CONTENTS:

1) ENT
2) PSM
3) Ophthalmology

1
ENT

3
 Distribution of Marks

Total = 100
Theory = 60 Practical = 40

 University Exam (40)  University Exam (30)30)

(40)
● Paper I - 40 40
● Long case- CSOM

 Grand viva - 10 10
● Short case
 Internals - 10 – 10
● Instruments &
X- rays

 Internals - 10 – 10

5
 Abbreviations :

 D/b – Difference between

 Sx - Surgery

 E/N – Enumerate

 ∆ – Diagnosis

 C/f – Clinical features

 T/t – Treatment

 Hmg – Haemorrhage

 Pt – Patient

 D/D – Differential diagnosis

6
 ent

I) Ear
II) Pharynx and Oral cavity
x
III) Larynxx
IV) Nose

7
 EAR

(i) Anatomy and Embryology:

 S/N 1) Macewen's Triangle
2) Pinna - Nerve supply
3) Right Tympanic membrane - Diagram
4) Medial wall of Middle ear - Diagram
5) Ossicles of Middle ear
6) Organ of corti - Diagram

(ii) Assessment of hearing:

 S/N 1) Tuning fork tests
2) (A) Rinne's test (B) Weber's test
(C) Absolute bone conduction {ABC} test (D) False -ve Rinne's test
3) PTA ( Pure tone Audiometry )
4) Impedance Audiometry - (A) Tympanometry
(B) Acoustic/Stapedial reflex
5) BERA (Brainstem Evoked Response Audiometry) / ABR
6) OAEs ( Oto-acoustic Emissions )
7) Deafness in neonates - Screening Tests

(iii) Hearing loss:

 S/N 1) WHO classification of Hearing loss
2) Presbycusis
3) Noise induced Hearing loss
4) Lermoyez syndrome ( Meinere's disease is seen )
5) (A) Hearing Aids - Types (B) BAHA (C) Cochlear implant

 L/Q 1) Conductive hearing loss (CHL) - a) Causes of CHL

b) Clinical features and Managment
of Otosclerosis

2) Otosclerosis (Otospongiosis) - a) Carharts notch

b) Signs and Symptoms
c) Managment

9
 3) Meinere's disease - a) Signs and Symptoms
b) Managment

(iv) Vestibular System:

 S/N 1) (A) BPPV (B) Hallpike manoeuvre
2) Nystagmus
3) Caloric test
4) Fistula test

(v) Diseases of External ear:

 S/N 1) Malignant otitis externa
2) Otomycosis
3) Swimmer's ear
4) Furuncle
5) Aural toileting

(vi) Disorders of Middle ear:

 S/N 1) Eustachian tube (ET) - Functions & ET fuction test
2) Otitic barotrauma
3) Sx - (A) Myringotomy (B) Myringoplasty

 L/Q 1) Otitis media with effusion (OME) - a) Physiological functions of ET

OR Serous otitis media (SOM) b) Clinical features & Managment
of OME

2) Acute Suppurative otitis media - a) E/N Causes of Otalgia (Earache)

(ASOM) b) Etiopath. of ASOM
c) Signs and Symptoms
d) Managment
e) D/d of ASOM

(vii) Chronic Suppurative otitis media (CSOM) or COM:

 S/N 1) D/b - Safe & Unsafe CSOM
2) Theories of Cholesteatoma
3) Complications of CSOM (Squamosal vareity)
( Intra-cranial & Extra-cranial)

10
 4) (A) Petrositis (B) Cerebellar abscess
(C) Lateral sinus thrombosis (D) Otitic hydrocephalus

5) Acute mastoiditis - C/f and Managment

 L/Q 1) - Various pathways through which infection can spread from ear.
- Managment of Pt. with - (A) Brain abscess (B) Acute mastoiditis
- Cortical Mastoidectomy

2) Unsafe CSOM - a) What is Cholesteatoma?

b) Etiopath. of Unsafe CSOM
c) Signs and Symptoms of Unsafe CSOM
d) Managment
e) Name abscesses in relation to Attico-antral CSOM

(viii) Facial nerve:

 S/N 1) Intra-cranial course of 7th Cranial nerve.
2) Topodiagnostic tests of 7th Cranial nerve
3) Bell's palsy - Managment
4) Frey's Syndrome
5) Ramsay Hunt syndrome

 L/Q 1) Facial nerve - a) Anatomy in temporal bone

b) Causes of Facial nerve paralysis
c) Managment of a pt. with Bell's palsy

(ix) Others:
 S/N 1) Referred otalgia
2) Tinnitus - Causes
3) Acoustic neuroma / Vestibular schwanoma - C/f and Investigations
4) Glomus tumor( Middle ear tumor )

11
 NOSE

(i) Anatomy and Physiology:

 S/N 1) Function of Nose
2) Posterior Rhinoscopy
3) Osteo-meatal complex (Middle meatus)

(ii) Disorders of External nose:

 S/N 1) Saddle nose
2) Rhinophyoma (Potato nose)
3) Nasal furunculosis
4) Vestibulitis

(iii) Rhinitis:
 S/N 1) Atrophic rhinitis/Ozaema - Managment
2) Allergic rhinitis - Managment
3) Vasomotor rhinitis
4) Rhinitis Medicamentosa

(iv) Disorders of Nasal septum:

 S/N 1) a) Little's area b) Kiesselbach's plexus
2) a) Septal Hmg b) Septal Abscess
3) Septal perforation
4) Cottle's test
5) Sx - Septoplasty --> Indications & complications

 L/Q: 1) - Anatomy of Nasal septum.

- SMR/Septoplasty - Steps , Indication & Complications

(v) Nasal Polyp:

 S/N 1) Nasal polyps
2) Inverted Papilloma
3) B/L Ethmoidal polyp
4) D/D - a) Nasal mass b) Bleeding Nasal mass

 D/b : 1) Ethmoidal & Antro-choanal polyp

 L/Q: 1) Antro-choanal polyp - Etiopath, C/f & Managment

12
(vi) Sinusitis :
 S/N 1) PNS (Paranasal sinuses) - a) Functions b) Complication of PNS Infection
2) Acute frontal sinusitis / Office headache
3) Acute Maxillary sinusitis
4) Cavernous sinus thrombosis
5) Pott's puffy tumor - Osteomyelitis of frontal bone
6) Sx --> a) FESS b) Cadwell Luc's operation

 L/Q: 1) Chronic maxillary sinusitis - Etiopath, C/f, Complication & Managment.

2) Ca Maxilla - C/f & Risk factor

(vii) Epistaxis :

 L/Q: 1) - Blood supply of Nasal septum.

- Causes of Epistaxis
- Managment of Epistaxis
- Procedure of Anterior Nasal packing

(viii) Trauma to face :

 S/N 1) Tripod fracture
2) Oro-antral fistula

(ix) Granulomatous & Miscellaneous diseases :

 S/N 1) a) Rhino-scleroma (Bacterial) b) Rhino-sporidiosis (Fungal)
2) a) Nasal stones/Rhinolith b) Nasal myiasis/ Maggots
3) Choanal atresia
4) CSF Rhinorrhea

13
 PHARYNX

 S/N : 1) Waldeyer's ring

2) a) Lingual tonsil b) Palatine tonsil - Blood supply
3) a) Chronic Adenoid hypertrophy b) Adenoid facies
4) a) Zenker's diverticulum b) Eagle's syndrome
5) Thornwald bursitis
6) a) Deglutation - Physiology b) Dysphagia - Etiology
7) a) Peri-tonsillar abscess/Quincy
b) Acute Retro-pharyngeal abscess
c) Ludwig's angina
d) E/N Deep neck abscess
8) Faucial Diphtheria

 L/Q : 1) Obstructive sleep apnea - a) Clinical evaluation b) Managment

2) Adenoidectomy - a) Structue seen on Post. Rhinoscopy

b) Indication & complications of Adenoidectomy

3) Tonsillectomy - a) Relation of bed of tonsil

b) Indication & complications of Tonsillectomy
c) Post tonsillectomy reactionary Hmg
d) Managment of Hmg

4) Acute tonsilitis - a) Etiopath. , C/f , & Managment

b) D/D of white membrane on tonsils

5) Naso-pharyngeal angiofibroma -a) Etiopath. , C/f , & Managment (Sx)

b) E/N causes of Epistaxis

6) Para-pharyngeal abscess - a) Anatomy of Para-pharyngeal space

b) Etiopath. , C/f , & Managment
c) Quincy - Managment

14
 LARYNX

 S/N : 1) Muscles & Ligaments of Larynx

2) Indirect Laryngoscopy - Diagram
3) a) Reinke's edema b) Rima glottis
4) a) Acute Epiglottitis b) Acute Laryngo-tracheobronchitis
5) Stridor - causes in children
6) a) Vocal nodule b) Vocal polyp
7) Laryngocele
8) a) Juvenile papillomatosis b) Multiple papilloma in larynx
9) a) B/L Abductor paralysis b) Dysphonia plica ventricularis
c) Puber phonia
10) a) C/f of foreign body at different levels in airway
b) Managment of Tracheo-bronchial foreign body.
11) Emergency tracheostomy
12) D/D of midline swelling of neck

 L/Q : 1) a) D/b - Pediatric & Adult larynx

b) Causes of Stridor in Infants.

2) a) Structue seen on Indirect Laryngoscopy.

b) Direct Laryngoscopy - Indication & complications.

3) Tracheostomy - a) Steps, Indication & complication

b) Managment of Post OP case

4) Ca larynx - a) Etiopath. , risk factor , C/f, & ∆

b) Classification
c) C/f & Managment of T3N0M0 Ca Larynx (Stage 3)

5) Glottic Ca - a) E/N causes of Hoarsness of voice in adult.

b) Managment of T2N0M0 Ca Larynx /1 cord involved
(Stage 1)

15
 ORAL CAVITY

 S/N : 1) Pre-malignant lesions of Oral cavity

2) Leuko-plakia
3) a) Ranula b) Dentrigerous cyst
4) Pleomorphic adenoma of Parotid gland
5) Plummer vinson syndrome/ Patterson brown Kelly Syndrome
6) Oral Sub-mucus fibrosis
7) Frey's Syndrome

 L/Q : 1) a) Managment of Oesophageal foreign body.

b) Causes of Dysphagia.

2) Ca tounge - Etiopath, C/f & Managment

16
 ENT (2016)

Section-I

Q1. Write short notes on: (3+4+3= 10 marks)

a) Rinne's test
b) Rimma glottis
c) Meniere's disease

Q2. Describe blood supply of Nasal septum. Describe various causes of epistaxis &
its managment. (10 marks)

Section-II

Q3. Write short notes on: (3+4+3= 10 marks)

a) Herpes zoster
b) Hearing aid
c) Lingual tonsil

Q4. Enumerate causes of Hoarseness of voice in adult. Write managment of a case

of Ca Larynx with involvement of one cord only.
(10 marks)

17
 ENT (2017)

Section-1

Q1. Adult male --> h/o scanty foul smelling ear discharge of 15 yrs duration -->
on examination edema over mastoid & tenderness along Internal jugular vein.

What is the probable diagnosis? List Intra-cranial & Extra-cranial complications

of CSOM. How will you manage this case. (2+2+2 = 6 marks)

Q2.Write short notes on: (3x4= 12 marks)

a) D/b Ethmoidal & Antro-choanal Polyp
b) D/D of Bleeding Nasal mass
c) Atrophic Rhinitis
d) Middle ear - Impedence matching mechanism

Section-2
Q3. Enumerate causes of Stridor in Infants & Childrens. D/b Pediatric & Adult Larynx.
(3+3 = 6 marks)

Q4. Write short notes on: (3x4= 12 marks)

a) Clinical features of - Chronic Adenoid hypertrophy
b) Peri-tonsillar abscess
c) Clinical features of - Tracheo-broncial Foreign body
d) Aetiology of Dysphagia

Q6. Write briefly on: (2x2= 4 marks)

a) Clinical features of - Acute mastoiditis
b) Draw a well labelled diagram showing - Structures seen on Indirect Laryngoscopy

18
 ENT (2018)

Section-1

Q1. Describe Intra-cranial course of 7th Cranial nerve. Discuss managment of Bell's
Palsy. ( 2+2+2 = 6 marks)

Q2.Write short notes on: (3x4= 12 marks)

a) Juvenile Nasopharyngeal Angiofibroma
b) Faucial Diphtheria
c) Diagnosis of Ca Larynx
d) Canal wall UP v/s Canal wall DOWN mastoidectomy

Section-2

Q3. Tracheostomy - Indications & Complications (3+3 = 6 marks)

Q4. Write short notes on: (3x4= 12 marks)

a) Orbital complications of Sinusitis
b) Pre-malignant lesions of Oro-pharynx
c) Clinical features of - Tracheo-broncial Foreign body
d) Oesophagial causes of Dysphagia

Q6. Write briefly on: (2x2= 4 marks)

a) "Danger area "of face
b) Oto-Acoustic Emissions

19
PSM

21
 Distribution of Marks

Total = 150

Theory = 150 Practical = 50

 University Exam (120)  University Exam (30)

● Paper I – 60
● Paper II – 60 ● Spotting

 Grand viva – 10 ● Statistical problem

 Internals – 20 ● Index case

 Internals – 20

23
 Abbreviations :

 BCC – Behavioural change communication

 D/B – Difference between
 S/N – Short note
 Ex – Example
 ∆ – Diagnosis
 T/t – Treatment
 E/N - Enumerate
 m/c – Most common

24
 psm - PaPer 1

(( ((1) Sustainable Developmental Goals (SDGs)

(2) Demography & Family planing
(3) Preventive medicine* - OBG, Pediatrics, & Geriatrics
(*includes --> MCH Prog. - RCH + NRHM)

(4) Nutrition & Health ( Nutritional disorders )

(5) Social sciences
(6) Environment & health
(7) Hospital/Biomedical waste managment
(8) Disaster Managment
(9) Occupational Health
(10) Mental Health
(11) School Health
(12) Communication & Health Education
(13) Health Planning & Managment
(14) Health care delivery system
(15) Inter-national health i
(14) Health care delivery system n

25
 Demography & Family planning

 S/N : 1) Demographic cycle

2) Demographic indicators - a) Age pyramid b) Sex ratio
3) a) Factors affecting fertility b) Fertility trends in India
4) a) OCP (Oral contraceptive Pills) b) IUDs
5) Emergency contraception
6) Pearl index (Evaluation of contraceptive methods)
7) a) MTP Act 1971 b) Pre-natal diagnostic technique act
8) Unmet need for Family planning
9) Community Needs Assessment Approach

 D/b : 1) Demographic Burden & Demographic bonus

2) 1st Generation IUDs & 2nd Generation IUDS

Preventive Medicine in OBS, Paeds, & Geriatrics

 S/N : 1) Kangaroo mother care

2) Baby freindly hospital initiatives (BFHI) - Components
3) Determinants of child mortality in India
4) Preventive & Social measures to decrease Infant mortality in India
5) Strategies for BCC to decrease Infant mortality
6) Define IMR. Causes of IM in India
7) Child survival Index
8) India newborn action plan
9) a) Essential Newborn Care b) Steps of Immediate neonatal care
10) Child survival Index
11) ICDS
12) Juvenile Delinquency ( Juvenile crime )

 D/b : 1) Growth & Development of child

 S/N : 1) MMR & IMR - Definition and causes

2) Causes of Maternal mortality. Strategies & initiatives under
RMNCH+A to decrease MM.
3) Essential obstetric care - Antenatal care

27
  L/Q 1) As MO at PHC , how will you plan to decrease IMR & MMR
in your area
2) - What is Janani Suraksha Yojna (JSY)
- Benefits under this scheme
- How it is implemented
2) - Epidemiology of anemia in females
- Strategies for its control

 S/N : 1) Prevention of Health problems in Elderly (Priordial, 1°,2°,3°)

 L/Q : 1) - Health problems in aged people.

- Initiatives undertaken by Govt. to improve health of Geriatric people
in India
2) 1st Generation IUDs & 2nd Generation IUDS

Nutrition & Health

 L/Q : 1) - E/N Important nutritional problems in India.

- Managment of 2 yrs old child with Moderate malnutrition as MO
at PHC.

2) - Describe Various methods of Nutritional assessment.

- Discuss nutritional disorders leading to blindness , measures for
its prevention & control.

3) - Define & classify Food borne diseases.

- Measures for prevention & control of food borne diseases.

4) - E/N food borne intoxicants.

- Epidemic dropsy - C/F, Prevention & Control

 D/b : 1) Kwashiorkar & Marasmus

2) Food fortification & food Adulteration

28
 S/N : 1) Balanced diet
2) Mid day meal scheme
3) a) School health prog b) School Health services in Delhi.
4) Assessment of Nuritional status
5) Vit-A - Deficiency disorders & their prevention
6) Fluorosis - Prevention
7) - What is EBF( Exclusive Breast feeding. Describe 5 advantages of EBF.
- E/N components of BFHI

8) a) E/N & describe prevalent nutritional problems in India.

b) Write briefly about - Various nutritional programs in India.

9) a) E/N common nutritional problems of public health importance in India.

b) As MO of PHC, How will you reduce PEM among <5 yrs children.

10) Managment of:

a) Unimmunised girl with PEM Grade IV
b) Pregnant female (POG 20wks) on 1st AN visit found to have anemia
c) Child - Vomiting, Diarrhea (food poisoning) after 4 hrs of consuming
milk cake.

Sociology

 S/N : 1) Social defence

2) Social pathology
3) Accultration
4) Family in Health & Disease

 L/Q 1) - What are the Social determinants of Health ? Explain with Ex.

2) - Describe Family cycle & its role in stress.

- What is the role of family in managing medical & social problems.

29
 Environment & Health

 S/N : 1) a) Sanitary well b) Sanitation barrier

2) Chlorination
3) Surveillence of Drinking water quality
4) Bacteriological standards of drinking water
5) Purification of water at household level
6) Integrated vector control OR Integrated approach for mosquito control
7) Air pollution - a) Its impact on Health b) Prevention & control
8) Indoor air pollution & its effect on Health
9) Indicators for Air pollution

 D/b : 1) Slow & Rapid sand filters

 L/Q 1) - List Mosquito borne diseases.

- Mosquito control methods
- Modes of transmission of Arthropod borne diseases

Disaster Managment

 S/N : 1) Disaster cycle

2) Disaster Mitigation
3) Disaster Preparedness
4) Triage

Biomedical / Hospital waste managment

 L/Q 1) New BMW guidelines for waste managment in 3° care hospital.

{ Colour coding , Type of container , Waste category , T/t option }

 S/N : 1) T/t & disposal technology of Health care waste

30
 Mental Health

 S/N : 1) Tobacco
2) Approaches for Prevention & control of Drug dependence
3) a) Prevention of Mental diseases
b) Mental Health care Act

Genetics

 S/N : 1) Eugenics - Positive & Negative

2) Genetic counselling - Prospective & Retrospective

Communication for Health Education

 S/N : 1) BCC ( Motivational model)

2) Strategies for BCC for reduction of Infant mortality
3) Group discussion

 D/b : 1) Health Education & Health Propaganda

2) Health Education & Counselling
3) Group discussion OR Symposium & Pannel discussion
4) Diadactic & Socractic method of communication

 L/Q: 1) - What are the Principles of Health Education.

ommunication for Health ducation
- As MO at PHC plan IEC ( INFORMATION EDUCATION
COMMUNICATION) activities in a village addressing the
Nutrional problems in children

31
 Occupational Health

 S/N : 1) a) Ergonomics b) Ergonomic health problems in Nurses

2) Pneumoconiosis
3) a) Silicosis b) Asbestosis c) Lead poisoning d) Bagassosis
4) Sickness Absenteesim
5) Pre-placement examination
6) Universal work precautions in Health institutes
7) Health protection of Industrial workers
8) Specific protection in occupational health
9) Occupational hazards to - a) Agriculture workers
b) Health care workers
10) a) ESI act b) Factories act
11) Occupational cancers
12) Effects of Heat stress

 D/b : 1) Byssnosis & Bagassosis

 L/Q : 1) Describe various measures that can be taken for prevention of

occupational diseases & hazards.

International Health

 S/N : 1) a) WHO b) UNICEF

2) IHR - International Health regulations
3) SDGs - Sustainable Development Goals { Earlier - MDGs }
4) Universal Health coverage / Health for All (Everyone , Everywhere)

Health planning & Managment

32
 S/N : 1) Planning cycle
2) Network analysis
3) Network analysis in Health managment

 D/b : 1) Cost benefit analysis & Cost effective analysis

2) CPM & PERT

Health care of community

 S/N : 1) ASHA - Role & Responsibilities

2) FRU - First referral Unit
3) IPHS (Indian Public Health Standards) for - a) PHC b) CHC c) Sub-centre
4) Health care delivery system in Rural India

 L/Q 1) - Define Primary health care

- Principles Primary health care
- Elements Primary health care
- Describe services that are included in Primary health care

33
 COMMUNITY MEDICINE -I (2016)

Section-1

Q1.Define & classify Food borne diseases. What measures you will take for
Prevention & control of food borne diseases. (1+3+6 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) IPHS for Sub-centre
b) Network analysis
c) Effect of Indoor air pollution on Health
d) According to New BMW Rules - Colour coding, Type of container, Waste
category,& T/t option for BMW managment in a 3° care hospital.

Section-2

Q3. a) D/b : Counselling & Health education (5x2 =10 marks)

b) What is EBF ( Exclusive Breast feeding )? Advantages of EBF. E/N
components of BFHI.

Q4. Write short notes on: (5x4= 20 marks)

a) WHO
b) Maternal Mortality Rate
c) Emergency contraception
d) Initiatives to improve health of Older persons by Govt. of India

35
 COMMUNITY MEDICINE -I (2017)

Section-1

Q1. What are the causes of Maternal mortality in India. Discuss Initiatives taken
RMNCH+A to reduce MM. (3+7 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) SDGs 2015-2030
b) Juvenile Delinquency
c) Unmet need of contraception
d) Air pollution- Health impact, Prevention & control

Section-2

Q3. D/b : a) Kwashiorkar & Marasmus. (5x2 =10 marks)

b) Slow & Rapid sand filters

Q4. Write short notes on: (5x4= 20 marks)

a) IHRs
b) Intensified Mission Indradhanush
c) National Health Policy 2017
d) Health care delivery system in Rural India

36
 COMMUNITY MEDICINE -I (2018)

Section-1

Q1. What are the causes of Infant mortality in India. Discuss Initiatives taken
RMNCH+A to reduce IM. (3+7 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) Social pathology
b) MTP act
c) Disaster managment cycle
d) Principles of Primary health care (with Example)

Section-2

Q3. D/b : (5x4 =20 marks)

a) Food supplementation & food fortification

b) Cost effective & Cost benefit analysis
c) Anopheles & Aedes mosquito
d) Rural & urban Health care delivery system

(10 marks)
Q4. As MO at PHC, how will you plan a health education session on
complemenary feeding in infants amongst mothers

37
 psm– PaPer 2

(( ((1) History of Medicine

(2) Concept of Health & Disease
(3) Principles of Epidemiology*
(*includes --> Fertility indicators)
(4) Screening of Disease
(5) Epidemiology of - Communicable & Non - communicable
diseases
(6) National Health Programmes
(7) Genetics
(8) Statistics
(14) Health care delivery system n

39
 Concepts of Health & Diseases

 S/N : 1) a) Web of Causation b) Web of Causation of Oral cancer

2) Natural history of Disease & its role in disease prevention
3) a) Spectrum of Disease/Health b) Iceberg of disease
4) a) HDI b) DALYS
c) Disability free life expectancy/ Sullivan's index
5) a) Levels of Prevention b) Primordial prevention
6) a) Modes of Intervention b) Health promotion c) Rehabilitation
7) Surveillance - Types
8) Emerging infections in India
9) Disease Elimination/ Eradication
10) Mortality Indicators
11) Barriers in counselling of pts. of STI/RTI

 D/b : 1) a) HDI V/S GDI b) HDI V/S PQLI

2) Surveillance V/S Monitoring
3) Elimination V/S Eradication
4) Health promotion V/S Specific Promotion
5) Quarantine V/S Isolation
6) Emerging V/S Re-emerging diseases

Screening

 S/N : 1) Screening test

2) Oppurtunistic screening
3) Criteria for Screening

 D/b : 1) Sensitivity V/S Specificity

 L/Q 1) - What is Cancer screening. Give suitable example.

- Describe magnitude of cancers in India.
- Add a note on National cancer registry programme.

41
 Epidemiology

 S/N : 1) Uses of Epidemiology

2) HERD Immunity
3) Cohort study
4) a) RR (Relative risk) b) ODDS ratio
c) Secondry attack raye
5) a) RCT (Randomised controlled trail) b) Blinding in a RCT
6) a) Total fertility rate b) Age specific fertility rate
7) a) Net reproduction rate b) Maternal mortality rate
8) Investigation of Epidemic - Steps
9) Cold chain
10) a) VVM (Vaccine Vial Monitor) b) Open vial Policy (2015)
11) AEFI - A) Causes B) Investigation of a case of AEFI
12) Fertility indicators

 D/b : 1) Case control V/S Cohort study

2) RR V/S Attributable risk or ODDS ratio
3) Prevalence V/S Incidence
4) Hospital records V/S Population records
5) Incubation period V/S Latent period or Serial interval

 L/Q 1) - Define Epidemic. Types of Epidemics

- Type of Epidemic occurs in Polio
- Epidemic of Dengue - Investigation & Control measures

2) - Describe various types of Epidemiological study designs.

- Explain Steps to conduct a case control study using example.
- Estimation of risk in Analytical studies

STATISTICS

 S/N : 1) a) Sampling method b) Random sampling

2) a) Normal distribution curve b) Standard normal curve
3) Measures of Central tendency
4) a) Measures of Dispersion b) Test of Significance
5) CHI-square test
6) Chandler's Index
7) Census

42
  D/b : 1) Bias V/S Confounders
2) Systemic V/S Stratified fertility rate

Health Programmes in India

(i) TB - RNTCP :
 S/N 1) TUBERCULIN test
2) TB - Epidemiology, measures for its Prevention & Control
3) Reasons for Increase in MDR -TB
4) RNTCP -New initiatives (DOTS 99, TB-HIV Coordination, FDCs, etc)
5) D/b - Conventional Strategy & DOTS Strategy
6) TB notification - A) NIKSHAY B) DOTS-99

(ii) VECTOR born disease - NVBDCP:

 S/N 1) (A) BCC for Dengue/Malaria (B) IVM measures for Dengue/Malaria
2) (A) T/t of Uncomplicated Malaria
(B) T/t of Malaria in high risk area
(C) Chemo-prophylaxis for Malaria
(D) T/t of Falciparum malaria in N-E states
(E) Current T/t Guidelines of Malaria
3) Anti-larval measures for Mosquito control.
4) Roll back Malaria
5) Indices for measuring problem of Aedes vector in community.
6) Yellow fever vaccination
7) a) JE - Prevention & Control b) Measles - Prevention & control

 L/Q 1) - Epidemiology of Dengue/Malaria/Diphtheria.

- Steps taken to investigate & control epidemic of dengue in Delhi.

2) - Factors contributing to dual burden of Dengue & CKF in Delhi

- Mention 3 preventive & control measures

43
(iii) STDS: AIDS - NACP :
 S/N 1) Syndromic Approach /Managment of STD
2) Emerging & Re-emerging diseases
3) Modes of HIV transmission
4) Post exposure prophylaxis of AIDS
5) NACP - Phase 4
6) a) HIV Surveillance
b) Sentinel Surveillance
7) a) ICTC (Integrated Counselling & Testing centre)
b) PPTCT (Prevention of Parent to child transmission of HIV)

 L/Q 1) Diagnostic & therapeutic approach adopted for control of STI in

females under NACP.

(iv) Leprosy - NLEP :

 S/N 1) DPMR - Disability prevention & Medical Rehabilitation
2) Bacterial Index in Leprosy
3) MDT for Leprosy

(v) Non-communicable diseases - NPCDCS :

 S/N 1)RHD - Prevention

2) RTA - Measures of control in India
3) CHD & - a) Assessment of Obesity
b) Modifiable & Non-modifiable risk factor for CHD/HTN
HTN
c) Strategies for Prevention of CHD
d) Rule of Halves

4) Diabetes - a) Type 2 DM - Prevention & control

b) Dietary managment of DM
5) Tobacco control Legislation
6) CANCER- A) Ca cervix screening
B) Ca Breast screening
C) Westernisation trends in Cancer incidence

 L/Q 1) - Epidemiology of Ca Breast.

- Measures for its prevention & control .
- National Cancer registry Prog.
2) Major components of NPCDCS

44
(vi) Polio :
 S/N 1) a) Polio Eradication strategies
b) End game strategy in Polio eradication
2) Polio Switch
3) AFP surveillance & its Indicators
4) (A) IPV (B) OPV V/S IPV

(vii) Tetanus & Rabies :

 S/N 1) a) Strategies for Elimination of teatnus c) TT
b) Neonatal Teatnus Elimination
2) Anti-rabies cell culture vaccines
3) Managment of Category 3 dog bite
4) Post exposure Prophylaxis for Rabies

(viii) Hepatitis & Diarrhoea :

 S/N 1) a) Hep-A - Epidemiology , Prevention & Control
b) Hep-B - Epidemiology , Prevention & Control
2) Hep-B vaccine
3) - Investigation of food poisoning outbreak
- Prevention & control measures
4) ORS

(Xi) NHM = NRHM+NUHM & RCH or RMNCH+A :

 S/N 1) NRHM - Initiatives & Infrastructure
2) JSY - Janani Suraksha Yojna
3) RBSK
4) RMNCH+A - a) Adolescent health problems & provisions under RCH
b) RDA for Adolescents
c) Wifs

5) Essential Newborn care

6) Essential Obstetric care

 L/Q 1) - Write NIS (National immunisation schedule).

- Managment of an unimmunised child

45
(x) other:
 S/N 1) Mental Health care Act
2) NPCB & Vision 2020.
3) a) UIP & Mission Indradhanush
b) NIS (National immunisation schedule)
4) INAP - Indian Newborn Action Plan

46
 COMMUNITY MEDICINE-II (2016)

Section-1

Q1. E/N risk factors in CHD. Discuss strategies for prevention of CHD
(3+7 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) Sampling methods
b) Genetic counselling
c) Neonatal tetanus Elimination
d) Polio - Current scenario in India

Section-2

Q3. D/b : a) Isolation & Quarantine (5x2 =10 marks)

b) Case control & cohort study

Q4. Write short notes on: (5x4= 20 marks)

a) Iceberg of disease
b) MDT in Leprosy
c) JE - Prevention & Control
d) Measles - Prevention & control

47
 COMMUNITY MEDICINE -II (2017)

Section-1

Q1. Magnitude of cancers in India. What is cancer screening? Give example.

Discuss national cancer registry programme (3+3+4 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) World Health day theme 2017
b) Emerging infections in India
c) Measures to control RTA
d) End game strategy in Polio eradication

Section-2

Q3. D/b : a) Sensitivity & Specificity (5x4 =20 marks)

b) Elimination & Eradication of disease

S/N : a) Normal distribution curve

b) Yellow fever vaccination

(10 marks)
Q4. Epidemiology of Dengue. Steps taken to investigate & control an Epidemic
of Dengue in Delhi

48
 COMMUNITY MEDICINE -II (2018)

Section-1

Q1. Epidemiology of TB. Discuss new Initiatives under RNTCP Iin India
(3+7 = 10 marks)

Q2.Write short notes on: (5x4= 20 marks)

a) Fertility indicators
b) Genetic counselling
c) Standard normal curve
d) Standardised mortality ratio

Section-2

Q3. D/b : a) Isolation & Quarantine (5x4 =20 marks)

b) Case control & cohort study

S/N : a) Primordial prevention of HTN

b) Sentinel Surveilance

(10 marks)
Q4. Write current NIS (National immunisation schedule).
How you manage immunization of an infant who has got all the vaccines
till 6 wks of age only & now reported at 9 months of age

49
OPHTHALMOLOGY

51
 Distribution of Marks

Total = 100

Theory = 60 Practical = 40

 University Exam (40)  University Exam (30)

● Paper I – 40
● Case (Cataract, Red
 Grand viva – 10 eye, etc)
● Drug & instrument viva
 Internals – 10

 Internals – 10

53
 Abbreviations :

 D/b – Difference between

 Sx - Surgery

 E/N – Enumerate

 ∆ – Diagnosis

 C/f – Clinical features

 T/t – Treatment

 D/D – Differential Diagnosis

 OP – Operative

54
 ophthalmology

I) Anatomy & Physiology of eye

II) Diseases of eye
III) Systemic Ophtalmology
IV) Community Ophtalmology

55
 Anatomy & Physiology of eye

 S/N : 1) Rhodopsin cycle

2) Reduced eye
3) Binocular vision

Diseases of eye

(i) Errors of Refraction:

 S/N : 1) Hypermetropia
2) Simple myopia
3) Pathological myopia
4) Myopia - Managment (Recent advances in managment of simple myopia)
5) Presbyopia - ∆ & T/t
6) Astigmatism
7) Aphakia
8) Contact lens

(ii) Diseases of Conjunctiva:

 S/N : 1) Trachoma - a) WHO classification b) Managment
2) Spring Catarhh / Vernal kerato-conjunctivitis (Allergic conjunctivitis)
3) Pterygium - a) C/f b) Etiopath. c) Stages d) Managment
4) Phylectunular kerato-conjunctivitis
5) Ophthalmia neonatorum - C/f, ∆ & T/t

(iii) Diseases of Cornea:

 S/N : 1) Mycotic/Fungal corneal ulcer - a) C/f b) Etiopath. c) ∆ d) Managment
2) Viral corneal ulcer - a) Herpes Simplex keratitis
b) Herpes zoster ophthalmicus
3) Herpes Simplex keratitis - a) C/f b) Etiopath. c) Managment
4) Kerato-conus - Managment
4) Kerato-plasty - Types

 D/b 1) Viral , Bacterial & Fungal corneal ulcer

57
  L/Q 1) Bacterial corneal ulcer- a) C/f b) Etiopath.
c) ∆ & T/t d) Complications

2) Microbial keratitis - a) Stages

b) Signs and Symptoms
c) Managment
3) Corneal preservation - a) Methods
b) Role of Eye banking in prevention of
blindness

(iv) Diseases of Uveal tract:

 S/N : 1) Blood supply of Uveal tract
2) Anterior uveitis / Iridocyclitis - Managment
4) Keratic Precipitate (KPs)
4) Endophthalmitis - Managment

 D/b 1) Granulomatous & Non-granulomatous Uveitis

 L/Q 1) D/D of acute red eye ( Ans. Injury, Allergy, Episcleritis, Contact lens
Conjuctivitis,Corneal ulcer, ACG, uveitis )

2) Acute Iridocyclitis (Ant. Uveitis)- a) C/f b) ∆ & T/t

c) Complications

(v) Diseases of Lens:

 S/N : 1) Congenital cataract / Pediatric cataract (Types)
2) Senile cataract / Age related cataract - C/f and Managment
3) Complicated cataract - C/f and Causes
4) After cataract (After cataract Sx)
5) Complications of Cataract Sx ( Pre-OP & post-OP )
6) Diagram - Structure of lens in 40 yrs Adult

 D/b 1) Various types of Cataract Sx.

58
  L/Q 1) Conventional ECCE - Steps with diagram

2) SICS - a) Various Anaesthesia used for this Sx

b) Steps with diagram

3) Phacoemulsification - a) Steps with diagram

b) Advantage & Disadvantage over ECCE
& SICS
4) - Classify Cataract.
- Pre-OP evaluation before cataract Sx
- Post - OP endophthalmitis - Managment

(vi) Glaucoma:
 S/N : 1) Aqueous humor - Production & Drainage
2) Anatomy of Angle structure with reference to drainage of
Aqueous humor
3) Buphthalmos
4) Trabeculectomy Sx - Steps
5) Anti-Glaucoma drugs - a) PGs derivatives
b) Carbonic Anhydrase inhibitors

 L/Q 1) Chronic Simple Glaucoma - a) Etiopath & C/f b) ∆ & T/t .

(Open angle ) c) Field defects d) Optic disc changes

2) Acute Congestive Glaucoma - a) C/f b) Etiopath.

(1° angle closure) c) ∆ & T/t

(vii) Neuro-ophthalmology:
 S/N : 1) Visual pathway - a) Anatomy (Diag.) b) lesions at various levels
2) Pupillary pathway of light reflex
3) Optic neuritis - a) C/f b) Etiopath. c) Classification d) Managment
4) Marcus Gunn pupil
5) - Papilloedema
- D/D of B/L Disc edema

59
(viii) Disorder of ocular motility:
 S/N : 1) Amblyopia / Lazy eye ( Development disorder of visual acuity)
2) Diplopia
3) Nystagmus
4) Binocular vision
5) Define - Herring's & Sherrington law
6) Paralytic squint
7) - Extra-ocular muscles
- Duction & Version movt. of eye

 D/b 1) Paralytic & Non-Paralytic squint

2) Commitant & Non-commitant squint

(ix) Diseases of Eyelids:

 S/N : 1) Chalazion
2) Internal Hordeolum
3) a) Entropion b) Ectopion
4) Ptosis

(x) Diseases of Orbit:

 S/N : 1) Proptosis
2) Orbital cellulitis
3) Thyroid eye disease

 L/Q 1) - Draw surgical spaces of orbit.

- E/N the common space occupying lesions in different orbital space.

(xi) Ocular injuries:

 S/N : 1) Sympathetic ophthalmitis
2) Berlins edema
3) Vitreous Hemorrhage
4) Causes of Floaters
60
(xii) Diseases of Lacrimal apparatus:
 S/N : 1) Anatomy of Naso-Lacrimal drainage system (Diag.)
2) Stucture of Tear film
3) Congenital Dacryo-cystitis
4) Epi-phora - Managment
5) Heterophoria
6) Dry eye

 L/Q 1) Congenital NLD (Naso-lacrimal duct) block - Managment .

2) Chronic Dacryocystitis - Managment {DCR Sx}

3) Dacryo-cystorhinostomy (DCR) Sx - Indication, Routes & Steps

(xiii) Diseases of Retina:

 S/N : 1) Anatomy of Retina (Diag.)
2) Retino-blastoma
3) D/D of Leukocoria / Pseudo-glioma
4) Retinitis pigmentosa
5) a) CRVO b) CRAO
6) ROP ( Retinopathy of pre-maturity )

 L/Q 1) HTNsive Retinopathy - a) Stages b) Complications c) Managment .

2) Diabetic Retinopathy - a) Etipath b) Classification c) Managment

3) Retinal Detachment - a) Types (3) & their causes

b) C/f & Etiopath
c) Managment

Systemic ophthalmology

 S/N : 1) Xerophthalmia (Vit -A deficiency) - a) WHO classification

b) Treatment
2) KF ring

61
 Community ophthalmology

 L/Q 1) - Define Blindness.

- WHO classification of Visual impairment.
- Main causes of Blindness in India

2) NPCB - a) Major objectives

b) Role of NPCB in prevention of blindness

3) Vision 2020 - a) lnfrastructure pyramid .

b) Main priorities adopted by India

62
 OPHTHALMOLOGY (2016)

Section-1

Q1. Write short note on : (4x5 =20 Marks)

a) Xerophthalmia
b) Presbyopia - ∆ & T/t
c) Congenital NLD block - Managment
d) Fungal corneal ulcer - C/F ,∆ & T/t
e) Anatomy of Visual pathway & Visual feild defects at various levels

Section-2

Q2. (5x4 = 20 Marks)

a) Describe NPCB
b) Diabetic retinopathy - Etiopath & Classification
c) Normal SICS - Steps
d) Ophthalmia neonatorum - C/F, ∆ & T/t

63
 OPHTHALMOLOGY (2017)

Section-1

Q1. Write short note on : (4x3 =12 Marks)

a) NPCB
b) Presbyopia - ∆ & T/t
c) Anatomy of Visual pathway - Diagram

(08 Marks)
Q2. Primary Angle Closure Glucoma - Etiopath, Classification, ∆ & T/t

Section-2

Q3. (6x2 = 12 Marks)

a) -Phaco-emulsification - Steps
- Advantages & Disadvantages of Phaco-emulsification over ECCE &
manual SICS
d) Diabetic Retinopathy - Etiopath, Classification, ∆ & T/t

Q4.Short notes on
(4x2 =08 Marks)
a) Xerophthalmia
b) Ophthalmia neonatorum - C/F, ∆ & T/t

64
 OPHTHALMOLOGY (2018)

Section-1

Q1. Write short note on : (4x3 =12 Marks)

a) ROP
b) Astigmatism
c) Endophthalmitis

(08 Marks)
Q2. Acute Red eye - D/D

Section-2
(6x2 = 12 Marks)
Q3.
a) Bacterial Hypopyon corneal ulcer - Etiopath, C/F,complications, ∆ & T/t
b) Vision 2020 India02

Q4.Short notes on
(4x2 =08 Marks)
a) Spring Catarrah
b) After Cataract

65