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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
Show more📈 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 19 249 subscribers, ranking 1 206 in the Medicine category and 22 843 in the India region.
📊 Audience metrics and dynamics
Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 19 249 subscribers.
According to the latest data from 16 June, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -200 over the last 30 days and by -6 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 2.54%. Within the first 24 hours after publication, content typically collects 1.03% reactions from the total number of subscribers.
- Post reach: On average, each post receives 490 views. Within the first day, a publication typically gains 198 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 17 June, 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.
19 249
Subscribers
-624 hours
-527 days
-20030 days
Posts Archive
19 249
This condition is thought to be most commonly associated with which of the following causative viral organisms?
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⏳ Case-based MCQ | #Case_458
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A 41-year-old man presents to the ED with acute onset of a right-sided facial droop. He cannot close his right eye, and he also cannot move the right side of his face when asked to smile. He does admit that he had an upper respiratory infection recently. His speech is not impaired and he has normal motor and sensory exam of his extremities on both sides. His head CT is also normal.
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19 249
Repost from Medical Mnemonics
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⏳ Case-based MCQ | #Case_458 | #answer
〰〰〰〰〰〰〰〰〰〰〰〰〰〰
✅ B
This patient presents with the triad of lower extremity edema, cyanosis, severe pain after 24 hours of experiencing blanching and edema; this is suggestive of the diagnosis of phlegmasia cerulea dolens (PCD), which usually follows phlegmasia alba dolens. This is a rare complication of massive deep vein thrombosis (DVT) that presents suddenly with complete venous occlusion leading to impaired arterial flow. Often the iliofemoral area is affected, and the impaired drainage disorder results in tissue ischemia. This serious condition can lead to venous gangrene of the extremity and compartment syndrome. It is an emergency that requires prompt diagnosis and effective treatment as the mortality rate is between 25% and 40%, while the risk of amputation could be as high as 50%.
The most significant risk factors are malignancy, such as breast cancer (choice B), heart failure, heparin-induced thrombocytopenia, surgery, trauma, and third-trimester pregnancy.
⚠ Atherosclerosis (choice A) is the underlying disease in peripheral arterial disease, which could also lead to decreased dorsalis pedis pulse, but this patient's clinical presentation strongly suggests PCD.
⚠ Diabetes mellitus (choice C) is a risk factor for atherosclerosis, which could lead to decreased lower extremity arterial pulses, but it is not significantly associated with PCD.
⚠ Hyperthyroidism (choice D) is not a risk factor for DVT or PCD.
⚠ Thromboangiitis obliterans (choice E), also known as Buerger's disease, is a vasculitis affecting the lower extremities that has been associated with smoking. Pain, cyanosis, gangrene can all occur, making it similar to the PCD. Patients are usually younger than 45 years, and the blanching that preceded the patient's current condition steers us towards phlegmasia.
🔖 Key point:
A triad of lower extremity edema, cyanosis, severe pain after 24 hours of experiencing blanching and edema is suggestive of the diagnosis of phlegmasia cerulea dolens, a rare complication of massive deep vein thrombosis that presents suddenly with complete venous occlusion leading to impaired arterial flow.
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Which of the following is most likely to be associated with this patient's condition?
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⏳ Case-based MCQ | #Case_458
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A 54-year-old female presents to your department with complaints that the left leg has just turned blue, is swollen, and in severe pain. Even though the symptoms became worse an hour ago, 24 hours earlier, she had noticed that the skin of her left leg had whitened and was a bit swollen, she had tried to use compression stockings, but they had not helped. Her past medical history is significant for stasis ulcers, for which compression stocking had been helpful.
On physical examination, left leg edema and cyanosis are noted. The dorsalis pedis pulse is significantly decreased.
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19 249
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19 249
Repost from Medical Mnemonics
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19 249
Repost from Medical Mnemonics
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19 249
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