MNJ29-001
A 9-year-old child Rampal presented with malaise, anorexia, vomiting, muscle weakness since one month. On examination, you find orthostatic hypotension. He had history of a febrile illness with purpuric rash a few days before:

images/MNJ-P-OSCE 29. Endocrinology_page_0_Picture_8.jpeg

  1. Whatis the significant finding in the picture?
  2. Whats the cause of this finding?
  3. What 1s the possible infection preceding it and what is 1t called?
  4. What are the possible electrolyte abnormalities?
  5. What 1s the definitive test for diagnosis of this condition?

Answer

No model answer in source material.


MNJ29-002
This is blood glucose profile of an 8-year-old boy with diabetes. His HbA,> is 12.5%. At that time his treatment included:

Insulin Morning Evening
Regular 6U 3U
NPH 8U 5U
  1. What changes would you mstitute in insulin dosage?
  2. Considermg his HbA,, over what period his glycemic control is likely to be unsatisfactory?
  3. When do you start screening for diabetic resnopathy?
  4. What 1s the preferred method for screermng for diabetic retnopathy?

Answer

No model answer in source material.