IASbaba’s TLP OPTIONAL – 2017 : Medical Science [5th Oct, 2017] – Day 55

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1. What is the objective of PCPNDT act? Enumerate the forms that must be filled by the attending doctors while carrying out a prenatal ultrasound. If a medical doctor is found to be violating the PCPNDT act, what is the legal provision for punishment prescribed under the act.

2 What is PAP smear? Briefly State its procedure. How would you interprete the test result?

3 Draw a flowchart on how you would evaluated a 50 year old lady presenting with abnormal uterine bleeding. How does menopause influence the bone mineral density? What measures can be taken by a perimenopausal to safeguard against osteoporosis? List them.

4. A 25 year old married Lady presents with history of 10 weeks amenorrhoea, acute lower abdominal pain and fainting. On clinical examination, she has tachycardia, hypotension and pelvic tenderness.

A. What is the most likely diagnosis?
B. How would you investigate such a patient ?
C. How would you manage such a patient? List key points.

5. Enumerate few commonly used intrauterine devices. What are these indications, contraindications and complications of intrauterine devices.