IGNOU MME 105 SOLVED ASSIGNMENT

Included:

MME 105 2025 (AS 1) - English

Assignment-4 (Blocks1&2)

Course Code: MME-105

Assignment Code: MME-105/AS-1

Maximum Marks: 100

Due Date: August 15, 2025

Answer all the questions

1) Answer the following questions within 750 words.

a) An elderly man is brought by his family to emergency room in semiconscious and disoriented state. He has been suffering from diarrhea for last 3 days. His comorbid illnesses are DM, hypertension. Of late his family has been observing some forgetfulness. How will you proceed for assessment of dehydration. What are the risk factors for dehydration in this patient?

b) A 71-year-old female with longstanding history of episodic non-bilious projectile vomiting (mostly undigested food and saliva) presented with worsening of her symptoms and food intolerance during the previous six months. Over that time frame, she noted a sensation of food becoming stuck in her throat and progressive difficulty swallowing. This difficulty was initially related to solids and then progressively to liquids, which severely limited her food intake. She lost 8 kg since the symptoms started to worsen. She stays alone and does not smoke or drink alcohol. Her family history is non-contributory. Evaluation of her upper Gl endoscopy showed dilated esophagus and pooling of saliva and a tight GE junction. The barium swallow demonstrated dilated mid-distal esophagus with "bird beaking" appearance.

Questions: What is the likely diagnosis? What test is needed to confirm the diagnosis? Outline the common modalities of management.

2) Answer the following questions within 300 words.

a) Components of CGA

b) Pre-disposing factors for infections in elderly

c) Pharmacokinetics factors with aging

d) Achalasia cardia

e) Classification of Pneumonia in elderly

f) Management of asthma in elderly

MME 105 (January 2026) - ENGLISH

Course Code: MME-105

Assignment Code: MME-105/AS-1

Maximum Marks: 100

Due Date: August 15, 2026

Answer all the questions

1) Answer the following questions within 750 words.

(2x20=40)

1. An elderly patient has been brought to emergency with H/O convulsion at home. His comorbid illness are DM & IHD and he is on medications. On physical examination, he is disoriented. His Blood Glucose 84, Serum Na= 105, Blood urea= 29, serum creatinine= 1.4, serum potassium= 4.0. His neuroimaging is within normal limits. What are the possible risk factors for his electrolyte disturbance and how will you manage the emergency?

2. 65 year old recently retired male complains of daytime sleepiness. He has hypertension and dyslipidaemia and is on treatment with hydrochlorothiazide and rosuvastatin. Height 5 feet 8 inches. Weight 96kg. BP 140/90 mm Hg. After reducing caffeine intake and increasing daytime activity he still feels very sleepy during the day. No snoring/choking/apnoeic episodes. His wife reports frequent night-time cough. He has some morning hoarseness and occasional epigastric discomfort. H/o previous self-medication with antacids.

Questions: What is likely diagnosis? What investigations are needed? What are complications associated with the condition?

2) Answer the following questions within 300 words.

a) What are the clinical features of dehydration in elderly?

b) Vaccines in elderly

c) Treatment of Anemia in elderly

d) Assessment and management of dementia

e) What are the different types of gallstones and how gall stone disease in elderly different from younger adults?

f) Differential diagnosis of asthma and COPD

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