60-year-old patient asymptomatic has a small femoral hernia.
what is the best method to repair?
what is the best method to repair?
Anonymous Quiz
52%
Laparoscopic repair with mesh
6%
laparoscopic repair
30%
Open hernia repair with mesh
12%
observation
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17-year-old male C/O of anorexia, nausea, and abdominal pain (RLQ). febrile 38.4 rebound tenderness. During open appendectomy. Appendix and cecum normal, terminal ileum edematous and inflamed.
Which of the following is the most appropriate next step?
Which of the following is the most appropriate next step?
Anonymous Quiz
21%
Close then colonoscopy
12%
Close and Antibiotics
55%
Perform appendectomy
12%
Ileocecal resection
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9 wks pregnant presented with palpitations heat intolerance anxiety. P/E: fine tremor no eye signs neck: diffusely enlarged thyroid with an audible bruit Heart rate 115
TSH low, T3 and 4 high
Which of the following is the most appropriate treatment?
TSH low, T3 and 4 high
Which of the following is the most appropriate treatment?
Anonymous Quiz
6%
Observation
7%
Radioactive iodine ablasion
81%
Propylthiouracil
7%
Total Thyroidectomy
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65-year-old female presented to ER with abdominal pain, vomiting and absolute constipation. She has negative past
surgical history. She is stable with distended soft and no tenderness.
What is the next step in management?
surgical history. She is stable with distended soft and no tenderness.
What is the next step in management?
Anonymous Quiz
9%
Chest X Ray
30%
Abdomen X Ray
21%
CT abdomen
40%
Groin examination
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37-year-old lady underwent right breast lump excision. Pathology report: Fibroadenoma with lobular carcinoma in situ in medial margin.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
41%
Tamoxifen
7%
External beam radiation
23%
Re-Excision with wider margins
30%
Unilateral mastectomy and mammogram follow up of the other breast
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56-year-old male patient came to the clinic for a check-up, he has some abdominal pain endoscopy done for him revealed multiple ulcers. Biopsy showed positive for mucosa - associated lymphoid tissue.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
74%
H.pylori eradication
13%
Surgical resection
6%
Chemotherapy
6%
Anti-acid medication
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الحمد لله
كملنا الآن 100 سؤال مراجعة ومحلولة من مراجع معتمدة 💐
ولسا مكملين في نشر الأسئلة لتحقيق أكبر قدر من الفائدة في الجراحة العامة
كملنا الآن 100 سؤال مراجعة ومحلولة من مراجع معتمدة 💐
ولسا مكملين في نشر الأسئلة لتحقيق أكبر قدر من الفائدة في الجراحة العامة
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55-year-old male presented with abd pain that radiated to the back he has history of cardiomyopathy, mentioned that he passed a small amount of loose stool, examination there is exaggerated bawel sound. amylase =600
X-ray :dilated small bowel
X-ray :dilated small bowel
Anonymous Quiz
39%
Acute pancreatitis
54%
Mesentric vascular ischemia
7%
Rupture abdominal aortic aneurysm
1%
Inferior MI
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38-year-old male patient diagnosed with pancreatitis 2 weeks ago, complaining of abdominal fullness and on-off pain. P:74 BP: 113/64 T: 36.5 examination: mild epigastric tenderness. WBC: 7. CT: psueodocyst 10cm
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
40%
Laparoscopic drainage
48%
Percutaneous drainage
8%
Excision of the cyst
4%
Wipple’s procedure
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44-year-old man with a chronic anal fissure. He has been using fiber supplements and topical nitroglycerin but has had minimal relief of his symptoms.
What is the next step in this patient's treatment?
What is the next step in this patient's treatment?
Anonymous Quiz
16%
Topical nifedipine
15%
Fissurectomy
3%
Anal dilatation
66%
Lateral internal sphincterotomy
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61-year-old women sustain MVA to her left chest vitally stable no open wound admitted for observation, 6 hours later developed SOB, initial CXR: 3-7 left ribs features. Repeated CXR: well demarcated left lung infiltarate.
What is the diagnosis?
What is the diagnosis?
Anonymous Quiz
5%
Pulmonary embolism
31%
Flail chest
60%
Pulmonary contusions
4%
Cardiac contusion
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27-year-old male patient known to have sickle-cell anemia complaining of left upper abdominal pain and fever. He is stable vitally, O/E : left upper quadrant tenderness, CT m showed: splenic abscess.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
5%
Trans-gastric aspiration
2%
Upper endoscopy
55%
Percutenus drainage
37%
Splenectomy
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32-year-old female patient post difficult laparoscopic cholecystectomy, 3 days later bile from the sub hepatic drain was seen. ERCP was done revealed there is leak from cystic duct What is the next step?
Anonymous Quiz
34%
Endoscopic stenting
41%
Percutaneous Trans-hepatic drain (PTD)
20%
Laparoscopic exploration
5%
Insert other drain
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22-year-old sustains a stab to the anterior abdomen. He has stable hemodynamics with no shock, no evisceration. He has tenderness around the stab wound.
Which of the followings is the most appropriate initial management?
Which of the followings is the most appropriate initial management?
Anonymous Quiz
10%
Diagnostic peritoneal lavage (DPL)
13%
Exploratory laparotomy
49%
Local wound Exploration
27%
Serial abdominal examination
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31-year-old male brought as case of MVC, he was driver and hit a concrete with high speed car. He is hemodynamically stable. FAST showed perihepatic and perisplenic free fluids.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
25%
Exploratory laparotomy
67%
CT Abdomen
5%
DPL
4%
Serial Abdominal Examination
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32-year-old male patient brought as case of MVC after rollover multiple times, complaining of abdominal pain taken to OR: multiple liver lacerations were found, he is hemodynamically unstable.
What is the best next step?
What is the best next step?
Anonymous Quiz
75%
Perihepatic packing
9%
Right hep artery ligation
10%
Individual ligation of bleeding artery
7%
Right hepatectomy
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