INI CET case studies
INI CET · Put your knowledge to work in context.
INI CET - the Institute of National Importance Combined Entrance Test, commonly written INI-CET - is a postgraduate medical entrance examination used for admission to MD, MS, MDS and related postgraduate programmes at India's Institutes of National Importance, a group that includes the All India Institute of Medical Sciences (AIIMS) institutions. It is aimed at medical and dental graduates who already hold a recognised MBBS or BDS degree (or an equivalent qualification) and who are competing for a limited number of residency seats; the score is used by the participating institutes for their own counselling and seat allocation. The INI CET case studies are 5 cases and about 4,198 words.
1Breathless at 4,500 m: reading an arterial gas at altitude
A 24-year-old man who has lived all his life at sea level flies to Leh (3,500 m) and, without a rest day, drives the same evening to a camp at 4,500 m. Thirty-six hours later he has a throbbing bifrontal headache, nausea, breathlessness at rest and a dry cough.
839 words, about 4 min2Needlestick from an HBeAg-positive source at 22:00
A 24-year-old intern in the emergency department is suturing a scalp laceration when, while recapping a 20-G intravenous cannula needle, she sustains a deep needlestick to the pad of her left index finger; the needle has visible blood on it. The source is a 38-year-old man with a six-year history of HBsAg positivity whose most recent report shows HBeAg positive with HBV DNA 2 × 10^8 IU/mL.
832 words, about 4 min3Sodium 114 in a drowsy elderly woman on a thiazide
A 72-year-old woman is brought to the emergency department with three days of vomiting and one day of increasing confusion. She has taken hydrochlorothiazide 25 mg daily for three years for hypertension and sertraline 50 mg daily for two years.
808 words, about 4 min4Transient responder after blunt abdominal trauma
A 26-year-old man is brought to a level-2 trauma centre 40 minutes after his motorcycle collided with a car. He was not wearing a helmet and has a horizontal contusion across the lower abdomen from the fuel tank.
847 words, about 4 min5HELLP at 33 weeks in a hospital without a blood bank
A 30-year-old woman, G2P1 with one previous caesarean for fetal distress, attends a district hospital at 33 weeks by a first-trimester dating scan. She has had a severe frontal headache and right upper quadrant pain for eight hours and has vomited twice.
872 words, about 4 min