Ques 1.

An elderly patient has been brought to emergency with H/O convulsion at home. His comorbid illness are DM & IHD on medications. On physical examination, he is disoriented. His Blood Glucose= 84, Serum Na= 105, Blood urea= 29, serum creatinine= 1.4, serum potassium= 4.0. His neuroimaging is within normal limits. What are the possible risk factors for his electrolyte disturbance in the elderly and how will you manage the emergency?

Ques 2.

A 70-year-old woman was subjected to DXA measurement 5 years ago. Her spine T score was -2-9 while the hip T score was -2.0. She has been taking weekly alendronate for 5 years and is concerned about drug side effects. She enjoys good health except for mild hypertension which is well controlled on drugs. What advice will you give her?

Ques 3.

What are the important effects of aging which affect fluid & electrolyte balance in elderly?

Ques 4.

Stages of menopause

Ques 5.

Role of PDE-5 inhibitors in erectile dysfunction in males

Ques 6.

Differentiation between osteomalacia and osteoporosis

Ques 7.

Classical presentation of acute Gout

Ques 8.

Clinical Approach in the elderly patients with generalized pruritis

Ques 9.

A 65 year old male patient presented in the OPD of a district hospital with extreme low back ache and generalised swelling of body. The patient had to use a stick for support, the patient looked pale, complained of extreme fatigue and loss of weight. Patient also gave history of long standing Diabetes mellitus and hypertension. The young doctor on duty made a differential diagnosis of chronic kidney disease of old age. He attributed the anaemia to malnutrition. He asked for routine investigations: complete blood count, Kidney and liver function tests.

Ques 10.

An elderly man of age 70 years presents to the emergency room with acute urinary retention of 12 hours duration. He has history of thin stream of urine and urgency over the past 3 years. What may be the probable diagnoses? Name two investigations you would want to be done in this patient.

Ques 11.

Answer the following question within 300 words

Ques 12.

How important is the role of family physician or the primary care physician in the management of the older cancer patient? Enumerate some means by which continuity of care can be carried out.

Ques 13.

. Risk factors of lung cancer and investigations required

Ques 14.

Multiple myeloma in elderly

Ques 15.

. Emergency room assessment of a case of accident

Ques 16.

Lower gastrointestinal bleed in the elderly- causes and investigations.

Ques 17.

Drugs to be used in managing delirium in the elderly