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1Image-Based Image-Based
Test Series 1
10 fully image-based questions spanning ECG, X-ray, CT, MRI, Echo, Histopathology and clinical photographs.
1
Neurology
A 16-year-old on AED monotherapy is 6 months seizure-free. Vital signs, neurological examination, and cognition are normal. The 30-second awake interictal EEG is shown. Best advice?
2
Nephrology
A patient evaluated for fever and coma is being staged. The peripheral blood smear and biochemistry panel is shown. Which of the following is NOT a criterion for severe disease in this condition?
3
Endocrinology
A 27-year-old woman presents with weight loss, anxiety, tremor and tachycardia (HR 110/min). The clinical photograph is shown. Which test should be ordered first?
4
Hematology
A diabetic with a urinary tract infection is hypotensive despite intravenous fluids. The urine Gram stain and sepsis chart are shown. Most appropriate antibiotic?
5
Pulmonology
A patient with right-sided chest heaviness and breathlessness is being prepared for a bedside procedure. The bedside ultrasound and procedural photograph are shown. Which of the following statements about this procedure is FALSE?
6
Hepatology
A patient with a history of heavy drinking, coarse tremor, and diaphoresis is being managed. The clinical photograph and printed liver function test is shown. Which of the following is the safest benzodiazepine for this patient?
7
Gastroenterology
A 22-year-old man, whose father recently died of pancreatic cancer, presents for a routine checkup. The clinical photograph is shown. Which of the following has the highest familial syndrome association with his presentation?
8
Rheumatology
A patient presents with a biphasic febrile illness—an initial septicaemic phase followed by an immune phase with red eyes and oliguria. The slit-lamp photograph with a printed serology report is shown. What is the most likely diagnosis?
9
Infectious Disease
A 26-year-old man presents with dysuria 1 week after unprotected sex. The urethral Gram stain is shown. What is the most appropriate antibiotic?
10
Cardiology
A 20-year-old man is brought after trauma with respiratory distress and hypotension. The portable chest X-ray is shown. What is the next best step?
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