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

India22 936 Medicine1 205...

📈 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 19 269 subscribers, ranking 1 205 in the Medicine category and 22 936 in the India region.

📊 Audience metrics and dynamics

Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 19 269 subscribers.

According to the latest data from 14 June, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -201 over the last 30 days and by -8 over the last 24 hours, overall reach remains high.

Verification status: Not verified
Engagement rate (ER): The average audience engagement rate is 2.24%. Within the first 24 hours after publication, content typically collects 1.09% reactions from the total number of subscribers.
Post reach: On average, each post receives 431 views. Within the first day, a publication typically gains 210 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 15 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.

19 269

Subscribers

-824 hours

-567 days

-20130 days

431

Post views

~ 21024 hours

~ 25848 hours

2.24%

Engagement rate

No data

Posts per day

Ads index

beta

Posts Archive

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A is correct, Now You say why?

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https://t.me/joinchat/M9Gkg9FGzVViMDM0

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🧠 Case-based MCQ 🔸 #MCQ_73 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 A 70-year-old man presents with a 2-month history of slowly progressive, painless edema of his entire left leg. He is active and otherwise asymptomatic. The physical examination findings reveal no abdominal abnormalities; a small, hard prostate gland; diminished, but symmetric, arterial pulses in the legs; no calf tenderness; and no evidence of adenopathy. Which one of the following imaging tests is indicated? A) Computed tomography of the pelvis. B) Magnetic resonance imaging of the pelvis. C) Lymphangiography of the left leg. D) Computed tomography venography of the left leg. E) Transrectal ultrasonography of the prostate

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D OSA is an independent risk factor for hypertension, causing both systolic and diastolic hypertension

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A 65-year-old man has persistently elevated blood pressure despite taking the maximum doses of metoprolol, hydrochlorothiazide, amlodipine, and ramipril. His pharmacy provides blister packs and states that he is adherent with the medications. Which one of the following best explains this patient's presentation? A) Periodic limb movement disorder. B) Central sleep apnea secondary to β-blocker. C) Nocturnal hypotension. D) Obstructive sleep apnea–hypopnea syndrome. E) Frequent nocturnal urination secondary to diuretic

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Repost from Medical Mnemonics

On this day, Medical Channels Union (MCU) launches a new project for learning radiology; 💻 Online Radiology is going to be an aid for physicians and students to learn them how to identify common radiological findings on call and in the Emergency room! ⭐️🔸 https://t.me/online_radiology 👍 Experienced radiologists are also welcome to join us as group administrators. Invite your Friends 👍

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Repost from Mediccount - Medical accounts

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🧠 Case-based MCQ 🔸 #MCQ_72 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 Correct Answer Is B This patient has signs and symptoms suggestive of acute angioedema. It can be caused by drugs or can be hereditary. Angiotensin converting enzyme inhibitors are the most frequent cause of acquired angioedema. ACE inhibitors are responsible for about 30% of angioedema cases. The mechanism involves vasodilation caused by ACE inhibitors and it occurs without urticaria. Angioedema with urticaria is caused by immune mechanisms. Swelling of tongue and lips develops over 4 to 6 hours and lasts for 24 to 48 hours. Treatment includes steroids, antihistamines and epinephrine. Cease lisinopril and start some other anti-hypertensive. Hereditary angioedema is caused by a deficiency of C-1 inhibitor which is a protein that regulates classical complement activation pathway.Inheritance is autosomal dominant.Signs and symptoms include urticaria, nausea, vomiting and intestinal obstruction.

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🧠 Case-based MCQ 🔸 #MCQ_72 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 A 48-year-old male presented to the emergency department with swollen tongue associated with a tingling sensation of his oral mucosa and lips.He has not eaten anything for last 12 hours.He was started on lisinopril-hydrochlorothiazide combination tablet by his GP for persistent hypertension 3 days ago.Clinical examination was unremarkable. While in the emergency department, he started complaining of swallowing difficulty with increasing swelling of the tongue and face.There is no urticaria, and vital signs are stable with GCS 15/15. Which of the following is the most likely diagnosis? A. Hereditary angioedema B. Lisinopril-induced angioedema C. Thiazide-diuretic induced angioedema D. Anaphylaxis to ACE inhibitors E. Undefined presenation

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🧠 Case-based MCQ 🔸 #MCQ_71 🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤🔤 ✅Correct Answer Is A Smoke and heat inhalation poses patients in close environment burns at significant risk of airway obstruction. Any patient with sooth in the mouth or nose and burns in the face or mouth or around the neck should be monitored very carefully for airway compromise due to edema. Burn victims should be intubated before edema results in complete airway obstruction. This patient has hoarseness that indicates airway involvement and intubation should be considered. In meanwhile he should receive supplemental oxygen as the most important next step in management while arrangements for intubation are undertaken. All other options are considered as parts of management but not prior to securing an airway.

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Repost from Medical Mnemonics

🖥 Good news for researchers If you're conducting a survey among healthcare professionals and need valid international samples, contact us and we'll help you collect them faster with thousands of Medical Channels Union subscribers. 🌐Admin @Mohamm_ADS

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🧠 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

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🧠 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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Repost from Mediccount - Medical accounts

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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

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🧠 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.

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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

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🧠 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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https://t.me/joinchat/M9Gkg9FGzVViMDM0