Intestinal Infections

1.Five months old baby was brought to Primary Health Centre with the complaint that the baby does not move the right lower limb. The baby was reported to have low grade fever of 5 days duration preceding the onset of the above symptoms. On examination baby was found to have severe loss of motor strength and the sensory system was normal. • What is your probable diagnosis • Explain the surveillance methods for such condition • What are the strategies adopted by Government of India for eradication of such condition. Problems

2.As medical officer of the PHC, what are the strategies you will plan to ensure eradication of poliomyelitis from your area

1.What is Vaccine derived polio virus (VDPV), explain the types of VDPV

2.Hepatitis B vaccination for health care workers

3.Laboratory diagnosis of cholera

4.Oral rehydration solution

1.Fractional IPV reduces the risk of polio disease on exposure to type 2 polio virus

2.Inactivated Polio vaccine and Oral Polio vaccine. Substantiate your answer with reasons

3.Oral Rehydration Solution (ORS) is an example of appropriate technology under primary health care

4.Any two differences between Salk and Sabin vaccines

5.Strategies for polio eradication in India

6.Pulse polio immunization is done using OPV in the months January-March every year

7.Steps in the investigation of food poisoning

8.ORS is the treatment of choice in children with acute diarrhea List the following

9.Salk and sabin vaccines Substantiate your answer with reasons

10.Live polio vaccine is still used in India

11.Staphylococcal food poisoning and salmonella food poisoning Substantiate your answer with reasons

12.Carriers in typhoid

1.An example for public private partnership in health and disease control

• a) Viral Hepatitis A
• b) Pulse polio program
• c) Hookworm infestation
• d) Plague

2.Assertion: A country’s surveillance system needs to be sensitive enough to detect at least one case of AFP for every 100 000 children under 15 years even in the absence of polio

• Reason: As one case of AFP per100 000 children under 15 years is the criteria for elimination of polio
• a) Both A and R are true and R is the correct explanation of A
• b) Both A and R are true but R is not the correct explanation of A
• c) A is true, but R is false
• d) A is false, but R is true

3.Assertion: Short course supplementation with zinc is recommended for every child suffering from diarrhea

• Reason: As zinc supplementation significantly reduces the severity and duration of diarrhoea in children less than 5 years of age
• a) Both A and R are true and R is the correct explanation of A
• b) Both A and R are true but R is not the correct explanation of A
• c) A is true, but R is false
• d) A is false, but R is true