UC increases risk of colon cancer in?
A- Duration of disease more than 8 years
B- Extension beyond splenic flexure
C- If it was associated with primary sclerosing cholangitis
D- Family history of colorectal cancer
Taghreed: The answer is C. They all play a role in increased risk, but C is more accurate. UTD: the extent of colitis and duration of disease are the two most important risk factors for CRC ,Other factors that are associated with an increased risk of CRC include endoscopic and histological severity of inflammation, positive family history of sporadic colorectal cancer (twofold increased risk), post inflammatory pseudopolyps (twofold increased risk), and the presence of primary sclerosing cholangitis (fourfold increased risk). The CRC risk begins to increase 8 to 10 years following the onset of symptoms in patients with pancolitis. In one prospective study, the cumulative incidence of CRC was 2.5 percent after 20 years and 7.6 percent after 30 years of disease. Patients with left-sided colitis have almost the same risk of CRC and dysplasia as those with pancolitis, but the risk of CRC increases only after 15 to 20 years.
Abdulrahman: I do think that A is the answer. Dr. J: A. The risk of colon cancer depends on the duration of the disease. C will not increase risk of colon cancer (it will increase risk of cholangiocarcinoma). Even if the patient doesn’t have PSC, he still has a risk for cancer.
A- Duration of disease more than 8 years
B- Extension beyond splenic flexure
C- If it was associated with primary sclerosing cholangitis
D- Family history of colorectal cancer
Taghreed: The answer is C. They all play a role in increased risk, but C is more accurate. UTD: the extent of colitis and duration of disease are the two most important risk factors for CRC ,Other factors that are associated with an increased risk of CRC include endoscopic and histological severity of inflammation, positive family history of sporadic colorectal cancer (twofold increased risk), post inflammatory pseudopolyps (twofold increased risk), and the presence of primary sclerosing cholangitis (fourfold increased risk). The CRC risk begins to increase 8 to 10 years following the onset of symptoms in patients with pancolitis. In one prospective study, the cumulative incidence of CRC was 2.5 percent after 20 years and 7.6 percent after 30 years of disease. Patients with left-sided colitis have almost the same risk of CRC and dysplasia as those with pancolitis, but the risk of CRC increases only after 15 to 20 years.
Abdulrahman: I do think that A is the answer. Dr. J: A. The risk of colon cancer depends on the duration of the disease. C will not increase risk of colon cancer (it will increase risk of cholangiocarcinoma). Even if the patient doesn’t have PSC, he still has a risk for cancer.
a gunshot in the left leg, hematoma in the medial aspect of the thigh what’s the next step?
A- angiography
B- Apply direct pressure first
Another recall: A 27-year-old man sustains a single gunshot wound to the left thigh. In the ER, he is noted to have a large hematoma of his medial thigh. He complains of paresthesias in his left foot. On examination, there are pulsatile hematoma with weak pulses palpable distal to the injury and the patient is unable to move his foot. Which of the following is the most appropriate initial management of this patient?
A- CT Angiography
B- Immediate exploration and repair in the OR
C- Observation
D- Bedside local wound exploration
Abdulrahman: Not sure if both are the same question. But, I would go with direct pressure first to stop the bleeding. After that, I will go to the OR and repair it since he needs intervention based on his symptoms (weak pulses, paresthesia, inability to move the foot). You never do bedside local wound exploration in these cases. Remember that CTA is diagnostic only. Conventional angiography is also incorrect if it were in the choices, because this is an emergency case.
A- angiography
B- Apply direct pressure first
Another recall: A 27-year-old man sustains a single gunshot wound to the left thigh. In the ER, he is noted to have a large hematoma of his medial thigh. He complains of paresthesias in his left foot. On examination, there are pulsatile hematoma with weak pulses palpable distal to the injury and the patient is unable to move his foot. Which of the following is the most appropriate initial management of this patient?
A- CT Angiography
B- Immediate exploration and repair in the OR
C- Observation
D- Bedside local wound exploration
Abdulrahman: Not sure if both are the same question. But, I would go with direct pressure first to stop the bleeding. After that, I will go to the OR and repair it since he needs intervention based on his symptoms (weak pulses, paresthesia, inability to move the foot). You never do bedside local wound exploration in these cases. Remember that CTA is diagnostic only. Conventional angiography is also incorrect if it were in the choices, because this is an emergency case.
Screening for 37 female her mother had brest Ca, sister ovarian Ca
A- breast US
B- mammogram
C- don't remember the rest
Another recall: 35y old pt worried her mother had breast Ca and her sister had ovarian Ca. How to screen her
A. Mammo
B. US
C. BRCA
Abdulrahman: The answer is C. The indications for BRCA screening can be seen here:
A- breast US
B- mammogram
C- don't remember the rest
Another recall: 35y old pt worried her mother had breast Ca and her sister had ovarian Ca. How to screen her
A. Mammo
B. US
C. BRCA
Abdulrahman: The answer is C. The indications for BRCA screening can be seen here:
What indicates adequate systemic perfusion?
A. Cardiac index
B. Mixed venous O2 saturation
C. Central venous pressure
D. pulmonary capillary wedge pressure
Another recall:Septic shock case indicates adequate systemic perfusion?
A- Cardiac index
B- Mixed venous oxygen saturation (SMVO2)
C-Central venous oxygen saturation (SCVO2)
Abdulrahman: The answer is Mixed venous oxygen saturation (SMVO2/SvO2). I will take time to explain the answer.
A. Cardiac index
B. Mixed venous O2 saturation
C. Central venous pressure
D. pulmonary capillary wedge pressure
Another recall:Septic shock case indicates adequate systemic perfusion?
A- Cardiac index
B- Mixed venous oxygen saturation (SMVO2)
C-Central venous oxygen saturation (SCVO2)
Abdulrahman: The answer is Mixed venous oxygen saturation (SMVO2/SvO2). I will take time to explain the answer.
وبكذا نكون انتهينا من كل الأسئلة اللي بالملف (154 صفحة) بإذن الله راح أنزّل لكم الملف الليلة أو بكره بالكثير ❤️
Forwarded from Review team | Internal medicine (Elaf Faisal)
Which of the following is the earliest plain radiographic finding of rheumatoid arthritis?
Anonymous Quiz
28%
Juxta-articular osteopenia
45%
Soft tissue swelling
15%
Symmetric joint space loss
13%
Subchondral erosions
السلام عليكم ورحمة الله وبركاته جميعاً،
شكراً والله لجميع اللي جالس يرسل لي من تصحيح لأجوبتي وينبهني على أشياء ثانية ويستفسر. صدق الرسائل كثيرة وبحاول إني أجاوب على الكل (حتى اللي فتحتها ومارديت عليها تراني حافظها عندي ❤️). أنا أعتذر والله عن استقبال الأسئلة الجديدة بسبب انشغالي الفترة القادمة، ولكن لو عندكم أي استفسار آخر، أنا حاضر.
بالنسبة لملف Doctor J، ما أتوقع راح تنزل النسخة المعدلة قريب بسبب إن الدكتور مسافر في إجازة الفترة هذه. أعتذر منكم والله ❤️
شكراً والله لجميع اللي جالس يرسل لي من تصحيح لأجوبتي وينبهني على أشياء ثانية ويستفسر. صدق الرسائل كثيرة وبحاول إني أجاوب على الكل (حتى اللي فتحتها ومارديت عليها تراني حافظها عندي ❤️). أنا أعتذر والله عن استقبال الأسئلة الجديدة بسبب انشغالي الفترة القادمة، ولكن لو عندكم أي استفسار آخر، أنا حاضر.
بالنسبة لملف Doctor J، ما أتوقع راح تنزل النسخة المعدلة قريب بسبب إن الدكتور مسافر في إجازة الفترة هذه. أعتذر منكم والله ❤️
مركز الاختبار في العقارية مول (الرياض):
المواقف دخلتها من خلف المول. راح يوجهونكم الأمن لمكان الإختبار والمصعد اللي يطلعكم مباشرة على مركز الإختبار ❤️
https://goo.gl/maps/FQE9h7wFkNp7bKwy6
المواقف دخلتها من خلف المول. راح يوجهونكم الأمن لمكان الإختبار والمصعد اللي يطلعكم مباشرة على مركز الإختبار ❤️
https://goo.gl/maps/FQE9h7wFkNp7bKwy6
24°42'22.0"N 46°40'47.6"E
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هذا ملف حلو شامل للMilestones (اعتمدوا جدول Nelson اللي بالصفحة الأولى):
تنبيه بس بالنسبة لوقت الإختبار:
حاولوا تجون خلال نص ساعة بالكثير من موعد إختباركم ولا تتأخرون كثير، يعني عارف إن أغلبكم فهم كلامي وأساساً بيجي على الوقت أو قبله حتى. أنا خوفي من الناس اللي يقولون بنشبع نوم أول بعدين نروح نختبر 😂
حاولوا تجون خلال نص ساعة بالكثير من موعد إختباركم ولا تتأخرون كثير، يعني عارف إن أغلبكم فهم كلامي وأساساً بيجي على الوقت أو قبله حتى. أنا خوفي من الناس اللي يقولون بنشبع نوم أول بعدين نروح نختبر 😂
هنا تحصلون ملف الدكتور عبدالعزيز (تحت إشراف الدكتور ثوابة) لأسئلة الThyroid للي يواجه فيها مشكلة:
https://twitter.com/az16sa/status/1561369556169281536?s=21&t=zMU8iq4U0U3TVu4HD3Tc9w
https://twitter.com/az16sa/status/1561369556169281536?s=21&t=zMU8iq4U0U3TVu4HD3Tc9w