37-year-old male patient brought as case of RTA. He is complaining of sever chest pain and shouting. O/E: equal breath sounds bilaterally. Elevated JVP BP: 90/60 P: 92.
What is the next step?

46-year-old asymptomatic man. His father diagnosed of colon cancer at age 63 years.
Which of the following is the most appropriate colorectal cancer screening strategy for him?

36-year-old man presents with 24h abdominal pain, distention, vomiting, constipation. PSH: appendectomy. O/E: tenderness and exaggerated bowel sounds. Amylase 288 WBC 11.4 Erect X-ray: Multiple air fluid level with exaggerated bowel sound
What is next?

33-year-old female presents with a lump in her neck. O/E confirmed enlarged right cervical lymph nodes with normal thyroid gland. She underwent FNAB. Histopathology: Normal follicular thyroid cells
Which of the following is the most appropriate next step?

72-year-old man presents with nausea and obstipation. PSHx: open appendectomy. O/E: abdomen is distended and mildly tender without peritonitis. CT abdomen: closed-loop obstruction.
What is the best next step in management of this patient?

65-year-old woman presents with a 3 months history of nausea, vomiting and anorexia. CT: mass in the antrum. The diagnosis of gastric outlet obstruction is made.
What metabolic abnormalities would be found in this patient?

42-year-old female presented with unilateral spontaneous bloody nipple discharge for 6 months. O/E: normal nipple with no palpable breast mass or axillary LN enlargement.
What is the most likely diagnosis?

36-year-old male patient presented to ER as a case of RTA with sever mechanism of injury complaining from Chest pain and hoarseness CXR: (Attached)
Which of the following is the most likely cause of his condition?

21-year-old female presents with bloody diarrhea, abdominal cramps, and fever. Stool analysis: negative. Colonoscopy: friable mucosa from rectum to sigmoid. No granulomas in biopsy. Which of the following statements is true regarding the likely diagnosis?

47-year-old male patient scheduled for elective left inguinal hernia. Before the procedure he developed STEMI and managed with PCI and Drug-eluting stent.
What is your action?

37-year-old female patient presents after MVC and is in hemorrhagic shock. A massive transfusion protocol is applied.
What is the optimal ratio in damage control resuscitation?

47-year-old male history of open right inguinal hernia repair presents with reducible right inguinal bulge, cough impulse and mild tenderness. Diagnosed with recurrence. What is the best approach?

During exploratory laparotomy for closed loop obstruction on 43-year-old man. Surgeon’s AirPods are accidentally dropped in the abdomen of the patient.
What is the classification surgical wound?

65-year-old man presents with anorexia,
nausea, lethargy, and hyponatremia. A chest radiograph reveals a large right upper lobe mass.
What is the most likely diagnosis?

80-year-old male patient, Presents with chronic non-healing ulcer at the dorsum of the first toe for 5 years, biopsy: pseudo-epithelial hyperplasia
What is the most appropriate next step?

63-year-old man presents with on/off PR bleeding. VS Normal. O/E: Blood mixed with stool. EGD and Colonoscopy normal. His Hgb 8 (Hgb 12 4 days ago).
What is the most appropriate Next investigation?