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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تُعد قناة Case-based MCQ (@casebasedmcq) في القطاع اللغوي الإنكليزية لاعباً نشطاً. يضم المجتمع حالياً 18 455 مشتركاً، محتلاً المرتبة 1 320 في فئة الطب والمرتبة 21 687 في منطقة الهند.
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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 02 نوفمبر, 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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Repost from Medical Mnemonics
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Case-based MCQ | #MCQ_91
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A 34-year-old woman presents to your clinic complaining of abdominal pain and diarrhea one week after she returned from a trip to Thailand. While she was on the trip, she first noticed abdominal pain in the right iliac fossa which resolved subsequently. On examination, the abdomen is non-tender and soft with no rigidity or guarding. However, digital rectal exam is tender. Which one of the following is the most likely diagnosis?
A. Giardiasis.
B. Celiac disease.
C. Rotavirus infection.
D. Urinary tract infection.
E. Appendicitis
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Case-based MCQ | #MCQ_90
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Correct Answer Is C
The appearance of the rash and the history suggest herpes zoster (shingles) infection as the most likely diagnosis.
Herpes zoster (shingles) is caused by the reactivation of the varicella-zoster virus (VZV). It usually occurs in adults but can be seen in children and in the first 2 years of life if there has been a history of maternal varicella.
Pain is a significant complaint in patients with shingles. Tricyclic antidepressants and the anticonvulsant gabapentin are the most effective medications for pain control in neuropathic pain associated with shingles.
⚠ (Options A and B) Antiviral agents such as famciclovir, valacyclovir, or acyclovir should be used in any patient seen within 72 hours of the onset of vesicles, all patients with ophthalmic herpes zoster, and in immunocompromised patients. For pregnant women, only acyclovir (first line) or valaciclovir (second line) are used because the safety of famciclovir during pregnancy has yet to be established
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A 65-year-old man presents with an exquisitely painful vesicular rash, which has been present for the past 7 days and is increasingly painful. The rash is shown in the following photograph. His past medical history is unremarkable. Physical examination is otherwise inconclusive. Which one of the following is the most appropriate immediate management?
A. Oral famciclovir.
B. Intravenous famciclovir.
C. Oral amitriptyline.
D. Intramuscular immunoglobulin.
E. Oral Phenergan® (promethazine).
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Case-based MCQ | #MCQ_90
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Correct Answer Is D
The clinical findings such as mobility, subcutaneous location, and the consistency of the lumps make the multiple symmetrical lipomas the most likely diagnosis. Being lobulated is another important clue, as is the positive family history.
Lipomas are benign tumors of mature fat cells. They are quite common and can be found in subcutaneous tissue. Although the subcutaneous fat layer is the most common site for lipomas to arise, they may be subfascial, intramuscular, or be found in many other sites. There is usually a genetic predisposition.
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A 50-year-old woman presents to your clinic with multiple lumps. She has had these lumps for 20 years. The only complaint, apart from her concerns about the look of the lumps, is that they become painful at times. On examination, about 30 mobile subcutaneous lumps feel soft, rubbery, and lobulated when palpated. They are distributed bilaterally in her upper and lower extremities, chest, and back. She mentions that her mother has the same problem. She is otherwise healthy. Which one of the following is the most likely diagnosis?
A. Adipose dolorosa.
B. Multiple desmoid tumors.
C. Multiple epidermoid cysts.
D. Multiple symmetrical subcutaneous lipomas.
E. Neurofibromatosis type I (Von Recklinghausen disease of nerve).
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Case-based MCQ | #MCQ_89
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The itching, the appearance of the lesions and living in a nursing home all favor of scabies as the most likely diagnosis. First-line medication for treatment of scabies is permethrin 5% cream. If treatment with permethrin fails or the patient is sensitive to this drug, benzyl benzoate can be used as second-line therapy. Benzyl benzoate is more irritating to skin and the treatment is likely to fail due to inadequate adherence.
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Repost from Mediccount - Medical accounts
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Case-based MCQ | #MCQ_89
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The following photograph shows skin lesions on the hand of a 73-year-old woman, who resides in a nursing home. The lesions are severely itchy and she keeps scratching them, especially in the night. The itch prevents her from a good night sleep. On examination, she looks disheveled and poorly cared for. Which one of the following would be the most appropriate treatment for her?
A. Permethrin 5% cream.
B. Itraconazole cream.
C. Topical corticosteroids.
D. Gamma benzene hexachloride.
E. Topical erythromycin
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Case-based MCQ | #MCQ_88
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Correct Answer Is B
The photograph shows a flat amelanotic lesion on the left pinna that has undergone ulceration and is slightly crusted. The appearance of the lesion is consistent with cutaneous squamous cell carcinoma (SCC) as the most likely diagnosis.
The classic presentation of a cutaneous SCC includes a shallow ulcer with heaped-up edges, often covered by a plaque usually in a sun-exposed area. Typical surface changes may include the following:
Scaling
Ulceration
Crusting
A cutaneous horn
Less commonly, cutaneous SCC presents as a pink cutaneous nodule without overlying surface changes. Regional spread of head and neck cutaneous SCCs, may result in enlarged preauricular, submandibular, or cervical lymph nodes.
NOTE - Although, the appearance of the lesion resembles SCC, it should be noted that at times SCC, keratoacanthoma, BCC, or even amelanotic forms of melanoma may look similar and the definite diagnosis cannot be made unless biopsy and histologic studies are performed. However, because of the classic features of the lesion and also the fact that squamous SCC is the most common skin cancer, SCC would be the most likely diagnosis in this case.
18 450
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A 52-year-old golfer man presents to your GP clinic with an ulcer on his right pinna. He says the lesion is itchy and easily bleeds on scratching. On examination, deeply sunburned areas around the lesion are noted. The lesion is shown in the accompanying photograph. Which one of the following can be the most likely diagnosis?
A. Basal cell carcinoma.
B. Squamous cell carcinoma.
C. Malignant melanoma.
D. Bowen’s disease.
E. Keratoacanthoma
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Case-based MCQ | #MCQ_87
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The shiny nodule shown in the photograph which appears to be fluid-filled is suggestive of the digital synovial cyst (mucous cyst of the finger ).
Mucous (synovial) cysts of the finger are subcutaneous cystic lesions found on the dorsal aspect of the distal phalanx, distal to the distal interphalangeal joint, and overlying the germinal nail bed. They may cause distortion of the nail growth. They are located in the midline or laterally. They grow slowly and may undergo spontaneous resolution. Recurrence is likely if they are inadequately excised.
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The lesion shown in the accompanying photograph has been present on the finger of a 56-year-old woman for the past 8 months. It has slowly enlarged since then and is causing mild discomfort. Which one of the following is the most likely diagnosis?
A. Chronic paronychia.
B. Heberden’s node of osteoarthritis.
C. Pyogenic granuloma.
D. Mucous (synovial) cyst of the finger.
E. Rheumatoid nodule
