MD1TALK SMLE IM
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📈 Analytical overview of Telegram channel MD1TALK SMLE IM
Channel MD1TALK SMLE IM (@md1talksmle) is an active participant. Currently, the community unites 10 903 subscribers, ranking 2 586 in the Medicine category.
📊 Audience metrics and dynamics
Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 10 903 subscribers.
According to the latest data from 05 February, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by 66 over the last 30 days and by 0 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 0%. Within the first 24 hours after publication, content typically collects N/A% reactions from the total number of subscribers.
- Post reach: On average, each post receives 0 views. Within the first day, a publication typically gains 0 views.
- Reactions and interaction: The audience actively supports content: the average number of reactions per post is 0.
📝 Description and content policy
The author describes the resource as a platform for expressing subjective opinions:
“IM questions and other important stuff 🌟”
Thanks to the high frequency of updates (latest data received on 06 February, 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.
10 903
Subscribers
No data24 hours
+167 days
+6630 days
Posts Archive
10 903
42-year-old female presents with acute oliguric renal failure 3 days after initiation of chemotherapy for newly diagnosed non-Hodgkin lymphoma. Urine sediment analysis demonstrates amber crystals shaped like hexagonal plates barrels and needles
Which following therapies is LEAST likely to be beneficial in the management of this nephropathy?
a-Rasburicase
b.Aggressive intravenous hydration
c. Allopurinol
d. Sodium bicarbonate
C for sure
It’s important to know that in Established TLS with nephropathy, allopurinol has no role in therapy
Sodium bicarb was once a standard modality but now reserved for presence of metabolic acidosis since it promotes more calcium phosphates complexes (so it can be used, unlike allopurinol)
10 903
Q/ A 34 Y.O female diagnosed with hyperprolactinemia on cabergoline. Which of the following is an indication for brain MRI in this patient?
A. Blurry vision.
B. Bilateral milky breast discharge.
C. Doubling of Serum Prolactin level.
D. Amenorrhea.
Answer: A
↑ prolactin can be tumor related or non tumor (burns, CKD, hypothyroid, Drugs)
In presence of neurological sx, tumor is more likely and a brain MRI is warranted
10 903
A patient on Beta Blocker, ACEI, Salbutamol, and a thiazide diuretic presents with dizziness and muscle cramps. Labs show low potassium. What is the cause of his hypokalemia?
A- Beta blocker
B- Salbutamol
C- Thiazide diuretic
D-ACEI
A and D will elevate K+
B and C will ↓ K+
Salbutamol effect is weak and transient since it’s working through shifting the K+ to cells, total body K+ is not affected!
Thiazide is a potent K+ wasting diuretic and in fact the answer to go!
10 903
Jan 2
Lady in the 70s has type 2 DM on metformin 1 g BID had problem in naming and calling things lately. For example she says animal instead of cat when she sees a cat. She has no memory impairment or personality changes. Her family are worried about her. What is the most likely diagnosis?
A. Vascular dementia
B. Alzheimer’s dementia
C. Frontotemporal dementia
D. B12 deficiency with cognitive features
C
A → must have cortical signs or UMNL signs or prior Hx of CVA or TIA
D - B→ is less likley to present with primary progressive aphasia
10 903
63yo man with anorexia and weight loss for the past 2 months, medical history is significant for hypertension and latent tuberculosis treated 30 years ago, examination shows pallor, hepatomegaly with no abdominal distention or tenderness and, investigations reveal; positive fecal occult blood, hemoglobin of 9.8 g/dL, MCV of 72 cubic micrometer, total bilirubin 1.3 mg/dL, alkaline phosphate 190u/L , SGOT 32 U/L, SGPT 38 U/L , his ultrasound reveals a solitary liver lesion measuring 2 by 3cm, diagnosis?
a. hepatic tuberculosis
b. metastatic liver disease
c. focal nodular hyperplasia
d. Hepatocellular carcinoma
B
Colon cancer with METS is the likely explanation here with liver lesion and + FOBT
Also, The single most common liver test abnormality associated with liver metastases is an elevation in the serum alkaline phosphatase level
10 903
A patient presented with hematemesis, and endoscopy revealed esophageal varices due to liver cirrhosis. What should be administered to the patient intravenously?
A) Octreotide
B) H2 blockers
C) PPI (Proton Pump Inhibitors)
D) Propranolol
A ✅
PPI infusion for bleeding PUD
Propranolol should be given after stablization and control of bleeding not in the acute settings
10 903
A 65-year--Old man known to have COPD presented to the Emergency Department with increasing dyspnea. cough, expectoration, and fever. Initial assessment revealed fully conscious patient with mild distress, central cyanosis and bilateral wheezing on chest auscultation. The patient was started on high flow oxygen and salbutamol nebulizer bull 1 hour later, his level of consciousness Is reduced (see lab results) Test Result Normal Values ABG HC03- 36 22-28 mmol/L ABG PCO2 9 4.7-6.0 kPa pH 7.18 7.36,7.45 ABG PO2 15 10.6-14.2 kPa Which of the following is the best initial step in management ?
a. Start mechanical ventilation
b. Reduce oxygen flow
c. Order brain CT scan
d. Give naloxone
B 👍
10 903
70 year old male came to clinic with 2 year history of Slow and Progressive
Memory Loss, then the question mention hx of hypertension and diabetes. Hx of
multiple TIA. Then find out 3 years ago he has HIV through routine screening.
Lastly, he has apraxia, abnormal gait, and other neurological symptoms What is the
diagnosis?
A. lewy body dementia
B. alzheimer's disease
C. HIV related
D. Vascular dementia
D ✅
10 903
61) A female presented with back pain and fever. She was given NSAIDs and advised bed rest at home. Later, she presented with an inability to move her lower limbs. On examination, there was tenderness on the midback. Spinal MRI showed diffuse discitis on T6. What is the most appropriate next step?
A. Reassurance
B. Specimen from T6 vertebra
C. Brucella titer
D. Bone marrow aspiration for culture
لو جاء زي كذا بالضبط بختار B
لانها راح تعطيني الجواب عن كل شيء
سواء كان Tb ولا brucella ولا اي سبب
ثاني
+ ماحط لي اي رسك فاكتور ولا اي شيء يوضح او يدل على ال brucella
كمثال hepatosplenomegally
او cytopenias
او حتى كلمة raw milik
10 903
A 52-year-old man known case of chronic gout and hypertension on thiazides 25 mg once daily comes to your clinic with one day history of pain in right big toe with associated swelling, he denies any history of trauma or other joints involvement. His BP is 125/70 with normal rest of his vital signs. He has swollen and tender big toe. His labs show normal CBC, ESR 40, CRP 9, and creatinine 2.8 mg/dL.
Which of the following is the best modality for acute gout management in this patient?
A. Naproxen 500 mg twice daily
B. Colchicine 0.5 mg q8 hourly
C. Systemic or local steroid injection
D. High protein diet restriction
E. Ice and rest
Advanced CKD means that A & B is out!
D and E is also out
Answer is C
10 903
A 20-year-old man with type 1 diabetes presents to the Emergency Department with vomiting and abdominal pain. He has been suffering from diarrhea for 2 days and then became severely dehydrated and started to vomit. He has not had his insulin for the last 24 hours. Normally, he has a basal bolus regime with Glargine as a long-acting insulin, and Humalog as short-acting. On admission, he is found to have acidosis, elevated serum ketones and elevated blood glucose, and was diagnosed with diabetic ketoacidosis. He is started on IV fluid What insulin should he be prescribed now?
A. Fixed rate IV insulin as well as long-acting insulin
B. Sliding scale SC insulin
C. Fixed rate IV insulin
D. Insulin mixtard bid
سؤال تكرر علي كثير ومحيركم
الاجابة A مية بالمية
Basal should be started ASAP, as it peak-less, maintains insulin in the blood whenever the insulin infusion is interrupted due to hypokalemia or patient going to toilet etc…
10 903
فيه مشاكل بسيطة جدا ممكن تخلي ابحاثكم توقف، الموقع هذا راح يريح دماغكم ويساعدكم كثير:
- تحليل البيانات
- ai detection
- كتابة البروبوزال
- الفورماتنق للبحث وال referecing حسب شروط المجلة
- البوستر البحثي وتصميمه
- المساعدة في البحث
اختيار المجلة
واشيااااء كثيرة
شيكوا عليهم :
حسابهم بتويتر:
https://x.com/publicationhub9?s=21&t=YVx2A9KqBbwX3Hrk4_rlCw
الموقع:
https://publication-hub.com
10 903
نجي عند معنى severe AS:
نقدر نحدده عن طريق العلامات في الفحص (وهذا مهو مهم في المانجمنت)
وفيه عن طريق ال ECHO وهذا اللي تعتمد عليه:
1)Valve area <1cm
2)jet velocity >4
3)pressure gradient over valves >40
احفظوها كذا:
1-4-40
10 903
Patient known cirhosis due to HCV Now has perforated peptic ulcer and will undergo laparotomy.
The labs :
Hemoglobin = 90 (low )
Platelet = 90 ( low)
INR= 2 ( high)
Prothrombin time = 20 ( prolonged )
What is administer before laparotomy ?
A) Platelet
B) Cryoprecipitate
C) Fresh frozen plasma
D) Packed Red Blood cells .
C, FFP, although that PCC is preferred due to less volume
10 903
A 53 year-old female presents with 6 months history of fever, arthralgia and weight loss , she recently developed pleuritic chest pain , on physical examination there is synovitis of the small joints of the hand. There is No skin rash, No nail infarction , No cardiac murmur,
Labs :
Platelet : 80 ( Normal = 150-400 )
Haemoglobin 8.9 ( Normal = 12-15 )
WBC : 3.6 ( Normal = 4-10 )
ESR and CRP are high
Ferritin : 900 ( Normal = less than 300 )
ANA : 1.320 ( Normal = less than 1.40 )
CT pulmonary angiogram : pleural effusion , No pulmonary embolism
What is the most likely diagnosis?
A- Adult stills onset disease
B- Infective endocarditis
C- systemic lupus erythematosus
D- Rheumatoid arthritis with vasculitis
Adult still
10 903
Full recall: Female pt 54 yrs diagnosed as chronic heart failure for 3 yrs, symptoms controlled on captopril + furosemide presented to OPD complaining of intermittent dry cough for 3 months. No SOB, no orthopnea. Vitally stable. Cardiac and chest exam unremarkable. No LL edema no any signs. CXR: clear with no significant signs
what is the appropriate next step in management?
A- Increase furosemide
B- Add inhaled beta agonist
C- Do pulmonary function tests
D- Stop furosemide
there was no stop/switch ACEI
لو جاني زي كذا بالضبط وبالخيارات ذي بختار PFTs عشان استبعد الاسباب الثانية اللي تتعلق بالرئة قبل لا نقول انها medication side effect
باقي الخيارات كلها بالاستبعاد غلط
10 903
A 22-year-old woman presented to the clinic with 2-months history of polyarthralgia, skin rash, mucosal ulcers and fatgue. Her clinical examinatons revealed malar rash over her face and actve arthnits at several joints (see lab results).
Test Result Normal Values
Hb 100 130-170 g/L. (Male) 120-160 g/L (Female)
Platelets count 100 150-400 x 109/L
WBC 3 4.5-10.5 x 109/L
ESR 35 2-10 mm/h (Male) 3-15 mm/h (Female)
Lupus antcoagulant positve negatve
Urea 5 2.75-7.4 mmol/L
Creatnine 78 44-115 mol/L
C-reactve peptde 5 <8.2 mg/L
Complement C3 0.3 0.7-1.5 g/L
Complement C4 0.13 0.15-0.45 g/L
Which of the following test obtained at this visit is most likely to confrm the diagnosis?
A. Ant-Ro (SSA) antbodies
B. Antnuclear antbodies (ANA)
C. Ant-double-stranded DNA (ant-DNA)
D. Ant- ribonucleoprotein (RNP) antbodies
LUPUS with antiphospholipid, next is antidsDNA
10 903
A 30-year-old man comes to the Outpatient Clinic because of the recent development of marked peripheral oedema. He has no significant past medical history. On examination, he has 4+ edema of the lower extremities.
Blood pressure 105/80 mmg
Test Result Normal Values
Albumin 18 34-56 g/L
Urea 5 2.8-8.9 mmol/l
Creatinine 85 44-115 umol/l
Dipstick analysis: 4+ proteins.
Urinalysis: Oval fat bodies, and some hyaline casts and occasional RBCs.
Which of the following is the most likely diagnosis?
A. Interstitial nephritis
B. Nephritic syndrome
C. Nephrotic syndrome
D. Ischemic nephropathy
UA +4 = nephrotic range protienuria + normal RFTs and BP + oval fatt bodies = Nephrotic syndrome
