FINAL EXAM JUNE 2019
ENDOCRINOLOGY
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PAPER-II
Time: 3 hours ENDO/J/19/07/11 Max. Marks:100
Important Instructions:
- Attempt all questions in order.
- Each question carries 10 marks.
- Read the question carefully and answer to the point neatly and legibly.
- Do not leave any blank pages between two answers.
- Indicate the question number correctly for the answer in the margin space.
- Answer all the parts of a single question together.
- Start the answer to a question on a fresh page or leave adequate space between two answers.
- Draw table/diagrams/flowcharts wherever appropriate.
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Write short notes on:
- Differentiation between pseudo-Cushing states and Cushing Syndrome (biochemical differentiation). 10
- Discuss life style management advices to a 32-yrs old lady with recently diagnosed type 2 diabetes (fasting blood glucose of 160 mg/dl, HbA1c - 7.5%, blood pressure of 146/92 mm of Hg). 10
- Discuss factors:
- Affecting absorption of thyroxin (tablets). 5
- Drugs affecting metabolism of thyroxin. 5
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- Management of 18-year old boy suspected to have hypoparathyroidism (Serum calcium - 6.4 mg/dl; Serum phosphate 7.4 mg/dl). 10
- Discuss adverse events and complications associated with use of SGLT2 inhibitor drugs in Type 2 diabetes. 5+5
- Diagnosis and treatment of cerebral edema during treatment of diabetic ketoacidosis (DKA) in Type 1 diabetes. 10
- Briefly discuss probable reasons for high incidence and prevalence of type 2 diabetes in India. 10
- Evaluation of a suspected case of primary hyperaldosteronism. 10
- Management of a case of 45-year old gentleman with serum calcium of 15.5 mg/dl with serum intact PTH 2.1 pg/ml. 10
- Tabulate side effects and complications of following drugs used in management of osteoporosis: 4+4+2
- Teriparatide.
- Zolendronic acid.
- Denosumab.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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