bund © Peso. bb be ode S bbochuyQuestion 17: Measure the skin fold thickness at appropriate site in a given patient with use of this instrument and interpret the results. (Observer station) Ans: a Na Mel) Horp ancinie Skin cabtipens sims: Mot be eepe TArceps S Wwiescoputad . Sup sacha (UO prurcrtiion .. Bom 3 440 mn Cue 3 eed Mm Question 18: If the research studies show that drinking large amounts of coffee can cause cancer, name at least 4 criteria that should be fulfilled before labeling coffee as a causative factor for cancer. Ans: | BRADFORD HILL CRITERIA * Ternp cHOk awottanon Bota tn. Sh AsoUWaden ee Sprcipeer oy Of — Assoerotton A Comecs lin oy ») 8S ocr'outton ka Phtcap > Crt ct OM CLALE ONVCS Sea Question 19 a) Identify the diagram given below = prem dtoq'ca) Priag b) Describe dengue with the help ofthe diagram Ans. CON 5253) 4) Vecte, heous cn Question 20 Identify the species of the mosquito Name two diseases transmitted by it. ans Aedlis, Masqua'tco.: s./ ' Dengus, Uwkungunya; Ceun byt « ieQuestion 21: na given sample 10ml of water is mixed with one spoonful of TH1S and 10-12 drops of TH2. Color turns red. After adding 6 drops of TH6 solution the color | changes from red to blue, what is your inference? Jans: Aken AAANY 6 clips Of. Tus gotn., Coteus | chaonqs to b UAL Pondiries =~ 6% 26 = Iso mg|e Novag Lever “ai, Noy OLA. Me A Non = Gon two git MS welin COUN he at Ae ole) Pune, Question 22: : Arectangular well measuring 2mx3mx7m in dimension needs to be disinfected. Horrock’s test done on a sample of water shows bluish discoloration in the.3"° cup. [Calculate the amount of bleaching powder required to chlorinate the water in the |well and explain the practical steps in disinfection. Ans: Burisn clirester . Fe . ten in at oe tnolirouts ee 3B ut sperm BxaeG . 4 Te Prva rgurdrca DAA eke nis 455L v Oy > 46564 “* ° OF to a wa well = (oh x ieee 2 2XBKT X06 = 42000 | dal n —>- 42.000 "S300 XL > 554 564 eee q of blLachuy Proder us : Unbs cia - Marca & H, 0 ay useQuestion 23: A sample of water when analyzed shows coliform count of 15/100 mt and nitrites 6 ppm and chlorides 250 ppm. Comment on the quality of water and give your opinion with reasons if the water is fit for drinking ghee ead Sh warn Uy dw gnu Pour race tay oh MGW UE Us <3 pom 3 malay Ans: SG Pd JA te tnd (nna a. ; ne or. i ee eal ee Scere o% th coer g ‘4 eee Ty can enews portent aae - paptieindee lu, a ht Ct prpetanon ° eqn a eea Question 25 :As a medical officer of a primary health center, you have been called to attend upon a complaint of a nearby residential school wherein around 24 students from 1* standard to 5 standard have developed fever with maculopapular rash with redness of the eyes and cough/coryza. a) Describe the situation Meas, ke b) What will be your next line of action? Ans é ay SemLOkon At ON gulbarake Of meiolis Cobra toy Mealintten wi cues ge cng Clee ob Lo, Any ~ acco fuser Dl. Vencp, , fi Aion . Li | i 4 bene ‘ Bet D eibaaac eptetunce eee ke Poputansyn ae ae & Bapd gorda toe au 5. data ounolyees COE 3D Lnetk Chenoetin 16. & 4 bam Uae Ob wy : 1. TthGing me *- evatuanon “he teotedtcar faelon ( Funtinus inutentqatcon 1 Waietng bane hugea)) » 2) by Question 26 :Mrs. Rathna brought her 2 year old child with symptoms of running nose and noisy breathing. On examination there was no chest indrawing and respiratory rate was 34/minute. a) State the diagnosis b) How will you manage this child? Ans: NO gree Cel ok Cogn oe. Wo Une panties ® faut Pros Role vets tp “y . bed ave ‘ome Cans i wo 7M OA, Moyes’ o ough ee cold - whew 4 ic ; PAs” Question 27 This specimen was detected from stools of a boy 12 years old. a. Identify the specimen. b. List two measures for prevention. Ans Pneylestoma Plc ere Ulookumm) Prien open AAA Auf reatt on oe Sea abe Peso 8k Ruma ; jUeentn PU anrk Zoid Lert ounrino iy Prerr hand tating wrostien eas : 4 Chtonnn wae say Yi— a question 28 a. Observe the child and comment on the nutritional status of the child. pb. List the possible socio-environmental risk factors. Ans Morosmus - PEM Lew biaen wegne than bran e064 WikAtAacy? ef Mem Own vow Malnreustrud rom lew SES lee Acerse to quanueg Questions 29: v th food Identify the condition and prescribe the treatment for this condition. Ans Price Spot Mere nan 6 menth, Vile ou ‘ WP Sup p eMnrolt oy (200,c001 D772 wor beatubive claus bens ae me Pe: Monn | : adiung olusi Hs 10d 000 (Ueea eae ee “ : douys 2 Eounner ole. —s wnsrteltty os 4 eS ‘403» 2 ° ° ° ” 8? Usual time of Disease Diagnosis —_—_—_- » See eh OY Stein, bet As EVA pose pr: B=Fnak uric olibynesei C= String rc D= lead ime ‘Question 31: Observe the graph where x axis is time and y axis is number cases following an exposure to a case of infectious disease. a) Identify the type of epidemic b) Give an example for the same>, y question 32: Observe the chart showing common Cold infection in a class with strength of 20 children, for the month of January, February and March and answer the following: a) What isthe incidence on common cold infection in the month of February p) What is the point prevalence of common cold infection on 28" of February Cases of cold Infections In class 4: 188 size = 20 January February March ans Vee OlIncL = Now oh nw coreg «X10 Sus apap Pepulors‘on 2k pe pow sro gee at Xlo00 2 200 JPA ooo Peine PhHivelann = dhe RIGD 20 By So: Question 33: Mr. Arvind has planned to travel from India to Brazil, what vaccination would you recommend and prescribe the dose (Time, route of administration, frequency) for the same. ‘Ans Baazit= Comme Any “ Yellew nw Vacene (11D Vache y Live pe VOCCurs Swiven “Jo chars rer to, owes Doses o.5 mL Se OM. Voce, Aeute Ea ast FDP MMR, Portes, Inytuunzn, Hepatic aB Ce hd -Question 34: Identify the below chart and comment on the nutritional status of | the boy whose weight is 10 kg and 2 years old. Weight-for-age BOYS @onune __Weight-for-ags 30 5 years | Question 35: Identify the types of age pyramids and choose the most appropriate | age pyramid for India with respect to the year. 8642024680 SH20246 420246 Pup outdo” —) developuy Nation . eg: tna» 6; A 34 year old man visits your outpatient department with complaints of ues or : weeks, how will you investigate and manage this patient? a ool spun feos AFB CA Bapli)’ & “Crit % vay IN AT ope) i ‘ + i Hit 2 of fartiety ub “awa Pai ad CONMAT, i not, de, uA f If Spukum — e podiitve , star Kim Un aTT (2 WRZE 4 4 Ape) Me Ue Copy [cONAAT 7 exp : Ne ganive j OMe oii, Courses / Cus cal cling notes Te Question 37: A pregnant woman was bitten by a rabid dog on her leg leaving abrasions with bleeding advice on management for this patient. ‘Ans Cokeoeny 11 bike locar Think ne Of Wounet: aa 2 ee) ee ce re Renserg nq tre Wendt w/ plunty ef Corp A H.0 Uncls —-a Auunning’ © top) Bes! aie 15, wun. Beg XK Vita tole oretnt =! Aleotet , Celio tel Bs co a oe wo wre Of locline Romer, ty — 407Question 38: Antenatal mother on routine screening test was found to be HIV positive, prescribe the treatment regimen for the antenatal mother. Ans TLE Ragimen Tens tvs (300 my) + Loum ucins (300 my \ ih Exawihune (coo mg) ak any gertattonay age Question 39: The mother has tuberculosis, a) what instructions would you give for breast feeding of the baby? b) what measures should be taken to Prevent the baby jay acquiring this infection in the immediate postnatal period? = es” ‘Ceug ‘nd tenw mem “gets rr oo Browld gee \ poate get piveiritine kao e 6 mevits + Punicertne Bebe Voce.— 5p 5e : ital mother on routine screening t tion 40: Antena’ M Ig test was found to be HIV Ee. what measure will you take to prevent the transmission of HIV from siti * other to child. aoe mem “ART (TGS eye LSCS” tol Ge Aan Dane pacteng tales» Ad ROM Sale) eee Nets Opens bac akmut- eve é Question 41: This is a graph showing the number of cases on y axis and durationon .. xaxis, identify the graph label A and B. Ea : : ‘maximum incubationitime " wae SEERQuestion 42: In this ice berg phenomenon, list the types of cases which are submerged | and state two communicable diseases exhibiting this phenomenon. ‘Ans ‘ * Trr tur Rep ante ne Abe a Connneuunig, The eating Coe Kp Repent ddicadiy, Aiogneey Tre sto raqel pare Alp eth tor | pal rea Ce ble: i Ruption ) bM Question 43: In a primary health center as a medical officer you were reported by the health worker that there is an increased number of deaths due to stroke among young people in the villages under the PHC. What intervention would you undertake for prevention and control of the same? Sundog PAwenkun - Comps to lh oo, Trormert- ceca t pee Toiony Hurtin 0; tes . l aces Mowp UnObwunt Mh Atnoke CR Oat Ai Anursy leQuestion 44: Being a medical officer of a primary health center, how will you plan and organize a diet survey in the community? Ans en Peetu oe dice sunvey OME LOTS Sheets Stab Kon diing oe : Suey Wo Stu Kean Sead on, Sto4g sates ee ie ee ee ee opoup J2 Oe Coterncee! A I JOA ee Question 45: A 2 year old girl child was brought with complaints of 6 to 7 episodes of watery diarrhea with fever for past 2 days, on examination the child was drowsy with rapid feeble radial pulse, poor skin turgor, dry lips and dry buccal. mucosa, reduced tears and urine output was also decreased. What would you do for this child? Ans THe Gi aA” Won” “dc od Aion Du cey eee dnb osien te une tis ateea 2 qe ORS Od hevpl touisabvew = es Oe a Long A NOeioce Coens ea) sot PO8i eae yars~ JB -qidntin Be” 4 ae etm peru epcapigY “yp bat eens aD S ence oy ale| Bo: lyse ana CU Tacage’: Question 46: Identify the below diagram and mention any two characteristic features, Ans . c TR DROME cers tt asi Seek nleinitl “Clary Bet onogea cuave, ie Ritatinoly Sarmmerarent Marans Mutians Mool al Question 47: You are a medical officer at district hospital where there was a sudden rush of cases because of bomb explosion. See the 2 individuals as described below and do triage using the standard color coding. Victim 1: Teen age boy having abrasion, bruises, and large swelling on forehead. He'was dazed and confused, the speech was distorted and he was unable to answer questions. ys Victim 2: young man with multiple oe over. hands and feet. Ans Vu'omim = > Yeltero MELE Cs bf fhe (ous 9 thy I= Rea - Dyno Uke AMOK Larry Lage Co Gna, AL = Yeas — prem erunlton’ ng Codageny = Oven - maikd Dr gury 412Question 48: Following the disaster of flash floods in Uttarakhand, relief measures were taken and then post disaster various preventive measures were undertaken. Fit the following statements appropriately with different phases of disaster cycle viz Response, Rehabilitation, Mitigation and Preparedness. | 1. Settlement population on the banks of the rivers side was allotted houses and shifted to a different place away from the river side where much damage occurred following the floods. Increasing residual chlorine.level immediate post disaster in.the water bodies. |3. Training of officials, emergency response teams and education to the population at risk Ans Us) Mitiganion 2) Rr aroé Leadon 3) Prporud rire > 413Pe ee ee ee Question 49: An urban slum dweller working as a painter by occupation and studied up to eighth standard is living with his wife and a 4 year old child. His total monthly family income is Rs. 8000 per month. Categorize the socio economic status using appropriate scale. Ans. BR Prasact Sear Pen Copita A wat F pore igo dsubiegs anpeng Cae eciteet — Euppus Nowy Scots Oeemporion = ¢ sx Question 50: As a medical officer of a primary health center, you are conducting a health education camp on dengue awareness and preventive measures. Choose an appropriate method of health communication and list the objectives for the health education. ‘Ans Mitinods: Gireup dis Poin moteroum Objeuves: Priv en 94 oli Crue Onn OnLy ae L Saenptets nccal———— 4 question 51 3As a medical officer of the PHC, on vaccination day which happens routinely every week, DPT vaccination was given to a child and was brought back day with complaints of mild fever and irritability. List the differential ees and what explanation would you give to the parent? Ans: Bie nos Prryetotoci cot phoremunon tnat Oceurs glu ep Ba Commpentini ‘ol! DPT, voccune. Pure euro! 15 ratte qin seven 6 = Thouhe wit-n Ae olunon Yor Hun 3 2 hee, Ae Lenya durotten toning f Ont to nededian. Seppo” motu - | Ub asuncincy sry Question 52 : While crossing the Toad an adult male pedestrian was hit by a truck at around 10pm on 14-3-2008 and was brought to the emergency department of a hospital at 10.30 PM. Clinical examination revealed significant tachycardia, hypotension, oliguria, altered sensorium and cold clammy skin. Type Ill pelvic fracture was diagnosed and confirmed radio logically. Airway, Breathing and Circulation was established, blood grouping and cross matching was done. 1 hour later the patient became unresponsive and resuscitation efforts were unsuccessful and the patient died. Write death certificate mentioning immediate cause, antecedent cause and underlying significant conditions contributing to death. Ans: a8.Question 53 ; Put the hospital waste in the appropriate bin. Hospital Waste | Type of bag | Treatment Biomedical | Type of ‘container | & Disposal Waste bag/ tobeused | option container . 5 to be used Aspirated body =|, x 4) [When i lood soaked E fluids Mevleto |parnra Sesion Yee Discarded Inegnnatiod Cytotoxic Brod ~disinfectants Neve ‘lau puscal “drugs Yeusus, Broken vi Bea ‘On| | cen vial ‘eae WAREZ] “Urine bag Rid ~Butterflyneedle | Uy joie. | KUEAdowe | Placenta ¥ ‘Amputated limb Ineinenc Discarded ae set, Tew beep hi tinen Teuseo,|Question 54: What is the type of chart? What is your inference? | ng crest nh ad Ditch speaking Carisbea j ‘he OES coun andthe tramnanaenenes tobe fst Cab red Bon © Unore Question 55 % Identify the picture. * Write the Public health importance 4 How will you avoid this source of breeding of mosquito? ‘ What type of disease you expect & where? ans: Pleoin plowse ‘|PRomons mesaiuro fryoling r Prstedie i’? Apiievad et at ree ie Be one, PAU a eour Rommarioeal lay. wed PA Boned, “MOLON, cLungi. de ‘ a7Question 56: + Identify the picture + Write the Public Health Importance + How will you avoid this source for breeding of mosquito? + What type of disease you expect and where? + What is the significance of this source? + In which area you find this source? Ans: Tye Warn gers tun tn En genyen Ot bAucLny fe sa quite ta ce s = 40 - + Dengue, JE, Modonl a, Onan quincy sateg * MACAU oo Hepe wore, Ae pages con, Paton Question 57: ° identify the test + Write the steps of the test + Mention the communicable disease in which it is used BP we Hed oidprne, verwen SUI La by AK ea ave th eS ah tA Bqror. | Dengue+) Lepretige mp POMATHon ebony tapi “9 “| aa ee ; question 58: A 30 year old male, smoker, not known to be HIV positive is complaining of Guigh with expectoration for two weeks. On sputum examination acid fast bacilli are found 3+. He gives a history of experiencing similar complaints in the past and being feeated with a course of medication at the nearby PHC for the same. He says he Giscontinued the treatment after two months as he felt symptomatically better. Categorize this patient as per the guidelines of National Tuberculosis, Elimination programme (NTEP). What is the drug regimen to be prescribed for him? How will you ensure compliance? oli f Ans: sprig 2 Drug, Soon Senererye Funsoek Les Grose ON FATT Regimen 3 ( 2HRZE ¢ dure)”. pier Wade et “neat Woren, fetesrung, .CHarmnane *)Comanser ting Lath TR. paxteue Be Rounnbly | “NU Pus Question 59: A 40 year old female complains of hypo-pigmented patches on her forearm, which seem to feel numb. On examination you find that she has a total of three patches on the whole body all of which are hypoaesthetic. Her nerye trunks ~|don’t feel ‘thickened on examination. What is the most probable diagnosis? Categorise the type of disease. What is the drug regimen you will prescribe for her? Ans: 24 ; nese ion _feotng enti ta a Month poe eupewisedt) ? a - rs Bolpeene — too mgr oth (coy : rapt ‘ 419a Question 60: A 10 year old boy is brought to the hospital with a history of unprovoked bite by a stray dog whose immunisation status against rabies is unknown, On examination the wound in the left ankle is a laceration which is 3 by 3.cm and is also deep. There are other abrasions caused by the nails of the dog in the left lower limb. Categorise this case of dog bite. What is the line of management? Ans: Catiqery, WW bite Locor Team Oh Weund: Irwnrotiate Huan WEEN i UaBLUNE OL plurty oh Soop 2 ia g NS woh BETS Ae OSLO VN a, TOO a Or OX PGE - Aloorer .tinclonr pPeViclone vyatys UvuMmnnizotion fc Olin, Eseen ‘ at . Raqunor eheteog eatin aoe tee a 9 ese 21514 ,2% aoe’ US) Fagen Dg thee Cesare ona Inovune 2D seo 3 ay globus 416 SEC on day 0, 3,7) 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) Ans Inrod = oe Be ani BR ok we attenolu te Seay in Pike Protocol BRE Pe % on} Sekuy up Uno views k 6 Back onsund pe” Po peste pamtent * : RPP RENE ys pos V obtain’ pamtene, “that Ex pues Kelis Pa) catpabrios i sone 0 bet E, Ahh eae A] tepottig wmmMorrge Sthanoy 462: How will you educate a nursing assistant who is involved in ring 10-15 injections to the patients per day regarding prevention of ry? (Observer station) tion ladministernns heedle stick inju Dente secon neeol tt “Prompt, Ae pose — Urid RELL id a ppaceee gnoxe Bispetal cowcosvvirs 79°81 ’ Question 63: A 22 year old P1L1 having a 3 days old healthy male child weighing 2.8 kg visited your immunization clinic for BCG vaccination. Advise the mother on exclusive breastfeeding practice. (Observer station) Ans: , : VE xclurive barorkteroliig ape 6 tty Bip he - oinre owty 3 loa “mike, st euRA Ang No ee es ws ae : drew by givin © Be AMA be Redo en’ toluma peat é Oa pation dha t @) ni) Uy. + Orpliomerntoriy Lynd & ucts lis Mast ler voy oe Yt ok low ee eei couple has come to your clinic with their 5 month old healthy Dye A his ey exclusively breastfeeding since birth. They are plannieg to start weaning. Advise the mother on complementary feeding practice (Observer station) Ans: be Totten un on Question 65: What dietary advice you will give to a 29 year old primigravida with gestational diabetes mellitus during pregnancy. (Observer station) Ans: et use Joby bm, aka ish w | ‘ sea 2) agp ook ° USHA, grey ta ataaa q asl 4 54 Seequestion 66: Mrs. Sridevi is 36 weeks of gestational age. Advise her on breast feeding practices. (Observer station) Excusive Bitour Ola ‘ uke. Cuve ae te foe mone oy eS ee nt Ont ferotes 2 £ mmens ery, i Or Lee OREN hares (apelin fay Question 67: Antenatal mother visits you as a medical officer at 16 weeks, what advice would you give her regarding her diet during antenatal and postnatal period? (Observer station) Ans: | Pope — addition at O94 & pre ten \ : NUL OMA intake be Prot. an | Denes r oe PRAM Bug 0. i | aa ok vet, a ae Ride sw ecc Wtoarte nt ye ated Catala Supp Lovente “ EEC ce ate