Medicine paper for January 2021 bimonthly blended assessment

Answer all questions                                                      

Max Marks: 100 (10 marks for each first seven questions and 30 marks for the last question) 

Submit by:                                

Date: 16/01/2021 9:00 AM 

Below is an online formal question paper to be answered online using all available resources at your online disposal over a period of days and E logged in a manner demonstrated by past examinees in the link here https://medicinedepartment.blogspot.com/2020/11/blended-bimonthly-assessment-oct-nov.html?m=0

And here is a sample answer paper from the last exam here: https://ashiness3.blogspot.com/2020/11/bimonthly-assessment-for-month-of.html?m=1 please note that every logged answer paper should contain the link to this "assignment/question paper" page and the patient context for each answer as well as avoid plagiarism as illustrated in the sample answer paper. 

A sample answer to the last question around sharing your experiences can be seen here: https://onedrive.live.com/view.aspx?resid=4EF578BAE67BA469!4180&ithint=file%2cdocx&authkey=!AOy7BpRTn42DBMo

Questions:

 

1) Please go through the patient data in the links below and answer the following questions:

26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days

More here: https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html

Case presentation  links: 

https://youtu.be/fz9Jssoc-mA

https://youtu.be/d4lLX04oL8s

https://youtu.be/CSCxw2zp7Oc

a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings?

b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? Please chart out the sequence of events timeline between the manifestations of each of her problems and current outcomes. 

c) What is the efficacy of each of the drugs listed in her prior treatment plan that she was following since last two years before she stopped it two weeks back? 

For example: 

Why was she given bisphosphonates? 

What is the efficacy of using primary bisphosphonate prophylaxis for patients started on corticosteroids?

- 

What is the efficacy of using primary PPI prophylaxis during initiation of any  corticosteroids to prevent Gi ulcers? 

d) Please share any  reports around similar patients with SLE and TB meningitis?

Any reports of normal  csf leukocyte count and normal csf protein in meningitis? 

What could be the probable cause for a normal csf leukocyte count in a patient with chronic meningitis? 

e) What is the sensitivity and specificity of ANA in the diagnosis of SLE? 

2) Please go through the two thesis presentations below and answer the questions below by also discussing them with the presenters:

https://youtu.be/sw8o8y5Yw_I

What was the research question in the above thesis presentation? 

What was the researcher's hypothesis? 

What is the current available evidence for magnesium deficiency leading to poorer outcomes in patients with diabetes? 

https://youtu.be/jXVS5J1-RNE

What was the research question in the above thesis presentation? 

What was the researcher's hypothesis?

What is the current available evidence for the utility of monitoring salt excretion in the hypertensive population? 

3) Please critically appraise the full text article linked below:

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2796.2003.01233.x

What is the efficacy of aspirin in stroke in your assessment of the evidence provided in the article. Please go through the RCT CASP checklist here https://casp-uk.net/casp-tools-checklists/ and answer the questions mentioned in the checklist in relation to your article. 

4) Please mention your individual learning experiences from this month.

5) a) What are the possible reasons for the 36 year old man's hypertension and CAD described in the link below since three years? 

https://vamsikrishna1996.blogspot.com/2021/01/36-year-male-presented-to-casualty-at.html?m=1

b) Please describe the ECG changes and correlate them with the patient's current diagnosis. 

c) Share an RCT that provides evidence for the efficacy of primary PTCA in acute myocardial infarction over medical management. Describe the efficacy in a PICO format.