تعديل لسؤال حليته

Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A- Intubate with stretching cervix
B- Packing nasal bleeding
C- IV fluid
D- Cricothyroidotomy

Another recall: Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A. Intubate in midline cervical stabilization
B. Packing nasal bleeding
C. IV fluid
D.tracheostomy

Abdulrahman: The answer is C, since he is bleeding from his nose, mouth, and leg (high risk of major blood loss). As per the trauma protocol, we prioritize circulation over the airway and breathing. Also he is already awake, breathing, and talking. We have to give fluids first to prevent hypovolemia and hypotension. Afterwards, we can do nasal packing and the other steps in the trauma protocol. Never manipulate the cervix (stretch in this case) in trauma patients. Endotracheal intubation should not be done in awake patient, only in some rare cases. There is no mentioning of fascial fractures, thus there are no indications for cricothyroidotomy. He only has bleeding from the nose and mouth.

Another recall: 43 year old male while awaiting in the waiting room in clinic felt drowsy and was found hypoglycemic. What would you do in this scenario?
A- Fruit Juice (not grapefruit)
B- 5% Dextrose Intravenous
C- Normal Saline
D- Intravenous Glucagon

Abdulrahman: The term drowsy is vague and subjective. It can range from the patient being a little bit dizzy (can take the fruit juice orally) to the patient being disoriented and in the pre-syncope phase (need to be given IV glucagon). Make the answer based on what you feel is right from what I said.

Pancreatitis 5 weeks ago. Now she has epigastric tenderness and cannot tolerate food with vomiting each time. By ultrasound you found large about 12X10 mass with thick wall and fluid inside. Labs: 346 amylase, Wbc 15k. What is the diagnosis?
A. Pseudocyst
B. Abscess
C. Walled off necrosis

Abdulrahman: The answer is most likely A. Let’s talk about the approach to post-pancreatitis complications:

CT is the modality of choice for the diagnosis of pancreatitis and its complications.

هذه بعض الأمثلة عشان تتأكدون من فهمكم 😂

Patient presents with stab wound to the abdomen. After wound exploration, you found anterior abdominal fascia penetration. His vitals were stable. What is your next step?
A- CT abdomen
B- MRI abdomen
C- Exploratory laparotomy
D- Diagnostic laparoscopy

Abdulrahman: There is a huge debate between CT and diagnostic laparoscopy in anterior abdominal fascia penetrations. I will go with diagnostic laparoscopy. Here is the approach that I went with:

للي يبغون يعرفون إذا المجلة اللي نشروا/بينشرون فيها معتمدة أو لا، هذه هي الطريقة:
https://twitter.com/az16sa/status/1571792927348887553?s=21&t=ifgpEA9QFsNZVYD8xViBPQ

السلام عليكم ورحمة الله وبركاته جميعاً,
تفضلوا هذه هي النسخة الثالثة (النسخة الأخيرة) من ملف Quick Recall. أضفت الأسئلة اللي جاوبت عليها فوق + شرح الPseudocyst + شرح للITP,TTP,HUS,DIC مع أمثلة من أسئلة الSMLE بنهاية الملف.

شكراً جزيلاً لكم جميعاً وأعتذر منكم والله عن استقبال أي أسئلة SMLE جديدة بسبب قرب بداية بروقرامي ❤️

+ كان عنده أعراض URTI. هذا ممكن يخلينا نميل لخيار MR أكثر الحين.

تسجيل اللقاء للي ماحضره:
https://drive.google.com/file/d/1SQ-tCbuOqL7Of4GrSO_b-FlchYgMegqM/view?usp=drivesdk

للتذكير لأطباء وطبيبات الامتياز حالياً، راح يكون فيه لقاء لكم مفصّل قبل ماينزل الترشيح بفترة طويلة بحيث تكونون مخلصين من الإختبار على خير إن شاء الله وجاهزين للخطوة القادمة.

الله يوفقكم يارب وييسر أمركم ❤️

هنا في ملزمة الباطنة والجراحة ٢٠٢٢، نقوم بإعادة إرسال أسئلة التجميعات لاختبار SMLE، في جزء الباطنة والطب النفسي والصحة العامة.

- التجميعات ليست حصرية لمجموعتنا، حيث نقوم بإعادة إرسالها فقط من عدة مصادر.
- اعتمدنا على مصادر ٢٠٢١ و٢٠٢٢، وارد فيها التكرار.


ملفات أم القرى الجديدة راح تنزل هنا 👍🏼❤️

https://t.me/medandsurg21