A 4-month-old infant presented with severe itching disturbing her sleep. On examination she had redness, papules and excoriations on the cheeks. Family history revealed asthma in mother since childhood.

(i) What is the most likely diagnosis ?

(ii) What is the clinical presentation in different age groups ?

(iii) State its diagnostic criteria.

(iv) Discuss first, second and third line of management and the non-medical measures for this condition.

2Medium15 marks

(i) Enumerate the commonly encountered serological patterns of Hepatitis-B infection along with the interpretation of each.

(ii) Discuss the role of Tenofovir in the treatment of chronic Hepatitis-B infection.

3Medium15 marks

(i) Enumerate non-contraceptive usage of oral contraceptive pills.

(ii) What are long-acting reversible contraceptives ? Mention briefly their advantages over oral contraceptives.

(iii) Define "Emergency contraception". What is their mechanism of action ?

(iv) Enumerate any two "Emergency contraceptives". How should they be prescribed for their maximum effectiveness ?

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