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:

- Whatis the significant finding in the picture?
- Whats the cause of this finding?
- What 1s the possible infection preceding it and what is 1t called?
- What are the possible electrolyte abnormalities?
- 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 |
- What changes would you mstitute in insulin dosage?
- Considermg his HbA,, over what period his glycemic control is likely to be unsatisfactory?
- When do you start screening for diabetic resnopathy?
- What 1s the preferred method for screermng for diabetic retnopathy?
Answer
No model answer in source material.