General Medicine · Endocrinology & Metabolism
1.A 50 years old male chronic alcoholic, smoker, high blood pressure and uncontrolled type 2 diabetes mellitus has presented with central chest pain with sweating for past one hour. His blood pressure is 180/100mm Hg and blood sugar 400 mg/dl. Answer the following: What is your probable diagnosis How will you confirm the diagnosis How will you treat this condition How will you prevent the recurrence
2.A 50 years old gentleman, known diabetic on treatment came with history of burning sensation of both upper limbs and lower limbs with decreased light touch sensation and loss of ankle reflexes. His fasting blood sugar 210mg/dl and HbA1C was
3.Sodium bicarbonate
4.A 23-year-old male diabetes since 6 years presented with pain abdomen fever since two days. O/E he is conscious, febrile, tachycardic and hypotensive had stopped insulin two days back
5.A 30-year-old female presents with vomiting, pain abdomen and altered sensorium since morning. patient is known diabetic since 5 years on treatment.
6.25 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
7.50 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
8.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
1.Hypoglycemia
2.Diabetic keto acidosis
3.Hyperglycemic hyperosmolar state
1.Name insulin analogues
2.Interpretation of glycosylated haemoglobin
3.Management of diabetic ketoacidosis
4.Adverse effects of SGLT2 inhibitors
5.Management of DKA
6.Diabetic dermopathy
7.Key points in management of diabetic ketoacidosis
8.Name DPP4 inhibitors and mechanism of action
9.Foot care in diabetes
10.SGLT – 2 inhibitors
11.Symptoms of hypoglycemia
12.Wipples triad
13.Management of potassium level in diabetic ketoacidosis
14.Causes of hypoglycemia
15.Alpha glucosidase inhibitor
1.Assertion (A): Sulfonyl ureas are oral hypoglycemic agents