NEET-SS case studies
NEET-SS · Put your knowledge to work in context.
NEET-SS is listed by the National Board of Examinations in Medical Sciences (NBEMS) among its Entrance-Examinations, alongside NEET-PG, NEET-MDS, FET, DNB-PDCET, FET for International - FPIS and the Graduate Pharmacy Aptitude Test (GPAT). NBEMS describes itself as "An Autonomous Body under Ministry of Health and Family Welfare, Government of India." In the NBEMS programme structure, the super specialty route appears as DrNB Super Specialty, with Fellowship as a separate programme line; NEET-SS sits in the entrance-examination group that feeds these postgraduate super specialty pathways. The NEET-SS case studies are 5 cases and about 4,306 words.
1Inferior STEMI in cardiogenic shock with recent apixaban and a delayed catheter lab
A 58-year-old man with type 2 diabetes and permanent atrial fibrillation on apixaban 5 mg twice daily presents 9 hours after the onset of severe central chest pain. Blood pressure is 88/54 mmHg, pulse 118/min irregular, extremities cool, lactate 4.1 mmol/L, urine output 20 mL/h.
859 words, about 4 min2Severe hyperkalaemia with conduction delay in advanced CKD, fluid overload and an existing non-dialysis central line
A 62-year-old woman with diabetic kidney disease (CKD stage 5, eGFR 8 mL/min/1.73 m², not yet on dialysis) presents after 3 days of vomiting and poor oral intake. She is drowsy but rousable.
871 words, about 4 min3Wake-up stroke with M1 occlusion, warfarin and a perfusion mismatch
A 71-year-old man is brought at 07:30 with dense left hemiparesis, hemianopia and neglect; he was last seen well at 23:00 the previous night when his wife checked on him. He takes warfarin for atrial fibrillation; INR is 1.6, platelets 130 × 10⁹/L, glucose 6.8 mmol/L, blood pressure 178/96 mmHg.
878 words, about 4 min4Febrile neutropenia with septic shock on day 9 of R-CHOP in a patient with a central venous port
A 64-year-old woman with diffuse large B-cell lymphoma, day 9 after her first R-CHOP with pegfilgrastim given on day 2, presents with 12 hours of fever up to 38.9 °C. Blood pressure is 88/52 mmHg after 1 L of crystalloid, pulse 124/min, respiratory rate 26/min, SpO₂ 94% on air, lactate 3.4 mmol/L.
819 words, about 4 min5Combined DKA and hyperosmolar state with acute kidney injury in a patient who stopped an SGLT2 inhibitor two days ago
A 48-year-old man with type 2 diabetes presents after 4 days of polyuria, vomiting and confusion. He stopped empagliflozin 2 days ago and self-discontinued insulin glargine 30 units nightly a week earlier.
879 words, about 4 min