Case-based MCQ

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🧩 Medical Mnemonics 𝗜𝗥𝗔𝗡 Highlights HLH features 🕊 💚 𝗜mmune overactivation (IL‑1, IL‑6, IFN‑γ ) 🤍 𝗥educed blood counts (cytopenias) 🤍 𝗔bnormal ferritin & liver function ❤ 𝗡eurologic involvement

HLH — Hemophagocytic Lymphohistiocytosis

#endocrinology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

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🧩 Medical Mnemonics 🎉 Ring in the New Year with the Wilson Disease Mnemonic   ᎻᎪᏢᏢᎩ NᎬᎳ ᎩᎬᎪᏒ 💐 ⚡Ꮋepatic dysfunction  ⚡Ꭺtaxia ⚡Ƥsychiatric changes + Ƥarkinsonism ⚡Ƥenicillamine (key chelator) ⚡Ƴoung onset  💥 Ɲeurologic deterioration  💥 Ɛye findings (Kayser–Fleischer rings, sunflower cataracts) 💥 Ɯeakness & fatigue ❄ Ƴellowing (jaundice)  ❄ Ɛxcess copper accumulation  ❄ Ꭺnemia (Coombs‑negative hemolysis)  ❄ Ꮢenal involvement  #gastroenterology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

🧩 Medical Mnemonics Thyroid storm, treatment ‌🇵‌‌🇭‌‌🇮‌‌🇱‌‌🇮‌‌🇵‌‌🇸‌ 〰🅟TU : Synthesis + conversion block. 〰🅗ydrocortisone : Adrenal/conversion support. 〰🅘odine (Lugol's) : Release trap. 〰🅛iquids (IV fluids): Rehydrate fast. 〰🅘ce cooling + acetaminophen: Fever/agitation control. 〰🅟ropranolol : Beta-blockade. 〰🅢earch trigger: Treat infection/cause #endocrinology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

A 26-year-old nulliparous woman at 8 weeks' gestation presents to the emergency department with a 2-week history of persistent nausea and vomiting. She reports being unable to keep down fluids or food for the past 24 hours. On examination, she appears dehydrated and malnourished. Her weight has decreased from 65 kg to 61 kg since her last prenatal visit 3 weeks ago. Initial laboratory results show metabolic alkalosis and ketonuria. After administering diphenhydramine and initiating IV fluid resuscitation with normal saline, the decision is made to add dextrose-containing solution for metabolic support. What should be administered immediately prior to the dextrose infusion? A. Ondansetron B. Methylprednisolone C. Folic acid D. Potassium chloride E. Thiamine 👍 Thiamine must be administered before dextrose-containing solutions in malnourished patients to prevent precipitating Wernicke encephalopathy. This is a critical safety measure in hyperemesis gravidarum patients who are at risk for thiamine deficiency due to persistent vomiting and poor nutritional intake

A 28-year-old woman, gravida 3 para 2, at 38 weeks' gestation develops sudden, severe abdominal pain during labor. Contractions stop abruptly. Vital signs are BP, 92/58; and P, 124. Physical examination shows a change in fetal station with the presenting part no longer engaged, and minimal vaginal bleeding. Fetal monitoring shows persistent bradycardia. Which of the following is the most likely diagnosis? 👍 A. Uterine rupture B. Vasa previa C. Amniotic fluid embolism D. Placental abruption E. Cord prolapse Explanation: Correct Answer Is A Correct -- Uterine rupture manifests with sudden abdominal pain, cessation of contractions, maternal hypotension, and fetal bradycardia. Vaginal bleeding may be minimal because blood often collects intra-abdominally. Uterine rupture is a surgical emergency requiring immediate obstetric intervention.

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