Image Based Questions Medicine IBQ Show session ID Load QuizSave Quiz Solve Medicine Image Based Questions Total Questions:55 1. Which of the following diseases primarily involves the marked structure? Depression Huntington chorea Alzheimers Paralysis agitans None 2. The given ECG depicts which of the following conditions: Ventricular bigeminy Paroxysmal supraventricular tachycardia P pulmonale Re-entrant atrial fibrillation None 3. A 50-year-old man is brought to the emergency following an episode of syncope during his morning walk. His blood pressure is 80/60 mm Hg. He has a history of myocardial infarction 5 yrs back. His present ECG is given below. Which is the most appropriate treatment for the patient? DC cardioversion Lidocaine Lignocaine Diazoxine None 4. A 53-year-old man was admitted with a history of a cerebrovascular accident. On the second day, he becomes drowsy with minimal response. CT finding is shown in the image below. What will be your next line of management? Mannitol Decompressive surgery Aspirin and clopidogrel Mechanical thrombectomy None 5. A 3-month-old male child was brought with a history of fever and respiratory distress. Suspecting pneumonia, a chest X-ray was ordered. Which of the following is the most likely causative organism? Streptococcus pneumoniae Staphylococcus aureus Mycoplasma pneumoniae Klebsiella pneumoniae None 6. The radio-iodine uptake scan of a patient evaluated for swelling of the thyroid is shown below. Which of the following is the most likely diagnosis? Graves disease Papillary Carcinoma thyroid Lateral aberrant thyroid Hypersecreting adenoma None 7. Regarding the procedure done with the needle shown below, which of the following is false? Breath holding is not necessary Coagulopathy is not a contraindication The bevel should face upwards while inserting the needle To be done in lateral recumbent position None 8. An elderly woman presents with a chronic history of pain in the small joints of hands with stiffness of joints in the early hours of the day. The image of the patient's hands is given below. What is the most likely diagnosis? Rheumatoid Arthritis Complex Regional Pain Syndrome Osteoarthritis Villonodular synovitis None 9. A 50-year-old man was brought to the emergency in an unconscious state. He had a fever for the past two days and is a known case of severe COPD. His ECG is given below. What is the most likely diagnosis? Multifocal atrial tachycardia Atrial tachycardia Ventricular tachycardia Atrial fibrillation None 10. The ECG of a pregnant lady having pre-eclampsia is shown below. Her vitals are stable. What is the best step in the management of the condition? DC Shock IV calcium IV MgSO4 Synchronized cardioversion None 11. The given pattern of EEG is found in: Hepatic encephalopathy Creuzfeldt-Jakob Disease Generalized tonic clonic seizures Herpes simplex encephalitis None 12. A 68-year-old male admitted to the ICU for acute exacerbation of COPD develops a sudden onset of palpitations. The following ECG changes are seen. What is the most likely diagnosis? Multifocal atrial tachycardia Ventricular tachycardia Atrial fibrillation Atrial tachycardia None 13. Identify the diagnosis. Plexiform neurofibromatosis Facial nerve palsy Fibrous dysplasia Masticator space abscess None 14. The ECG of a patient who presented to the ER is as given below. The patient was already given a carotid massage and IV Adenosine but the BP is currently 60/30 mm Hg. What is the next best step of management? Repeat Inj adenosine 6 mg DC cardioversion Synchronised cardioversion Inj amiodarone 300 mg None 15. A diabetic patient enters the OPD and greets you with a namaste. As the doctor, you notice a deformity in his hand which is shown in the image below. Based on your observation, what is the likely cause of this deformity? Cheiroarthropathy Flexor tenosynovitis Ankyloses Dupuytrens contracture None 16. Following is a graphic representation of a patient admitted to the medicine ward with fever. What could be the possible diagnosis? Typhoid Brucellosis Cerebral malaria Leptospirosis None 17. An intubated patient in the ICU had a chest X-ray taken to evaluate for fever spikes over the last 24-48 hours. The radiograph is shown below. What is the next best step in the management of this patient? Chest physiotherapy twice daily Suction the ET tube Start antibiotics and send samples for culture Ultrasound-guided aspiration None 18. A diabetic patient enters the OPD and greets you with a namaste. As the doctor, you notice a deformity in his hand which is shown in the image below. Based on your observation, what is the likely cause of this deformity? Cheiroarthropathy Flexor tenosynovitis Ankyloses Dupuytrens contracture None 19. Identify the urinary crystal shown below: Calcium oxalate Calcium phosphate Uric acid Cysteine None 20. Identify the conduction abnormality from the ECG given below. Ventricular tachycardia First degree heart block Third degree heart block Second degree heart block None 21. Based on the ECG given below, which of the following drugs is not used in the management of the condition? Amiodarone Metoprolol Diltiazem Adenosine None 22. The given image shows a normal graph on the left and the patient's graph on the right. Which of the following diagnoses can be inferred from the graph? Sarcoidosis Chest wall neuromuscular disease Bronchiectasis Idiopathic pulmonary fibrosis None 23. The following clinical examination was performed. What lesion would cause an exaggerated reflex? Radiculopathy Polyneuropathy Upper motor neuron Lower motor neuron None 24. What does the given ECG show? Ventricular bigeminy P-pulmonale Improper calibration Electrical alternans None 25. The patient has a fever, cough, and cold. The chest x-ray is given below. What will be the examination finding in the infrascapular region? Coarse crackles Hyperresonance on percussion Stridor Dull note on percussion None 26. A patient presents with cough, cold, fever, and malaise associated with weight loss and ascites. A radiograph of the chest is shown below. Ascitic fluid analysis showed elevated adenosine deaminase. Which of the following is the next step in management? Start ATT after laparotomy and stricture removal Biopsy Conservative management Start anti-tubercular therapy None 27. A female patient presents to the hospital with palpitations. Her vitals are stable and the ECG shows the following. Which of the following is used as first-line management to treat the condition? DC cardioversion Amiodarone Adenosine Primary PCI None 28. An elderly male patient was brought by his son because he was not using his left arm for day-to-day functioning. He has an unkempt appearance on the left side of his body and has a history of bumping into door frames while walking through them. The evaluation performed is shown below. Where does a lesion in the brain cause this presentation? Right parietotemporal Right parietal Left parietal Right premotor cortex None 29. A young patient presents to the clinic with erythematous lesions over the exposed areas of the skin like hands, arms, chest, etc. She also complains of arthralgia and breathlessness. Which among the following antibodies will be useful in diagnosing this condition? Anti dsDNA antibodies Antihistone antibodies Antinuclear antibodies Anticentromere antibodies None 30. What is depicted in the following image? Withdrawl reflex Babinski sign Grasp reflex Plantar reflex None 31. A patient in emergency has the following lab parameters: creatinine 1.5 and BUN 45. The chest x-ray is shown below. In gram staining and culture, only rhinovirus was isolated. The patient is shifted to ICU. What is the treatment of choice in this patient? Ceftriaxone plus azithromycin Azithromycin Piptaz plus ciprofloxacin Amoxicillin plus clavulanic acid None 32. Identify the given ECG. Atrial flutter Ventricular fibrillation Torsades de pointes Monomorphic ventricular tachycardia None 33. A person comes to the OPD with symptoms of not using his left side and not washing the left side of his body while bathing. On examination, he wasn't able to draw the left side of the images. Which of the following is the most likely location of the lesion? Left posterior parietal area Left motor cortex Right motor cortex Right posterior parietal area None 34. Identify the type of ANA staining pattern shown in the image below. Homogenous Centromeric Speckled Nucleolar None 35. A patient recovered from hepatitis B infection. Which of the following curve represents antibodies seen 4 weeks post-recovery? Anti-HBc Anti-HBs HBeAg HBsAg None 36. The given set of instruments are used in: Umbilical catheter insertion Airway management Arterial line insertion Central line insertion None 37. Identify the equipment shown in the image below. Mechanical ventilator CPAP machine Infusion pump High flow nasal cannula None 38. A patient who is under general anaesthesia shows the following finding on the ET CO2 monitor. Which condition can lead to this characteristic waveform on capnography? Bronchospasm Malignant hyperthermia Rebreathing Accidental extubation None 39. On performing polysomnography in a patient, the waves of EOG, EEG, and EMG respectively from above downwards are seen below. Which stage of sleep does the marked area represent? REM sleep NREM III sleep NREM II sleep NREM I sleep None 40. What does the given image represent? Epworth sleep assessment Hypnogram Polysomnogram Electroencephalogram None 41. A child presents with hepatitis and progressive neurological degeneration. A picture of his eye has been provided below. Among the following options, what would be the initial step regarding the investigations done for this child's diagnosis? Serum ceruloplasmin levels Karyotyping Serum copper levels Enzyme assay None 42. A lady presents with fever, oral ulcers, photosensitivity, and rashes on her face as shown below. What is the most likely diagnosis? Systemic lupus erythematosus Dermatomyositis Melasma Rosacea None 43. A 30-year-old HIV-positive man presents with fever for 3 weeks, dry cough, and significant weight loss. He complains of retrosternal chest pain that is worse on inspiration. His chest X-ray is given below. What is the most likely diagnosis? Pneumococcal pneumonia Staphylococcal pneumonia Pneumocystis jirovecii pneumonia Tuberculosis None 44. A 65-year-old female patient is brought to the emergency department in a state of unconsciousness. Her BP is 70/50 mm of Hg. Her ECG is shown below. What is the next best step in the management of her condition? IV adenosine IV verapamil DC cardioversion Carotid massage None 45. A 40-year-old male patient came to ED with complaints of weakness, paresthesia, and breathing difficulty. Relevant investigations were done. The ECG obtained is suggestive of: Hyperkalemia Hypokalemia Hypocalcemia Hypercalcemia None 46. What is the diagnosis of this patient from the ECG shown below? Ventricular fibrillation Normal ECG Ventricular tachycardia Misplaced leads None 47. A patient with a history of chronic liver disease presents with abdominal distension, jaundice, and pruritis. Ascitic fluid analysis revealed neutrophil count > 650 per cubic mm. What is the most likely diagnosis? Tubercular ascites Spontaneous bacterial peritonitis Malignant ascites Intestinal obstruction None 48. The cerebrospinal fluid (CSF) specimen of a patient is shown below along with the microscopy. The report shows mononuclear cytosis, elevated proteins, and low sugars. Which of the following is the likely etiology? Aseptic meningitis Tuberculous meningitis Chemical meningitis Bacterial meningitis None 49. A 35-year-old female patient presents to you with fever, breathlessness, and cough with expectoration. A CT scan was done which is shown below. What is the most likely diagnosis? Mediastinal mass Consolidation with air bronchogram Diaphragmatic hernia Pleural effusion None 50. A patient with coronary artery disease presents to you with chest pain and palpitations. The ECG is shown below. Which of the following can be used in the management? Oral amiodarone Oral metoprolol Intravenous metoprolol Intravenous amiodarone None 51. A hypertensive patient who is non-compliant with medication presents to you with sudden onset breathlessness. A chest X-ray was done, which is shown below. How will you manage this patient? Intravenous nitroglycerine Intravenous salbutamol Oxygen and antibiotics Nebulization with salbutamol None 52. A 50-year-old HIV patient presented with a painful lesion, as shown in the image. What is the most likely diagnosis? Kaposi sarcoma Squamous cell carcinoma Basal cell carcinoma Malignant melanoma None 53. A 65-year-old chronic smoker came to the medicine outpatient department with complaints of upper chest discomfort and drooping of an eyelid. He also complained of pain radiating to the upper arm and a tingling sensation in the 4th and 5th digits of his left hand. The chest X-ray is given below. Which of the following is the most likely diagnosis? Upper lobe pneumonia Pancoast tumor Aspergilloma Superior vena cava obstruction None 54. Identify the condition associated with the murmur depicted in the image below. Aortic regurgitation Mitral regurgitation Aortic stenosis Mitral stenosis None 55. A patient who is a known case of hypertension on multiple anti-hypertensive medications came to OPD. His ECG finding is given below. Which of the following drugs is responsible for the ECG finding? Metoprolol Prazosin Spironolactone Hydrochlorothiazide None 1 out of 55 Time's up
