ADVANCED CLINICAL
QUESTION BANK 2026
20 High-Yield Cases with Detailed Rationales
Prepared by:
Dr. Mohammed Abdulwahid Abdulaziz Ahmed Al-Salahi
Professional Medical Educational Resource
, PART 1: INTERNAL MEDICINE & CARDIOLOGY
Case 1: 62yo Male, crushing chest pain, diaphoresis. ECG: ST-elevation V2-V5.
A) Pericarditis B) Anterior STEMI C) Dissection D) PE
Case 2: 45yo Female, palpitations, weight loss, heat intolerance. TSH: 0.01.
A) Hypothyroidism B) Graves' Disease C) Toxic Multinodular Goiter D) Thyroiditis
Case 3: 70yo Smoker, chronic cough, pH 7.32, pCO2 55. Sat: 88%.
A) Asthma B) COPD Exacerbation C) Pneumonia D) CHF
Case 4: 30yo Male, severe epigastric pain radiating to back, lipase 3x normal.
A) Cholecystitis B) Acute Pancreatitis C) PUD D) Gastritis
Case 5: 55yo Male, sudden onset "worst headache of life", neck stiffness.
A) Migraine B) Subarachnoid Hemorrhage C) Tension Headache D) Meningitis
QUESTION BANK 2026
20 High-Yield Cases with Detailed Rationales
Prepared by:
Dr. Mohammed Abdulwahid Abdulaziz Ahmed Al-Salahi
Professional Medical Educational Resource
, PART 1: INTERNAL MEDICINE & CARDIOLOGY
Case 1: 62yo Male, crushing chest pain, diaphoresis. ECG: ST-elevation V2-V5.
A) Pericarditis B) Anterior STEMI C) Dissection D) PE
Case 2: 45yo Female, palpitations, weight loss, heat intolerance. TSH: 0.01.
A) Hypothyroidism B) Graves' Disease C) Toxic Multinodular Goiter D) Thyroiditis
Case 3: 70yo Smoker, chronic cough, pH 7.32, pCO2 55. Sat: 88%.
A) Asthma B) COPD Exacerbation C) Pneumonia D) CHF
Case 4: 30yo Male, severe epigastric pain radiating to back, lipase 3x normal.
A) Cholecystitis B) Acute Pancreatitis C) PUD D) Gastritis
Case 5: 55yo Male, sudden onset "worst headache of life", neck stiffness.
A) Migraine B) Subarachnoid Hemorrhage C) Tension Headache D) Meningitis
