🦋 Endocrine - MCQ Cases
🔹 Case 1: Palpitations + Tremor + Exophthalmos
🔹 Case 2: Diabetes + Chronic Kidney Disease
🔹 Case 3: Neck Swelling + Sweating + Headache
🔹 Case 4: Cushing شون تشخص الـ
🔹 Case 5: صداع + اضطراب بالدورة
🔹 Case 6: طفل 11 سنة + عطش + تبول مفرط
🔹 Case 7: HTN + Smoking + Alcohol + Low BMI
🔹 Case 8: Diabetes + Neuropathy + Nephropathy
🔹 Case 9: كتلة درقية خلال الحمل
🔹 Case 10: رعشة + جحوظ + فقدان وزن غير مقصود
🔹 Case 11: عطش شديد + Hypercalcemia + High PTH
🔹 Case 1: Palpitations + Tremor + Exophthalmos
🔹 Case 2: Diabetes + Chronic Kidney Disease
🔹 Case 3: Neck Swelling + Sweating + Headache
🔹 Case 4: Cushing شون تشخص الـ
🔹 Case 5: صداع + اضطراب بالدورة
🔹 Case 6: طفل 11 سنة + عطش + تبول مفرط
🔹 Case 7: HTN + Smoking + Alcohol + Low BMI
🔹 Case 8: Diabetes + Neuropathy + Nephropathy
🔹 Case 9: كتلة درقية خلال الحمل
🔹 Case 10: رعشة + جحوظ + فقدان وزن غير مقصود
🔹 Case 11: عطش شديد + Hypercalcemia + High PTH
راح اكمل كيسات تنفسيه ان شاء الله
بالنسبه للاندوكراين ممكن اضيف بالمستقبل لكن هذوله اهم الافكار تقريبا
بالنسبه لليوتيوب تقريبا انا مكمل اندو بقى ثلاث مواضيع جاهزة انشرهم بعدين
اي سؤال مو واضح اكتبو بالتعليقات مال السؤال احتى اخلي الشرح
واتمنى تشاركون الاسئله
بالنسبه للاندوكراين ممكن اضيف بالمستقبل لكن هذوله اهم الافكار تقريبا
بالنسبه لليوتيوب تقريبا انا مكمل اندو بقى ثلاث مواضيع جاهزة انشرهم بعدين
اي سؤال مو واضح اكتبو بالتعليقات مال السؤال احتى اخلي الشرح
واتمنى تشاركون الاسئله
❤5
Case 2: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 67-year-old woman is brought in by her husband due to:
🔹 Memory loss & confusion (فقدان ذاكرة وارتباك) - 1 month
🔹 Mild left leg weakness (ضعف بسيط في الساق اليسرى)
التاريخ الطبي:
✔️ Hypertension, Hyperlipidemia (on enalapril & atorvastatin)
✔️ Smoker 🚬 (2 packs/day for 40 years)
Exam Findings:
📌 Vitals: BP 135/85 mmHg, Pulse 75/min, Temp 37°C
📌 Neurological:
Disoriented (only to person)
Poor recall (2/3 objects immediately, none after 5 mins)
Facial weakness 😶 (ماتقدر ترفع حاجبها او تبتسم)
Left leg weakness
MRI Findings | نتائج الرنين:
🛑T2-weighted MRI scan of the head shows several hyperintense round lesions in the frontal and temporal lobes at the border of the gray and white matter.
شرح الجواب
حالة سريرية:
A 67-year-old woman is brought in by her husband due to:
🔹 Memory loss & confusion (فقدان ذاكرة وارتباك) - 1 month
🔹 Mild left leg weakness (ضعف بسيط في الساق اليسرى)
التاريخ الطبي:
✔️ Hypertension, Hyperlipidemia (on enalapril & atorvastatin)
✔️ Smoker 🚬 (2 packs/day for 40 years)
Exam Findings:
📌 Vitals: BP 135/85 mmHg, Pulse 75/min, Temp 37°C
📌 Neurological:
Disoriented (only to person)
Poor recall (2/3 objects immediately, none after 5 mins)
Facial weakness 😶 (ماتقدر ترفع حاجبها او تبتسم)
Left leg weakness
MRI Findings | نتائج الرنين:
🛑T2-weighted MRI scan of the head shows several hyperintense round lesions in the frontal and temporal lobes at the border of the gray and white matter.
شرح الجواب
❤1
Which of the following is the most likely diagnosis?
Anonymous Quiz
6%
Melanoma
8%
Colorectal cancer
42%
Lung Cancer
17%
Meningioma
27%
Multiple sclerosis
Case 3: باطنية - أهم أفكار التنفسية
حالة سريرية:
👨⚕️ Patient: 30-year-old man
📌 يشتكي من :
Tingling & numbness in legs (10 days)
Fatigue
Dry, scaly lips + cracks at mouth corners
📜 Medical History:
Pulmonary TB (on anti-TB meds for 3 months)
📊 Findings:
Pale appearance
Neuro exam: Normal strength, ↓ sensation in lower limbs, reflexes normal
Labs:
Hb: 10.4 g/dL (قليل)
MCV: 76 μm³ (microcytic anemia)
شرح الحل
حالة سريرية:
👨⚕️ Patient: 30-year-old man
📌 يشتكي من :
Tingling & numbness in legs (10 days)
Fatigue
Dry, scaly lips + cracks at mouth corners
📜 Medical History:
Pulmonary TB (on anti-TB meds for 3 months)
📊 Findings:
Pale appearance
Neuro exam: Normal strength, ↓ sensation in lower limbs, reflexes normal
Labs:
Hb: 10.4 g/dL (قليل)
MCV: 76 μm³ (microcytic anemia)
شرح الحل
شنو العلاج الي كان ممكن يمنع الاعراض الي عند هل مريض
Anonymous Quiz
16%
Iron
6%
Intravenous immunoglobulins
34%
Pyridoxine
13%
Folic acid
2%
Vitamin E
29%
Vitamin B12
❤2🤔1
Case 4: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 40-year-old man👨⚕️presents with progressive shortness of breath over 2 years. History of smoking (10 cigarettes/day for 10 years), quit 8 years ago.
🔍 Exam Findings:
- Barrel-shaped chest 🫁
- Diminished breath sounds 🩺
Chest X-ray 🩻: Hyperinflation (flattened diaphragm, widened intercostal spaces, bilateral basilar hyperlucency)
حالة سريرية:
A 40-year-old man👨⚕️presents with progressive shortness of breath over 2 years. History of smoking (10 cigarettes/day for 10 years), quit 8 years ago.
🔍 Exam Findings:
- Barrel-shaped chest 🫁
- Diminished breath sounds 🩺
Chest X-ray 🩻: Hyperinflation (flattened diaphragm, widened intercostal spaces, bilateral basilar hyperlucency)
This patient is at greatest risk for developing which of the following ?
Anonymous Quiz
23%
Pulmonary fibrosis
17%
Bronchiolitis obliterans
42%
Bronchogenic carcinoma
6%
Inflammatory bowel disease
13%
Hepatocellular carcinoma
😐3❤2🤔1
Case 5: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 58-year-old man 👨⚕️ is brought to the emergency department after having a tonic-clonic seizure. His wife says he has had a dry cough for six months, along with fatigue and unintended weight loss (4.5 kg/10 lbs). He has no known medical conditions and takes no medications.
The patient has smoked one pack of cigarettes daily for 35 years.
Examination he is confused and only oriented to person.
Lab results:
Serum sodium: 119 mEq/L
Blood glucose: 102 mg/dL
Chest X-ray 🩻: shows an irregular mass near the right hilum.
شرح الحل
حالة سريرية:
A 58-year-old man 👨⚕️ is brought to the emergency department after having a tonic-clonic seizure. His wife says he has had a dry cough for six months, along with fatigue and unintended weight loss (4.5 kg/10 lbs). He has no known medical conditions and takes no medications.
The patient has smoked one pack of cigarettes daily for 35 years.
Examination he is confused and only oriented to person.
Lab results:
Serum sodium: 119 mEq/L
Blood glucose: 102 mg/dL
Chest X-ray 🩻: shows an irregular mass near the right hilum.
شرح الحل
Microscopic examination of this mass is most likely to confirm which of the following diagnoses?
Anonymous Quiz
24%
Squamous cell lung carcinoma
41%
Small cell lung carcinoma
17%
Bronchial carcinoid tumor
15%
Lung adenocarcinoma
3%
Large cell lung carcinoma
✍1
Case 6: باطنية - أهم أفكار التنفسية
حالة طوارئ 🚨:
A 35-year-old man is brought to the ER after multiple stab wounds and blunt chest trauma during a fight. He reports severe chest pain (worse with deep breathing) and intermittent coughing.
🔹 Vitals:
• Temp: 37.0°C
• HR: 110/min
• RR: 24/min
• BP: 85/58 mmHg
• SpO2: 93% (room air)
🔹 Exam:
✅ Alert but in moderate respiratory distress
✅ Multiple stab wounds & bruises on chest & back
📸 Chest X-ray done: بالتعليقات
حالة طوارئ 🚨:
A 35-year-old man is brought to the ER after multiple stab wounds and blunt chest trauma during a fight. He reports severe chest pain (worse with deep breathing) and intermittent coughing.
🔹 Vitals:
• Temp: 37.0°C
• HR: 110/min
• RR: 24/min
• BP: 85/58 mmHg
• SpO2: 93% (room air)
🔹 Exam:
✅ Alert but in moderate respiratory distress
✅ Multiple stab wounds & bruises on chest & back
📸 Chest X-ray done: بالتعليقات
Which of the following is the most likely diagnosis?
Anonymous Quiz
5%
Pulmonary contusion
15%
Pneumomediastinum
3%
Diaphragmatic hernia
51%
Tension pneumothorax
18%
Cardiac tamponade
8%
Flail chest
👏3
ضروري تشوفون الشرح بالتعليقات
كذااك مرات اضيف معلومات على الاسئلة داخل تعليقاتهم
حتى تبقون مواكبين ادخلو على هذا الكروب
كذااك مرات اضيف معلومات على الاسئلة داخل تعليقاتهم
حتى تبقون مواكبين ادخلو على هذا الكروب
Telegram
AnkiDIWAN (طبـ مان)
مرحبًا بكم ! 🌟
Case 7: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 68-year-old man arrives at the emergency department with his wife due to a 3-day history of high fever and worsening productive cough. This morning, he noticed blood in his sputum. His wife mentions that he had nasal congestion and muscle aches about a week ago, which improved on their own.
He has type 2 diabetes mellitus, managed with oral hypoglycemic agents, and has not received a flu vaccine this year.
🔹 العلامات الحيوية:
Temperature: 39.3°C
Pulse: 82/min
Respiratory rate: 22/min
Blood pressure: 108/72 mmHg
Oxygen saturation: 97% on 2L nasal cannula
🔹 Examination & Labs:
Lung auscultation: Crackles and rhonchi over the right lung
WBC: 14,800/mm³
Hemoglobin: 13.8 g/dL
Platelets: 410,000/mm³
Chest X-ray: shows areas of consolidation with cavitation in the middle and lower lobe of the right lung; there are multiple thin-walled, gas-filled cysts within the right basal lung parenchyma.
الشرح
حالة سريرية:
A 68-year-old man arrives at the emergency department with his wife due to a 3-day history of high fever and worsening productive cough. This morning, he noticed blood in his sputum. His wife mentions that he had nasal congestion and muscle aches about a week ago, which improved on their own.
He has type 2 diabetes mellitus, managed with oral hypoglycemic agents, and has not received a flu vaccine this year.
🔹 العلامات الحيوية:
Temperature: 39.3°C
Pulse: 82/min
Respiratory rate: 22/min
Blood pressure: 108/72 mmHg
Oxygen saturation: 97% on 2L nasal cannula
🔹 Examination & Labs:
Lung auscultation: Crackles and rhonchi over the right lung
WBC: 14,800/mm³
Hemoglobin: 13.8 g/dL
Platelets: 410,000/mm³
Chest X-ray: shows areas of consolidation with cavitation in the middle and lower lobe of the right lung; there are multiple thin-walled, gas-filled cysts within the right basal lung parenchyma.
الشرح
❤3
📌 Which of the following is the most likely causative pathogen?
Anonymous Quiz
41%
Staphylococcus aureus
16%
Pneumocystis jirovecii
3%
Legionella pneumophila
5%
Mycoplasma pneumoniae
3%
Mycobacterium tuberculosis
30%
Klebsiella pneumoniae
3%
Aspergillus fumigatus
❤5
Case 8: باطنية - أهم أفكار التنفسية
حالة سريرية:
👩⚕️ A 27-year-old pregnant woman (24 weeks) presents with:
🔹 Shortness of breath & nonproductive cough for 1 month
🔹 Symptoms occur 3x/week (during housework & walks) and improve with albuterol
🔹 4 nighttime episodes of breathlessness waking her from sleep
💡 Medical History:
✔️ Intermittent asthma (previously well-controlled)
✔️ Uncomplicated pregnancy
🩺 Examination:
✔️ Vitals: Stable (SpO₂ 97%, HR 75/min, BP 122/84 mmHg)
✔️ Lungs: Clear to auscultation
✔️ Fetal heart rate: 146/min
✔️ Spirometry: FEV1 = 85% predicted
حالة سريرية:
👩⚕️ A 27-year-old pregnant woman (24 weeks) presents with:
🔹 Shortness of breath & nonproductive cough for 1 month
🔹 Symptoms occur 3x/week (during housework & walks) and improve with albuterol
🔹 4 nighttime episodes of breathlessness waking her from sleep
💡 Medical History:
✔️ Intermittent asthma (previously well-controlled)
✔️ Uncomplicated pregnancy
🩺 Examination:
✔️ Vitals: Stable (SpO₂ 97%, HR 75/min, BP 122/84 mmHg)
✔️ Lungs: Clear to auscultation
✔️ Fetal heart rate: 146/min
✔️ Spirometry: FEV1 = 85% predicted
Which of the following is the most appropriate next step in management?
Anonymous Quiz
6%
Supplement with low-dose vitamin D
50%
low-dose ICS
6%
Control environmental triggers only
11%
Initiate oral methylprednisolone
28%
Switch from inhaled albuterol to oral montelukast
Case 9: باطنية - أهم أفكار التنفسية
حالة سريرية:
A 49-year-old woman presents with 1 month of chest pain (worse with deep breathing), dry cough, and mild shortness of breath.
🔎 History:
🚬 33 pack-year smoker, 🍺 drinks 3–4 beers daily
🏠 Homeless, no medical follow-up for 20+ years
📊 Vitals: HR 115/min, RR 23/min, BP 113/65, SpO₂ 97%
📌 Exam:
👀 Jaundice, telangiectasias, pedal edema
🫁 ↓ Breath sounds & dullness on the right side
🏥 Abdominal distension, shifting dullness, spleen palpable 3 cm below the left costal margin
🖼 CT Scan: بالتعليقات
حالة سريرية:
A 49-year-old woman presents with 1 month of chest pain (worse with deep breathing), dry cough, and mild shortness of breath.
🔎 History:
🚬 33 pack-year smoker, 🍺 drinks 3–4 beers daily
🏠 Homeless, no medical follow-up for 20+ years
📊 Vitals: HR 115/min, RR 23/min, BP 113/65, SpO₂ 97%
📌 Exam:
👀 Jaundice, telangiectasias, pedal edema
🫁 ↓ Breath sounds & dullness on the right side
🏥 Abdominal distension, shifting dullness, spleen palpable 3 cm below the left costal margin
🖼 CT Scan: بالتعليقات
which of the following is the most appropriate next step in management?
Anonymous Quiz
25%
Insert a chest tube
38%
Obtain a pleural fluid specimen
13%
Release fluid in pericardial space
17%
Begin diuretic therapy
8%
Begin broad-spectrum antibiotic therapy
0%
Begin therapeutic anticoagulation
👏4😐2