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 #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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Q2.

Clinical Scenario #4: A 32-year-old G2P1 at 34 weeks gestation presents with BP 164/110 mmHg, 3+ proteinuria, severe headache, and epigastric pain. What is the most appropriate diagnosis and immediate management strategy?

(A)

Chronic hypertension with superimposed nephrolithiasis; administer IV furosemide

(B)

Gestational hypertension; discharge with oral methyldopa and outpatient weekly follow-up

(C)

Preeclampsia with severe features; initiate IV magnesium sulfate for seizure prophylaxis and labetalol

(D)

HELLP syndrome requiring immediate emergency hysterotomy without seizure prophylaxis

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