NEET PG Clinical Case-Based Questions
NEET PG has gone a lot of modifications. NBE conducts NEET PG now. Having a look at the latest trends and the type of questions asked in NEET PG 2019, it was surprising that there was a shift towards more conceptual based questions rather than testing the cramming power and simple one-liners.
NEET PG aspirants used to depend on cheap MCQ books and assuming that the questions would be repeated from these books only but the exam pattern suggests that the trends have changed. ANY NEET PG aspirant/FMGE aspirant would be wrongly served by information if he is not updated.
A large number of questions were clinical case-based, be it subjects like Medicine, surgery, gynae obs but questions from Anatomy, Physiology was also based on cases.
There is a lot of difference between USMLE, MRCP, and NEET PG but it is the well-appreciated shift towards concept-oriented examinations by NBE. What this means for a NEET PG Candidate is:
- Don’t assume that Only MCQ Books in the market can get you through
- You have to do concept-based preparation
- You have not to rely on Superficial knowledge
- Don’t stress on one-liners only.
- Take help from Standard Textbooks and Standard online Programs like MedexamsPrep
- Overemphasis on Image-based Questions is also not right.
We give you an example of Clinical Based questions as recently asked. Though these questions are not NEET PG Exam questions but are more or less similar to what has been asked.
Examples of Clinical Based questions
A young female working as an Office Assistant experiences anorexia and visions of flashing lights followed by throbbing left-sided temporal pain and nausea without any fever. The most likely diagnosis is
- Temporal arteritis
- Migraine headache
- Tension headache
A 35-year-old is in anxiety regarding a constant complaint of ringing in her ears which progressed over some weeks to hearing loss in that ear. A brain MRI scan revealed a solitary, fairly discrete, 3.2 cm mass. Most Likely cause is:
- A lesion in Flocculonodular lobe
- Cerebellopontine angle tumor
- Meningioma in Frontal Lobe
- Sturge Weber syndrome
A 45-year-old diabetic patient has immunosuppressed with uncontrolled diabetes mellitus. The lesions are locally destructive and have eroded into the eye, palate, and central nervous system, often from an initial site in the sinuses. The organism can be difficult to culture. The appropriate treatment is:
- intravenous amphotericin only
- surgical debridement only
- watchful observation
- intravenous amphotericin but surgical debridement should also be strongly considered
A 66-year-old smoker has shortness of breath and dull left-sided chest pain. Examination and chest X-ray are compatible with a large left-sided pleural effusion. At thoracentesis the pleural fluid is straw-colored and slightly turbid, with WBC count of 52,000/mL, WBC count of 11,500/mL, the glucose of 40 mg/100 ml, total protein of 5.1 g/100 mL and LDH of 400 IU/L. The serum total protein is 8g/100 mL (normal is 6 to 8 g/100 mL), and serum LDH level is 467 IU/L (normal is 52 to 149 IU/L). These findings are compatible with all of the following EXCEPT
- Parapneumonic effusion
- Congestive heart failure
- Pulmonary infarction
A 7-year-old has muscular weakness, polyuria and on examination seems to be dehydrated. Blood Pressure is 110/70 mmHg. His Pottasium levels are 2.3 mmol/L. Urinary Pottasium and Chloride levels are high. Renin levels are elevated. Most Likely Cause is
- Barrters Syndrome
- Haemolytic Uremic Syndrome
- Chronic Pyelonephritis
- Minimal Change Glomemlonephritis
A 26-years-old mother is 38 weeks pregnant. Her three-year-old child is just recovering from a febrile illness with rash. The mother is admitted with vesicular rash and breathlessness. What is the most likely diagnosis?
- Hand, foot and mouth disease
What these types of questions suggest is that
You have to take into account
- Time factor
- You need to know medical, Pathological, and Pharmacological facts in integration.
- You need to Put Anatomy and Surgery Together.
- You need to develop a Coordination and Ability to arrive at an answer simply by the concept
- You need to have Clinical Solving Skills.
- You have to have knowledge of Lab values
- You cannot rely only on a substandard matter for Preparation.
For details visit www.medexamspep.com