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
https://forms.gle/EtZZva9S3hoZxVrc7
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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43-year-old male patient post appendectomy 2 years back comes with abdominal pain and obstipation. stable vitally. O/E: minimal diffuse tenderness. Bowel sounds are exaggerated. WBC: 11. AXR: multiple fluid levels.
What is the most appropriate next step?
What is the most appropriate next step?
Anonymous Quiz
1%
Echocardiography
9%
Ultrasound
72%
CT abdomen with IV Contrast
19%
Laparotomy
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28-year-old male patient presents to ED with RLQ Abdominal pain, Examination confirm RLQ tenderness with ill defined mass. WBC: 19. CT abdomen: 10 x 15 cm hypoechoic collection with enhanced rim.
what is the most appropriate management?
what is the most appropriate management?
Anonymous Quiz
5%
Open drainage
61%
Percutaneous drainage
23%
Laparoscopic appendectomy with drainage
11%
Open appendectomy with drainage
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35-year-old male patient 5 days post open appendectomy comes with on/off fever, Examination: no abdominal tenderness wound: redness, tenderness and purulent discharge. WBC: 19
What is the best next step in management?
What is the best next step in management?
Anonymous Quiz
19%
CT abdomen
24%
Antibiotics
56%
Open wound clips
2%
Reassurance
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56-year-old man, K/C of AF on warfarin, presents with sudden LLQ pain after getting trauma to abdomen. P: 105 BP: 125/72. O/E: tender mass in LLQ that does not change with abdominal muscle contraction.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
26%
Reversal of anticoagulation
33%
Bed rest and analgesia
25%
Surgical Exploration
17%
Angioembolization
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56-year-old male patient presents to ED with 5 days history of RLQ pain, diagnosed as case of appendicular phlegmon, he went through successful nonoperative management and discharged 7 days after
What is the best next step?
What is the best next step?
Anonymous Quiz
14%
No further management
11%
Open appendectomy after 12 weeks
40%
Laparoscopic appendectomy after 12 weeks
35%
Colonoscopy after 6 weeks
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63-year-old male patient K/C of AF presents to ER with severe generalized abdominal pain, follows meals and for 6 hr. VS: P: 123, BP: 85/47. O/E: Generalized tenderness with diffuse rebound. WBC: 18 pH: 7.0, Lactate: 6
What is the best management?
What is the best management?
Anonymous Quiz
5%
Colonoscopy
9%
Diagnostic laparoscopy
47%
Exploratory Laparotomy
39%
CT Angiography
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مبارك لكل أطباء الامتياز قرب بدء أولى خطوات حياتهم العملية
أتمنى لكم التوفيق في المرحلة القادمة
هنا بعض النصائح والكلمات أوجهها لكم 💐
https://x.com/atmuallim/status/1804194657796001935?s=46&t=X333PScbqxdZswIVXj7OnQ
أتمنى لكم التوفيق في المرحلة القادمة
هنا بعض النصائح والكلمات أوجهها لكم 💐
https://x.com/atmuallim/status/1804194657796001935?s=46&t=X333PScbqxdZswIVXj7OnQ
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27-year-old male patient Post splenectomy for grade 5 splenic injury as a result of MVC.
which is of the following hormone supposed to be decreased?
which is of the following hormone supposed to be decreased?
Anonymous Quiz
52%
Insulin
12%
Glucagon
33%
Vasopressin
4%
Prolactin
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64-year-old woman K/C HTN, and AF presents to ED with 8h generalized abdominal pain associated with nausea and diarrhea. Sever 10/10. O/E abdomen is soft, nondistended, and mildly tender Labs: WBC: 12 and lactate: 4
What is the most like diagnosis?
What is the most like diagnosis?
Anonymous Quiz
3%
Acute cholecystitis
7%
Acute pancreatitis
83%
Acute mesenteric ischemia
6%
Acute diverticulitis
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General Surgery Review pinned «مبارك لكل أطباء الامتياز قرب بدء أولى خطوات حياتهم العملية أتمنى لكم التوفيق في المرحلة القادمة هنا بعض النصائح والكلمات أوجهها لكم 💐 https://x.com/atmuallim/status/1804194657796001935?s=46&t=X333PScbqxdZswIVXj7OnQ»
44-year-old man presents with perianal pain and with diarrhea sometimes bloody. He has on-off abdominal pain for months. Vitals: BP: 123/65 HR: 106 T: 39.1 O/E: 3*3 tender perianal mass with fluctuation. WBC 19.
What is the most appropriate management?
What is the most appropriate management?
Anonymous Quiz
13%
IV antibiotics
63%
Incision and drainage
10%
MRI pelvis
14%
Colonoscopy
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32-year-old female patient 16D post CS, presenting with abdominal pain, secretion of greenish discharge from the wound and. She has previous multiple CS with adhesions. CT fistula tract between small bowel and skin.
What is your initial management?
What is your initial management?
Anonymous Quiz
78%
NPO, TPN and GI secretion inhibitors
14%
Resect and anastomose
3%
Restrict to soft diet
5%
Colostomy
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73-year-old male after perforated diverticulitis with huge contamination, admitted to ICU, and received 6 L IVF and 1 PRBC over 12 hrs. Broad spectrum antibiotics were given. BP 70/45 P: 125 T: 39 O2: 93%. WBC 18
What is the appropriate intervention?
What is the appropriate intervention?
Anonymous Quiz
8%
Albumin
26%
2 L Ringer Lactate
62%
Norepinephrine
5%
Furosemide
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