Medical PG image MCQs have created a huge interest in the examination board and among candidates alike. Computer-Based Exams opened up the new options of objective-style multi-media questions. The beginning of this is marked by the rise of the image based multiple choice medical PG objective questions. In the coming years one could expect audio E.g heart murmurs and videos E.g. surgical clips in your medical PG computer based exams. For the time being this is far from happening. Some Image-based MCQs are peer reviewed before being used in AIPGMEE, AIIMS and DNB exams. This opens up certain advantages to candidates along with the challenges. G2M has commissioned a new image MCQ team to extensively research medical PG entrance examinations and interview faculties across the country.
NEW:Image MCQ pack for medical PG preparation is available with selected medical PG image MCQs on Platinum access from today. Follow the guidelines for Image MCQ HYT below. G2M has also commissioned 1 new Medical PG image MCQ to be added to the pack each day. This is a privilege for Platinum Access candidates.
Tips for Medical PG Image Based MCQs
Have an exam map of medical PG exam you are preparing for. E.g AIIMS, AIPGMEE and DNB. Map out the areas of usually asked image based questions (MCQs).
Eg. Medicine > Chest X-rays > Pleural Effusion
> Add More + > ECG > Atrial Fibrillation > Add More + Make sure that you add all 19 medical subjects. Radiology itself is a major area but there is a lot of crossover. You should bear in mind that many X-rays and contrast studies are contributed by this department for examinations. It is worth thinking during your internship postings. Each time you come across an image based MCQ, note the topic under the map. This will help you to google image search the topics near to your exam. No two medical PG images are exactly repeated! That’s just a wish, if not an anomaly.
Be systematicwhen you analyse an image on your AIPGMEE exam day. E.g. See the colour of the stain in a microbiology slide image before looking at the structure details. This needs to be practiced. Do not look at the answers first when you learn. You fail to analyse the details if you know the answer first. Learn the method to answer, not the answer byheart. Read more about systematic approach to ECG image MCQs here. Note down 5-7 steps for a systematic approach to each type of image MCQs for AIPGMEE, DNB & AIIMS PG. E.g. Image MCQs for X-rays, slides, surgical instruments, dermatology, CT scan etc.
The problem: Look for the single most important idea that is being tested. There is usually one problem. But the solution to the problem requires more than 1 step. Hence there will be distractors in the choices that needs to be eliminated. A ‘common misconception’ is often used as a distractor for medical PG entrance exams. Think twice when the answer is too obvious!
The distractors: The distractor are strategically designed to attract candidates who haven’t fully mastered the medical PG exam topic. There are usually 2-3 distractors in a good medical PG image MCQ. A distractor can be correct but may not be the answer for the question.
Be Testwise:Look for negatives, double negatives, always, never and all. ‘All of the above’ helps because you need to know only 2 of the choices are correct! Look for biased cueing like ‘long choices’ and grammatical cues. ‘often’, ‘sometimes’, ‘frequently’ ‘might’ and ‘rarely’ can help spot the answers.
Tease out the process-oriented and result-oriented medical PG image questions. In a process oriented image question you will be expected to know the steps. E.g. which stain is used to identify the organism in this microscopy. In a result oriented image question it may be the diagnosis that is expected.
Practice:There is no substitute for practicing the variations of the same question for your medical PG exams. On GateToMedicine platinum access will now add 1 new medical PG image question per day. 1 image question can be expected in each mock test too. Get Platinum Access Here or Login if you already have it. For how to use platinum access, see below. Google Image Search: Once you have mapped out the important image topics it’s time to see the variations. Type each topic in google image search and find similar images. You can also upload an image to find similar images.
More study points on medical MCQs will be released in future articles with appropriate High Yield Topics. You could attend the online exams for medical PG on G2M to master image based MCQs. It is time to make image based MCQs your strength in the upcoming medical PG entrance exams.
G2M High Yielding Topics for Medical PG will cover the most important, frequently repeated and the most likely topics and new advances in a series. G2M H-Y-T series offers guidance for AIPGMEE 2016, AIIMS May 2015, AIIMS Nov 2015 and DNB 2015 exams and leads to use the platinum access.
HYT 048 – Image MCQs for AIPGMEE, DNB and AIIMS PG
There are85 medical PG image MCQs for you to revise today and one new Question added per day on Platinum access.
We recommend that you be thorough with the G2M HYTs due to their high probability of repeats. Read the explanations well because you may find new questions from those areas in your AIIMS PG and AIPGMEE exams.
Answer the MCQs below and see the popular answers. Don’t forget to check the correct answers and explanations.
This is a picture indicates:
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Ans. A, Diabetic gangrene.
One of the major complications of diabetes mellitus is diabetic gangrene. Dry gangrene develops following arterial obstruction and appears as dark brown/black dry tissue. Dry gangrene is most commonly seen on the toes.
Peripheral arterial disease (PAD) is a common finding in patients with diabetes.
Dry, black eschar, which most commonly begins distally at the extremities
Pain may be present.
Trauma is the most common etiology.
Nonpalpable pulses are common. Palpable pulses do not preclude the presence of limb-threatening ischemia.
Smoking is commonly associated with this problem.
Wet gangrene is an acute, urgent problem that is a caused by a severe infection in the dysvascular foot. Wet gangrene usually presents with cyanosis, purulence, foul odor, and systemic signs and symptoms of infection.
Consult vascular surgery.
Rule out wet gangrene. Wet gangrene is an emergent infectious process in combination with severe ischemia. Consequently, immediate debridement of infected tissue is required with antibiotics.
A 28 year old male presents with bilateral itchy red eyes. He has an ocular history of anterior blepharitis and a medical history of eczema.The palpebral conjunctiva has small tightly packed papillae bilaterally.Based on the history and the above given image, What is the most likely diagnosis?
Herpes simplex keratitis
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Ans. C. Atopic keratoconjunctivitis
Patients with a history of eczema often have atopic keratoconjunctivitis.Usual symptoms and signs are a burning sensation, mucoid discharge, redness, and photophobia. Here the patient’s lid margins are erythematous, and the conjunctiva has a milky appearance. There are fine papillae, but giant papillae are less developed than in vernal keratoconjunctivitis and occur more frequently on the lower rather than upper palpebral conjunctiva. There is usually a history of allergy (hay fever, asthma, or eczema) affecting the patient or the patient’s family.So this patient is most likely to have atopic keratoconjunctivitis .
The management of atopic keratoconjunctivitisis often discouraging. Any secondary infection must be treated. Environmental control should be considered. Chronic topical therapy with mast cell stabilizers, antihistamines, and nonsteroidal anti-inflammatory agents is the mainstay in treatment.
A 10 year old girl is brought with an itchy and scaly rash on her body. Examination under UV light showed green fluorescence. What is the most likely diagnosis?
Erythema annulare centrifugum
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Ans. C. Tinea corporis
This child is suffering from Tinea corporis. The characteristic skin lesion is a well demarcated annular lesion, with central clearing, erythema, and scaling of the periphery. Concentric rings are highly specific for tinea infections.
KOH preparation of skin scraping can be very useful to confirm a clinical impression or when the diagnosis is not certain. Skin scraping and culture is the gold standard for diagnosis.
The references for the above questions were from the following:
Q1)Chapter 213. Dry Gangrene. In: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr.. eds. The Color Atlas of Family Medicine, 2e.Reference link, Image Link
Q2)Chapter 5. Conjunctiva & Tears. In: Riordan-Eva P, Cunningham ET, Jr. eds. Vaughan & Asbury’s General Ophthalmology, 18e. Image link
Q3)Chapter 141. Tinea Versicolor. In: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr.. eds. The Color Atlas of Family Medicine, 2e. Image Link
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How to Attend Medical PG Image MCQs on G2M?
Step 1: Click on the Study Panel. Select Classic Plus AIPGMEE Pack as Active Package, On Exam List you can see the Filter for Image Questions. After Select the Image Questions Save it.
Step 2: On study panel click on My Topics (My Tests).
Step 3: Click Create New
Step 4: Give Test Name ‘Image Questions’, You have 85 Questions available . Select all and Generate Exam to Revise the Questions.
Step 5: Generate Exam will save your topic for future.
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Image MCQs are AIPGMEE, DNB & AIIMS PG are now available for revision on GateToMedicine with Platinum Access. This article has 7 important tips for mastering medical PG image MCQs.