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SEND UP PAPERS 4th Year 2009
 ENT
(AIMC)
1)...a 28 yr old femal to emergncy
with H/O headach n fever.there is H/O long stang left ear
dischargfor which she is taking medicin on n off.on examiniation
she had fever anf attic perforation
I..diagnosis
II..investigation
III..Treatment
2)... a 34 yrs old IDDM pt came
emergency with prograssiv incres sweeling of lest ear for 48hrs,
nasal block n discharg for last 2 weeks,on examination, has
mucopurulent discharg in nasal cavity n swelling of left eye with
chemosis n diplopia
I..diagnosis
II..investigation
III..Managmet
3)..for purpos of hearing
evaluation children, which tests will be orderd if child is
less tha 1yr
between 1-3 yrs
btween 4-6year
4)...a 6 yr old boy, with H/O fever
and difficulty in swallowing.on examination there is greyish whit
membran on left tonsil extending palat
I..diagnosis
II..complication
III..Managmet
5)...1n 18 month old kid with h/o
high grad fever drooling and dysphagia
I..diagnosis
II..investigation
III..Managmet
6)an 18 yrs old girl with h.o
recurrent swelling in front of nect which moves on protrusion of
toung.on examination,there is soft flutuant swellinf 2X2cm
I..differntial diagnosis
II..investigation
III..structurs incised during its
removal
7)..a 50 yr old airport worker
comes with complaint of heaing loss n tinnitus.on examinatin his
ear were normal
I..diagnosis
II..investigation
III..Managmet
8..a 55 yr old smoker with h/o
horsnes progrssiv incres last 8 monthy n respirtory difficulty for
15 days
I..diagnosis
II..investigation
III..Managmet
9)..a 23 year boy followinf fight
developd nasal obstruction.on examination ther is bilateral septal
swelling
I..diagnosis
II..course
III..Managmet
10)...a 5yr old girl with h/o
difficulty in swallowing.on examinatin there is flatuant soft
swelling in floor of mouth
I..diagnosis
II..investigation
III..Managmet
EYE
(AIMC)
1) a 70 yr man with raised ulceratd lesion
hvaing rolled margin in lower lid
I..diagnosis
II..investigation
III..Managmet
2)..a 40yr woman with asymmetrical protusion
of eye balls anxious,staring look.she is complaing redness n watering
I..diagnosis
II..investigation
III..Managmet
3)..a six month old child present with
watering from right eye since birth
I..differntail diagnosis
II..investigation
III..Managmet
4)...a 2 yr child presents with exotropia
alongwith lecocorai
I.. differntail diagnosis
II..investigation
5)..a 30ur man who is knwn case of brochial
asthema referred to u with c/o gradual dimness in both eyes.he is under
treatment n taking local and systemic drugs to treat syptoms
I..diagnosis
II..investigation
III..Managmet
6)..a 40yr,non pregnant lady with
galactorrhea c/o headach n visual disturbn
I..diagnosis
II..Managmet
7).. a 50yr old woman p/w painful loss of
vision in right eye.eye is red and woman c/o nausea n vomitting.there is h/o
transient attacks of blurring,colord halos
I..diagnosis
II..Managmet
8)... a 3 year boy present with h/o squint.on
corneal reflection test,
a) corneal reflection in center of right eye
b) corneal reflecton between center of pupil
and nasal limbus
I..diagnosis
II..Managmet
9).. a 45 year man present with acute and
chronci uvietis
I..possible causes of recurrent uvietis
II...sequele of
recurrent chronic uvietis
Community
Medicine (AIMC)
1.an infectious diseads was targeted for
eradication through vaccin by host defense strategy.diseas waws declred as
eradicatd even withou achiving 100% vaccin covrage
I...is it posiibl to eradicat diseass without
100%vaccin covarga
II---give valid logical reason of ur answer
2). two catogaries A and B were passing thro
demographic mid transition phase.this phas is prolongd in A contry and B
achiev the new balanc in du cours of time. in that situatin...
I...what is next transition possible fate of
A and B
II... give 2 reasons for new transition in
both
3)a drug company wants to study the efficincy
of new hypertensive drug against one of traditional used hypertensiv im
tertiaru care hospital
I...waht epidimological design u suggest
II..brief describe inbuilt measures in design
for authenicity and reliability of results
4) genetic diseas clustring was observed in
clos community to alarmin extent.
I.. wht interventin will u suggest for
preventing genetic disorders
5) the dises has no geographc boundris n
creats international conern for contri and preventin, for WHO was esteblishd
in 1948 to resolv international health conrens
what r the roles of WHO regrding prevention
and control of communicatbale diseases
6)the results of case control study are in
2X2 table.
hypertenion yes...causes MI in 90
No hypertension causes MI in 60
yes hypertensin causes No MI in 45
no hyprtensin causes no MI in 80
I. estiamt odd ration
II..estimat exposur rate
II..interept results
7)...during family planning conselling by LHV,
a lady opted oral contraceptive pills LHV has to screen lady fr high risk
factors of oral contracptiv. enlist high risk factors
8)...a worker frm factory making UPS storag
battries was brought to an occupatinal health counseltant On clincal
examination,found to b anemic anxius,blu gums line and wrist drop
I...Diagnosis suspect
II...name screening tests
9).. blodd suger level of diabetic patent was
recorded in OPD DHQ hopstal were
175,250,190,180,195,220,160,150,150,170,245,200,220,230,235,240,270,295,180,185
I...give frequency and percentag distributin
of this cut off values <175,176-200,2001-225,>226,
II...draw nad label frequency polygon for
this data
10)... NASA is monitering hole in ozon layer
in antrtica that shows steadt incres
I...name layer of atmosphere of repture
II...mechanism for creation of hole in layer
11)...planes tof short term projct of one
year duratin which defind objctives to be achieved
I..tool used to enlist actitvities of projct
II...key information of this tool
12)...provisional Govt establishd multi-disceplinary
committee including health physician for water quality managment in province
waht responsiblilities will be shard by
physician in water quality management
13)...excessive amout of chlorin for
disinfection heavy water as it is needed for stablizing of ogranc matter n
disinfection
I...name componds frmed by combing organic
matter and chlorine
II...association betwen pH and free availible
ion in water
14)..seweg frm water carrg system could b
harmful until biologicaly treatd befor disposal
I..name 3 essentail steps in biological
treatment
II..mechanism of
oxidation of organic matter in biological treatmt of waste water
COMMUNITY
MEDICINE
(RMC)
Q.1
a)NAme epidemiological studies which can b
emplyoed to testify an association
b)Write down 2 merits & 2 demerits of cohort
studies
c)What z diff b/w case nd control
Q.2
a)Define "secondary attack rate"
b)Wht z diff b/w "specific mortality rate" &
"proportionate mortality rate"
c)During current pandemic of swine flu,300
cases were reported in a small town of USA.3 children nd 7 adults cudnt
survive of ths illness.Population of state wz estimated to be 300,000.Find
out case fatality rate in this particular case.
Q.3
a)Define Screening
b)what should be criteria for good screening
testto find out prevelence of HEP-B in medical professionals?What
significance of this medical intervention?
c)write down three differentiating points b\w
a screening test and a diagnostic test
Q.4
In a big city problem of substance abuse is
increasing day by day.As a social worker u hv been assigned to launch a
campaign of educating community to decrease the intensity of this issue.what
principles u hv to follow to achieve this target?
Q.5
Family planning is still misinterpreted by
the general public,and even by medical professionals.To clarify its
theme,enlist objectives of family planning.
Q.6
a)Define Mental Health
b)About 500M ppl r believed to b suffering
from neurotic,stress & psychosomatic form of problems which present
themselves as physical complaints.Enumerate the strategic primary level
preventive steps to decrease the incidence of mental illness in the
community.
Q.7
Capital of Pakistan is said to be located on
earthquake belt.As director public health of the area you r asked to take
anticipatory measures to deal with such a disaster if however it occurs.
a)write down imp steps\elements of your plan
b)what r the main duties of health team
during a disaster
Q.8
A forty year old man was brought to the
emergency depatrment of the hospital.He had lacerated wounds over his legs
inflicted by dog bite.
a)write down imp. components of management of
the patient
b)what measures you will recommend for
prevention and control of the problem of dog bite in the community
Q.9
Miss.Naseema a nutritionist at institute of
public health at Lahore is asked by the district govt. for evaluation of
statutes of the residents of Lahore.
a)Enlist methods she would employ to serve
this purpose
b)Enlist sign & symptoms of vit.A deficiency
that would be seen in the community suffering from vit.A deficiency
Q.10
a)Immune system is vital for protection
against certain diseases through vaccination.Explain how primary & booster
responses play role for effective immunity status through vaccination.
b) In spite of high chances of developing
diseases,immunologist recommend live vaccines in most cases.Explain why?
Q.11
During monsoon season there were heavy rains
and flood in certain rural areas of Punjab Many cases of gastroenteritis
were reported.Main source of drinking water of the population were dug wells
in the area.
a)As public health officer what specific
measures wud u recommend for restoration of the safe water supply to the
ppl?give detail of method.
b) Briefly describe measures used to purify
drinking water at domestic level
Q.12
A farmer used to work
in fields for 6-8 hrs daily.during this July,one day he collapsed during
work.He was brought to RGH.his auxiliary temp was
105F.
a)What is most probable diagnosis?give at
least 3 salient features favoring your diagnosis in this particular case
b)What preventive measures you will advise to
the ppl of the area for prevention of this health problem?
Q.13
Population of big
cities in
Pakistan
is continuously under change with respect to their size,composition and
distribution.
a)Name 5 demographic processes which effect
population changes.
b)Write down formula for population equation
Q.14
a)define "Ergonomics"
b)Enumerate health
problems\diseases that can occur to the workers due to physical agents in
occupation
PATHOLOGY (SZMC)
Only Pathology Sendup was conducted and
rest of the papers were cancelled..
1.a. differetiate between Type1 n type2
Diabetes mellitus.
b. Enlist lab diagnosis and preventive
measures about D.M.
2.boy aged 4 with periorbital sweeling, pedal
edema. Urinary protein>5g/day.
a. Diagnosis
b. laboratory findings.
3. a. classify non hodgkin lymphoma
b. morphological picture of burkitt lymphoma.
4. short note on
a. cervical intraepithelial neoplasia.
b. hashimoto thyroiditis
5. a. CSF finding of pyogenic meningitis
b. name brain tumors and give morphology of
astrocytoma.
6. CT reveals mass in cerebellum of 12 yr
old, CSF positive for malignant cells.
a. Diagnosis
b. gross n microscopic findings of the lesion
7. a. causes of jaundice
b. lab diag of obstructive jaundice
8. a. Renal function tests
b. fibroadenoma
9. man 44 yrs consulted cardiologist,
peripheral edema of ankles n feet, chronic smoker. diagnosed as cor
pulmonale with rt sided H.Failure.
a. schematic representation of sequence of
events in heart failure.
b. morphological features of rt sided heart
failure.
10. 27 yr man, painful lesion of scapula.
xray reveal onion skin appearance.
a. identif
b. translocation
c. microscopic appearance with 2 ID points
11. male 52, works in dyeing factory,
painless hematuria, cytoscopy reveals papillary growth in bladder later
confirmmed to be malignant.
a. diagnosis
b. carcinogens involved and their mechanism
of action
12. man 40, diagnosed as H.Pylori associated
gastritis..
a. percentage of pylori in causing gastritis
b. mechanism of causing gastritis
13. 45 yr female, pap smear done, reported as
CIN II
a. screening for DNA of which virus is most
pertinent?
b. role played by the virus in pathogenesis
of cervical cancer.
14. man 54, polyuria, urgency, overflow
incontinence and nocturia. PR reveals nodular prostate enlargement. Serum
PSA <4ng/dl. biopsy negative for malignancy.
a. diag
b. gross n microscopic
finding on biopsy.
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Punjab
Medical College Faisalabad, Pakistan.
