Approach & Clinical Skills

1.A 30-year-old female presented with inability to move right upper and lower limbs since 6 hours and inability to speak.

• a) Discuss the differential diagnosis
• b) How will you investigate
• c) Treatment options

2.A 25-year-old female present with malar rash and multiple joint pain since two years History of recurrent abortions since two years. Now presents with weakness of left upper and lower limb since two days.

• a) What is the probable diagnosis and differential diagnosis.
• b) Describe clinical signs of this condition.
• c) How will you confirm the diagnosis.
• d) How will you manage this condition

3.A 35-year-old woman presented with numbness and weakness of distal lower limbs and this ascends over several days to involve the upper limb and associated with drooping of the one eye. On examination – bilateral weakness and loss of reflexes. No sensory or bladder involvement  What is the differential diagnosis.  What are the complications that can occur  What are the investigations required  How will you manage this case

4.A 30 year old female presents with an episode of tonic-clonic convulsions. She recently delivered a preterm underweight baby. Patient’s mother noticed a rigid posture, urinary incontinence and tongue bite. On examination she is drowsy, arousable and complains of head ache. Her blood pressure is 110/70 mm Hg. Answer the following.  What is your probable diagnosis  What are the differential diagnosis  How will you confirm the diagnosis  How will you treat this patient

5.45 years old obese individual who is a smoker presented with acute onset chest pain and profuse sweating. Answer the following:  What is the differential diagnosis  How will you confirm the diagnosis  How will you treat this patient  What advice will you give him to prevent recurrence of this condition

6.55 years old lady comes to OPD with history of fever, weakness, generalized lymphadenopathy and hepatosplenomegaly. Answer the following • What are the differential diagnosis. • How to investigate this patient. • How to manage if it is tubercular lymphadenitis. • What are the complications of tuberculosis

1.Evaluation of pedal oedema

2.Evaluation of sudden onset of chest pain

3.Mention four common causes of lymph node enlargement

4.Differential diagnosis of peripheral edema