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INI-CET High-Yield Questions for Medicine

May 10, 2024

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Introduction

1. A 10-year-old boy is brought to the clinic by his mother with complaints of developing lesions shown below. She says that he has chronic diarrhea and has always been thin and skinny. Blood work was done. Using the images below, identify the diagnosis and mark the option with correlating statements.

2. A 30-year-old male was brought to the clinic with breathlessness that increases while sitting and resolves on lying down. On auscultation, tumor plop sound and mid diastolic murmur are heard. Which of the following is the investigation of choice in this condition?

3. A 55-year-old male presents to the clinic with symptoms of progressive shortness of breath, fatigue, and exercise intolerance. Cardiac examination reveals a displaced point of maximal impulse. A myocardial biopsy is performed, and histological examination reveals the following:

4. A 48-year-old man presents with mild shortness of breath. A chest radiograph revealed bi-basilar reticular markings. What is the probable diagnosis in a patient with the below-given flow volume curve after spirometry?

5. A 45-year-old woman visits the clinic with complaints of abdominal pain, fever, and skin lesions. She reports experiencing muscle aches, joint pain, and fatigue for the past few weeks. On examination, palpable skin nodules, particularly on the lower extremities, are noted. The biopsy of a skin lesion is shown in the image.

6. A 34-year-old female presents with complaints of palpitations and heat intolerance. She gave a history of consuming ayurvedic tablets for weight loss. Lab investigation revealed reduced levels of TSH and elevated levels of T4 and T3. What is the condition this patient is suffering from:

7. A 50-year-old presents with myoclonus. He has a history of beef consumption but not of childhood febrile seizures. His son describes events that are characteristic of rapidly progressive dementia. An EEG is performed. What would be the characteristic findings on his EEG?

8. A 62-year-old male, who is a known case of hypertension and T2DM, experiences weakness in his left arm and difficulty in speech while climbing stairs at home. His BP is 130/85mmHg, NIHSS score is >5 and he gives no history of recent head injury. NCCT head findings are shown below. He managed to reach the hospital in 45 minutes What is the next step in the management of this patient?

9. A patient has presented to the clinic after experiencing a stroke. He is having difficulty processing simple calculations, has impaired writing, and is unable to name individual fingers. Additionally, he is unable to distinguish between the examiner's right and left arm. What is his likely diagnosis?

10. A 2-month-old infant is brought to the pediatric emergency department with fever, irritability, and poor feeding. The infant's mother reports that the baby has been lethargic and difficult to console. Suspecting acute bacterial meningitis, the physician plans to initiate antibiotic therapy promptly. Which antibiotic regimen is the most appropriate initial treatment for this baby?

Conclusion

INI-CET High-Yield Questions for Medicine
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