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πŸ’‘π•‘π•ͺ𝕒 π•”π•™π•’π•Ÿπ•Ÿπ•–π• πŸ’‘

πŸ’‘π•‘π•ͺ𝕒 π•”π•™π•’π•Ÿπ•Ÿπ•–π• πŸ’‘

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Channel curated specially for PYQ's πŸ“šContains PYQ's from exams NEET PG | INI-CET | FMGE | UPSC-CMS Discussion Venue:- @PYQdiscussion For any queries, Contact owner @DrRajeshK

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πŸ“ˆ Analytical overview of Telegram channel πŸ’‘π•‘π•ͺ𝕒 π•”π•™π•’π•Ÿπ•Ÿπ•–π• πŸ’‘

Channel πŸ’‘π•‘π•ͺ𝕒 π•”π•™π•’π•Ÿπ•Ÿπ•–π• πŸ’‘ (@pyqchannel) in the English language segment is an active participant. Currently, the community unites 29 175 subscribers, ranking 6 641 in the Education category and 14 267 in the India region.

πŸ“Š Audience metrics and dynamics

Since its creation on Π½Π΅Π²Ρ–Π΄ΠΎΠΌΠΎ, the project has demonstrated rapid growth, gathering an audience of 29 175 subscribers.

According to the latest data from 01 July, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -112 over the last 30 days and by 2 over the last 24 hours, overall reach remains high.

  • Verification status: Not verified
  • Engagement rate (ER): The average audience engagement rate is 2.73%. Within the first 24 hours after publication, content typically collects 0.87% reactions from the total number of subscribers.
  • Post reach: On average, each post receives 0 views. Within the first day, a publication typically gains 254 views.
  • Reactions and interaction: The audience actively supports content: the average number of reactions per post is 0.
  • Thematic interests: Content is focused on key topics such as pyq, prepladder, fmge, pain, revision.

πŸ“ Description and content policy

The author describes the resource as a platform for expressing subjective opinions:
β€œChannel curated specially for PYQ's πŸ“šContains PYQ's from exams NEET PG | INI-CET | FMGE | UPSC-CMS Discussion Venue:- @PYQdiscussion For any queries, Contact owner @DrRajeshK”

Thanks to the high frequency of updates (latest data received on 02 July, 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 Education category.

29 175
Subscribers
+224 hours
-267 days
-11230 days
Posts Archive
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2540) Correct Answer: B. Immediate fasciotomy Explanation: Acute compartment syndrome (ACS) is a surgical emergency caused by raised intracompartmental pressure impairing perfusion. Hallmark signs: Severe, out-of-proportion pain. Pain on passive stretch (earliest finding). Sensory deficits (late sign) here, loss over first dorsal webspace suggests deep peroneal nerve involvement. Pulses usually present until late stages. Management algorithm: Positive clinical diagnosis β†’ immediate fasciotomy without waiting for confirmatory tests In doubtful cases, measure intracompartmental pressure (ICP). Ο ICP > 30 mmHg β†’ fasciotomy. ICP < 30 mmHg β†’ conservative measures. Delay in fasciotomy risks irreversible muscle and nerve necrosis. Elevate the limb and observe (Option A): Limb elevation above heart level can further reduce perfusion pressure and worsen ischemia in ACS; observation alone delays definitive management. Administer opioid analgesics and continue observation (Option C): Analgesics do not treat the underlying ischemia; delaying fasciotomy can cause permanent damage within hours. Apply cast and follow up (Option D): Applying a cast in suspected ACS is dangerous, as it can further increase compartment pressure and worsen ischemia. Join @PYQtimes

2540) A 25-year-old man presents to the emergency department following a motorbike accident and is found to have a closed midshaft fracture of the left tibia. Six hours later, he develops severe leg pain that is disproportionate to the injury and worsens with passive dorsiflexion of the foot. The pain is not relieved by analgesics. On examination, dorsalis pedis and posterior tibial pulses are present, but there is no sensation over the first dorsal webspace. What is the most appropriate next step in management? πŸ’‘PYQ Times

2539) Correct Answer: A) Paget's disease of bone Explanation: In this patient, bone pain, increased hat size, warmth over bones, and isolated elevated ALP with normal calcium and phosphate are classic features of Paget's disease of bone, indicating increased bone turnover and disorganized remodeling. Paget's disease of bone is a disorder of excessive bone remodeling with increased osteoclastic resorption followed by disorganized osteoblastic bone formation. Common features: Ο Bone pain and deformities. Ο Increased hat size from skull thickening. Warmth over affected bones due to increased vascularitv. Lab pattern: Ο Markedly elevated bone-specific alkaline phosphatase (BSAP) - reflects high osteoblastic activity. Normal serum calcium, phosphate, and PTH (unless there is immobilization or fracture). Ο Urinary markers of bone resorption: hydroxyproline, deoxypyridinoline, C- and N-telopeptides, TRAP, cathepsin K. Ο Possible hyperuricemia due to increased bone turnover. Osteosarcoma (Option B): Presents with localized bone pain, swelling, and destructive lytic-sclerotic lesions on imaging; ALP may be elevated but not as markedly as in Paget's unless there is associated fracture or tumor activity. No diffuse bone involvement or hat size increase. Multiple myeloma (Option C): Typically shows lytic bone lesions with hypercalcemia, anemia, and renal dysfunction. ALP is usually normal or only mildly elevated because osteoblastic activity is low. Osteomalacia (Option D): Due to defective bone mineralization from vitamin D deficiency; labs show low calcium, low phosphate, elevated ALP, and increased PTH not the normal calcium/phosphate seen here. Join @PYQtimes

2539) A 60-year-old patient presents with pain in multiple bones and a history of increased hat size. On examination, some bones feel warm to touch. Biochemical investigations show normal serum calcium, phosphate, and parathyroid hormone (PTH) levels, but markedly elevated alkaline phosphatase (ALP). What is the most likely diagnosis?

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