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Medical Science Optional daily answer writing practice for CSE 2024 – Feb 5

Topic: Baby friendly hospital, congenital cyanotic heart disease

Question: Write briely on 1. Cyanotic spell in tetralogy of fallot
2. Pentavalent vaccine

Click here for Reference Material-This material is informational alone and is not specifically prepared as an answer for any question. Readers may do their own research before finalising diagnoses according to the characteristics unique to each question. Readers should not proceed without cross-referencing with relevant textbooks as well as standard guidelines available.
  1. Cyanotic Spells in Tetralogy of Fallot
  • Tetralogy of Fallot is a congenital heart defect characterized by four abnormalities: ventricular septal defect, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy.
  • Cyanotic spells, also called “Tet spells”, are episodes of decreased oxygen saturation that occur in children with unrepaired tetralogy of Fallot.
  • Pathophysiology:
    • The pulmonary stenosis and right ventricular hypertrophy cause restriction of blood flow to the lungs.
    • The ventricular septal defect allows deoxygenated blood from the right ventricle to bypass the lungs and enter the left ventricle/systemic circulation.
    • Any increase in oxygen demand (crying, feeding, activity) reduces the blood flow through the stenotic pulmonary valve, decreasing pulmonary blood flow and causing profound cyanosis.
  • Clinical features:
    • Sudden onset of crying, irritability, and agitation in an otherwise healthy-appearing infant
    • Pallor and cyanosis, eventually leading to unconsciousness
    • Hypoxemia, respiratory distress
    • Bradycardia as hypoxia worsens
  • Management:
    • Knee-to-chest positioning to increase systemic vascular resistance
    • Oxygen
    • Morphine to reduce oxygen demand
    • Beta blockers
    • Definitive treatment is surgical repair of the tetralogy of Fallot
  1. Pentavalent Vaccines
  • Pentavalent vaccines provide protection against 5 diseases: diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type B.
  • The 5-in-1 combination vaccine replaces individual vaccines for each disease.
  • Improves timely vaccination by reducing number of injections at each visit.
  • Vaccine components:
    • Diphtheria toxoid
    • Tetanus toxoid
    • Acellular pertussis antigens
    • Hepatitis B surface antigen
    • Hib polysaccharide conjugate vaccine
  • Given as a series of 3 doses in infancy, with an additional booster dose later in childhood.
  • Very safe and effective at generating protective antibody response to all 5 diseases.
  • Reduces healthcare costs, improves compliance, and provides early protection against major causes of childhood morbidity/mortality globally.
  • Endorsed by WHO as part of routine childhood immunization schedule.

Medicivils Medical Science Optional Test Series: Better Than UPSC Medico? Introduction The UPSC Civil Services Examination (CSE) is one of the most competitive exams in the world. The Medical Science optional is a popular choice for many candidates, as it covers a wide range of topics that are relevant to the UPSC syllabus. There are many different test series available for the Medical Science optional, but one of the most popular is the Medicivils test series. Medicivils is a coaching institute that specializes in the Medical Science optional, and their test series is known for its high quality and comprehensive coverage of the syllabus. In this article, we will compare the Medicivils Medical Science Optional Test Series to the UPSC Medico Test Series, and discuss why Medicivils is the better choice for UPSC CSE aspirants. Quality of Questions The quality of the questions in the Medicivils test series is very high. The questions are well-drafted and cover a wide range of topics from the syllabus. The questions are also challenging enough to test the candidates’ knowledge and understanding of the subject. The UPSC Medico test series, on the other hand, has been criticized for the quality of its questions. Some candidates have complained that the questions are too repetitive and do not adequately cover the syllabus. Comprehensiveness The Medicivils test series covers the entire Medical Science syllabus in great detail. The test series includes full-length tests, subject-wise tests, and topic-wise tests. This ensures that the candidates are thoroughly prepared for all aspects of the exam. The UPSC Medico test series, on the other hand, is not as comprehensive. The test series does not cover all of the topics in the syllabus in equal detail. Additionally, the test series does not include any topic-wise tests. Model Answer Sheets The Medicivils test series provides high-quality model answer sheets for all of its tests. The model answer sheets are written by experienced faculty members and provide detailed explanations for all of the questions. The UPSC Medico test series, on the other hand, does not provide model answer sheets for all of its tests. Even for the tests that do have model answer sheets, the quality is often not up to par. Personal Mentorship Medicivils offers personal mentorship to all of its students. The students can get their papers evaluated by experienced faculty members and receive personalized feedback. This helps the students to identify their strengths and weaknesses and to improve their performance. The UPSC Medico test series does not offer personal mentorship to its students. The students do not have the opportunity to get their papers evaluated by experienced faculty members and receive personalized feedback. Video Solutions Medicivils provides video solutions for all of its subject-wise tests. The video solutions are taught by experienced faculty members and provide detailed explanations for all of the questions. The UPSC Medico test series does not provide video solutions for its tests. Evaluation Medicivils evaluates the students’ papers within 7 days. The students’ papers are evaluated by experienced faculty members and they receive a detailed evaluation report. The UPSC Medico test series takes longer to evaluate the students’ papers. The students often have to wait for 10-15 days to receive their evaluation reports. Conclusion Overall, the Medicivils Medical Science Optional Test Series is the better choice for UPSC CSE aspirants. The Medicivils test series offers high-quality questions, comprehensive coverage of the syllabus, model answer sheets, personal mentorship, video solutions, and prompt evaluation. The UPSC Medico test series, on the other hand, has been criticized for the quality of its questions, lack of comprehensive coverage of the syllabus, lack of model answer sheets, lack of personal mentorship, lack of video solutions, and delayed evaluation. If you are serious about cracking the UPSC CSE with the Medical Science optional, then the Medicivils Medical Science Optional Test Series is the best choice for you.

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