55-year-old female diagnosed with Hashimoto's thyroiditis and started on Levothyroxine, which of the following is strongly associated with her condition?
Anonymous Quiz
11%
Follicular thyroid cancer
13%
Medullary thyroid cancer
59%
Thyroid lymphoma
17%
Papillary thyroid cancer
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42-year-old female patient, referred with mammogram finding of microcalcification. Core-needle biopsy DCIS, Excisional biopsy: DCIS, the superior margin is 0.5mm and all other margins are >3mm.
What is the most appropriate next step?
What is the most appropriate next step?
Anonymous Quiz
38%
Simple mastectomy
23%
Re-Excision of superior margin
16%
Radiotherapy
23%
Re-Excision of all margins
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25-year-old woman taking steroid for IBD, presents with abdominal pain and bilious vomiting. O/E: abdomen is distended with right iliac fossa tenderness. CT: single stricture 1 cm from ileocecal valve.
Whay is the most appropriate management?
Whay is the most appropriate management?
Anonymous Quiz
24%
Strictureplasty
35%
Ileocecal resection
19%
Right hemicolectomy
22%
Conservative management
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After total thyroidectomy and postoperative iodine ablation for a 5cm Medullary thyroid cancer.
What is the best test to monitor for recurrent disease?
What is the best test to monitor for recurrent disease?
Anonymous Quiz
11%
Serum thyroid-stimulating hormone (TSH)
67%
Serum calcitonin
16%
Serum thyroglobulin
6%
Radioactive iodine ablation
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37-year-old male patient brought as case of MVA, P: 140 BP:
76/45. CXR: Widening mediastinum, FAST: Positive.
What is the most appropriate next step management?
76/45. CXR: Widening mediastinum, FAST: Positive.
What is the most appropriate next step management?
Anonymous Quiz
33%
Thoracotomy
52%
Laparotomy
12%
CT scan
4%
Serial abdominal examination
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27-year-old male patient brought as case of MVC. He is complaining of SPB on examination he has normal VS hyper-resonant percussion on right side of the chest and decrease in breath sounds
What is the most likely diagnosis?
What is the most likely diagnosis?
Anonymous Quiz
65%
Tension pneumothorax
5%
Open neumothorax
3%
Cardiac tamponade
27%
Simple pneumothorax
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32-year-old female patient, she is a teacher, Day 1 post total thyroidectomy, during round she is unable to maintain a high-pitched voice.
Which of the following nerve was injured?
Which of the following nerve was injured?
Anonymous Quiz
50%
External branch of superior laryngeal nerve
17%
Internal branch of superior laryngeal nerve
32%
Recurrent laryngeal nerve
1%
Spinal Accessory nerve
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68-year-old man presents with sudden onset lower abdominal pain with progressive distention and absolute constipation. O/E: Distended tympanic abdomen, tenderness in LLQ. DRE: Empty rectum. WBC: 22. AXR: Y-shaped distended colon arising from the pelvis.
What is the most appropriate intervention?
What is the most appropriate intervention?
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General Surgery Review
68-year-old man presents with sudden onset lower abdominal pain with progressive distention and absolute constipation. O/E: Distended tympanic abdomen, tenderness in LLQ. DRE: Empty rectum. WBC: 22. AXR: Y-shaped distended colon arising from the pelvis. What…
What is the most appropriate intervention?
Anonymous Quiz
11%
Fleet enema
20%
Colonoscopy
31%
CT Abdomen with Contrast
39%
Sigmoid Colectomy and end colostomy
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ألف ألف مبروووك لجميع المقبولين
للعام الثاني
"تجمع R1 الجراحة العامة في السعودية"
السنة هذي باذن الله حيكون فيه خطة دراسية من بداية العام للتجهيز لاختبار الجزء الأول بالاضافة إلى مشاركة ملفات خاصة
أي R1 انقبل جي اس يرسلي على t.me/atmuallim
للعام الثاني
"تجمع R1 الجراحة العامة في السعودية"
السنة هذي باذن الله حيكون فيه خطة دراسية من بداية العام للتجهيز لاختبار الجزء الأول بالاضافة إلى مشاركة ملفات خاصة
أي R1 انقبل جي اس يرسلي على t.me/atmuallim
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25-year-old male complaining of PR bleeding, diarrhea and abdominal pain, his sibling and mother have the same condition
Guaiac stool test
Positive what is the following most likely diagnosis?
Guaiac stool test
Positive what is the following most likely diagnosis?
Anonymous Quiz
3%
Diverticulosis
46%
Ulcerative colitis
13%
Peutz-Jeghers syndrome
37%
Familial adenomatous syndrome
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31-year-old male patient, brought as case of MVC, 1ry survey: unstable pelvis with tenderness. 2ry survey: no blood in urethral meatus. CT showed retro -peritoneal bladder injury.
What the best management?
What the best management?
Anonymous Quiz
18%
Suprapubic catheter
44%
Urinary catheter for 2 weeks then reassessment
23%
Urgent exploratory laparotomy and repair of bladder
15%
Open repair of the bladder and urinary catheter for 2 weeks
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25-year-old man was involved in a MVC, respiration was shallow, and he had a left chest wall contusion. He was unable to move his elbows or lower limbs. BP 80/40, HR 45, RR 30.
Which of the following is the most likely cause of hypotension?
Which of the following is the most likely cause of hypotension?
Anonymous Quiz
18%
Cardiac tamponade
7%
Internal hemorrhage
61%
High spinal cord injury
13%
Tension pneumothorax
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71-year-old male patient presented with sudden PR bleeding, he is not on any anticoagulant. P: 125 BP: 81/48. Abdominal examination is unremarkable and PR showed continuous fresh bleeding. After resuscitation what is the appropriate management?
Anonymous Quiz
41%
Colonoscopy
9%
Laparotomy
9%
CT Abdomen
41%
Angiography
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السلام عليكم ورحمة الله وبركاته
استعدادًا لدورة الجراحة العامة للتحضير لاختبار SMLE
واللي حتكون في شهر يوليو باذن الله
اتمنى تساعدوني في حصر الاسئلة الجديدة اللي مرت عليكم خلال مذاكرتكم
اي سؤال يمر عليكم سجلوه في الرابط التالي
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وسيتم مراجعة فرز وحل كل الأسئلة في الدورة باذن الله 💐
استعدادًا لدورة الجراحة العامة للتحضير لاختبار SMLE
واللي حتكون في شهر يوليو باذن الله
اتمنى تساعدوني في حصر الاسئلة الجديدة اللي مرت عليكم خلال مذاكرتكم
اي سؤال يمر عليكم سجلوه في الرابط التالي
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وسيتم مراجعة فرز وحل كل الأسئلة في الدورة باذن الله 💐
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42-year-old female C/O muscle and bone pain with epigastric abdominal pain improved with milk drinking Labs: Ca: high, phosphorous: low, vitaminD: Normal, PTH: high
What is the most likely diagnosis?
What is the most likely diagnosis?
Anonymous Quiz
20%
Milk alkali syndrome
55%
Primary hyperparathyroidism
21%
Secondary hyperparathyroidism
3%
Adrenal insufficiency
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47-year-old female underwent left lower parathyroidectomy for parathyroid adenoma. She presented 4 months later with depressed mood and fatigability. Both parathyroid hormone and calcium were high
what is the most common cause?
what is the most common cause?
Anonymous Quiz
30%
Parathyroid hyperplasia
56%
Missed adenoma
8%
New adenoma
6%
Parathyroid cancer
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37-year-old male patient presented to the ED with a history of vomiting fresh blood. EGD showed an actively bleeding ulcer in the posterior wall of the 1st part of the duodenum.
Which of the following is the most likely bleeding vessel?
Which of the following is the most likely bleeding vessel?
Anonymous Quiz
11%
Left gastry artery
66%
Gastroduodenal artery
13%
Superior mesenteric artery
10%
Inferior pancreaticoduodebal artery
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21-year-old patient case of RTA unrestrained came to you stable has abdominal pain and tenderness. CT done then he deteriorated. BP 80/40
Ct result show: Splenic injury with extravasation and Thoracic aorta injury.
What is the most appropriate?
Ct result show: Splenic injury with extravasation and Thoracic aorta injury.
What is the most appropriate?
Anonymous Quiz
75%
Exploratory laparotomy
9%
Angiography
10%
Thoracotomy
7%
Endovascular stent
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27-year-old male patient presents with abdominal pain and groin swelling that is not reduced recently. Examination: tender irreducible inguinal swelling, no skin changes.
AXR: multiple air fluid levels.
What is the most likely type of hernia?
AXR: multiple air fluid levels.
What is the most likely type of hernia?
Anonymous Quiz
49%
Obstructed
8%
Irreducible
17%
Incarcerated
26%
Strangulated
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