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Case-based MCQ

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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📈 نظرة تحليلية على قناة تيليجرام Case-based MCQ

تُعد قناة Case-based MCQ (@casebasedmcq) في القطاع اللغوي الإنكليزية لاعباً نشطاً. يضم المجتمع حالياً 19 249 مشتركاً، محتلاً المرتبة 1 203 في فئة الطب والمرتبة 22 775 في منطقة الهند.

📊 مؤشرات الجمهور والحراك

منذ تأسيسه في невідомо، حقق المشروع نمواً سريعاً وجمع 19 249 مشتركاً.

بحسب آخر البيانات بتاريخ 17 يونيو, 2026، تحافظ القناة على نشاط مستقر. خلال آخر 30 يوماً تغيّر عدد الأعضاء بمقدار -197، وفي آخر 24 ساعة بمقدار -8، مع بقاء الوصول العام مرتفعاً.

  • حالة التحقق: غير موثّقة
  • معدل التفاعل (ER): يبلغ متوسط تفاعل الجمهور 2.36‎%. وخلال أول 24 ساعة من النشر يحصد المحتوى عادةً 1.00‎% من ردود الفعل نسبةً إلى إجمالي المشتركين.
  • وصول المنشورات: يحصل كل منشور على متوسط 454 مشاهدة. وخلال اليوم الأول يجمع عادةً 192 مشاهدة.
  • التفاعلات والاستجابة: يتفاعل الجمهور بانتظام؛ متوسط التفاعلات لكل منشور يبلغ 1.
  • الاهتمامات الموضوعية: يركز المحتوى على مواضيع رئيسية مثل boardvital, bmj, journal, usmle, drug.

📝 الوصف وسياسة المحتوى

يصف المؤلف القناة بأنها مساحة للتعبير عن الآراء الذاتية:
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 18 يونيو, 2026) تحافظ القناة على حداثتها ومستوى وصول مرتفع. وتُظهر التحليلات تفاعلاً نشطاً من الجمهور، ما يجعلها نقطة تأثير مهمة ضمن فئة الطب.

19 249
المشتركون
-824 ساعات
-527 أيام
-19730 أيام
أرشيف المشاركات
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Which of the following is the most likely explanation of this patient's presentation?
Anonymous voting

⏳ Case-based MCQ | #Case_443 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A woman presents with hair loss. See the picture above 👆 She denies any family h
Case-based MCQ | #Case_443 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A woman presents with hair loss. See the picture above 👆 She denies any family history of premature balding. She does state that she has been under severe stress and she has been taking medications for obsessive compulsive disorder.

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Case-based MCQ | #Case_443 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ D Von Willebrand's disease (choice D) is a hereditary deficiency of von Willebrand's factor (VWF), which causes platelet dysfunction. Bleeding tendency is usually mild. Screening tests show a prolonged bleeding time, normal platelet count, and, possibly, a slightly prolonged PTT. Diagnosis is based on low levels of VWF antigen and abnormal ristocetin cofactor activity. Treatment involves control of bleeding with replacement therapy (cryoprecipitate or pasteurized intermediate-purity factor VIII concentrate) or desmopressin. ⚠ Hemophilia A (choice A) and hemophilia B (Christmas disease) (choice B) are X-linked congenital bleeding disorders affecting male infants, usually diagnosed through family history and prolonged PTT. Undiagnosed hemophilia may cause severe bleeding with circumcision. It can also result in significant ecchymosis with minimal trauma or joint and muscle bleeding, usually by the end of infancy or in early childhood. These children have a significantly prolonged PTT and normal PT. Diagnosis is made through measurement of Factor VIII activity for Hemophilia A and Factor IX activity for Hemophilia B. ⚠ Activated partial thromboplastin time (aPTT) and international normalized ratio (INR) assessments are normal in factor XIII deficiency (choice C). Wiskott-Aldrich syndrome (choice E) is an X-linked recessive disorder, which is characterized by immunodeficiency, severely dysfunctional platelets, and thrombocytopenia with microthrombocytes. INR and PTT are normal. 🔖 Key point: Von Willebrand's disease is a hereditary deficiency of von Willebrand's factor (VWF), which causes platelet dysfunction. Bleeding tendency is usually mild. Screening tests show a prolonged bleeding time, normal platelet count, and, possibly, a slightly prolonged PTT

Which one of the following is the most likely cause of this patient's symptoms?
Anonymous voting

Case-based MCQ | #Case_442 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 4-year-old girl has a history of nosebleeds and easy bruising. There is a similar history among female and male family members. Laboratory investigations show prolonged aPTT and normal INR.

Case-based MCQ | #Case_442 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ A This patient most likely presents with femoral neuropathy (choice A), a mononeuropathy commonly associated with direct trauma, compression, stretch injury, or ischemia. Patients with diabetes have an unusual predisposition for femoral and proximal mononeuropathies. ⚠ Diabetic polyneuropathy (choice B) is marked by symmetric and distal limb sensory and motor deficits. ⚠ Meralgia paresthetica (choice C), or lateral femoral cutaneous neuropathy is characterized by numbness and paresthesia over the anterolateral thigh with no motor dysfunction. ⚠ Spinal stenosis (choice D) causes pain in the legs but is not associated with the neurologic signs seen in this patient, nor with knee problems. ⚠ Iliofemoral atherosclerosis (choice E), a relatively common complication of diabetes mellitus, may produce intermittent claudication involving one or both calf muscles but would not produce the motor weakness noted in this patient. 🔖 Key point: Patients with femoral neuropathy complain of difficulty with stairs, knee buckling, weakness of the quadriceps muscle, and medial leg and calf numbness.

What is the most likely cause of this patient's presenting condition?
Anonymous voting

Case-based MCQ | #Case_441 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 60-year-old black male complains of a one-week history of weakness of the lower left leg, giving away of the knee, and discomfort in the anterior thigh. He has no history of recent trauma. His past medical history is significant for DM2, diagnosed 15 years ago. A physical examination reveals reduced sensation to pinprick and light touch over the left anterior thigh, reduced motor strength on hip flexion and knee extension, and normal straight leg raising test.

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