Internal Medicine Quiz

Internal Medicine Quiz ๐Ÿง  Medical student challenge zone! Study break quizzes to prep for exams. Let's learn together!

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿง ๐Ÿ’ฅโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿฅ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿง‘โ€โš•๏ธ A 62-year-old man presents to the emergency departmen...
05/22/2026

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿง ๐Ÿ’ฅ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฅ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿง‘โ€โš•๏ธ A 62-year-old man presents to the emergency department with sudden onset abdominal pain and progressive abdominal distension.
๐Ÿ“‹ Known case of ๐—ฃ๐—ผ๐—น๐˜†๐—ฐ๐˜†๐˜๐—ต๐—ฒ๐—บ๐—ถ๐—ฎ ๐—ฅ๐˜‚๐—ฏ๐—ฟ๐—ฎ ๐—ฉ๐—ฒ๐—ฟ๐—ฎ (PRV)
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉบ ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ด Plethoric facies
๐Ÿซ€ HR: 102 bpm
๐Ÿ’ง Abdomen: tense, shifting dullness present
๐Ÿ“ Tender hepatomegaly
๐Ÿฆต Bilateral leg oedema
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉธ Hb: 19.2 g/dL | HCT: 58%
๐Ÿ“Š WBC: 13.4 ร— 10โน/L | Platelets: 520 ร— 10โน/L
โš—๏ธ LFTs: elevated bilirubin, raised ALT
๐ŸŒก๏ธ D-dimer: significantly elevated
๐Ÿ–ฅ๏ธ Abdominal ultrasound: ascites + hepatomegaly
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐—–๐—ข๐— ๐—ฃ๐—Ÿ๐—œ๐—–๐—”๐—ง๐—œ๐—ข๐—ก?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐—”. Peptic Ulcer ๐Ÿซ™
๐—•. Budd-Chiari Syndrome ๐Ÿ”ด
๐—–. Pancreatitis ๐Ÿ”ฅ
๐——. Mesenteric Ischemia ๐Ÿฉธ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โฌ‡๏ธ ๐——๐—ฟ๐—ผ๐—ฝ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฎ๐—ป๐˜€๐˜„๐—ฒ๐—ฟ ๐—ถ๐—ป ๐—ฐ๐—ผ๐—บ๐—บ๐—ฒ๐—ป๐˜๐˜€! โฌ‡๏ธ
๐Ÿ”” Check Answer in Comment !
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐Ÿฉธ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿฉบโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ‘ฉ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ€ข 28-year-old womanโ€ข Presenting with generalized weaknessโ”โ”โ”โ”โ”โ”...
05/22/2026

๐Ÿฉธ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿฉบ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ‘ฉ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ€ข 28-year-old woman
โ€ข Presenting with generalized weakness
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”Ž ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ€ข General appearance: Fatigued-looking
โ€ข No focal neurological or systemic findings documented
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ Peripheral Blood Film:
โ€ข Microcytosis
โ€ข Hypochromia
โ€ข Pencil cells (cigar-shaped RBCs)
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
๐—”. Thalassemia trait
๐—•. Anemia of chronic disease
๐—–. Iron deficiency anemia
๐——. Sideroblastic anemia
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ฌ Comment your answer below! โฌ‡๏ธ
๐Ÿ”” Answer will be revealed in Comment!
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿง โšกโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿฉบ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ‘ฉโ€โš•๏ธ 60-year-old woman๐Ÿค• Severe headache๐Ÿฆท Jaw claudication ...
05/22/2026

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐Ÿง โšก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉบ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ‘ฉโ€โš•๏ธ 60-year-old woman
๐Ÿค• Severe headache
๐Ÿฆท Jaw claudication (pain on chewing)
๐Ÿ‘๏ธ Sudden vision loss in one eye
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ” ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉน Tender, thickened temporal artery on palpation
๐ŸŒก๏ธ Low-grade fever
๐Ÿ’ช Proximal muscle tenderness (polymyalgia symptoms)
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ด ESR markedly elevated
๐Ÿ”ด CRP elevated
๐Ÿฉธ Mild normocytic anaemia
๐Ÿ”ฌ Temporal artery biopsy โ†’ pending
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐—œ๐— ๐— ๐—˜๐——๐—œ๐—”๐—ง๐—˜ ๐—ง๐—ฅ๐—˜๐—”๐—ง๐— ๐—˜๐—ก๐—ง?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐—”. Aspirin
๐—•. High-dose steroids
๐—–. Warfarin
๐——. Surgical decompression
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ฌ Drop your answer below! Check Answer + explanation in Comment! ๐Ÿ‘‡๐Ÿ”ฝ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐—ค๐—จ๐—˜๐—ฆ๐—ง๐—œ๐—ข๐—ก ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿง ๐Ÿ’กโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿฅ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—ฉ๐—œ๐—š๐—ก๐—˜๐—ง๐—ง๐—˜โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ‘ค ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ”น 60-year-old male๐Ÿ”น Known dia...
05/22/2026

๐—ค๐—จ๐—˜๐—ฆ๐—ง๐—œ๐—ข๐—ก ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿง ๐Ÿ’ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฅ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—ฉ๐—œ๐—š๐—ก๐—˜๐—ง๐—ง๐—˜
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ‘ค ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น 60-year-old male
๐Ÿ”น Known diabetic ๐Ÿฉธ
๐Ÿ”น Presenting complaint: Right upper quadrant (RUQ) pain ๐Ÿ˜ฃ
๐Ÿ”น Fever ๐ŸŒก๏ธ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉบ ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ธ RUQ tenderness on palpation
๐Ÿ”ธ Fever
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ–ฅ๏ธ CT Abdomen:
โœ… Hypodense lesion in the liver
โœ… Rim enhancement noted
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ… Hepatocellular Carcinoma
๐Ÿ…‘ Liver Abscess
๐Ÿ…’ Hepatic Cyst
๐Ÿ…“ Hemangioma
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ฌ Drop your answer in the comments below!
๐Ÿ” Share with your study group!
๐Ÿ”” Follow for daily clinical MCQs!
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐Ÿฉบ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿง‘โ€โš•๏ธ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ”น 45-year-old man๐Ÿ”ธ Fluctuating jaundice๐Ÿ”ธ Pruritus (itching)โ”โ”...
05/22/2026

๐Ÿฉบ ๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿง‘โ€โš•๏ธ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น 45-year-old man
๐Ÿ”ธ Fluctuating jaundice
๐Ÿ”ธ Pruritus (itching)
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐ŸŸก Jaundice
๐Ÿ’› Scratch marks on skin
๐Ÿ”น No palpable abdominal mass
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ“ก ๐—˜๐—ฅ๐—–๐—ฃ ๐—™๐—ถ๐—ป๐—ฑ๐—ถ๐—ป๐—ด๐˜€:
๐Ÿ”ธ Dilated Common Bile Duct (CBD)
๐Ÿ”ธ "Signal void" area = Filling defect within the CBD
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
๐Ÿ… Pancreatic pseudocyst
๐Ÿ…‘ Choledocholithiasis
๐Ÿ…’ Sclerosing cholangitis
๐Ÿ…“ Cholangiocarcinoma
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ฌ ๐——๐—ฟ๐—ผ๐—ฝ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฎ๐—ป๐˜€๐˜„๐—ฒ๐—ฟ ๐—ฏ๐—ฒ๐—น๐—ผ๐˜„ ๐Ÿ‘‡
๐Ÿ”” ๐—”๐—ป๐˜€๐˜„๐—ฒ๐—ฟ + ๐—˜๐˜…๐—ฝ๐—น๐—ฎ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ถ๐—ป Comment! โœ…
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

05/22/2026

Internal Medicine Quiz

05/22/2026

QuizzMaster

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿ’ฅ๐Ÿฉบโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿง“๐Ÿฝ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ”น 55-year-old male๐Ÿ”น Known case o...
05/22/2026

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—›๐—”๐—Ÿ๐—Ÿ๐—˜๐—ก๐—š๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿ’ฅ๐Ÿฉบ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿง“๐Ÿฝ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น 55-year-old male
๐Ÿ”น Known case of liver cirrhosis
๐Ÿ”น Presenting with progressive abdominal distension
๐Ÿ”น Underwent diagnostic paracentesis
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”Ž ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Tense ascites on abdominal palpation
๐Ÿ”น Shifting dullness present
๐Ÿ”น No rebound tenderness
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ โ€” ๐—”๐˜€๐—ฐ๐—ถ๐˜๐—ถ๐—ฐ ๐—™๐—น๐˜‚๐—ถ๐—ฑ ๐—”๐—ป๐—ฎ๐—น๐˜†๐˜€๐—ถ๐˜€
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น WBC: 1200/mmยณ
๐Ÿ”น PMNs: 70% (Absolute PMN count > 250/mmยณ โœ…)
๐Ÿ”น Total Protein: 1.2 g/dL
๐Ÿ”น LDH: 80 U/L
๐Ÿ”น Glucose: 90 mg/dL
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ… Spontaneous Bacterial Peritonitis (SBP)
๐Ÿ…‘ Tuberculous Peritonitis
๐Ÿ…’ Malignant Ascites
๐Ÿ…“ Pancreatic Ascites
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐——๐—ฟ๐—ผ๐—ฝ ๐˜†๐—ผ๐˜‚๐—ฟ ๐—ฎ๐—ป๐˜€๐˜„๐—ฒ๐—ฟ ๐—ฏ๐—ฒ๐—น๐—ผ๐˜„! ๐Ÿ‘‡
๐—”๐—ป๐˜€๐˜„๐—ฒ๐—ฟ + ๐—™๐˜‚๐—น๐—น ๐—˜๐˜…๐—ฝ๐—น๐—ฎ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ถ๐—ป Comment!
๐Ÿ‘ ๐—Ÿ๐—ถ๐—ธ๐—ฒ | ๐Ÿ” ๐—ฆ๐—ต๐—ฎ๐—ฟ๐—ฒ | โž• ๐—™๐—ผ๐—น๐—น๐—ผ๐˜„
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—”๐—ฆ๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿง โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿฉบ ๐—ฃ๐—”๐—ง๐—œ๐—˜๐—ก๐—ง ๐—ฃ๐—ฅ๐—˜๐—ฆ๐—˜๐—ก๐—ง๐—”๐—ง๐—œ๐—ข๐—กโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿ”น Age & Gender: 40-year-old ...
05/21/2026

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—”๐—ฆ๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿง 
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉบ ๐—ฃ๐—”๐—ง๐—œ๐—˜๐—ก๐—ง ๐—ฃ๐—ฅ๐—˜๐—ฆ๐—˜๐—ก๐—ง๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Age & Gender: 40-year-old woman
๐Ÿ”ธ Progressive bilateral lower limbs weakness
๐Ÿ”ธ Onset gradual and worsening over time
๐Ÿ”ธ No history of recent trauma mentioned
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Motor: Weakness of both lower limbs
๐Ÿ”น Reflexes: Extensor plantar responses (bilateral) ๐Ÿ‘ฃ
๐Ÿ”น Sensory: Sensory level at T6 ๐Ÿ“
๐Ÿ”น Upper limbs: Not affected
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿงช ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ธ MRI spine (thoracic region) ๐Ÿฅ
๐Ÿ”ธ CSF analysis
๐Ÿ”ธ Autoimmune panel (ANA, anti-NMO antibodies)
๐Ÿ”ธ VEPs and SSEPs
๐Ÿ”ธ Vitamin B12 levels
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐—”. Myasthenia gravis
๐—•. Transverse myelitis
๐—–. Peripheral neuropathy
๐——. Myopathy
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ’ฌ Drop your answer in the comments below!
๐Ÿ” Share with your study group!
๐Ÿ‘ Like & Follow for daily clinical cases!
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—”๐—ฆ๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿฉบโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐Ÿง’๐Ÿป ๐—ฃ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜: 14-year-old girlโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”๐ŸŒก๏ธ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌโ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”...
05/21/2026

๐—–๐—Ÿ๐—œ๐—ก๐—œ๐—–๐—”๐—Ÿ ๐—–๐—”๐—ฆ๐—˜ ๐—ข๐—™ ๐—ง๐—›๐—˜ ๐——๐—”๐—ฌ ๐Ÿฉบ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿง’๐Ÿป ๐—ฃ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜: 14-year-old girl
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐ŸŒก๏ธ ๐—›๐—œ๐—ฆ๐—ง๐—ข๐—ฅ๐—ฌ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Fever
๐Ÿ”น Severe epistaxis (nosebleed)
๐Ÿ”น Oral hemorrhagic bullae (blood blisters in mouth)
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿฉป ๐—˜๐—ซ๐—”๐— ๐—œ๐—ก๐—”๐—ง๐—œ๐—ข๐—ก
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Active bleeding from nose
๐Ÿ”น Hemorrhagic bullae visible over oral mucosa
๐Ÿ”น No lymphadenopathy or organomegaly mentioned
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”ฌ ๐—œ๐—ก๐—ฉ๐—˜๐—ฆ๐—ง๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก๐—ฆ
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐Ÿ”น Platelets: 30,000/cmm ๐Ÿ”ป (severely low)
๐Ÿ”น Hemoglobin: Normal โœ…
๐Ÿ”น WBC: Normal โœ…
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
โ“ ๐—ช๐—›๐—”๐—ง ๐—œ๐—ฆ ๐—ง๐—›๐—˜ ๐— ๐—ข๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜๐—Ÿ๐—ฌ ๐——๐—œ๐—”๐—š๐—ก๐—ข๐—ฆ๐—œ๐—ฆ?
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
๐—”) Hemophilia A
๐—•) Immune Thrombocytopenia (ITP)
๐—–) Disseminated Intravascular Coagulation (DIC)
๐——) Leukemia
โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”
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05/21/2026

Internal Medicine Quiz

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