ESSAYS
1. A 50 year old man a known diabetic, staying alone was
brought in an unconscious state with history of irregular treatment, poor food
intake and alcohol abuse. He also had non healing foot ulcers. Answer the following:
- What is your clinical diagnosis
- How will you evaluate his clinical condition
- What emergency treatment will you give to this patient
- What are the likely causes of foot ulcers in this patient (2+3+2+3)
2. A 20 years young boy presented with history of nausea,
vomiting and pain abdomen to emergency department. He also gives history of excessive
thirst and loss of weight. Answer the following
- What is your diagnosis
- What investigation you do
- How do you manage (2+4+4=10)
3. 25 years old female patient with 28 weeks of gestation,
primigravida is found to have random blood sugar level of 250 mg per dl. Answer the
following
- Describe the diagnostic criteria for gestational diabetes mellitus.
- What are the features of gestational diabetes mellitus.
- Drugs used in gestational diabetes mellitus. (3+3+4=10)
- Diagnosis of diabetic ketoacidosis
- Management of diabetes ketoacidosis
- Drugs used in type 2 diabetes
- Management of hypoglycemic coma
- Peripheral neuropathy
- Causes of hypoglycemia
- Sulphonylureas
- Biguanides
- Insulin analogues/ Insulin preparations
- Side effects of insulin therapy
- Acanthosis nigricans
- Diabetes insipidus
- Four classes of oral hypoglycemic agents with one example each
- Chronic complications of diabetes mellitus
- Micro vascular complications of diabetes mellitus
- Glycosylated haemoglobin
- Clinical features of Addison’s disease
- Myxedema coma management
- Clinical features of thyrotoxicosis
- Treatment of thyrotoxicosis
- Hypothyroidism
- Hypothyroidism in pregnancy
- Subclinical hypothyroidism
- Diagnosis of hypothyroidism
