NEETPG, INICET, FMGE PYT
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📈 Analytical overview of Telegram channel NEETPG, INICET, FMGE PYT
Channel NEETPG, INICET, FMGE PYT (@neetpg_pyt) in the English language segment is an active participant. Currently, the community unites 21 887 subscribers, ranking 1 022 in the Medicine category and 19 288 in the India region.
📊 Audience metrics and dynamics
Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 21 887 subscribers.
According to the latest data from 26 July, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by 650 over the last 30 days and by 1 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 9.12%. Within the first 24 hours after publication, content typically collects 4.13% reactions from the total number of subscribers.
- Post reach: On average, each post receives 1 994 views. Within the first day, a publication typically gains 903 views.
- Reactions and interaction: The audience actively supports content: the average number of reactions per post is 5.
- Thematic interests: Content is focused on key topics such as patient, nerve, disease, deficiency, cell.
📝 Description and content policy
The author describes the resource as a platform for expressing subjective opinions:
“PRIMIUM CONTENT ✨
- Any query contact- @Drconcept”
Thanks to the high frequency of updates (latest data received on 27 July, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.
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| Date | Subscriber Growth | Mentions | Channels | |
| 27 July | +16 | |||
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Channel Posts
Tricuspid
28. A 35-year-old HIV patient with odynophagia, white esophageal plaques. Organism?
A. Candida
B. HSV
C. CMV
D. EBV
29. A 50-year-old man with fever, cough, rusty sputum, lobar consolidation. Likely organism?
A. Pneumococcus
B. Klebsiella
C. Legionella
D. Mycoplasma
30. A 35-year-old woman with dysmenorrhea, menorrhagia. USG: bulky globular uterus. Diagnosis?
A. Adenomyosis
B. Fibroid
C. Endometriosis
D. Endometrial ca
31. A 28-year-old traveler with watery diarrhea, hypokalemia, Vibrio culture positive. Pathogenesis?
A. Endotoxin
B. Heat-stable toxin
C. Enterotoxin (↑cAMP)
D. Neurotoxin
32. A 22-year-old with pancytopenia, smear: LD bodies in macrophages. Vector?
A. Tick
B. Sandfly
C. Tsetse fly
D. Mosquito
33. A 60-year-old with lymphocytosis, smudge cells on smear. Diagnosis?
A. ALL
B. AML
C. CLL
D. CML
34. A 7-year-old with dark urine, edema post-sore throat. Biopsy: hypercellular glomeruli, subepithelial humps. Diagnosis?
A. IgA nephropathy
B. MPGN
C. Post-strep GN
D. RPGN
35. A 35-year-old man with chronic diarrhea, PAS-positive macrophages in biopsy. Diagnosis?
A. Crohn’s
B. Whipple’s disease
C. UC
D. Celiac
36. A 65-year-old with pneumonia after hotel stay, diarrhea, hyponatremia. Organism?
A. H. influenzae
B. Klebsiella
C. Legionella
D. Mycoplasma
37. A 3-year-old boy with bow legs, wrist widening, rachitic rosary. Diagnosis?
A. DMD
B. Becker MD
C. SMA
D. Rickets
38. A 30-year-old man with urethritis, conjunctivitis, arthritis, HLA-B27 positive. Diagnosis?
A. RA
B. Reactive arthritis
C. SLE
D. Gout
39. A 70-year-old smoker with hilar mass, hypercalcemia. Diagnosis?
A. Adenocarcinoma
B. Small cell ca
C. Squamous cell ca
D. Large cell ca
40. A 28-year-old woman with infertility, chocolate ovarian cyst. Diagnosis?
A. Fibroid
B. Adenomyosis
C. Endometriosis
D. PCOS
41. A 6-year-old with fever, drooling, muffled voice, neck swelling. Likely?
A. Epiglottitis
B. Croup
C. Retropharyngeal abscess
D. FB aspiration
42. A 45-year-old with irregular cycles, infertility, high TSH. Likely?
A. PCOS
B. Hyperprolactinemia
C. Hypothyroidism
D. Premature ovarian failure
43. A 55-year-old with painless hematuria. Biopsy: transitional cell carcinoma. Risk factor?
A. Smoking
B. Schistosoma
C. Cyclophosphamide
D. Radiation
44. A 26-year-old at 12 weeks expels products, os closed. Diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Missed abortion
D. Complete abortion
45. A 65-year-old with melena, prolonged PT, antibiotics use. Cause?
A. Hemophilia A
B. Hemophilia B
C. vWD
D. Vit K deficiency
46. A 32-year-old in labor with uterine rupture: painful bleeding, fetal parts palpable. Diagnosis?
A. Abruption
B. Placenta previa
C. Vasa previa
D. Uterine rupture
47. A 2-year-old with RSV bronchiolitis, wheeze, distress. Diagnosis?
A. Croup
B. Epiglottitis
C. Asthma
D. Bronchiolitis
48. A 30-year-old woman with endometriotic cyst. Best fertility-preserving treatment?
A. OCPs
B. GnRH agonist
C. Laparoscopic cystectomy
D. Danazol
49. A 6-year-old with isolated thrombocytopenia, purpura. Diagnosis?
A. HSP
B. SLE
C. PSGN
D. ITP
50. A 28-year-old in labor with shoulder dystocia. Next step?
A. McRoberts maneuver
B. Fundal pressure
C. Emergency CS
D. Forceps delivery
| 2 | 1. A 55-year-old man with painless hematuria, smoker. Cystoscopy shows papillary growth. Next investigation?
A. Biopsy of lesion
B. Urine cytology
C. CT urography
D. IVP
2. A 40-year-old woman with fatigue, glossitis, macrocytic anemia. Peripheral smear: hypersegmented neutrophils. Deficiency?
A. Vitamin B12
B. Iron
C. Folate
D. Copper
3. A 50-year-old man with chest pain, ST elevation in II, III, aVF. Culprit artery?
A. LAD
B. RCA
C. LCX
D. Left main
4. A 35-year-old woman with watery diarrhea after antibiotics. Colonoscopy: pseudomembranes. Organism?
A. Salmonella
B. Shigella
C. E. coli
D. Clostridium difficile
5. A 65-year-old diabetic with fever, chills, rose spots. Blood culture: Gram-negative bacilli. Diagnosis?
A. Malaria
B. Typhoid
C. Dengue
D. Leptospirosis
6. A 6-year-old boy with recurrent pneumonia, steatorrhea, growth retardation. Sweat chloride: 75 mmol/L. Diagnosis?
A. Cystic fibrosis
B. Asthma
C. Bronchiectasis
D. Alpha-1 AT deficiency
7. A 28-year-old primigravida develops PPH, uterus flabby. First step?
A. Uterine massage + oxytocin
B. Uterine artery ligation
C. B-Lynch suture
D. Hysterectomy
8. A 35-year-old man with cavitary lung lesion, branching filaments, weakly acid-fast. Organism?
A. Actinomyces
B. Nocardia
C. TB
D. Klebsiella
9. A 30-year-old woman with irregular cycles, hirsutism, infertility. USG: polycystic ovaries. First-line drug?
A. OCPs
B. Clomiphene
C. Metformin
D. Letrozole
10. A 40-year-old alcoholic with aspiration pneumonia. Sputum: red currant jelly. Organism?
A. Pneumococcus
B. Klebsiella
C. Staph aureus
D. Pseudomonas
11. A 25-year-old pregnant woman at 10 weeks bleeding. USG: snowstorm, no fetus. Diagnosis?
A. Complete mole
B. Partial mole
C. Missed abortion
D. Blighted ovum
12. A 3-year-old with pallor, hepatosplenomegaly. Hb electrophoresis: ↑HbF. Diagnosis?
A. Beta thalassemia major
B. Iron deficiency
C. Sideroblastic anemia
D. Lead poisoning
13. A 32-year-old woman with Pap smear HSIL. Next step?
A. Colposcopy + biopsy
B. HPV test
C. Repeat Pap
D. Hysterectomy
14. A 2-year-old boy with fever, stridor, drooling, toxic appearance. X-ray: thumb sign. Diagnosis?
A. Croup
B. Epiglottitis
C. Foreign body
D. Asthma
15. A 28-year-old infertile woman, HSG shows T-shaped uterus. Etiology?
A. Congenital anomaly
B. Asherman syndrome
C. DES exposure
D. Endometriosis
16. A 12-year-old girl with short stature, webbed neck, streak ovaries. Diagnosis?
A. Turner syndrome
B. Klinefelter
C. Noonan
D. Mullerian agenesis
17. A 30-year-old at 20 weeks with severe vomiting, dehydration, ketonuria. Diagnosis?
A. Hyperemesis gravidarum
B. Morning sickness
C. Gastritis
D. Gastroenteritis
18. A 7-year-old nephrotic syndrome patient develops sudden dyspnea. Likely complication?
A. Pneumonia
B. Pleural effusion
C. Pulmonary embolism
D. Pericarditis
19. A 35-year-old woman with menorrhagia, infertility, USG: intramural uterine mass. Likely?
A. PCOS
B. Endometriosis
C. Dermoid cyst
D. Fibroid
20. A 4-year-old boy with fever, conjunctivitis, cracked lips, LAD. Likely?
A. Kawasaki disease
B. Scarlet fever
C. Measles
D. Diphtheria
21. A 28-year-old with PROM at 36 weeks, no contractions. Next step?
A. Immediate delivery
B. Antibiotics + steroids
C. Tocolysis
D. Observation
22. A 5-year-old boy with recurrent UTIs, hydronephrosis, dilated ureters. Cause?
A. VUR
B. Posterior urethral valves
C. Neurogenic bladder
D. Stone
23. A 24-year-old with amenorrhea, absent uterus, normal ovaries. Diagnosis?
A. Turner
B. Mullerian agenesis
C. Asherman syndrome
D. PCOS
24. A 6-year-old with palpable purpura, arthritis, hematuria. Biopsy: IgA deposits. Diagnosis?
A. HSP
B. SLE
C. Rheumatic fever
D. Kawasaki
25. A 60-year-old ICU patient on antibiotics develops candidemia. DOC?
A. Fluconazole
B. Amphotericin B
C. Voriconazole
D. Caspofungin
26. A 55-year-old with hemoptysis, c-ANCA positive, granulomas. Diagnosis?
A. Goodpasture
B. Wegener’s (GPA)
C. Sarcoidosis
D. TB
27. A 28-year-old IV drug user with fever, murmur. Blood cultures: S. aureus. Most likely valve?
A. Mitral
B. Aortic
C. Pulmonary
D. | 116 |
| 3 | Surgery + Pathology Today Questions ✅👇 | 150 |
| 4 | Successful people always
have two things on their
lips.
Silence and a smile
Smile to solve problems
and
Silence to avoid problems. | 599 |
| 5 |  ✅LIMITED OFFER TODAY ONLY
✅Get the PDF now- https://superprofile.bio/vp/neetpg--fmge--inicet-buzzword-capsule-by-next24-community
DM if you have any queries - @Drconcept | 744 |
| 6 | Your score? | 898 |
| 7 | 1. A — Aspirin: First drug in STEMI, antiplatelet improves survival.
2. A — ACE inhibitors: Slow progression of diabetic nephropathy.
3. B — Ischemic stroke: Sudden deficit, CT normal initially.
4. D — Wernicke’s encephalopathy: Thiamine deficiency in alcoholics.
5. B — Ceftriaxone: DOC for typhoid fever in most areas.
6. A — Propranolol: Contraindicated in asthma (bronchospasm).
7. A — PT/INR: Used to monitor warfarin therapy.
8. B — Valproate: Causes weight gain, hepatotoxicity, teratogenic.
9. C — Behçet’s disease: Oral/genital ulcers, uveitis, HLA-B51.
10. B — Klebsiella: Aspiration pneumonia, red currant jelly sputum.
11. A — aPTT: Monitors unfractionated heparin.
12. A — Hydroxyurea: Increases HbF, reduces sickle crises.
13. A — Amiodarone: Avoided in congenital long QT (prolongs QT).
14. B — Levodopa + carbidopa: DOC for Parkinson’s.
15. C — Aspergillus: Fungus ball in post-TB cavity.
16. A — NSTEMI: ST depression + ↑troponins.
17. A — Atropine: Blocks muscarinic effects of OP poisoning.
18. C — Vibrio cholerae: Enterotoxin ↑cAMP → watery diarrhea.
19. C — Nephrotoxicity: Aminoglycosides damage proximal tubules.
20. A — Kawasaki disease: Fever, mucositis, LAD, coronary risk.
21. B — Prednisolone: DOC in Bell’s palsy.
22. B — Legionella: Pneumonia + hyponatremia + diarrhea.
23. B — Treponema pallidum: Syphilitic chancre.
24. C — HSP: IgA-mediated vasculitis, purpura, arthritis, renal.
25. D — Caspofungin: Best drug for invasive candidemia in ICU.
26. C — Wegener’s/GPA: Necrotizing granulomas, c-ANCA positive.
27. D — Tricuspid valve: IVDU endocarditis, S. aureus.
28. B — Candida: HIV esophagitis, white plaques.
29. A — Streptococcus pneumoniae: MCC lobar pneumonia, rusty sputum.
30. A — Adenomyosis: Globular uterus, dysmenorrhea, menorrhagia.
31. C — Sandfly vector: Kala-azar due to Leishmania donovani.
32. C — CLL: Smudge cells, elderly, lymphocytosis.
33. C — Post-strep GN: Lumpy-bumpy deposits, low complement.
34. C — Whipple’s disease: PAS-positive macrophages in lamina propria.
35. C — Legionella: Pneumonia + diarrhea + hyponatremia.
36. B — Rickets: Bow legs, rachitic rosary, widened wrists.
37. D — Folate deficiency: Macrocytosis, glossitis, hypersegmented neutrophils.
38. B — Reactive arthritis: Urethritis + conjunctivitis + arthritis.
39. B — Squamous cell carcinoma: Lung cancer causing hypercalcemia (PTHrP).
40. C — Endometriosis: Chocolate cyst, infertility, pelvic pain.
41. D — Retropharyngeal abscess: Toxic child, muffled voice.
42. C — Hypothyroidism: Irregular cycles, infertility, ↑TSH.
43. D — Schistosoma: Risk factor for bladder carcinoma.
44. D — Complete abortion: Expulsion of products, os closed.
45. D — Vitamin K deficiency: Prolonged PT after antibiotics.
46. D — Uterine rupture: Painful bleed, fetal parts palpable.
47. D — Bronchiolitis: RSV infection, wheeze in infants.
48. C — Laparoscopic cystectomy: Fertility-sparing for endometrioma.
49. D — ITP: Isolated thrombocytopenia, purpura, normal smear.
50. D — Forceps delivery: For shoulder dystocia if maneuvers fail. | 899 |
| 8 | Answers will be available at 5pm✅👇 | 848 |
| 9 | A 50-year-old man with fever, cough, rusty sputum, lobar consolidation. Organism?
A. Pneumococcus
B. Klebsiella
C. Legionella
D. Mycoplasma
30. A 35-year-old woman with dysmenorrhea, menorrhagia. USG: globular uterus. Diagnosis?
A. Adenomyosis
B. Fibroid
C. Endometriosis
D. Carcinoma
31. A 30-year-old with kala-azar, pancytopenia, fever. Vector?
A. Tick
B. Sandfly
C. Mosquito
D. Tsetse fly
32. A 60-year-old man with smudge cells, lymphocytosis. Diagnosis?
A. ALL
B. AML
C. CLL
D. CML
33. A 7-year-old boy with edema, cola urine after sore throat. Biopsy: hypercellular glomeruli. Likely?
A. IgA nephropathy
B. MPGN
C. Post-strep GN
D. RPGN
34. A 35-year-old man with chronic diarrhea, PAS-positive macrophages in biopsy. Likely?
A. Crohn’s
B. Whipple’s disease
C. UC
D. Celiac
35. A 65-year-old with pneumonia, diarrhea, confusion, hyponatremia. Organism?
A. H. influenzae
B. Klebsiella
C. Legionella
D. Mycoplasma
36. A 3-year-old boy with bow legs, rachitic rosary, widened wrists. Diagnosis?
A. Duchenne MD
B. Rickets
C. SMA
D. Becker MD
37. A 28-year-old with fatigue, glossitis, anemia. Smear: macrocytosis, hypersegmented neutrophils. Likely?
A. Iron deficiency
B. B12 deficiency
C. Folate deficiency
D. Hemolysis
38. A 30-year-old with urethritis, conjunctivitis, arthritis, HLA-B27 positive. Likely?
A. RA
B. Reactive arthritis
C. SLE
D. Gout
39. A 70-year-old smoker with hilar mass, hypercalcemia. Likely carcinoma?
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma
40. A 30-year-old woman with infertility, chocolate ovarian cyst. Likely?
A. Fibroid
B. Adenomyosis
C. Endometriosis
D. PCOS
41. A 6-year-old boy with fever, muffled voice, drooling, neck stiffness. Likely?
A. Epiglottitis
B. Croup
C. Retropharyngeal abscess
D. Foreign body
42. A 45-year-old woman with irregular cycles, infertility, high TSH. Likely?
A. PCOS
B. Hyperprolactinemia
C. Hypothyroidism
D. Ovarian failure
43. A 60-year-old man with painless hematuria. Risk factor for bladder carcinoma?
A. Smoking
B. Schistosoma
C. Cyclophosphamide
D. Radiation
44. A 28-year-old at 12 weeks expels products, os closed. Diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Missed abortion
D. Complete abortion
45. A 65-year-old man on antibiotics with melena, prolonged PT. Likely?
A. Hemophilia A
B. Hemophilia B
C. vWD
D. Vit K deficiency
46. A 32-year-old in labor with painful bleed, fetal parts palpable, absent FHS. Diagnosis?
A. Abruption
B. Placenta previa
C. Vasa previa
D. Uterine rupture
47. A 2-year-old with RSV infection, wheeze, distress. Diagnosis?
A. Croup
B. Epiglottitis
C. Asthma
D. Bronchiolitis
48. A 30-year-old woman with endometriotic cyst. Best fertility-preserving treatment?
A. OCPs
B. GnRH agonist
C. Laparoscopic cystectomy
D. Danazol
49. A 6-year-old with isolated thrombocytopenia, purpura. Diagnosis?
A. HSP
B. SLE
C. PSGN
D. ITP
50. A 28-year-old in labor with shoulder dystocia. Next step?
A. McRoberts maneuver
B. Fundal pressure
C. Emergency CS
D. Forceps delivery | 897 |
| 10 | 1. A 55-year-old man with chest pain, ECG: ST elevation in anterior leads. First drug to be given?
A. Aspirin
B. Clopidogrel
C. Heparin
D. Streptokinase
2. A 45-year-old hypertensive with diabetes and CKD. Which drug slows nephropathy?
A. ACE inhibitors
B. Beta-blockers
C. Thiazides
D. CCB
3. A 60-year-old man with sudden right hemiplegia, slurred speech. CT brain normal. Likely cause?
A. Hemorrhage
B. Ischemic stroke
C. TIA
D. Tumor
4. A 40-year-old man with chronic alcohol use develops confusion, ophthalmoplegia, ataxia. Cause?
A. Hypoglycemia
B. Thiamine deficiency
C. B12 deficiency
D. Wernicke’s encephalopathy
5. A 25-year-old with fever, chills, rose spots on abdomen. Blood culture: Salmonella typhi. Best drug?
A. Azithromycin
B. Ceftriaxone
C. Ciprofloxacin
D. Doxycycline
6. A 30-year-old man with asthma and HTN. Which antihypertensive is contraindicated?
A. Propranolol
B. Amlodipine
C. Enalapril
D. Prazosin
7. A 60-year-old man with atrial fibrillation is started on warfarin. Which test is monitored?
A. PT/INR
B. aPTT
C. Platelet count
D. Bleeding time
8. A 20-year-old woman with generalized seizures. Drug causing weight gain, hepatotoxicity?
A. Phenytoin
B. Valproate
C. Carbamazepine
D. Ethosuximide
9. A 28-year-old woman with recurrent oral ulcers, genital ulcers, uveitis. HLA-B51 positive. Likely?
A. SLE
B. Crohn’s
C. Behçet’s disease
D. Sarcoidosis
10. A 40-year-old alcoholic with aspiration pneumonia. Sputum: red currant jelly. Organism?
A. Pneumococcus
B. Klebsiella
C. Staph aureus
D. Pseudomonas
11. A 35-year-old man with DVT is on heparin. Which test monitors therapy?
A. aPTT
B. PT
C. INR
D. Bleeding time
12. A 30-year-old man with sickle cell anemia has recurrent painful crises. Which drug reduces them?
A. Hydroxyurea
B. Folic acid
C. Iron
D. B12
13. A 45-year-old woman with long QT syndrome. Which drug is avoided?
A. Amiodarone
B. Metoprolol
C. Digoxin
D. Atenolol
14. A 60-year-old with Parkinson’s disease develops tremor and rigidity. DOC?
A. Amantadine
B. Levodopa + carbidopa
C. Bromocriptine
D. Selegiline
15. A 35-year-old man with fungus ball in lung cavity after TB. Likely organism?
A. Candida
B. Aspergillus
C. Cryptococcus
D. Nocardia
16. A 55-year-old man with chest pain, ST depression, positive troponin. Diagnosis?
A. NSTEMI
B. STEMI
C. Unstable angina
D. Stable angina
17. A 25-year-old man with organophosphate poisoning, miosis, fasciculations. Antidote?
A. Atropine
B. Pralidoxime
C. Diazepam
D. Neostigmine
18. A 30-year-old with watery diarrhea after travel. Stool culture: Vibrio cholerae. Mechanism?
A. Endotoxin
B. Heat-labile toxin
C. Enterotoxin ↑cAMP
D. Neurotoxin
19. A 60-year-old man on gentamicin develops rising creatinine. Mechanism?
A. Hepatotoxicity
B. Ototoxicity
C. Nephrotoxicity
D. Neurotoxicity
20. A 35-year-old man with fever, conjunctivitis, cracked lips, LAD. Diagnosis?
A. Kawasaki disease
B. Scarlet fever
C. Measles
D. Diphtheria
21. A 28-year-old woman with sudden weakness of face, Bell’s palsy. Best initial drug?
A. Acyclovir
B. Prednisolone
C. Ceftriaxone
D. Amoxicillin
22. A 50-year-old man with pneumonia, hyponatremia, diarrhea after hotel stay. Organism?
A. Pneumococcus
B. Legionella
C. Klebsiella
D. Mycoplasma
23. A 30-year-old with painless penile ulcer, non-tender lymph nodes. Organism?
A. H. ducreyi
B. T. pallidum
C. Chlamydia
D. Klebsiella
24. A 6-year-old with palpable purpura, arthritis, hematuria. IgA deposition. Likely?
A. SLE
B. HSP
C. Rheumatic fever
D. ITP
25. A 60-year-old man with ICU stay develops sepsis with Candida. Best drug?
A. Fluconazole
B. Amphotericin B
C. Caspofungin
D. Voriconazole
26. A 55-year-old with hemoptysis, sinusitis, c-ANCA positive. Diagnosis?
A. Goodpasture’s
B. GPA (Wegener’s)
C. Sarcoidosis
D. TB
27. A 25-year-old IV drug user with fever, murmur. Blood culture: S. aureus. Valve?
A. Mitral
B. Aortic
C. Pulmonary
D. Tricuspid
28. A 30-year-old HIV patient with odynophagia, white plaques in esophagus. Organism?
A. Candida
B. HSV
C. CMV
D. EBV
29. | 638 |
| 11 | Medicine + Pharmacology Today Questions | 561 |
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✅Any query - https://t.me/Drconcept | 1 000 |
| 15 | Your score? | 897 |
| 16 | Answers ✅
1. C ✅ Reduced oxygen carrying capacity → ischemia worsens in IDA + MI.
2. C ✅ In anemia, CO demand ↑ → worsens MS symptoms.
3. B ✅ PV: high Hb, low EPO, HTN, splenomegaly.
4. A ✅ INR 6 + bleed → FFP best immediate.
5. B ✅ Sickle trait + HCM = arrhythmia/sudden death risk ↑.
6. C ✅ AF + thrombocytosis → highest risk thromboembolism.
7. B ✅ Sickle cell + chest pain + infiltrates = Acute chest syndrome.
8. B ✅ B12 deficiency correction improves O2 delivery → angina relief.
9. C ✅ Hemolysis due to prosthetic valve (mechanical destruction).
10. B ✅ Myelofibrosis: tear drops, nucleated RBCs, fibrosis.
11. A ✅ PV with hyperviscosity worsens arrhythmias in long QT.
12. B ✅ Angina worsens due to reduced O2 delivery.
13. C ✅ Severe anemia + tachycardia → urgent transfusion.
14. A ✅ HIT → paradoxical thrombosis despite low platelets.
15. B ✅ CML = BCR-ABL mutation.
16. A ✅ Clopidogrel → drug-induced immune thrombocytopenia.
17. C ✅ Severe anemia worsens LVOT obstruction via ↓ O2 delivery.
18. B ✅ COPD + hypoxia + high EPO = secondary polycythemia.
19. A ✅ Corrects on mixing study = Vit K dependent factor deficiency.
20. C ✅ Stroke despite therapeutic INR = embolus despite anticoag.
21. C ✅ Severe anemia → high-output heart failure.
22. C ✅ B12 corrects anemia + arrhythmias.
23. A ✅ Sickling = rigid RBC membranes → vaso-occlusion.
24. A ✅ Prosthetic valve → mechanical destruction of RBCs.
25. B ✅ >20% blasts = AML.
26. A ✅ PV: ↑Hb, ↑WBC, ↑platelets, JAK2 mutation.
27. B ✅ Anemia → high flow states → functional murmurs.
28. A ✅ Zidovudine causes marrow suppression → aplastic picture.
29. A ✅ Aspirin/clopidogrel cause platelet dysfunction (not count drop).
30. B ✅ Hyperviscosity in cyanotic heart disease → stroke risk.
31. A ✅ HIT = IgG antibodies against PF4-heparin.
32. B ✅ Severe anemia → mid-diastolic flow murmur.
33. C ✅ Marathon dehydration → relative polycythemia.
34. A ✅ GI bleed with INR 4.5 → Vit K + PCC/FFP.
35. A ✅ Sickle disease → chronic hemolysis.
36. B ✅ PV = JAK2 mutation.
37. A ✅ Very high platelets → ET → MI risk ↑.
38. A ✅ Auer rods → AML.
39. A ✅ Shear stress degrades vWF multimers in AS.
40. A ✅ LMWH is anticoagulant of choice in pregnancy with prosthetic valve.
41. A ✅ Hyperviscosity due to polycythemia → stroke.
42. A ✅ Flow murmur in severe anemia.
43. A ✅ IDA → decreased myocardial O2 delivery.
44. C ✅ Dual antiplatelets (both) cause ICH.
45. A ✅ Repeated transfusions → secondary hemochromatosis.
46. A ✅ ACEIs rarely cause hemolysis (immune).
47. D ✅ Protein C deficiency = venous + arterial thrombosis.
48. A ✅ RCC → paraneoplastic ↑EPO → secondary polycythemia.
49. A ✅ Severe anemia → bounding pulse, hyperdynamic circulation.
50. A ✅ Myelofibrosis often progresses to AML. | 986 |
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| 18 | Answers will be available at 6pm✅👇 | 1 051 |
| 19 | 38.
A 40-year-old man with cardiomyopathy. BM biopsy: blasts with Auer rods. Hb 7 g/dL, WBC 50k. Diagnosis?
A. AML
B. ALL
C. CML
D. Myelofibrosis
39.
A 60-year-old male with aortic stenosis, develops acquired vWD, mucosal bleeds. Mechanism?
A. High shear stress degrading vWF
B. Platelet destruction
C. Marrow failure
D. Factor VII deficiency
40.
A 28-year-old woman with prosthetic mitral valve on warfarin. Gets pregnant. What anticoagulant preferred?
A. LMWH
B. Heparin
C. NOAC
D. Continue warfarin
41.
A 20-year-old with cyanotic heart disease, recurrent strokes. Hb 20 g/dL. Mechanism?
A. Polycythemia-induced hyperviscosity
B. Iron deficiency
C. Low platelets
D. Coagulopathy
42.
A 55-year-old man with angina. Hb 7 g/dL, smear: hypochromic cells. Which murmur most likely?
A. Flow murmur
B. Aortic stenosis
C. Mitral regurgitation
D. PDA
43.
A 35-year-old woman with fatigue, spoon nails, exertional angina. Hb 5 g/dL, ferritin ↓. Pathophysiology?
A. Decreased myocardial O2 delivery
B. LV hypertrophy
C. Coronary spasm
D. Arrhythmia
44.
A 50-year-old post-MI patient on dual antiplatelets. Develops intracranial hemorrhage. Platelets normal. Which drug causes?
A. Aspirin
B. Clopidogrel
C. Both
D. Warfarin
45.
A 28-year-old sickle cell patient with repeated transfusions, dyspnea, cardiac hypertrophy. Ferritin very high. Complication?
A. Secondary hemochromatosis
B. Marrow suppression
C. Leukemia
D. Renal failure
46.
A 65-year-old hypertensive with heart failure. On ACEI. Develops anemia with high retics. Likely cause?
A. Hemolysis due to ACEI
B. Marrow suppression
C. Iron deficiency
D. Aplastic anemia
47.
A 35-year-old male with recurrent DVT, family history +. Tests: Protein C deficiency. Risk in CVS?
A. MI
B. Stroke
C. Pulmonary embolism
D. All of the above
48.
A 55-year-old smoker with hematuria. Hb 19 g/dL, Hct 65%, EPO ↑. Likely cause?
A. RCC
B. PV
C. COPD
D. High altitude
49.
A 25-year-old with exertional dyspnea, flow murmur. Hb 5 g/dL. Which sign most likely?
A. Bounding pulse
B. Narrow pulse pressure
C. Hypotension
D. Pulsus paradoxus
50.
A 70-year-old man with anemia, splenomegaly, tear drop cells. BM biopsy: fibrosis. Likely outcome?
A. Progression to AML
B. Spontaneous cure
C. Regression
D. CML | 1 097 |
| 20 | 18.
A 55-year-old smoker with COPD presents with polycythemia, Hb 20 g/dL, Hct 65%. O2 sat 86%. EPO ↑. Most likely diagnosis?
A. Polycythemia vera
B. Secondary polycythemia
C. Relative polycythemia
D. Myelofibrosis
19.
A 25-year-old man with recurrent epistaxis, gingival bleeding. Platelets 3 lakh/µL, prolonged PT & aPTT. Mixing study corrects PT. Which deficiency?
A. Vitamin K deficiency
B. Hemophilia A
C. Hemophilia B
D. Factor VII deficiency
20.
A 70-year-old with atrial fibrillation on warfarin. INR 2.8. Develops ischemic stroke. Which mechanism best explains event?
A. Subtherapeutic INR
B. Hypercoagulable state
C. Embolus despite anticoagulation
D. Aspirin resistance
21.
A 30-year-old woman with exertional palpitations, fatigue. Hb 5 g/dL, microcytosis. ECG: sinus tachy. Echo: high cardiac output state. What is the anemia effect?
A. Decreased preload
B. Decreased afterload
C. High-output heart failure
D. Low-output heart failure
22.
A 40-year-old alcoholic presents with megaloblastic anemia, Hb 6 g/dL, macro-ovalocytes. ECG: sinus tachy, occasional PVCs. Which supplement corrects both anemia & arrhythmia?
A. Iron
B. Folic acid
C. Vit B12
D. Pyridoxine
23.
A 20-year-old man with sickle cell disease, chest pain & priapism. ECG: sinus tachycardia. Which mechanism explains recurrent vaso-occlusion?
A. Increased RBC membrane rigidity
B. Decreased MCV
C. Splenic sequestration
D. Low HbA2
24.
A 45-year-old man post-MI develops fever, murmur, splinter hemorrhages. Hb 9 g/dL, high retics, schistocytes. Mechanism of anemia?
A. Mechanical destruction
B. Nutritional deficiency
C. Immune mediated
D. Decreased production
25.
A 70-year-old man with angina. Hb 8 g/dL. Bone marrow: >20% blasts. Likely diagnosis?
A. CML
B. AML
C. Myelodysplasia
D. Myelofibrosis
26.
A 50-year-old male with long QT syndrome. Hb 19 g/dL, WBC 14,000, platelets 7 lakh. Which is most likely?
A. PV
B. Secondary polycythemia
C. Myelofibrosis
D. CML
27.
A 32-year-old female with exertional palpitations. Hb 8 g/dL, low ferritin. Echo: flow murmur at left sternal border. Cause of murmur?
A. Valvular stenosis
B. Anemia-induced flow murmur
C. Congenital shunt
D. Prosthetic valve
28.
A 40-year-old HIV patient on zidovudine. Develops pallor, exertional dyspnea. Hb 6 g/dL, low retics. Likely mechanism?
A. Marrow suppression
B. Hemolysis
C. Iron deficiency
D. Vit B12 deficiency
29.
A 60-year-old diabetic on aspirin & clopidogrel presents with hematuria. Platelets 2.5 lakh/µL, PT/aPTT normal. Cause of bleeding?
A. Platelet dysfunction
B. Thrombocytopenia
C. DIC
D. Vit K deficiency
30.
A 25-year-old male with cyanotic heart disease. Hb 22 g/dL, Hct 70%, EPO ↑. Main risk?
A. MI
B. Stroke
C. Infective endocarditis
D. Arrhythmia
31.
A 45-year-old man with unstable angina on unfractionated heparin. After 5 days, platelets drop 50%. Mechanism?
A. IgG to PF4-heparin complex
B. Direct platelet destruction
C. Bone marrow suppression
D. Complement activation
32.
A 70-year-old hypertensive with LVH, angina. Hb 7 g/dL, microcytosis. Most likely murmur?
A. Systolic ejection murmur
B. Mid-diastolic flow murmur
C. Holosystolic murmur
D. Continuous murmur
33.
A 25-year-old male with chest pain post marathon. Hb 20 g/dL, Hct 65%. EPO normal. Likely diagnosis?
A. PV
B. Secondary polycythemia
C. Relative polycythemia
D. Myelofibrosis
34.
A 55-year-old man with prosthetic valve on warfarin. Develops GI bleed. INR 4.5. Management?
A. Vit K + PCC
B. Stop warfarin only
C. Platelet transfusion
D. Aspirin
35.
A 30-year-old sickle cell patient with exertional dyspnea. Hb 6 g/dL, retics high, indirect bilirubin ↑. Likely cause?
A. Hemolysis
B. Marrow suppression
C. IDA
D. B12 deficiency
36.
A 60-year-old man with fatigue, pruritus post hot shower, splenomegaly. Hb 19 g/dL, Hct 65%, EPO low. Likely mutation?
A. BCR-ABL
B. JAK2
C. CALR
D. MPL
37.
A 25-year-old man with severe chest pain, ST elevation. Platelets 8 lakh/µL. Which disorder?
A. ET
B. PV
C. CML
D. DIC | 776 |
