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Case-based MCQ
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Enhance Your Medical Expertise with Case Based MCQ – Your Go-To Telegram Channel for Challenging, Real-World MCQs and Continuous Learning. Admin: @Mohamm_ADs
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“Enhance Your Medical Expertise with Case Based MCQ – Your Go-To Telegram Channel for Challenging, Real-World MCQs and Continuous Learning.
Admin: @Mohamm_ADs”
بفضل وتيرة التحديث المرتفعة (أحدث البيانات بتاريخ 17 يونيو, 2026) تحافظ القناة على حداثتها ومستوى وصول مرتفع. وتُظهر التحليلات تفاعلاً نشطاً من الجمهور، ما يجعلها نقطة تأثير مهمة ضمن فئة الطب.
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⏳ Case-based MCQ | #Case_465
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A 42-year-old African-Canadian male recently travelled to the Caribbean for a scuba diving trip. Since his return, he has noted brief intermittent episodes of vertigo not associated with nausea or vomiting. He is concerned, however, because these episodes occurred after sneezing or coughing and then a couple of times after straining while lifting something. He has had no hearing loss and no vertigo with positional changes such as bending over or turning over in bed. He does mention that it gets worse when he is taking the elevator.
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Repost from Medical Mnemonics
🧩 Medical Mnemonics
Learn Tram-Track sign in Bronchiectasis by #visual_mnemonics.
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#radiology
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©Medical Mnemonics
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Repost from Medic Store
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Repost from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?
- Would you like your work to be seen in the best journals?
🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION
🔻 Feel Free to contact admin 👉 @Mohamm_ADs
19 250
Repost from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?
- Would you like your work to be seen in the best journals?
🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION
🔻 Feel Free to contact admin 👉 @Mohamm_ADs
19 250
Repost from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?
- Would you like your work to be seen in the best journals?
🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION
🔻 Feel Free to contact admin 👉 @Mohamm_ADs
19 250
✔ D
The patient is most likely having a cocaine overdose. The presenting symptoms are characteristic of high sympathetic output. With a presentation of blood at the nares and diffuse ST-segment elevation on his EKG, one has to suspect a cocaine overdose.
With a cocaine overdose, one needs to avoid the use of beta-selective blockage (choice D). As cocaine inhibits the reuptake of norepinephrine, there is overwhelming alpha-1-receptor activity causing systemic and coronary vasoconstriction. If one inhibits the vasodilatory action of the beta-2-receptor with the use of propranolol, there is unopposed alpha-1 activity leading to coronary vasoconstriction and worsening of myocardial ischemia.
⚠ In order to control the sympathetic output caused by a cocaine overdose and prevent worsening myocardial ischemia, one needs to use diazepam (choice A), aspirin (choice B), diltiazem (choice C), and hydralazine (choice E).
🔖 Key point:
Avoid the use of beta-blockers in the treatment of cocaine, amphetamine, or other alpha-adrenergic stimulant overdose
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Which of the following should be avoided in the treatment of the patient?
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⏳ Case-based MCQ | #Case_464
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A 25-year-old male is brought to the ED by his friends, who tell you that they were at a party until he started to complain of severe chest pain. They state that the patient did not have anything to drink but did appear to be excessively hyper during the party. As far as they know, he is not currently taking any medication. The patient has had problems with PCP abuse and marijuana in the past.
Vital signs: blood pressure 160/110 mmHg, temperature 38.6°C, heart rate of 110 bpm and respiratory rate of 25 bpm. On physical examination, you note dilated pupils bilaterally, diaphoresis and dry blood at the nares. His EKG shows diffuse ST-segment elevation.
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In any evaluation of diplopia, monocular diplopia should first be excluded before attempting to further classify diplopia. Common causes of monocular diplopia include keratoconus, cataract, displaces lenses, macular scarring or distortion and peripheral iridotomy.
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➕ When patients with pseudotumor cerebri present with horizontal diplopia, one should suspect Abducens nerve palsy (cranial nerve VI). It has the longest subarachnoid course, and its nucleus is located in the pons, just ventral to the floor of the fourth ventricle. It innervates the lateral rectus muscle.
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Repost from Medical Mnemonics
🧩 Medical Mnemonics
🔝 DKA precipitating; The 8 I's
*DKA: Diabetic KetoAcidosis
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#endocrinology
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©Medical Mnemonics
19 250
Repost from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?
- Would you like your work to be seen in the best journals?
🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION
🔻 Feel Free to contact admin 👉 @Mohamm_ADs
19 250
Repost from Med_Notes & Illustrated 📝
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19 250
Repost from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?
- Would you like your work to be seen in the best journals?
🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION
🔻 Feel Free to contact admin 👉 @Mohamm_ADs
