POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
December 2005
MME-004: BASIC GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. Describe the demographic transition in India. Identify major reasons. What impact will it have on the country ? 15
2. Describe various functional and cognitive deterioration seen in various stages of Alzheimer’s disease. 15
3. Discuss the risk factors in the pathogenesis of the disease. Describe interventions to modify these risk factors. 15

4. Write short notes on :
(a) Value of antioxidants in food 5
(b) Personality changes in midlife and old age 5
(c) Concept of alternative system of medicine 5
(d) Social problems and the old age
(e) Altered drug responsiveness in elderly patient 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
December 2005
MME-005: CLINICAL GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. A chronic bidi smoker male aged 70 years is brought to emergency in a state of confusion and moderately high grade fever with recently worsened dyspnoea. How will you investigate and manage this patient ? 15

2. How will you approach a geriatric patient of dysphagia ?

Discuss its differential diagnosis, relevant investigations and management 15

3. A 68 year old diabetic and hypertensive lady on regular antidiabetic drugs but who is erratic with antihypertensive treatment, is brought to emergency in an unconscious state. What could be the possible causes of such a presentation ? 15

4. Write brief notes on the following :

(a) Mention causes and outline management of a hypokinetic movement disorder. 5
(b) Diagnosis and management of Unstable Angina. 5
(c) Diagnosis and treatment of Hypothyroidism. 5
(d) Diagnosis and treatment of Senile Osteoporosis in an elderly lady. 5
(e) Causes and management of blindness and visual impairment in geriatric age group. 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
June, 2006
MME-005: CLINICAL GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. A 67 years aged anaemic and oedematous male presented in medical OPD with a history of moderate colicky abdominal pain associated with large volume watery diarrhoea of six month duration. What are the possible differential diagnosis of this patient and how will you approach to manage this patient ? 15

2. How will you classify pneumonia ? What is the etiopathogenesis of the disease in geriatric age group ? Discuss its clinical presentation, diagnosis, management and complications. 15

3. A 68 year old lady presented in OPD with lack of voluntary control on micturition for past six months. What are the various possible causes of such a presentation and how will you investigate and treat this lady ? 15

4. Write short notes on the following :

(a) Types and causes of dementia and their management. 5
(b) Causes and treatment of Cor pulmonale. 5
(c) Diagnosis and treatment of thyrotoxicosis. 5
(d) Diagnosis and management of osteoarthritis of kness 5
(e) Causes and evaluation of a patient presenting with dizziness. 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
June 2006
MME-005: BASIC GERIATRICS
Time: 3 hours Maximum Marks:70

Note: All question are compulsory.

1. Describe what is aging. Discuss the biological changes that occur in cardiovascular system. 15

2. Discuss the concept of Rehabilitation. Describe the various approaches that have been advocated to prevent levels of disability. 15

3. Define health education and its goal. Identify specific issues for health education for older people. 15

4. Write short notes on :

1) Emergence of NGOs in Geriatric Care. 5
2) Privileges and benefits to senior citizens in India. 5
3) Polypharmacy and Adverse Drug reaction. 5
4) Care givers and family adjustment. 5
5) Barthel Index of the activities of Daily leaving (ADL). 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
June, 2005
MME-004: BASIC GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. What is population aging ? Describe various manifestations of the demographic transition and discuss its impact on health and socio-economic aspects. 15

2. What are determinations of active and graceful aging.? Describe the psycho-social perspective of graceful aging. 15

3. Describe diet related degenerative diseases in aging people and suggest dietary modifications for their prevention and management. 15

4. Write short notes on :

(i) Genesis of disability in old age. 5
(ii) Challenges of caring in-patients with mental and physical disabilities. 5
(iii) Constitutional provisions provided by Govt. of India to senior citizens.5
(iv) Health risks in old age. 5
(v) Advantages and disadvantages of Alternative system of Medicine. 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
June, 2005
MME-005: CLINICAL GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. A 62-year old female, known hypothyroid and hypertensive who had undergone left knee joint replacement 4 years back has now developed fever, joint pain and fluctuant swelling in the left knee. What do you think is the most probable diagnosis of this patient ? How would you investigate such a case ? 15

2. A 70-year old male attended medical emergency with recurrent sore tongue (stomatitis), low back-ache, tingling and numbness in hand. Give your differential diagnosis. What investigations will you carry out to clinch your diagnosis ? 15

3. A 65-year old male, presented with acute right upper quadrant pain, ascites and bilateral lower limb varicose veins. Enlist possible differential diagnosis. Briefly mention your plan of investigations. 15

4. Write short notes on the following :
(a) Enumerate complications and comorbidies associated with chronic obstructive airway disease in an elderly who is a chronic heavy smoker. 5
(b) Give the problems I management of hypertension in elderly. 5
(c) Enumerate diseases associated with menopause. Give advantages and disadvantages of hormone replacement therapy. 5
(d) Give the common causes of blindness in the elderly. How does diabetes affect the vision ? Indicate steps to prevent eye complications of diabetes. 5
(e) Mention briefly the causes of deep jaundice in elderly. How would you manage hepatic precoma ? 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
December, 2004
MME-005: CLINICAL GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. A 62-year old male has come to medical OPD with chest pain, dysarthria and unsteadiness in walking. What could be the possible causes of such a presentation ? How would you investigate such a case ? 15

2. An elderly 65-year old person has been brought to emergency in comatose condition. He has deep jaundice. Give your differential diagnosis. Mention briefly the line of investigation. 15

3. A 60-year old gentleman had a growth in penis for which total penis excision and orchidectomy was performed and radio-therapy given. Later on he was also detected to have diabetes. Presently he is having high fever, local oedema erythema and induration in hypogastric region. He is stuporose and toxic. Indicate possible clinical diagnosis. Give your plan of investigation. 15

4. Write short notes on the following.

(a) Enumerate classical clinical features of Guillain-Barre Syndrome. Mention names of few clinical variants. 5
(b) List causes of subdural haematoma in the elderly. How would you confirm the diagnosis of subdural haematoma ? Name only. 5
(c) Indicate causes of Stevens-Johnson Syndrome. 5
(d) Mention various causes of high fever with rigor in the elderly (male/female both). Give names of one diagnostic lest for each cause mentioned. 5
(e) Enumerate the conditions which can be diagnosed by examination of hand in the elderly. 5

POST GRADUATE DIPLOMA IN GERIATRIC MEDICINE (PGDGM)
Term-End Examination
December, 2004
MME-004: BASIC GERIATRICS
Time :3 hours Maximum Marks : 70

Note : All question are compulsory.

1. Describe the physiological and structural changes that require dietary alterations in old age. Enlist rules for formulating a diet for elderly individuals. 15
2. Discuss how the elderly can avoid accidents in their home. Describe methods of increasing level of safety and security in the built environment. 15
3. Discuss the role of medical rehabilitation for elderly persons and list the different interventions for medical rehabilitation services and their use. 15

4. Write short notes on :
(a) Diagnostic procedures for disabilities in old age. 5
(b) Specific issues in health education for older people. 5
(c) Biological changes in aging. 5
(d) Role of NGOs in the care of older people. 5
(e) Risk factors of cardiovascular disease in the elderly and their management. 5

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