Intestinal Infections

1.Baby Divya aged about 1½ years is brought to your primary health centre with history of passing loose stools 5-6 times/ day from last 3 days. On examination, she is afebrile, restless with moderate dehydration.

• a) How will you manage the above child in your PHC
• b) What advise you will provide to the mother
• c) What are the components of diarrhoeal diseases control programme Problems

2.Rashmi a 4 years old who is attending the anganwadi is brought to your PHC with history of 7-8 episodes of loose stools. On examination her systolic BP is 80mm Hg. How will you manage the case

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

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

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

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

5.Infections causing Diarrheal diseases

6.Steps in the investigation of food poisoning

7.Intramuscular injections are avoided if poliomyelitis outbreak is suspected

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.Laboratory diagnosis of cholera

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

13.Carriers in typhoid

1.Any two differences between Salk and Sabin vaccines

2.Any two types of carriers in typhoid

1.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

2.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