NEET PG & INI-CET - Clinical Sciences (Medicine, Surgery, OBGY & Specialties)

Pediatrics & Childhood Disorders question bank (General Medicine & Pediatrics)

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Q1.

Clinical Scenario #1: A 60-year-old male presents with crushing retrosternal chest pain radiating to the left arm. ECG shows ST elevation in leads II, III, and aVF. What is the most appropriate diagnosis and immediate management strategy?

(A)

Acute pericarditis with widespread PR segment elevation

(B)

Acute inferior wall myocardial infarction involving the Right Coronary Artery (RCA)

(C)

Anterior wall STEMI involving the Left Anterior Descending (LAD) artery

(D)

Lateral wall STEMI involving the Left Circumflex (LCx) artery

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Q2.

Clinical Scenario #2: A 45-year-old female presents with acute right upper quadrant pain, fever, and Murphy's sign on ultrasound examination. What is the most appropriate diagnosis and immediate management strategy?

(A)

Acute cholangitis with Charcot's triad requiring immediate ERCP

(B)

Biliary colic resolving spontaneously within 15 minutes of antispasmodics

(C)

Acute calculous cholecystitis with gallstone impaction in the cystic duct

(D)

Acute viral hepatitis with gross centrilobular hepatocyte necrosis

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