10 high-yield NEET PG-style MCQs with detailed explanations, mixing image-based and text-based questions.
1
Neurology
A 65-year-old man with fever, productive cough, and pleuritic chest pain is evaluated. The PA chest X-ray is shown. What is the lesion?
2
Cardiology
A patient with gastroenteritis presents with generalized weakness. The biochemistry report and ECG panel are shown. Which is NOT a possible complication?
3
Nephrology
A 36-year-old PLHIV has 3 months of fever, cough and haemoptysis. The PA chest X-ray is shown. Most likely cause?
4
Hematology(INI-CET 2022)
A 38-year-old African American woman undergoes a high-resolution computed tomography (HRCT) scan of the chest to evaluate a chronic dry cough. Which of the following patterns of findings on the HRCT is most highly characteristic of pulmonary sarcoidosis?
5
Endocrinology
A 28-year-old male with a history of classic congenital adrenal hyperplasia presents for evaluation. He admits to poor compliance with his prescribed glucocorticoid replacement therapy over the last decade. A high-resolution abdominal computed tomography scan is performed to assess his adrenal morphology. Which of the following structural transformations is most likely to be observed as a direct consequence of his chronic, unremitting exposure to excess adrenocorticotropic hormone (ACTH)?
6
Hepatology(INI-CET 2023)
A 58-year-old retired coal miner with known seropositive rheumatoid arthritis develops progressive dyspnea and a chronic cough. Chest radiography reveals multiple large, well-defined peripheral nodules (1-5 cm in diameter) in the upper lung zones, some of which exhibit central cavitation. What is this specific eponymous syndrome?
7
Gastroenterology
A medical researcher is investigating the pathophysiology of inflammatory bowel disease using a murine model. They induce a mucosal immune response that results in an overactive adaptive immune system skewed heavily toward the TH2 lineage. Analysis of the colonic tissue reveals an influx of cells secreting large quantities of interleukin-4, interleukin-5, and interleukin-13. Which of the following pathological patterns is most likely to result from this specific cytokine storm?
8
Pulmonology
A patient presents with skin tightening, arthralgia, and Raynaud phenomenon. Serologic testing is positive for ANA and anti-Scl-70. The axial HRCT chest is shown. Which condition is associated with this antibody?
9
General Medicine(INI-CET 2024)
A 45-year-old woman complains of excruciating, strictly unilateral stabbing pain around her left eye. The attacks last 15 to 30 minutes and occur exactly 10 to 15 times a day. During an attack, her left eye turns intensely red and tears profusely. Her physician starts her on a specific oral medication, and within 48 hours, her attacks completely and miraculously cease. What is the most likely diagnosis?
10
Rheumatology
A 78-year-old woman presents with severe right shoulder pain, a severely limited range of motion, and a large hemorrhagic joint effusion. Imaging reveals massive rotator cuff damage and rapid glenohumeral destruction. Synovial fluid is aspirated, but routine polarized light microscopy reveals absolutely no birefringent crystals. Which of the following is the most appropriate diagnostic modality to directly visualize the pathogenic microcrystals responsible for this destructive arthropathy?