Q-Bank & Analytics

The Smartest Q-Bank in Medical Education

  • 120,000+ Clinical Vignette Questions

    Every question is a real-world clinical scenario with highlighted key findings, patient demographics, and decision-making context — exactly like the real exam.

  • AI-Powered Explanations

    Every answer includes a structured explanation: Learning Objective → Why the correct answer is right → Why each wrong answer is wrong → High-Yield comparison table.

  • Real-Time Score Predictor

    MCIQ's algorithm predicts your exam score after every session, updated in real time based on your accuracy, speed, and subject coverage.

  • Spaced Repetition Engine

    Automatically resurfaces questions you got wrong at scientifically optimal intervals to maximize long-term retention.

  • OSCE & Mock Exam Modes

    Full timed mock exams that replicate the real exam experience, plus OSCE station simulations for clinical skills assessment.

SMLE Q-Bank · Internal Medicine
Question 23 of 50 · 42 min remaining

Clinical Vignette

A 45-year-old male presents to the emergency department with sudden-onset chest pain that is sharp, pleuritic, and worsens when lying flat. Temperature is 38.2°C. ECG shows diffuse ST elevation with PR depression. What is the most likely diagnosis?

A ST-Elevation Myocardial Infarction (STEMI)
Acute Pericarditis
C Pulmonary Embolism
D Aortic Dissection
AI Explanation

B is Correct — Acute Pericarditis

Key findings: Positional/pleuritic pain, low-grade fever, and diffuse ST elevation with PR depression are pathognomonic for acute pericarditis rather than focal STEMI.