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Medicine

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Endocrine

Question
12 out of 33
 

60 year old man with a history of diabetes complains of gradual diminution of vision. Which of the following will be the most important investigation in this case? (AIIMS May 2013)



A S. Creatinine
B S. Homocystine

C S. ACE
D QuantiFERON TB gold

Ans. A

S. Creatinine (Ref: Hari - 18th ed., Pg. 2980 – 2983)

1). “Blindness is primarily the result of progressive diabetic retinopathy and clinically significant macular edema”.

2). “Individuals with diabetic nephropathy commonly have diabetic retinopathy” - HARI 18th Pg. 2982

Explanation:

The answer to this question can be arrived at by the principle of exclusion, B, C and D are not related to diabetic retinopathy, but diabetic nephropathy usually occurs in patients with diabetic retinopathy, which should be screened using serum creatinine levels.

Endocrine Flashcard List

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