IASbaba’s TLP OPTIONAL – 2017 : Medical Science [22nd Aug, 2017] – Day 33

Archives

1. An 80 year old male bedridden for three weeks develops sudden onset breathlessness, becomes unconscious and brought to casualty.

(a) Discuss the probable etiologies of this episode.
(b) Outline the investigations required for diagnosis and management.
(c) Describe the management of acute anterior wall myocardial infarction.

2. A 17 year old with seasonal wheezing off and on presents to the casualty with sudden onset breathlessness.

(a) Describe the etiopathogenesis of this condition.
(b) Discuss the short term and long term management of this disorder.

3. A 70 year old patient with uncontrolled type II diabetes mellitus of 20 years duration presents with tingling and pain in the legs, blurring of the vision, weakness, ready fatiguability and Bony pains. Investigations revealed blood urea 130 mg/dl and serum creatinine 4.5 mg/dl.

(a) What is the likely diagnosis.
(b) How will you classify the chronic kidney disease?
(c) Discuss the management of advanced renal failure.

4. A 40 year old non resident Indian visiting India develops acute, sudden breathlessness one week after landing in India. A resident of USA, he has no such previous history of breathlessness.

(a) List the differential diagnosis.
(b) How will you investigate this patient.

5. A 30 year old business executive, who is asymptomatic has been tested positive for Hepatitis B surface antigen.

(a) How will you investigate this individual?
(b) What steps would you take for the management?