7 Aug 2026, 12:27 UTC86 viewsread 7 August 2026 Forwarded from @overhaul_wave_3Poll
The answer:
- A. Excessive degradation of type I collagen by macrophage metalloproteinases11%
- B. Unopposed destruction of elastic fibers by neutrophil-derived elastase68%
- C. Defective ciliary clearance due to inner dynein arm mutations11%
- D. Impaired cross-linking of alveolar structural collagen by lysyl oxidase5%
- E. Hypertrophy of submucosal bronchial glands triggered by CFTR dysfunction5%
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7 Aug 2026, 12:27 UTC80 viewsread 7 August 2026 Forwarded from @overhaul_wave_3
A 34-year-old man presents to the clinic with a 6-month history of progressive exertional dyspnea and a mild, non-productive cough. He has no past medical history and has never smoked cigarettes. His father died of liver cirrhosis at age 42. Physical examination reveals decreased breath sounds bilaterally at the lung bases. High resolution CT of the chest demonstrates panacinar emphysema predominantly involving the l…
10 Jul 2026, 11:03 UTC451 views2 reactionsread 7 August 2026 Forwarded from @overhaul_wave_3Poll
The answer:
- Inhibition of the Na/K/2Cl cotransporter in the thick ascending limb11%
- Antagonism of beta_1 adrenergic receptors, decreasing cAMP in cardiac myocytes50%
- Blockade of voltage gated L-type calcium channels in vascular smooth muscle20%
- (D) Agonism of alpha_2 adrenergic receptors, decreasing sympathetic outflow11%
- (E) Binding to antithrombin III, accelerating the inactivation of thrombin and Factor Xa9%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
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10 Jul 2026, 11:03 UTC394 views3 reactionsread 7 August 2026 Forwarded from @overhaul_wave_3
A 64-year-old man presents to the emergency department with severe, tearing chest pain that radiates to his back. His blood pressure is 175/95 mmHg in the right arm and 140/80 mmHg in the left arm. A CT angiogram reveals a dissection of the descending thoracic aorta, originating distal to the left subclavian artery. The patient is immediately started on an intravenous infusion of nitroprusside.
Shortly after the ini…
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5 Jul 2026, 20:19 UTC424 viewsread 7 August 2026 Forwarded from @overhaul_wave_3Poll
The answer:
- A) Premature rupture of chorioamniotic membranes14%
- B) Rupture of maternal vessels in the decidua basalis55%
- C) Abnormal invasion of trophoblastic tissue into the myometrium19%
- D) Implantation of the blastocyst in the lower uterine segment7%
- E) Microscopic tears in the superficial endometrial functionalis layer5%
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5 Jul 2026, 20:19 UTC391 viewsread 7 August 2026 Forwarded from @overhaul_wave_3
A 23-year-old G1P0 woman at 34 weeks gestation presents to the emergency department complaining of a sudden onset of severe, constant abdominal pain and dark vaginal bleeding. She notes that the fetal movements have decreased over the past few hours. Her prenatal course was complicated by chronic hypertension, for which she has been non-compliant with medications.
On physical examination, her blood pressure is 165/1…
23 Jun 2026, 09:54 UTC501 views2 reactionsread 7 August 2026 Forwarded from @overhaul_wave_3Poll
The answer:
- A11%
- B50%
- C26%
- D7%
- E7%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
❤2
23 Jun 2026, 09:54 UTC507 views2 reactionsread 7 August 2026 Forwarded from @overhaul_wave_3
A 64-year-old male presents to the emergency department with a 4-hour history of severe, tearing chest pain that radiates to his back. His medical history is significant for long-standing, poorly controlled hypertension. On physical examination, his blood pressure is 185/110 mm Hg in the right arm and 160/95 mm Hg in the left arm. A murmur of aortic insufficiency is heard at the right sternal border.
While awaiting …
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28 May 2026, 02:10 UTC738 viewsread 7 August 2026 Forwarded from @overhaul_wave_3Poll
The answer:
- A) Deficiency of Follicle-stimulating hormone2%
- B) Mutation in Aromatase enzyme11%
- C) Resistance to Progesterone at the endometrial level47%
- D) Failure of Luteinizing hormone surge26%
- E) Hypersecretion of Prolactin14%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
28 May 2026, 02:10 UTC670 viewsread 7 August 2026 Forwarded from @overhaul_wave_3
A 28-year-old woman presents with primary infertility for 2 years. She reports regular menstrual cycles every 28 days. Her partner has a normal semen analysis. She has no history of pelvic infections or surgeries.
On evaluation:
Basal body temperature shows a biphasic pattern
Serum progesterone is elevated in the luteal phase
Hysterosalpingography shows bilateral patent fallopian tubes
Endometrial biopsy performed on…
27 May 2026, 11:09 UTC919 views3 reactionsread 7 August 2026 السلام عليكم ورحمة الله وبركاته
كل عام وانتم بخير، عيد أضحى مبارك تقبل الله منا ومنكم صالح الأعمال
في بنك أسئلة اسمه ميد بارك عامل خصومات بمناسبة العيد
https://t.me/medpark1
ده لينك القناة تبعهم تقدروا تتواصلوا معاهم وتشوفوا الخصومات وفي فري ترايل لمدة ٧ ايام ممكن تستخدموها وتحكموا بنفسكم
انا نزلتها بس من باب المنفعة العامة.
❤3
24 May 2026, 11:15 UTC610 views2 reactionsread 7 August 2026 Forwarded from @overhaul_wave_3
السلام عليكم ورحمة الله وبركاته
اهنا كده الحمد لله خلصنا ال Reproductive ومعانا اجازة لحد يوم السبت
اللي لسه مبدأش عادي يبدأ من السيستم الجديد
It's never too late
ان شاء الله ده اخر Wave مش هنعمل غيرها فحاولوا تستغلوها على قد ما تقدروا وبالتوفيق دايما
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Showing the 12 most recent of 20 posts we hold for @Overhaul_Wave1. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.