What is the additional problem listed for OPD7243?

• A. Hyperkalemia
• B. Periodic hypokalemic paralysis
• C. Myasthenia gravis
• D. Hypernatremia

Answer: (B)

Recognizing an additional problem means spotting a chronic condition in the patient’s problem list that can influence management. Periodic hypokalemic paralysis fits this role because it’s an episodic neuromuscular disorder where weakness occurs during attacks and is linked to low potassium levels. The key idea is that potassium shifts during attacks can lead to dangerous cardiovascular and muscular issues, so identifying this as an ongoing problem helps guide perioperative and overall care (monitoring potassium, avoiding drugs that worsen shifts, recognizing triggering factors). The other options describe different electrolyte or neuromuscular issues, but they don’t fit the pattern of an intermittently recurring condition that would be listed as an ongoing additional problem in a case like this.