Forwarded from Internal Medicine Questions Channel ππ
A 40-year-old woman visits the clinic complaining of fatigue. She had recently been treated for an infection. Her laboratory values are RBC 1.8 X 100/ΞΌl, Hb 5.2 g/dL, hematocrit (Hct) 15, WBC 7.6 X 10/ΞΌl, platelet count 320,000/Β΅l, mean corpuscular volume (MCV) 92 fL, and reticulocyte count 24% . What is the most likely explana tion for this presentation?
Forwarded from Internal Medicine Questions Channel ππ
Internal Medicine Questions Channel ππ
A 40-year-old woman visits the clinic complaining of fatigue. She had recently been treated for an infection. Her laboratory values are RBC 1.8 X 100/ΞΌl, Hb 5.2 g/dL, hematocrit (Hct) 15, WBC 7.6 X 10/ΞΌl, platelet count 320,000/Β΅l, mean corpuscular volumeβ¦
Select one
Anonymous Quiz
19%
Aplastic anemia
59%
Hemolytic anemia
9%
Hereditary spherocytosis
13%
B12 deficiency
π8
A 12-year-old boy from a rural area with pigs presents with seizures. MRI shows multiple cystic lesions with eccentric dot (scolex).
Most likely diagnosis?
Most likely diagnosis?
Anonymous Quiz
66%
Neurocysticercosis
21%
Hydatid cyst
4%
Tuberculoma
10%
Toxoplasmosis
π8
A 4-year-old child presents with fever, cough, and difficulty breathing. Respiratory rate is 50/min. On examination, there is chest indrawing. What is the most likely diagnosis according to WHO classification?
Anonymous Quiz
2%
No pneumonia (cough/cold)
28%
Pneumonia
62%
Severe pneumonia
7%
Very severe pneumonia
π10
Forwarded from OBGYN Questions and Files Channel, AAU_2K11_Meds ππ
The earliest biochemical marker of ovarian failure is:
Anonymous Quiz
34%
Decrease in estrogen
22%
Decrease in inhibin B
17%
Increase in LH
27%
Increase in FSH
π5β€4
A 2-year-old boy presents with watery diarrhea for 3 days, sunken eyes, and drinks eagerly when offered water. What is the degree of dehydration?
Anonymous Quiz
2%
No dehydration
65%
Some dehydration
28%
Severe dehydration
5%
Hypernatremic dehydration
π4
A 10-year-old child with cyanotic congenital heart disease presents with seizures. CT brain shows ring-enhancing lesions.
What is the most likely cause?
What is the most likely cause?
Anonymous Quiz
21%
Toxoplasmosis
12%
Tuberculoma
57%
Brain abscess (Streptococcus, Staphylococcus)
9%
Neurocysticercosis
π9
A 7-year-old boy has fever and swelling over the femur. X-ray shows moth-eaten lytic lesions with periosteal reaction.
Which organism is most likely?
Which organism is most likely?
Anonymous Quiz
52%
Staphylococcus aureus
15%
Mycobacterium tuberculosis
25%
Salmonella (in sickle cell)
8%
Group B Streptococcus
π6β€1
A 4-year-old boy presents with fever, weight loss, and night sweats. Chest X-ray shows diffuse, small, millet-seedβlike nodules throughout both lung fields.
What is the most likely diagnosis?
What is the most likely diagnosis?
Anonymous Quiz
6%
Varicella pneumonia
75%
Disseminated tuberculosis
14%
Pneumocystis jirovecii pneumonia
6%
Histoplasmosis
π9β€1
A 10-month-old with Hirschsprung disease develops distention and high fever. X-ray shows multiple dilated loops of bowel with air-fluid levels.
Most likely complication?
Most likely complication?
Anonymous Quiz
8%
Malrotation
27%
Volvulus
48%
Enterocolitis
17%
Meconium ileus
π₯΄6π5β€1
A 9-month-old presents with intermittent, severe abdominal pain, vomiting, and currant-jelly stools. Ultrasound shows concentric rings (βtarget signβ) in the right lower abdomen.
What is the diagnosis?
What is the diagnosis?
Anonymous Quiz
5%
Intestinal obstruction
86%
Intussusception
4%
Midgut volvulus
6%
Hirschsprung disease
π10β€1
Forwarded from OBGYN Questions and Files Channel, AAU_2K11_Meds ππ
A woman presents with amenorrhea, galactorrhea, and infertility. The most likely cause is:
Anonymous Quiz
15%
Premature ovarian failure
53%
Hyperprolactinemia
26%
PCOS
6%
Hypothyroidism
π7
A 6-month-old HIV-positive infant presents with dyspnea, hypoxemia, and interstitial infiltrates on CXR showing diffuse ground-glass appearance.
Most likely diagnosis?
Most likely diagnosis?
Anonymous Quiz
85%
Pneumocystis jirovecii pneumonia (PCP)
5%
Viral bronchiolitis
8%
Mycoplasma pneumonia
2%
Cytomegalovirus infection
π5β€4
A neutropenic 9-year-old with acute leukemia develops fever, cough, and pleuritic chest pain. CT shows nodular lesion with surrounding ground-glass opacity (βhalo signβ).
What is the most likely cause?
What is the most likely cause?
Anonymous Quiz
9%
Candida albicans
65%
Aspergillus fumigatus
16%
Staphylococcus aureus
10%
Cytomegalovirus
π8
A 4-year-old presents with sudden high fever, drooling, dysphagia, and muffled βhot-potatoβ voice. Lateral neck X-ray shows a thumb-like protrusion in the airway.
Most likely diagnosis?
Most likely diagnosis?
Anonymous Quiz
11%
Croup
76%
Epiglottitis
11%
Retropharyngeal abscess
3%
Peritonsillar abscess
β€6π3π₯΄3
A 7-year-old child presents with cough and nasal congestion lasting more than 10 days. The parent reports that the child initially improved but then developed fever > 102Β°F and purulent nasal discharge for over 3 days. What is the most likely diagnosis?
Anonymous Quiz
24%
Viral upper respiratory infection (URI)
11%
Allergic rhinitis
60%
Acute bacterial sinusitis
6%
Influenza
π7π2
A 3-year-old child has bilateral pedal edema, flaky paint dermatosis, and sparse, easily pluckable hair. The most likely diagnosis is:
Anonymous Quiz
8%
Marasmus
67%
Kwashiorkor
19%
Marasmic-kwashiorkor
6%
Vitamin A deficiency
π7
A 1-year-old infant on prolonged exclusive cowβs milk feeding presents with pallor and irritability. Lab findings: microcytic hypochromic anemia. What is the likely cause?
Anonymous Quiz
14%
Vitamin B12 deficiency
80%
Iron deficiency anemia
5%
Hemolytic anemia
2%
Aplastic anemia
π9
A 6-month-old baby presents with cough, wheeze, and difficulty breathing. There is hyperinflated chest and bilateral crepitations. What is the most common cause?
Anonymous Quiz
7%
Parainfluenza virus
87%
Respiratory Syncytial Virus (RSV)
4%
Influenza virus
2%
Adenovirus
π7
A 9-year-old child has fever, joint pain, and carditis. Which of the following is a major criterion in Jones criteria?
Anonymous Quiz
6%
Fever
18%
Arthralgia
8%
Elevated ESR
67%
Erythema marginatum
π7
Pediatrics Questions Channel ππ
A 7-year-old child presents with cough and nasal congestion lasting more than 10 days. The parent reports that the child initially improved but then developed fever > 102Β°F and purulent nasal discharge for over 3 days. What is the most likely diagnosis?
π Acute bacterial sinusitis is diagnosed when any of the following are present:
- Persistent symptoms (>10 days without improvement),
- Severe symptoms (fever >102Β°F and purulent nasal discharge >3 days), or
- Worsening symptoms after initial improvement (βdouble worseningβ).
π Viral URIs typically resolve within 7β10 days, and allergic rhinitis has chronic, non-febrile symptoms.
- Persistent symptoms (>10 days without improvement),
- Severe symptoms (fever >102Β°F and purulent nasal discharge >3 days), or
- Worsening symptoms after initial improvement (βdouble worseningβ).
π Viral URIs typically resolve within 7β10 days, and allergic rhinitis has chronic, non-febrile symptoms.
π8