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EMQs in Clinical Medicine.pdf - Peshawar Medical College

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Diabetic complications 201<br />

83 Diabetic complications<br />

A<br />

B<br />

C<br />

D<br />

E<br />

F<br />

G<br />

neuropathic arthropathy<br />

haemoglob<strong>in</strong>opathy<br />

vascular arthropathy<br />

amyotrophy<br />

mononeuritis<br />

rheumatoid arthritis<br />

radiculopathy<br />

H<br />

I<br />

J<br />

K<br />

L<br />

M<br />

N<br />

diabetic jaundice<br />

ret<strong>in</strong>opathy<br />

pyoderma gangrenosum<br />

vasculitis<br />

autonomic neuropathy<br />

necrobiosis lipoidica<br />

peripheral neuropathy<br />

For each cl<strong>in</strong>ical scenario below, suggest the particular diabetic complication that<br />

the patient is present<strong>in</strong>g with. Each option may be used only once.<br />

1 A 50-year-old man with diabetes compla<strong>in</strong>s of impotence.<br />

2 A 65-year-old man presents with loss of sensation <strong>in</strong> a stock<strong>in</strong>g distribution.<br />

3 A 45-year-old woman with diabetes presents with sh<strong>in</strong>y areas on her sk<strong>in</strong> with a<br />

yellowish colour and overly<strong>in</strong>g telangiectasia.<br />

4 A 50-year-old person with diabetes presents with a swollen jo<strong>in</strong>t with abnormal<br />

but pa<strong>in</strong>less movement.<br />

5 An 85-year-old man presents with pa<strong>in</strong>ful wast<strong>in</strong>g of the quadriceps muscle of<br />

the right leg with absent knee reflex. The area is very tender.<br />

Answers: see page 208.

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