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4Mixed (Text + Image)
Test Series 4
10 high-yield NEET PG-style MCQs with detailed explanations, mixing image-based and text-based questions.
1
Neurology
A 53-year-old with a large left-sided cerebral infarct becomes suddenly drowsy and obtunded on day 2 of admission. The follow-up non-contrast CT brain is shown. What is the next best step in management?
2
Cardiology
A patient is evaluated for an abnormal cardiac auscultation. The transthoracic echocardiogram (M-mode) and concurrent phonocardiogram are shown. Disappearance of the loud S1 finding occurs in all of the following EXCEPT?
3
Nephrology
A patient with severe abdominal pain has a bedside abdominal examination. The clinical photograph is shown. Which is FALSE?
4
Hematology(INI-CET 2023)
A 30-year-old man with refractory asthma presents with recurrent fevers and episodes of coughing up brown mucus plugs. A chest CT scan reveals predominant central airway bronchiectasis. His total serum IgE is markedly elevated at 1500 IU/mL. Which of the following is the most likely underlying condition causing his bronchiectasis?
5
Endocrinology
A 56-year-old man presents with rapidly progressive proximal muscle weakness, severe dependent edema, and marked cutaneous hyperpigmentation over his knuckles. Laboratory testing reveals profound hypokalemia and a massively elevated serum adrenocorticotropic hormone level. His physician suspects a paraneoplastic origin for his profound hypercortisolism. Which of the following neoplasms is the most frequent occult source of this specific syndrome?
6
Hepatology(INI-CET 2024)
A 24-year-old woman is brought to the emergency department 8 hours after an intentional overdose of paracetamol (acetaminophen). Her serum acetaminophen level is plotted on the Rumack-Matthew nomogram and falls significantly above the treatment line. What is the mechanism of action of the most appropriate antidote for this patient?
7
Gastroenterology
A 29-year-old male with a long-standing history of Crohn's disease presents with recurrent abdominal cramping and weight loss. A recent computed tomography enterography demonstrates a severe fibrotic stricture in the distal ileum causing partial small bowel obstruction. His gastroenterologist wants to further evaluate the small-bowel mucosa for early disease manifestations. Which of the following diagnostic modalities is strictly contraindicated in this patient?
8
Pulmonology
A trauma patient is evaluated for profound shock and severe respiratory distress. The bedside examination photograph and portable AP chest X-ray are shown. Best bedside differentiator of tamponade from tension pneumothorax?
9
General Medicine(INI-CET 2023)
A patient at risk for severe alcohol withdrawal is admitted to the medical ward. The nursing protocol requires the use of the CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol, revised) scale to guide therapy. What is the primary advantage of utilizing a CIWA-Ar symptom-triggered protocol over a traditional fixed-schedule benzodiazepine taper?
10
Rheumatology
A 58-year-old man presents with weight loss, painless jaundice, and diffuse enlargement of the pancreas with a loss of normal lobularity on CT scan. A biopsy demonstrates a dense lymphoplasmacytic infiltrate, storiform fibrosis, and obliterative phlebitis. The physician strongly suspects Type 1 Autoimmune Pancreatitis and orders a serum IgG4 level using a standard nephelometry assay. The laboratory reports a normal serum IgG4 concentration. Which of the following is the most likely explanation for this spuriously normal laboratory result?
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