Q- What is the most effective and rapid method to decrease severely elevated serum calcium levels?A. IV calcium gluconateB. IV saline + glucoseC. Hemodialysis (HD) Right is : B. IV saline + glucose
Q28 Jugular foramen IM-2024
Recall 1: A case presents with jugular foramen nerve palsy (CN IX, X, XI) along with sympathetic involvement. Where is the most likely site of the lesion?A. Retropharyngeal spaceB. IntracranialC. Posterior fossaD. Middle ear Answer: A. Retropharyngeal space Recall 2: 28. A patient presents with trapezius muscle weakness. What syndrome should be suspected?A. Cavernous sinus […]
Q29 Felty syndrome IM-2024
Recall 1 : syndrome is characterized by splenomegaly, anemia, neutropenia, thrombocytopenia, and arthritis? A. Felty syndromeB. Systemic lupus erythematosus (SLE)C. Rheumatoid arthritis (RA) without complicationsD. Gout Answer: A. Felty syndrome Recall 2 : syndrome is characterized by rheumatoid arthritis (RA) and splenomegaly? A. Felty syndromeB. Systemic lupus erythematosus (SLE)C. GoutD. Osteoarthritis Answer: A. Felty syndrome
Q30 rheumatoid arthritis IM-2024
Recall 1 : associated with high ferritin levels in a patient with rheumatoid arthritis (RA)? A. Still’s diseaseB. Systemic lupus erythematosus (SLE)C. OsteoarthritisD. Gout Answer: A. Still’s disease Recall 2 : Q- female recently diagnosed with rheumatoid arthritis (RA) treatment: A. Oral Methotrexate (MTX) + CortisoneB. LeflunomideC. Methotrexate (MTX) + LeflunomideD. Hydroxychloroquine + Methotrexate […]
Q31 Klinefelter syndrome IM-2024
What is the most specific test for diagnosing Klinefelter syndrome? A. KaryotypingB. FISH (Fluorescence In Situ Hybridization)C. Chromosomal analysisD. Testosterone level test Answer: A. Karyotyping
Q32 Internal Medicine 2024
Recall 1: A case of scleroderma. Which antibody is specific for lung disease?A. Anti-RNPB. Anti-Topoisomerase (Scl-70)C. Anti-Polymerase III Answer: B. Anti-Topoisomerase (Scl-70)✔️ Recall 2: A case with sclerodactyly, dysphagia, and pulmonary symptoms. What is the most specific antibody for this case? A) Anti-ANAB) Anti-Topoisomerase I C) Anti-PM-SclD) Anti-RNA polymerase III Answer: B. Anti-Topoisomerase I Recall 3: […]
Q33 tetanus IM-2024
Recall 1: A healthy 18-year-old boy presents with a compound fracture. He confirms that he has completed 5 doses of tetanus vaccine. What should you give him now? A. Tetanus vaccineB. Tetanus immunoglobulinC. Topical antibioticD. Benzylpenicillin Answer: C. Topical antibiotic Recall 2: A young man presents with generalized muscle spasms, difficulty swallowing, and neck stiffness. […]
Q34 Graves’ disease IM-2024
Recall 1:Which test differentiates Graves’ disease from other causes of thyrotoxicosis?A. Anti-TPOB. TSHC. Anti-TSH receptor antibodies (Anti-TRAb)?D. T3/T4E. Radioactive iodine uptake scan? Answer: I Think C or E (Anti-TRAb or uptake scan – both are useful in differentiating Graves from other causes of thyrotoxicosis) Recall 2: A patient presents with weight loss, tremor, and night […]
Q35 SLEQ IM-2024
Recall 1: Case of SLE, arthritis, and malar rash – What is the most appropriate treatment?A) Hydroxychloroquine plus analgesics ✔️ Recall 2:What is the most common presentation in SLE?A) Malar rashB) PolyarthritisC) SeizureD) Arthritis ✔️ Recall 3:What is the treatment of skin involvement in SLE?Answer: Hydroxychloroquine Recall 4:SLE patient with high anti-ribosomal antibody. What […]
Q36 Takayasu arteritis IM-2024
🔸 Recall 1: What is the pulseless disease? Answer Takayasu arteritis ✔️ 🔸 Recall 2: Pulseless disease in a child? Answer: Takayasu arteritis ✔️ 🔸 Recall 3: A child with abdominal pain, arthritis, retinitis, and chest pain. Labs show high inflammatory markers. Likely diagnosis? Treatment? Diagnosis: Takayasu arteritis (Aortic inflammation)Treatment: Prednisone ✔️