GROUP – A (LAQ-15 MARKS) 1. Write definition of blindness as per WHO? Enumerate the cause of blindness in India. What are the major epidemiological determinants in Blindness. How can you prevent blindness, mention method of intervention at each level as per National programme. (2+3+4+6=15) [MMC] 2. A 28-year-old truck driver tests HIV positive. Enumerate modes of transmission, ICTC counselling services, NACP guidelines, and PMTCT measures. [TGMCH] 3. Enumerate common health problems among adolescents. Enlist National Programmes in India addressing adolescent health. Describe any one of them. (4+4+7=15) [MldMCH] 4. Enumerate different National nutritional programmes in India. Briefly describe the objectives, beneficiaries and package of services of any of this programme. (3+3+3+6=15) [DMGMCH] 5. A 28-year-old male, daily wage labourer, presents to the OPD with complaints of persistent cough for 3 weeks, evening rise of fever, loss of appetite, and weight loss. On examination, he appears to be malnourished, and has bilateral crepitations in the upper lung zones. What is the most likely diagnosis? Name the national program related to the disease. Briefly mention the natural history of the disease. Outline the initial diagnostic algorithm as per the national program for this patient. What are the pre treatment evaluations required for this disease? (1+1+5+5+3 = 15) [RGMCH] GROUP – B (SAQ-10 MARKS) 1. A CBNAAT result of a sputum sample of a 30 years old patient shows positive for Mycobacterium tuberculosis with rifampicin resistance. Discuss the treatment regimen for this case according to National Tuberculosis Elimination Program guidelines. [JNM] 2. How will you treat and manage a 30 yrs old man having a body weight of 36 kgs and suffering from Drug sensitive TB? [MMC] 3. Name the national program related to non-communicable diseases in India. Enumerate the diseases under this programme. Outline the strategies undertaken in the National Programme to combat cardiovascular diseases. (1+3+7=10) [MsdMCH] 4. i. Write the definition of blindness according to WHO (1) ii. What are the common causes of blindness in India? (4) iii. What actions are being taken under National Blindness Control Programme to reduce the problems? (5) [SRIMS] 5. A 52-year-old male with a history of Type 2 Diabetes Mellitus and Essential Hypertension visits a primary Ayushman Bharat Health and Wellness Centre (HWC) for regular follow-up. During clinical evaluation, advanced systemic target-organ complications are suspected, and specialist tertiary referral is indicated. 6. Describe the major structural components of the Ayushman Bharat program. What specific clinical and diagnostic services for non-communicable diseases (NCDs) are mandatorily available at HWCs? Enumerate six performance and quality indicators utilized to assess the functional output of a Health and Wellness Centre. (3+4+3=10) [SSKM] 7. Discuss the "Rule of Halves" in the context of epidemiology of hypertension. Briefly outline the screening protocols and key interventions for hypertension under the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) in India. (4+6=10) [NRS] 8. How will you diagnose a case presenting with cough for more than 2 weeks, fever, and haemoptysis according to NTEP guideline? Enumerate 4 drugs to treat the condition (drug-sensitive). Mention four newer initiatives under NTEP. (4+2+4 = 10) [RPHGMCH] 9. During a school health screening campaign many girls complained of weakness, lethargy and decreasing academic performance. What may be the underlying problem and how can you confirm it? Enlist possible interventions at school and family levels. Name the related national programme. Outline the beneficiaries and package of services recommended in it. [1+1+3+5(1+4)] [MJNMCH] 10. A 24-year-old male presented in your OPD with fever with chills and rigors and diagnosed as P. vivax malaria. He had history of vivax malaria 2 months back and reported that he did not complete his antimalarial schedule. a) Explain the cause of recurrence of symptoms in this patient. b) Outline the national treatment guidelines for vivax malaria. c) What Integrated Vector Management (IVM) strategies you would implement in the community to control malaria.(2+4+4) [JMNMCH] 11. A 35-year-old male presents with cough for more than 2 weeks, fever, and weight loss. He is diagnosed with pulmonary tuberculosis by CBNAAT. • Define a presumptive TB case. (1 Mark) • Mention any two objectives of the National Tuberculosis Elimination Programme (NTEP). (1 Mark) • What is the role of CBNAAT in TB diagnosis? (1 Mark) • What is Nikshay Poshan Yojana? (1 Mark) [DHGMCH]