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?

23-year-old male presents with 5Ds RLQ pain and fever. VS stable. Abdomen soft RIF tenderness and fullness. CT: 7*8 appendicular abscess with appendicolith.
What is the most appropriate management?

43-year-old female presents for routine checkup. She enquired about the screening of cancer, No FHx. she is smoker (18 pack-year), what is the appropriate screening for her?

30-year-old woman presents with mass in right breast which was growing rapidly. O/E 15*15cm is mobile. Biopsy: malignant phyllodes.
Which of the following is the most appropriate management?

26-year-old female. Case of abdominal stab wound in a fight. She is vitally normal and oriented. O/E: 2 penetrating wounds in RUQ and flak.
of the following is the most appropriate next step?

28-year-old man brought with neck stab wound. conscious and alert. VS: N. OE: left 2cm wound just below the angle of mandible with blood oozing.
which of the following is the appropriate next step?

48-year-old man presents with 6-month vague abdominal pain. CT: 20x10 cm retroperitoneal mass. No enlarged lymph nodes.
Which of the following is the most likely diagnosis?

Trauma to axilla and lateral chest wall, fracture 4th and 5th ribs, during examination, suction sound was sourced from lacerated wound on fractured ribs.
What is the most appropriate next step?

37-year-old female patient, smoker and OCP brought as case of RTA, CT was done and showed 3x3cm hepatic lesion diagnosed as adenoma. She denies abdominal pain
What is the most appropriate management?