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

India21 810 Medicine1 236...

📈 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

288

Post views

~ 11624 hours

~ 17148 hours

1.53%

Engagement rate

~ 1

Posts per day

Ads index

beta

Posts Archive

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Correct Answer Is A As the presentation is within the eight hours, the next best step is obtaining a blood sample for serum paracetamol level + ALT and starting N-acetyl cysteine (NAC) immediately. Since it is unlikely that Joan’s serum paracetamol level & ALT is available within 8 hours and that Joan had symptoms of toxicity (RUQ pain or tenderness, nausea, vomiting) hence she should be commenced on NAC immediately. The decision to continue or cease NAC is then based on the paracetamol concentration. NAC can be safely stopped if the paracetamol level is within the safe range and continued if it is in the toxic range. Management for paracetamol poisoning is summarized as below: ALT = alanine aminotransferase. * Cooperative adult patients who have potentially ingested ≥ 10 g or ≥ 200 mg/kg (whichever is less). For paracetamol ingestions ≥ 30 g, activated charcoal should be offered until 4 hours after ingestion. † Baseline ALT measurement. ‡ If paracetamol concentration will not be available until ≥ 8 hours after ingestion, commence acetylcysteine while awaiting paracetamol concentration. § For acetylcysteine dosage, see Box 7. ¶ Patients should be advised that if they develop abdominal pain, nausea or vomiting, further assessment is required.

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Joan is 60-year old woman who is suffering migraine. The pain has been crushing and disabling despite medical therapy with maximum dose of paracetamol. Seven hours ago in a desperate attempt she took 20 500mg paracetamol tablets to make the pain go away. She is now in the emergency department of the tertiary hospital you work in with complaints of right upper quadrant abdominal pain, nausea, and vomiting. She weighs 65 kilograms. Which one of the following is the next best step in management? A. Give her intravenous N-acetyl cysteine infusion immediately B. No treatment required C. Do immediate gastric lavage and give her activated charcoal D. Check liver function tests & serum paracetamol level prior to decision making on giving N-acetyl cysteine E. Refer the patient to toxicology registrar

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https://t.me/joinchat/M9Gkg9FGzVViMDM0

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Repost from Medical Mnemonics

🧩 Medical Mnemonics Pruritus Ani DDx 🔍 🌐 Follow our official Instagram page: Online Medical School #dermatology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

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Repost from Mediccount - Medical accounts

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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.

18 825

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