Discuss your role in management of abdominal pain in your health centre.

Post partum Hemorrhage (PPH)

Place a tick mark (√) against the most appropriate answer given under each statement.

a) If a child reaches for cup and spoon when you offer him water, it indicates one of the following sign
i) Drinking eagerly
ii) Drinking poorly
iii) Not able to drink
iv) All of the above
b) All of the following are benefits of Supplementary Zinc for children except:
i) It is a vital micronutrient
ii) Synthesis of protein
iii) Antacid action
iv) Cell growth
c) The World Health Organization (WHO) recommends daily supplementation of oral iron and folic acid during antenatal period to :
i) Avoid nausea & vomiting
ii) Reduce the risk of low birth weight
iii) Maternal anemia
iv) Iron deficiency
d) First drug of choice for treatment of roundworm at your health care facility is
i) Ivermectin
ii) Traziquantil
iii) Albendezole
iv) All of the above
e) All of the following are primary goals of cancer treatment except:
i) Complete cure
ii) Cancer has no cure
iii) Life longevity of possible
iv) Improving quality of life 

Place a (√ ) against the most appropriate answer given under each statement

 a) Most appropriate use of GATHER approach is for:
i. Health education.
ii. Counseling
iii. IEC
iv. Follow up

b) Humanitarian conditions under which pregnancy can be terminated is:-
i. Rape
ii. Failure of contraception
iii. Risk of child being born with handicaps
iv. Mother’s life is endangered

c) All of the following are complications associated with teenage pregnancy excepti. Physically not ready for added strain
ii. Has special nutritional needs
iii. Mentally not prepared
iv. Motherhood is a pleasant experience

d) One of the following is used for Initial treatment of cellulitis:
i. Anti-allergic
ii. Antibiotics
iii. Antifungal
iv. Antipyretics

e) A patient with abscess should be referred with all of the following condition except:-
i. Systemic infection
ii. Known infection
iii. Swelling on skin with redness
iv. Multiple abscesses

Describe drugs used for diabetes mellitus under following headings:

a) Epilepsy is a disease condition with recurrent seizures.

b) Human Papilloma Virus (HPV) is responsible for ovarian cancer.

c) Osteoarthritis is a degenerative disease of knee and hip joints

d) Early immobilization of fractured site using splints increases pain.

e) Meningo- Myelocele is a serious birth defect due to folic acid deficiency

Describe the danger signs you will look for in an antenatal mother for referral to higher medical facility?