A 68-year-old man presents with cough, fever, and breathlessness. On examination, he is confused, respiratory rate is 34/min, BP: 88/60 mmHg, and urea levels are not available. Based on the CRB-65 score, what is most appropriate management? #DAMSFMGE

A neonate develops bilious vomiting soon after birth, unrelated to feeding. On examination, the abdomen is soft with no palpable mass or tenderness.What is the most likely diagnosis? #DAMSFMGE

A 45-year-old man with recurrent duodenal ulcers not responding to medical treatment is planned for surgery. Which procedure provides the maximum reduction in acid secretion? #DAMSFMGE

A 55-year-old man with a history of choledochal cyst is concerned about his risk of developing gallbladder cancer. Which of the following is NOT a risk factor for gallbladder carcinoma? #DAMSFMGE

A 45-year-old man with long-standing varicose veins has eczema and skin changes over the leg. He also has a healed ulcer near the medial malleolus. According to the CEAP classification, what is the stage? #DAMSFMGE

A patient with severe head injury and low GCS is intubated on arrival. CT brain is normal, but he dies within a few hours. What is the most likely diagnosis? #DAMSFMGE

A young man with blunt abdominal trauma presents with hypotension (90/60 mmHg). He remains unstable despite IV fluids, and FAST is positive. What is the next best step in management? #DAMSFMGE

During a mass casualty event, patients are triaged using color codes. Which color is correctly matched with its priority? #DAMSFMGE

A 65-year-old chronic smoker presents with painless progressive jaundice, pruritus, and pale stools. Examination reveals a palpable gallbladder. Labs show elevated direct bilirubin and ALP. What is the next best step? #DAMSFMGE

A 52-year-old patient has an anterior neck swelling. The swelling becomes more prominent when the arms are raised above the head. What is the most likely cause? #DAMSFMGE

A patient develops pink serous discharge from a laparotomy wound on postoperative day 4. What is the most likely diagnosis? #DAMSFMGE

Which of the following statements about dumping syndrome is incorrect? #DAMSFMGE

A 45-year-old woman has recurrent episodes of severe headache, palpitations, and excessive sweating, along with persistent hypertension (180/100 mmHg). Laboratory tests show elevated plasma metanephrines. What is the most likely diagnosis? #DAMSFMGE

A 35-year-old man presents with dark-colored stools and is diagnosed with an upper gastrointestinal bleed on endoscopy. Which anatomical landmark is used to distinguish upper from lower GI bleeding? #DAMSFMGE

Four days after laparotomy for a perforated duodenal ulcer, a patient started on clear liquids develops bilious vomiting and abdominal distension. On examination, the abdomen is distended, non-tender, and bowel sounds are absent. What is next best step?