NEETPG, INICET, FMGE PYT
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کانال NEETPG, INICET, FMGE PYT (@neetpg_pyt) در بخش زبانی انگلیسی بازیگری فعال است. در حال حاضر جامعه شامل 21 887 مشترک است و جایگاه 1 022 را در دسته پزشکی و رتبه 19 288 را در منطقه الهند دارد.
📊 شاخصهای مخاطب و پویایی
از زمان ایجاد در невідомо، پروژه رشد سریعی داشته و 21 887 مشترک جذب کرده است.
بر اساس آخرین دادهها در تاریخ 26 ژوئیه, 2026، کانال فعالیت پایداری دارد. در ۳۰ روز گذشته تغییر اعضا برابر 650 و در ۲۴ ساعت گذشته برابر 1 بوده و همچنان دسترسی گستردهای حفظ شده است.
- وضعیت تأیید: تأیید نشده
- نرخ تعامل (ER): میانگین تعامل مخاطب 9.12% است و در ۲۴ ساعت نخست پس از انتشار، محتوا معمولاً 4.13% واکنش نسبت به کل مشترکان کسب میکند.
- دسترسی پستها: هر پست به طور میانگین 1 994 بازدید دریافت میکند. در اولین روز معمولاً 903 بازدید جمعآوری میشود.
- واکنشها و تعامل: مخاطبان بهطور فعال حمایت میکنند؛ میانگین واکنش به هر پست 5 است.
- علایق موضوعی: محتوا بر موضوعات کلیدی مانند patient, nerve, disease, deficiency, cell تمرکز دارد.
📝 توضیح و سیاست محتوایی
نویسنده این فضا را محل بیان دیدگاههای شخصی توصیف میکند:
“PRIMIUM CONTENT ✨
- Any query contact- @Drconcept”
به لطف بهروزرسانیهای پرتکرار (آخرین داده در تاریخ 27 ژوئیه, 2026)، کانال همواره بهروز و دارای دسترسی بالاست. تحلیلها نشان میدهد مخاطبان بهطور فعال با محتوا تعامل دارند و آن را به نقطه اثرگذاری مهم در دسته پزشکی تبدیل کردهاند.
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| تاریخ | رشد مشترکین | اشارات | کانالها | |
| 27 ژوئیه | +16 | |||
| 26 ژوئیه | +3 | |||
| 25 ژوئیه | +13 | |||
| 24 ژوئیه | 0 | |||
| 23 ژوئیه | +2 | |||
| 22 ژوئیه | +21 | |||
| 21 ژوئیه | +11 | |||
| 20 ژوئیه | +22 | |||
| 19 ژوئیه | +26 | |||
| 18 ژوئیه | +150 | |||
| 17 ژوئیه | +20 | |||
| 16 ژوئیه | +15 | |||
| 15 ژوئیه | +7 | |||
| 14 ژوئیه | +14 | |||
| 13 ژوئیه | +18 | |||
| 12 ژوئیه | +14 | |||
| 11 ژوئیه | +11 | |||
| 10 ژوئیه | +26 | |||
| 09 ژوئیه | +20 | |||
| 08 ژوئیه | +42 | |||
| 07 ژوئیه | +129 | |||
| 06 ژوئیه | +11 | |||
| 05 ژوئیه | +8 | |||
| 04 ژوئیه | +8 | |||
| 03 ژوئیه | +8 | |||
| 02 ژوئیه | +14 | |||
| 01 ژوئیه | +8 |
پستهای کانال
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 |
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| 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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| 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 |
