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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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📈 Analytical overview of Telegram channel Case-based MCQ

Channel Case-based MCQ (@casebasedmcq) in the English language segment is an active participant. Currently, the community unites 18 825 subscribers, ranking 1 236 in the Medicine category and 21 810 in the India region.

📊 Audience metrics and dynamics

Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 18 825 subscribers.

According to the latest data from 03 September, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -208 over the last 30 days and by -7 over the last 24 hours, overall reach remains high.

  • Verification status: Not verified
  • Engagement rate (ER): The average audience engagement rate is 1.53%. Within the first 24 hours after publication, content typically collects 0.62% reactions from the total number of subscribers.
  • Post reach: On average, each post receives 288 views. Within the first day, a publication typically gains 116 views.
  • Reactions and interaction: The audience actively supports content: the average number of reactions per post is 1.
  • Thematic interests: Content is focused on key topics such as boardvital, bmj, journal, usmle, drug.

📝 Description and content policy

The author describes the resource as a platform for expressing subjective opinions:
Enhance Your Medical Expertise with Case Based MCQ – Your Go-To Telegram Channel for Challenging, Real-World MCQs and Continuous Learning. Admin: @Mohamm_ADs

Thanks to the high frequency of updates (latest data received on 04 September, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.

18 825
Subscribers
-724 hours
-517 days
-20830 days
Posts Archive
🧠 Case-based MCQ 🔸 #MCQ_71 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 A 32-year-old man is brought to the emergency department by ambulance after he sustained a house fire. On exam, the patient is conscious but in severe distress due to pain. He has hoarseness of voice, burns around the neck, and burned nose hair. Which one of the following is the best initial management? A. Intubation B. Oxygen by face mask C. Intravenous morphine for analgesia D. Debridment of the burns and application of topical antibiotics E. Intravenous fluids

🧠 Case-based MCQ 🔸 #MCQ_70 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 This patient has developed signs and symptoms of severe croup. The clinical features of severe croup include: – Stridor presents at rest – Croupy cough – Increasing irritability and lethargy – Tachypnea – Tracheal tug – Nasal flaring – Use of accessory muscles – Hypoxia All the patient with severe croup should be given nebulised adrenaline (1 mL of 1% adrenaline solution mixed with 3ml of normal saline). The same dose can be repeated if needed. The child should be observed for 4 hours post-adrenaline and can be discharged if there is no stridor at rest. The oral steroids should also be continued as they are the mainstay of treatment when the croup is mild and moderate. The chest x-ray and blood tests are usually unnecessary.The salbutamol has no role in the treatment of croup

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🧠 Case-based MCQ 🔸 #MCQ_70 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 An 18-month-old male child is brought to the emergency department with a history of increasing irritability, cough, and worsening breathing. On examination, the child is alert, lethargic but responsive. The capillary refill is less than 2 seconds. There is some stridor at rest. The respiratory rate is 44 breaths per minute and oxygen saturation is 98% on room air. His heart rate is 126 beats per minute.The child is using accessory muscles and there is a tracheal tug. He is being given oxygen through the mask. The child was seen by his GP the day before and was prescribed oral prednisolone. The mother has already given her today’s dose of prednisolone. What is the most appropriate next step in his management? A. Salbutamol B. Chest Xray C. Blood tests D. Nebulised adrenaline E. Intravenous antibiotics

🧠 Case-based MCQ 🔸 #MCQ_69 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 ✅Correct Answer Is E Snake bites are common in Australia. Once a patient presents to the emergency department, the bandages can be removed. A venom detection kit is used to examine the swab of the bitten area or a fresh urine specimen or blood. Not all the patients become envenomated, and antivenom should not be given until there is evidence of it. Signs and symptoms of envenomation include: 1.Nausea and vomiting an early reliable sign. 2.Blurred vision. 3.Excessive sweating. 4.A severe headache. 5.Abdominal pain. 6.Coagulation defects-raised INR,APTT,bleeding. 7.Speaking or swallowing difficulty As this patient does not have any of these symptoms, the best approach is to observe for symptoms and signs of envenomation in the hospital at least for 24 hours. Sending this patient home is not correct as the patient may develop any of the symptoms in first 24 hours. Excision of the wound or manipulation of the area is not recommended in both, community and hospital.

A 35-year-old Australian farmer is brought to the rural emergency department, with a history of being bitten by a black snake.On systemic review, he denied any symptoms.On examination, there is a scratch mark on the lower foot and no systemic findings. How will you manage? A. Excise the wound B. Reassure and send him home C. Administer anti-venom immediately D. Apply tourniquet E. Observation and anti-venom if necessary

🧠 Case-based MCQ 🔸 #MCQ_68 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 ✅ Correct Answer Is A This child has ingested detergent which is a very strong alkali.The presence or absence of intra-oral burns does not reliably indicate whether the oesophagus and stomach are burned. So meticulous endoscopy is indicated to check for the presence and severity of oesophagal and gastric burns when symptoms or history suggests more than trivial ingestion of alkali or acid. Oral fluids are started when they can be tolerated. Intravenous corticosteroids and prophylactic antibiotics are not recommended. Oesophageal or gastric perforation is treated with antibiotics and surgery. 🚫Things to avoid in caustic ingestion include gastric emptying, activated charcoal and neutralisation by chemicals. 🚫 Gastric emptying by emesis or lavage is contraindicated because it can re-expose the upper GI tract to the caustic. 🚫 Attempts to neutralise a caustic acid by correcting pH with an alkaline substance and vice versa, are contraindicated because severe exothermic reactions may result. 🚫 Activated charcoal is contraindicated because it may infiltrate burned tissue and interfere with endoscopic evaluation.

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🧠 Case-based MCQ 🔸 #MCQ_68 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 A mother brings her 2-year-old male child in the emergency department.The child ingested a detergent powder 2 hours ago.There is no intra-oral burn and child is otherwise stable. What will you do next? A. Give oral fluids B. Gastric lavage C. Activated charcoal D. Intravenous fluids E. Intravenous corticosteroids

🧠 Case-based MCQ 🔸 #MCQ_67 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 Correct Answer Is A Allergic rhinitis is caused by allergens that trigger a local hypersensitivity reaction. Specific IgE antibodies attach to circulating mast cells or basophils. Mast cell degranulation leads to a cascade of inflammatory mediators. Vasomotor rhinitis, the second most common cause of rhinitis after allergic disease, is usually perennial and is not associated with itching. In allergic rhinitis, nasal turbinates appear pale and boggy (rather than red and inflamed as in infectious rhinitis). Avoidance measures alone are often ineffective. Antihistamines and intranasal corticosteroids are usually necessary for adequate symptom relief. Chronic use of nasal decongestants should be avoided, since it often causes rhinitis medicamentosa and can perpetuate her nasal congestion.

Correct Answer(s) • Urine test for cytology. The concern in this history is for a genitourinary malignancy, so a urine test for cytology is the most appropriate next step. Retrograde pyelography is an outdated study and is no longer appropriate in this scenario. Pelvic ultrasonography without renal ultrasonography is insufficient. Prostate cancer does not routinely present with hematuria; therefore, obtaining a prostate-specific antigen level is not necessary. Random renal biopsy is not indicated in the workup for genitourinary malignancy.

A 25-year-old female complains of watery rhinorrhea and pruritus of the eyes and nose that occurs around the same season each year. Symptoms are not exacerbated by weather changes, emotion, or irritants. She is on no medications and is not pregnant. Which of the following statements is correct? A. Her symptoms are likely produced by an IgE antibody against a specific allergen. B. She has vasomotor rhinitis. C. The patient's nasal turbinates are likely to be very red. D. Avoidance measures alone are almost always effective. E. Decongestant nasal sprays can suppress her symptoms

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