IAS Mains Previous Years Paper : Medical Sciences (1995)

PAPER - I
1. Answer any three of the following (each in about 200 words) :
(a) Give differences between benign and malignant rumors. Discuss in brief about various methods of tumor diagnosis. (20)
(b) Describe herpes viruses and lesions produced by them (20)
(c) Describe various mechanisms present in human body for maintaining the blood pH. Give an account of acid base disorders - their causes and compensatory mechanisms. (20)
(d) An AB blood group man cannot be the father of a child of blood group O - Comment. (20)
(e) Describe in brief various therapeutic uses of acetylsali-cylic acid. Give its possible mechanism of action as antithrombotic agent. (20)
(f) Describe in brief the anatomy and applied significance of inguinal canal. Add a note on descent of testis. (20)

SECTION A
(Anatomy, Physiology & Biochemistry)
2. (a) Classify the nuclei of hypothalamus. Describe its relationship to food and water intake. (20)
(b) How is hypercholesterolaemia harmful? Mention me causes for hypercholesterolaemia and enumerate various measures that are used to decrease serum cholesterol level and give their mechanism of action. (20)
(c) Draw and label a transverse section (horizontal section) of thorax through the roots of lungs. (20)

3. (a) What are normal EEG waves ? How are they generated? Compare EEG between REM and NREM sleep. Add a note on clinical significance of EEG. (20)
(b) Discuss the biochemical basis of different types of vitamin deficient anaemias. (20)
(c) (i) Write a short note on pelvic diaphragm.
(ii) Describe briefly the movement of knee joint mentioning the role of various ligaments, menisci and muscles. (20)

SECTION B
(Pathology & Microbiology)
4. (a) Write pathogenesis and histopathology of bronchogenic carcinoma. (30)
(b) Describe briefly acquired immunity. (30)

5. (a) Write pathogenesis and histopathology of Rheumatic heart disease. (30)
(b) Define "Disinfection", and mention various chemical agents used for disinfection and their applications. (30)

SECTION C
(Pharmacology Forensic Medicine & Toxicology)
6. What do you understand by luminal antiamoebic agents? Describe the spectrum of antiamoebic action of metronidazole, its side effects and contraindications. (60)

7. (a) Write in brief the procedure of identifying an individual from bite marks. (20)
(b) How will you differentiate an Entry Wound from an Exit Wound? (20)
(c) Define 'Poison'. What do you mean by "Corrozive Poison"? (20)

PAPER - II
1. Write short notes on any three of the following (each in about 200 words) : (3 x 20 = 60)
(a) Discuss the causes of convulsion in a middle aged man.
(b) What are the common causes of enlargement of cervical lymph nodes? How will you treat a case of tubercular cervical lymphadenitis?
(c) Discuss the methods of detection of ovulation in an infertile woman.
(d) Discuss the nature and magnitude of the HIV/AIDS problem in India.

SECTION A
(General Medicine)
2. Discuss the etiology, clinical features, complications and management of Hypertension. (60)

3. (a) Discuss the causes of huge splenomegaly in our country.(20)
(b) Discuss the causes of haemoptysis. (20)
(c) How will you investigate a case of Acute Glomerulonephritis ?(20)

SECTION B
(General Surgery)
4. Describe the clinical features of Amoebic abscess liver and its management. (60)

5. (a) How will you treat a case of strangulated inguinal Hernia in a middle aged man ? (20)
(b) What is an abscess? Describe the method of draining a deep abscess by Hilton's method. (20)
(c) What is Courvoisier's Law? What is its fallacy? How will you manage a case of obstructive jaundice due to CA Head pancreas? (20)

SECTION C
(Obstetric and Gynecology including Family Planning)
6. A primigravida complains of vaginal bleeding at 34 weeks of pregnancy. What are the causes? How will you differentiate between placenta previa and revealed variety of Abruptio placenta? (60)

7. (a) Discuss the common types of intrauterine contraceptive devices. (20)
(b) Discuss the different methods available for early detection of female genital tract malignancy. (20)
(c) How will you diagnose and treat monilial vaginitis? (20)

SECTION D
(Preventive and Social Medicine)
8. Enumerate the water borne viral infections. Outline the steps you would follow to investigate an epidemic of jaundice in an urban slum area. (60)

9. (a) What are the measures used to evaluate a "screening test" ? (20)
(b) Describe briefly the 'stages' in the demographic cycle. What are the factors contributing to high fertility in India? (20)
(c) Briefly describe the steps to eliminate Neonatal Tetanus in India. (20)