Case-based MCQ

Ir al canal en Telegram

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 775 Medicina1 203...

📈 Análisis del canal de Telegram Case-based MCQ

El canal Case-based MCQ (@casebasedmcq) en el segmento lingüístico de Inglés es un actor destacado. Actualmente la comunidad reúne a 19 249 suscriptores, ocupando la posición 1 203 en la categoría Medicina y el puesto 22 775 en la región India.

📊 Métricas de audiencia y dinámica

Desde su creación el невідомо, el proyecto ha mostrado un crecimiento acelerado, reuniendo a 19 249 suscriptores.

Según los últimos datos del 17 junio, 2026, el canal mantiene una actividad estable. En los últimos 30 días la variación de miembros fue de -197, y en las últimas 24 horas de -8, conservando un alto alcance.

Estado de verificación: No verificado
Tasa de interacción (ER): El promedio de interacción de la audiencia es 2.36%. Durante las primeras 24 horas tras publicar, el contenido suele obtener 1.00% de reacciones respecto al total de suscriptores.
Alcance de las publicaciones: Cada publicación recibe en promedio 454 visualizaciones. En el primer día suele acumular 192 visualizaciones.
Reacciones e interacción: La audiencia responde de forma activa: el promedio de reacciones por publicación es 1.
Intereses temáticos: El contenido se centra en temas clave como boardvital, bmj, journal, usmle, drug.

📝 Descripción y política de contenido

El autor describe el recurso como un espacio para expresar opiniones subjetivas:
“Enhance Your Medical Expertise with Case Based MCQ – Your Go-To Telegram Channel for Challenging, Real-World MCQs and Continuous Learning. Admin: @Mohamm_ADs”

Gracias a la alta frecuencia de actualizaciones (últimos datos recibidos el 18 junio, 2026), el canal mantiene la vigencia y un amplio alcance. La analítica demuestra que la audiencia interactúa activamente con el contenido, lo que lo convierte en un punto de referencia dentro de la categoría Medicina.

19 249

Suscriptores

-824 horas

-527 días

-19730 días

454

Visitas de la publicación

~ 19224 horas

~ 22548 horas

2.36%

Tasa de compromiso

Sin datos

Mensajes por día

Ads index

beta

Archivo de publicaciones

19 247

What is the most appropriate next step in management?

Anonymous voting

19 247

⏳ Case-based MCQ | #Case_421 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 An 18-month-old boy is brought to the emergency room by his parents. He has been wheezing since this morning. He had a runny nose and fever two days prior to this visit, which have resolved. There is no family history of asthma. On exam, the child appears active and in no acute distress. You notice nasal flaring and there is wheezing in the right lung fields. A chest x-ray reveals hyperinflation of the right lung and there is no infiltrate.

19 247

⏳ Case-based MCQ | #Case_419 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ A This child has a classic presentation of Hirschsprung disease with delay to pass meconium (40% do not pass meconium in the first 24 hours), scybalous, pebble-like, hard stools for at least two weeks, anal canal devoid of stool on examination, and sudden evacuation of stool on digital examination. It is a developmental disorder characterized by absence of ganglia in the distal colon, resulting in a functional obstruction. During normal fetal development, neural crest cells migrate to the colon to form networks of the myenteric plexus and Meissner’s plexus. In this condition, the migration is not complete, hence the absence of these nerve cell bodies that regulate the activity of the colon (choice A). Although contrast enema is useful in establishing the diagnosis, full-thickness rectal biopsy remains the criterion standard. Once the diagnosis is confirmed, the definitive treatment is to remove aganglionic bowel and to restore continuity of the healthy bowel with the distal rectum, with or without an initial intestinal diversion. ⚠ Neonatal small left colon syndrome (choice B) presents with signs and symptoms of intestinal obstruction, it is seen mostly in children of diabetic mothers. ⚠ Blockade of acetycholine release (choice C) is caused by botulinum toxin in infant botulism. ⚠ Deficiency of thyroid hormone (choice D) is incorrect. While congenital hypothyroidism can cause constipation in infants, the findings on physical examination in this child are suggestive of Hirschsprung disease. ⚠ Postsynaptic acetylcholine antibodies (choice E) is incorrect. Antibodies against acetylcholine receptors at postsynaptic junction in an infant are characteristic congenital myasthenia gravis. This is a congenital neuromuscular disease leading to muscle weakness and may cause fatigue and constipation. 🔖 Key point: Hirschsprung disease is a developmental disorder characterized by absence of ganglia in the distal colon. 40% of children with this condition do not pass meconium in the first 24 hours

19 247

https://t.me/Dermatology_Atlas

19 247

Which of the following best explains the cause of this condition?

Anonymous voting

19 247

⏳ Case-based MCQ | #Case_420 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 5-week-old baby boy is brought in by his mother because he has been passing “scybala” for the last two weeks. She explains that the stools are hardened pebble-like stool. She also reports that the boy did not pass stool after birth until 36 hours had elapsed. Afterward the baby seemed to have more or less regular bowel movements four times a week. However, the last two weeks the baby has passed stools only twice, even then with significant distress and crying a lot because it was hard to pass. Physical examination reveals distended abdomen. The anal canal is devoid of stool but digital rectal examination results in sudden evacuation of stool.

19 247

⏳ Case-based MCQ | #Case_419 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ D Individuals with schizotypal personality disorder appear eccentric, with their odd ideas, magical thinking, inappropriate affect, and persistent social anxiety. They are usually socially isolated, but may gravitate toward fringe groups or subcultures, where their personality style may appear less unusual. ⚠ A. Schizophrenia by DSM-IV definition must include two or more symptoms of delusions, hallucinations, disorganized speech or behavior, and negative symptoms (affective flattening, avolition, etc.). The patient is uncertain of her belief that other women might be jealous of her hair, and therefore this does not qualify as a delusion. ⚠ B. Patients with paranoid personality disorder are suspicious of others without basis, but do not have the odd ideas, magical thinking, and other eccentricities of schizotypal patients. ⚠ C. In social phobia, anxiety is associated with negative evaluations of the self, rather than with the paranoid fears about others typically seen with schizotypal personality disorder. ⚠ E. Unlike this patient, schizoid patients do not desire to have friends.

19 247

🆕 The New Channel from Medical Channels Union (MCU) https://t.me/Dermatology_Atlas 🎗This Channel is intended to be photographic guidance for dermatologists and non-dermatologists, such as family physicians, physician assistants, nurse practitioners, and medical students, who are often on the frontline in treating skin problems. 📸 Dermatology Atlas Share with your friends and colleagues 👌❤️ 🤓 Also, stay tuned for our upcoming project!

19 247

Don't hestitate to have this in your home library. In this turbulents days this is the right for you to find out how to help your self for your health at home. No secrets, No Pills, No Medicaments, All natural cures.⚠️ Don't trust to them This is your choice. For more info and order on the link below 👉 http://bit.ly/HomeDoctorProduct

19 247

What is the likely diagnosis?

Anonymous voting

19 247

⏳ Case-based MCQ | #Case_419 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 28-year-old unemployed white female presents to a psychiatrist for the treatment of anxiety. She states that for the last ten years, she has felt anxious in social situations because other women stare at her. When asked why they stare at her, she states “I’m not sure, but they might be jealous of my beautiful hair.” She denies auditory or visual hallucinations, thought broadcasting, insertion, or withdrawal, but admits that she has “a sixth sense” about people, and that she can sometimes make events happen by thinking about them. She has no friends, though she wishes she did, and in fact has no social contacts other than her mother. As she relates this, she is smiling. She speaks with a British accent, though she states she grew up in Ohio and has never been outside the Midwest. Her speech is organized and coherent, however.

19 247

⏳ Case-based MCQ | #Case_419 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ D Sleep terror disorder (choice D) is characterized by episodes of awakening from sleep with a scream, accompanied by intense fear and autonomic arousal, with unresponsiveness to others during the episode, and subsequent amnesia for the episode. ⚠ In PTSD (choice A), the traumatic event remains a focus of the person’s symptoms; for example, with persistent intrusive recollections of the event, avoidance of reminders of it, and persistent symptoms of increased arousal. ⚠ In nightmare disorder (choice B), the patient rapidly becomes oriented and responsive on wakening, and remembers the nightmares. ⚠ Panic attacks (choice C) may wake patients from sleep, but there is rarely a history of screaming or disorientation. ⚠ Fear is sometimes a feature of the aura of temporal lobe seizures (choice E), and post-ictal confusion is the rule, but most such seizures start with motionless staring, followed by lip smacking. Screaming and crying during a seizure would be quite unusual.

19 247

💠 MEDICAL BESТSELLER 2022 🏠 A book that ѕhould bе in еvеry homе in thеѕе turbulеnt timеѕ… Тhе Homе Doсtor - Praсtiсal Mеdiсinе for Evеry Houѕеhold - iѕ a 304 pagе doсtor writtеn and approvеd guidе on how to managе moѕt hеalth ѕituationѕ whеn hеlp iѕ not on thе way. Inѕidе thiѕ book you will diѕсovеr thе DIY mеdiсal proсеdurеѕ and vital mеdiсal ѕuppliеѕ you nееd to havе on hand to takе сarе of сommon hеalth problеmѕ and еmеrgеnсiеѕ at homе, whilе waiting for an ambulanсе to arrivе or in thе nеxt сriѕiѕ whеn doсtorѕ and mеdiсinеѕ may bе hard to сomе by. Dr. Maybеll, onе of thе authorѕ, iѕ known for dеvеloping nеw, ingеniouѕ mеthodѕ of trеating hеr patiеntѕ aftеr Vеnеzuеla'ѕ есonomy сollapѕеd and hoѕpitalѕ and pharmaсiеѕ ran out of mеdiсinеѕ, ѕuppliеѕ, еlесtriсity and еvеn running watеr. 🔖 NOTE: If you want to skip intro - scroll down and you will find A book that should be in every home in these turbulent times… 🛒 bit.ly/3rLmd86

19 247

What is the diagnosis?

Anonymous voting

19 247

⏳ Case-based MCQ | #Case_418 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 9-year-old girl is brought in by her parents, who state that she has been having terrible nightmares recently. Several nights in the last few months, she has woken up the whole family with her bloodcurdling screams. When this occurs, she seems inconsolable and disoriented, crying and hyperventilating for some time, refusing to acknowledge her parents’ presence, and crying until she falls back asleep. The girl admits she is concerned about this, but can’t remember what the nightmares were about. On further history, she says that she is generally happy. She admits that her dog dying last year was stressful for her, but denies that it bothers her much now.

19 247

⏳ Case-based MCQ | #Case_418 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ E This patient suffers from postpartum urinary retention (PUR). PUR is often defined as a post-void bladder residual of at least 150 cc that is present 6 hours or more after delivery. This condition is more likely to occur in patients who are primiparous, have a prolonged first or second stage of labor, have instrumented vaginal deliveries, or require a cesarean section for failure to progress. The question of whether epidural anesthesia promotes the condition is still debated. Most cases of PUR will resolve 2-6 days after delivery, but some can take up to several weeks. The use of intermittent self-catheterization or a transurethral catheter is recommended until the patient’s ability to spontaneously micturate returns. Imaging studies and referrals to a specialist are rarely necessary, and no medication has been proven helpful.

19 247