IGNOU PGDGM MME 106 Clinical Geriatrics-II Solved Assignment ENGLISH

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MME 106 (January 2026) - ENGLISH

Assignment-1(Blocks1&2)

Course Code: MME-106

Assignment Code: MME-106/AS-1

Maximum Marks: 100

Due Date: November 15, 2026

Answer all the questions

1) Answer the following questions within 750 words.

1. Mrs. Sharma 67 yrs/F is hospitalized with Heart failure. She is being treated with following drugs- aspirin, frusemide, dobutamine infusion. She complains of feeling fatigue and refuses to eat. She passed 2400 ml of urine on day 1. On day 2 she developed abdominal distention with paralytic ileus. Lab investigations suggest serum potassium = 2.7. How will you manage her?

2. 60-year-old women has developed height loss of 3 cms. Her relatives have pointed out that she has developed a hump. Her serum chemistry including calcium, phosphorus and alkaline phosphatase are normal. How would you investigate this patient further?

2) Answer the following questions within 300 words.

a) Differentiated features of SIADH & CSW

b) What are the three types of AKI and give three etiologies for each type

c) Symptoms of menopause

d) Classical presentation of acute Gout

e) Discuss the management of epistaxis in the elderly

f) Elucidate the cutaneous manifestations seen in the diabetic individuals.

MME 106 2025 (AS 1) - English

Assignment-1(Blocks1&2)

Course Code: MME-106

Assignment Code: MME-106/AS-1

Maximum Marks: 100

Due Date: November 15, 2025

Answer all the questions

1) Answer the following questions within 750 words.

A. A 63 year old male presents with a report of less than 0.01 mu/l. How will you processed next?

B. A 65 years old gentleman, known case of diabetes since 30 years, on regular medications for the same, presented with complaints of pain, discharge and reduced hearing in the right ear since 10 days. He has been visiting the physician regularly for routine examinations and the laboratory examinations are in normal range for his age. He gives a past history of discharge from the same ear few years back which was relieved with medications. On examination there is mucoid discharge in the ear. After cleaning the discharge there is a central perforation of the tympanic membrane. Tuning fork tests reveal conductive type of hearing loss in the right ear and normal hearing in the left ear.

a. What is the provisional diagnosis?

b. What investigations would you order?

C. What Medications would you prescribe?

d. What will the further management plan?

e. What surgical intervention would you advise to the patient?

f. Write a short note on the management of the fungal infections- dermatophytes and candidiasis in the elderly.

2) Answer the following questions within 300 words.

a) List normal renal functions

b) Indications and contraindications of Hormone replacement therapy (HRT)

c) What is "Apathetic thyrotoxicosis"?

d) T scores versus Z scores

e) Biological in management of Rheumatoid Arthritis

f) Discuss the evaluation of chronic dysphagia in the elderly

MME 106 2025 (AS 2) - English

Assignment-2 (Blocks3&4)

Course Code: MME-104

Assignment Code: MME-104/AS-2

Masimaan Marks: 100

The Date: September 5, 2025

Answer all the questions

Answer the following questions within 750 words.

a) Mr. X 70 years old is a diabetic on only one oral hypoglycaemic agent and is regular with his check ups. His HbAlc done last month is 7.5%. His Mini mental state examination (MMSE) reports good cognitive functions. He goes for a brisk walk everyday for 45 minutes. Mention the physical tests that can be performed on him and the reference results.

b) Dhani Ram is a 67 years old person living in Delhi for past 20 years in a local slum. He was earning his daily living by doing odd jobs as head leader in and around whole sale markets. For the last couple years he has been suffering from severe pain in his limbs and is unable to do as much and get work every day. At times he experiences breathing difficulties. He lives with his wife and son. His son is also an unskilled daily wage worker. In the pandemic period his earning were severely affected. Of late it has become difficult for Dhani Ram to make his two ends meet and take care of his family's cscntial needs. The son has also started drinking alcohol and started misbehaving with his parents. He wonders if the government can help him in his old age by giving him some monthly allowance to afford him dignity. How do you think he can be helped. Elaborate on the scheme with

2) Answer the following questions within 300 words.

a) Smart home

b) Assessment of gait in elderly

c) Indira Gandhi rational Old Age Pension Scheme

d) Channels of Communications

e) Concept of healthy aging

f)Programme strategies of NPHCE

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