DAILY FOCUS TEST (DFT)
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NEPHROLOGY AND UROLOGY
1. Reyansh Malhotra
2. Rizwan H
3. Sam
4. Dr. Shukla
5. Samyak99
6. Shruti p
7. Siddharth Sharma
8. Zaffar
9. batool
10. Avantika Pillai
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Yesterday's Ranks🏆
NEPHROLOGY AND UROLOGY
1. Reyansh Malhotra
2. Rizwan H
3. Sam
4. Dr. Shukla
5. Samyak99
6. Shruti p
7. Siddharth Sharma
8. Zaffar
9. batool
10. Avantika Pillai
Join channel 👇
https://t.me/studywithmaxemoemree
DAILY FOCUS TEST (DFT)
🔬 Today's Test: OBSTETRICS AND GYNAECOLOGY
👉 https://app.maxemo.app/s/dft-emree
Yesterday's Ranks🏆
ENDOCRINOLOGY
1. zayed
2. Shruti p
3. Rizwan H
4. Nigarish
5. Samyak99
6. Amna
7. anjali
8. Aisha
9. Silverlin
10. Rahul_md
⏳ Test Ends at 07:00 PM
Join channel 👇
https://t.me/studywithmaxemoemree
🔬 Today's Test: OBSTETRICS AND GYNAECOLOGY
👉 https://app.maxemo.app/s/dft-emree
Yesterday's Ranks🏆
ENDOCRINOLOGY
1. zayed
2. Shruti p
3. Rizwan H
4. Nigarish
5. Samyak99
6. Amna
7. anjali
8. Aisha
9. Silverlin
10. Rahul_md
⏳ Test Ends at 07:00 PM
Join channel 👇
https://t.me/studywithmaxemoemree
A 27 y/o F reports painful triphasic color changes (white-blue-red) in fingers triggered by cold. Physical exam is normal. Which initial investigation is indicated to differentiate primary from secondary causes?
Anonymous Quiz
14%
Upper limb arterial Doppler
14%
Nerve conduction studies
48%
ANA and inflammatory markers
24%
Digital subtraction angiography
❤1
Maxemo EMREE 26-27
A 27 y/o F reports painful triphasic color changes (white-blue-red) in fingers triggered by cold. Physical exam is normal. Which initial investigation is indicated to differentiate primary from secondary causes?
💡 EXPLANATION:
The patient exhibits Raynaud's phenomenon. While often primary in young women, it is crucial to rule out secondary causes (Connective Tissue Diseases like Scleroderma or SLE). ANA and ESR/CRP are the standard initial screening tests for underlying autoimmunity.
A patient presenting with chronic sinusitis, pulmonary infiltrates, and RPGN undergoes a lung biopsy to confirm Granulomatosis with Polyangiitis. Which histopathological finding is diagnostic?
Anonymous Quiz
18%
Non-caseating granulomas
32%
Eosinophilic tissue infiltration
14%
Linear IgG basement membrane deposition
36%
Necrotizing granulomatous vasculitis
Maxemo EMREE 26-27
A patient presenting with chronic sinusitis, pulmonary infiltrates, and RPGN undergoes a lung biopsy to confirm Granulomatosis with Polyangiitis. Which histopathological finding is diagnostic?
💡 EXPLANATION:
GPA is characterized histologically by necrotizing granulomatous inflammation and necrotizing vasculitis of small/medium vessels. It is distinct from EGPA (eosinophilic) and Sarcoidosis (non-caseating). Immunofluorescence is typically pauci-immune.
54y M truck driver c/o constant LBP x3mo, unresponsive to NSAIDs. O/E: T12 tenderness, limited flexion. Neuro intact. What is the most appropriate initial investigation?
Anonymous Quiz
25%
MRI lumbar spine
70%
X-ray thoracolumbar spine
5%
CT lumbar spine
0%
Bone scintigraphy
Maxemo EMREE 26-27
54y M truck driver c/o constant LBP x3mo, unresponsive to NSAIDs. O/E: T12 tenderness, limited flexion. Neuro intact. What is the most appropriate initial investigation?
💡 EXPLANATION:
Red flags (age >50, persistent pain, focal bony tenderness) warrant imaging. Plain X-ray is the standard first-line test to rule out vertebral fractures or lytic lesions. MRI is indicated if neuro signs are present or X-ray is abnormal.
21y M from Cameroon presents with fever, night sweats, and mid-back pain x2 months. Imaging reveals T10 pathologic fracture. Labs: ESR 98 mm/hr. What is the most likely underlying etiology?
Anonymous Quiz
5%
Pyogenic osteomyelitis
95%
Spinal tuberculosis
0%
Multiple myeloma
0%
Metastatic malignancy
Maxemo EMREE 26-27
21y M from Cameroon presents with fever, night sweats, and mid-back pain x2 months. Imaging reveals T10 pathologic fracture. Labs: ESR 98 mm/hr. What is the most likely underlying etiology?
💡 EXPLANATION:
The patient exhibits classic signs of Pott's disease (spinal TB). Key diagnostic clues include origin from a TB-endemic region, chronic constitutional symptoms (night sweats), thoracic involvement, and significantly elevated ESR. Pyogenic infection typically presents acutely.
72y/o M with prostate CA presents with severe back pain and leg weakness (3/5). Exam reveals T12 tenderness, lower limb hypertonia, and L1 sensory level. What is the most appropriate initial management step?
Anonymous Quiz
32%
IV Dexamethasone
53%
Urgent MRI spine
5%
Emergency radiotherapy
11%
Surgical decompression
Maxemo EMREE 26-27
72y/o M with prostate CA presents with severe back pain and leg weakness (3/5). Exam reveals T12 tenderness, lower limb hypertonia, and L1 sensory level. What is the most appropriate initial management step?
💡 EXPLANATION:
Suspect Malignant Spinal Cord Compression (MSCC). Immediate high-dose dexamethasone reduces vasogenic edema and preserves neurological function. This takes precedence over imaging (MRI), though MRI should be performed immediately after.
A 35 y/o M presents 6 months post-MVA involving a right proximal fibula fracture. He exhibits a high-stepping gait where the foot slaps the floor. Sensation is decreased on the right foot dorsum. Which nerve is most likely injured?
Anonymous Quiz
74%
Common peroneal
21%
Tibial
5%
Femoral
0%
Obturator
Maxemo EMREE 26-27
A 35 y/o M presents 6 months post-MVA involving a right proximal fibula fracture. He exhibits a high-stepping gait where the foot slaps the floor. Sensation is decreased on the right foot dorsum. Which nerve is most likely injured?
💡 EXPLANATION:
The patient exhibits steppage gait (foot drop) due to dorsiflexor paralysis. The common peroneal nerve winds around the fibular neck, making it highly vulnerable to proximal fibula fractures. Injury causes foot drop and sensory loss on the foot dorsum.
A 45 y/o M presents with right foot drop and numbness over the foot dorsum. Which physical examination finding indicates L5 radiculopathy rather than common peroneal neuropathy?
Anonymous Quiz
42%
Weakness of ankle inversion
0%
Weakness of ankle eversion
42%
Sensory loss in first web space
16%
Positive Tinel sign at fibular head
Maxemo EMREE 26-27
A 45 y/o M presents with right foot drop and numbness over the foot dorsum. Which physical examination finding indicates L5 radiculopathy rather than common peroneal neuropathy?
💡 EXPLANATION:
L5 radiculopathy affects the tibialis posterior (ankle inversion). The common peroneal nerve supplies dorsiflexors and evertors but spares inversion. Therefore, weak inversion places the lesion at the L5 root level rather than the peripheral nerve.
Big news!
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Sample QBank materials are available on the platform — go check them out and see what's waiting for you inside.
Any doubts or queries? Reach out to us at support@maxemo.app
Thanks for your patience and support. See you all inside 💚
Maxemo QBank prebooks just opened, exclusively for EMREE! 🎉
We know how important the right prep material is for EMREE, and we've built the QBank to make that prep sharper and more focused. Prebook now and join as a Founding Member to get extra benefits, plus access to all other available exam materials under one subscription.
Slots are limited, so grab yours early before they fill up.
👉 Prebook now: http://app.maxemo.app/
Sample QBank materials are available on the platform — go check them out and see what's waiting for you inside.
Any doubts or queries? Reach out to us at support@maxemo.app
Thanks for your patience and support. See you all inside 💚
❤2🔥1🤯1🆒1
A 52y M with HTN and obesity presents with 12h of severe pain and swelling in the R knee and L ankle. T 37.9°C. The knee is erythematous, warm, and tender. What is the most appropriate next step?
Anonymous Quiz
21%
Serum uric acid
46%
Arthrocentesis
17%
Knee X-ray
17%
Start indomethacin
Maxemo EMREE 26-27
A 52y M with HTN and obesity presents with 12h of severe pain and swelling in the R knee and L ankle. T 37.9°C. The knee is erythematous, warm, and tender. What is the most appropriate next step?
💡 EXPLANATION:
Arthrocentesis is mandatory in acute hot joints to rule out septic arthritis, regardless of gout history. Synovial fluid analysis differentiates crystal-induced from septic arthritis. Serum uric acid is often normal during acute attacks.
A 65 y/o M with T2DM and OA presents with acute, severe right knee swelling and erythema for 24h. T 37.4°C. The joint is warm with a large effusion. What is the most likely diagnosis?
Anonymous Quiz
11%
Acute gouty arthritis
26%
Calcium pyrophosphate deposition
42%
Septic arthritis
21%
Osteoarthritis exacerbation