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Internal Medicine Demo Test With Explanations

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Q 01: A 46-year-old male is experiencing excruciating pain and bleeding during bowel movements. Physical examination reveals severe tenderness in the anal region. What is the most probable diagnosis? (Question Id: 506034)

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Q 02: A 50-year-old female has been experiencing a round swelling in her epigastrium for the past year. Recently, the swelling has increased in size and become painful over the last month. Upon examination, the swelling measures 6x6 cm and is located in the midline between the xiphisternum and umbilicus. It is tender and partially reducible. The swelling becomes more prominent when the patient raises her head and shoulders while lying supine. What is the most likely diagnosis? (Question Id: 506027)

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Q 03: Which medication is the preferred choice for a 65-year-old woman with dyspnea, irregular pulse, blood pressure at 130/70 mm Hg, and an ECG indicating atrial fibrillation? (Question Id: 502021)

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Q 04: A 68 year old gentleman with 1-year history of stroke is brought to the emergency room with sudden onset of dyspnea. He is in shock. Physical examination does not reveal any new signs. Emergency ECG shows sinus tachycardia. What is the most likely diagnosis? (Question Id: 502025)

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Q 05: Which of the following is the most probable diagnosis for a 15-year-old boy presenting to the emergency department with intense chest pain and knee pain, who was subsequently treated with intravenous fluids and oxygen, leading to symptom improvement and discharge? (Question Id: 501013)

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Q 06: A 19-year-old male patient complained of experiencing shortness of breath and fatigue for the past week. His hemoglobin (Hb) level was measured at 7.2 g/dl (normal range: 13-18 g/dl), and his white blood cell count (WCC) was within the normal range (4-11 x 10^9 /L). A bone marrow biopsy revealed hypo-cellularity with an increase in fat spaces. What is the most likely diagnosis for this patient? (Question Id: 501011)

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Q 07: Which pathogenic agent is likely responsible for the symptoms of fever and drowsiness in a patient admitted with increased lymphocytes, normal protein, and glucose levels in their CSF examination? (Question Id: 512013)

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Q 08: A 47-year-old male patient visited the outpatient department (OPD) with symptoms of redness, pain, and a burning sensation in his forearm. Additionally, he reported experiencing a loss of sensation in his little finger and the medial aspect of his hand. Upon examination, the doctor diagnosed him with cellulitis of the forearm. Which nerve is most likely to be affected in this case? (Question Id: 504012)

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Q 09: Which of the following is the most probable diagnosis for a 55-year-old man who is suddenly roused from sleep due to a severe headache and a red, inflamed right eye? This individual has a history of similar episodes that have resolved on their own. (Question Id: 504011)

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Q 10: Which of the following is the most likely diagnosis for a 41-year-old man who presents with complaints of swollen ankles, marked lower extremity edema, and periorbital swelling, along with a urine dipstick showing 4+ protein but negative for blood and glucose, and a 24-hour urine collection indicating proteinuria of 6 grams per day?  (Question Id: 507008)

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Q 11: A previously healthy 18-year-old laborer, who was carrying a heavy load upstairs, experiences a sudden onset of severe breathlessness and moderate right-sided chest pain. His vital signs include a pulse of 90/min and a blood pressure of 130/80 mmHg. Upon examination, his heart sounds are normal, and there is no elevation of the jugular venous pressure (JVP). What is the most likely diagnosis? (Question Id: 505021)

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Q 12: Which of the following is the most likely diagnosis for a 40-year-old female who has been experiencing pain in the small joints of her hands bilaterally for the past 7 months, along with morning stiffness lasting more than an hour? (Question Id: 514006)

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