ENAM Practice (Peru National Medical Examination) · Internal Medicine

Haematology, infectious disease, neurology and rheumatology

16 practice questions, each with the answer and an explanation.

Practise Haematology, infectious disease, neurology and rheumatology now

Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 16 questions

  1. A 32-year-old woman has fatigue, microcytic hypochromic anaemia and low ferritin. What is the most likely cause?
  2. A 65-year-old man has macrocytic anaemia, hypersegmented neutrophils and loss of vibration sense. What is the cause?
  3. A 19-year-old man has a sudden painful crisis and a family history of sickle cell disease. Which test confirms sickle cell disease?
  4. A 28-year-old woman has bruising, petechiae and a platelet count of 12,000 per microlitre with otherwise normal blood count. What is the first-line treatment?
  5. A 25-year-old man from an Andean valley has fever, severe haemolytic anaemia and jaundice after a sandfly bite. What is the causative organism?
  6. A 30-year-old man from the Amazon has fever, chills, splenomegaly and a blood smear showing ring forms in red cells. What is the diagnosis?
  7. A 24-year-old woman in the jungle has fever, retro-orbital pain, myalgia and a rash, and tests show low platelets. Which virus is the most likely cause?
  8. A 35-year-old farmer has fever, jaundice, conjunctival suffusion and renal failure after wading in flooded fields. What is the cause?
  9. A 35-year-old man with HIV has a CD4 count of 80 per microlitre, headache and a positive India ink stain of the cerebrospinal fluid. What is the diagnosis?
  10. A 68-year-old man has sudden right-sided weakness and aphasia that began 90 minutes ago. The CT shows no haemorrhage. What is the treatment?
  11. A 20-year-old student has fever, neck stiffness and a petechial rash. What is the most appropriate immediate action?
  12. A 30-year-old woman has episodic generalised tonic-clonic seizures. Which drug is first-line in a woman who may become pregnant?
  13. A 28-year-old woman has a pulsating unilateral headache with nausea and photophobia lasting six hours. What is the diagnosis?
  14. A 45-year-old woman has symmetrical morning stiffness of the hands lasting two hours and positive anti-CCP. What is the diagnosis?
  15. A 50-year-old man has an acutely painful red first metatarsophalangeal joint. Aspiration shows needle-shaped negatively birefringent crystals. What is the treatment of the acute attack?
  16. A 28-year-old woman has a malar rash, arthralgia, proteinuria and positive anti-dsDNA. What is the diagnosis?

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