This thread is to discuss surgical MCQs 🌐
For medical interns & final year medical students ✔️
#USMLE #SMLE #Medicine #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
For medical interns & final year medical students ✔️
#USMLE #SMLE #Medicine #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
41-year-old man underwent kidney transplant 1 year ago. Preoperatively, he was noted to have an elevated calcium level; post transplantation, he still has elevated calcium levels and associated symptoms. Which of the following is the most appropriate next step in management?
Post transplant: tertiary hyper parathyroidism + Persistent —>> surgery 🔪
It was an amazing day with @MJALAKKAD and the active participants 👏🏼👏🏼👏🏼
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
Road traffic accident victim, pulse rate 140 b/min, respiratory rate of 36 /min, and systolic BP of 70 mmHg. His trachea is deviated to the left, with palpable subcutaneous emphysema and absent breath sounds over the right hemithorax. What is the next step in management?
👍🏼👍🏼👍🏼 Tension pneumothorax.
Next step: needle decompression ✅
Next step: needle decompression ✅
41 y.o. man complains of regurgitation of saliva and of undigested food. An esophagram reveals a dilated esophagus and a bird's-beak deformity.
Manometry shows a hypertensive lower esophageal sphincter with failure to relax. Which of the following is the most effective method?
Manometry shows a hypertensive lower esophageal sphincter with failure to relax. Which of the following is the most effective method?
For Achalasia, the most effective is surgical treatment: laparoscopic Heller myotomy ✅✅
Endoscopic management is the initial intervention of choice
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
Endoscopic management is the initial intervention of choice
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
You were called to check on a patient in ICU. She is 70 yr old with RUQ abdominal pain and fever. Vitally unstable, right subcostal tenderness. WBC 24,000. Ultrasound: Cholecystitis but no gallstones. What should treatment involve?
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
Dx: Acalculous cholecystitis (unstable patient)
Urgent cholecystostomy tube insertion (image guided drainage of gallbladder) should be performed ✅✅
+/- future cholecystectomy (if) patient can tolerate (not all cases)
Urgent cholecystostomy tube insertion (image guided drainage of gallbladder) should be performed ✅✅
+/- future cholecystectomy (if) patient can tolerate (not all cases)
60 yr old male patient. Presented to clinic with intermittent PR bleeding associated with constipation. He tried high fiber diet but no improvement. Normal digital rectal exam. What is the next diagnostic step?
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
Endoscopy ✅ to rule out colorectal causes of bleeding, including benign/malignant diseases.
CT scan ❌ has rule in acute massive lower GI bleeding
FOBT ❌ Has a rule to detect bleeding as in screening programs. But in the mentioned patient, he already has history of bleeding
CT scan ❌ has rule in acute massive lower GI bleeding
FOBT ❌ Has a rule to detect bleeding as in screening programs. But in the mentioned patient, he already has history of bleeding
25 year old medical intern / student is reading this question right now. What is his/her opinion regarding eid vacation? 🤓
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
A 52-year-old man weighing 70 kg sustained a 50% total body surface area (TBSA) burn. Which of the following is accurately represents Parkland formula calculation for this patient?
#USMLE #SMLE #Surgery #طالب_طب #فضفضة_طبيب
#USMLE #SMLE #Surgery #طالب_طب #فضفضة_طبيب
7000 cc over the first 8 hrs. Parkland formula is: RL 4*%*kg (cc for 24 hrs). Half is over the first 8 hrs. In this case (4*50*70=14000 cc over 24 hrs). To infuse half (7000 cc over 8 hrs ✅) then (7000 cc over 16 hrs)
A 70-year-old lady complains of crampy abdominal pain, distention and vomiting for 2 days. Exam: abdominal scar. X-rays: multiple air fluid levels. WBC 12,000. What is the most likely diagnosis?
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب
Adhesive small bowel obstruction ✅
A 57 yr old lady is admitted to the hospital with severe abdominal pain of 3 hrs. Exam: board-like rigidity, guarding, and rebound tenderness of abdomen. BP 90/50 mmHg, PR 110 bpm, RR 30 breaths/min. IV fluid resuscitation is initiated, what diagnostic study should be performed?
Patient is not stableized yet! Upright CXR to check for air under diaphragm ✅
CT scan ❌ needs a stable patient
CT scan ❌ needs a stable patient
This weekend, participants will enjoy Neurosurgery review by Dr. @aaalojan
Lucid interval is most commonly seen in:
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
Lucid interval is most commonly seen in:
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب #كلية_الطب
Epidural hematoma ✅
The typical history of Epidural hematoma is: head trauma followed by a momentary
alteration in consciousness and then a lucid interval lasting for up to a few hours.
The typical history of Epidural hematoma is: head trauma followed by a momentary
alteration in consciousness and then a lucid interval lasting for up to a few hours.
Ulcerative Colitis + Stress + Shock and electrolytes abnormality!
Think about possible steroid therapy and HPA axis suppression.
Dx: Acute Adrenal insufficiency ✅
Think about possible steroid therapy and HPA axis suppression.
Dx: Acute Adrenal insufficiency ✅
This weekend, participants will enjoy Urology review by Dr. @HThubiany
40 y/o male RTA victim, vitally stable, he complains of suprapubic pain and inability to void, no other complains O/E: bladder is distended and there is a blood at the urethral meatus, what to do next?
40 y/o male RTA victim, vitally stable, he complains of suprapubic pain and inability to void, no other complains O/E: bladder is distended and there is a blood at the urethral meatus, what to do next?
This weekend, participants will enjoy Orthopedic review by Dr. @k_somali
5 year old child fell down and sustained left radius greenstick fracture. What's your management ?
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب
5 year old child fell down and sustained left radius greenstick fracture. What's your management ?
#USMLE #SMLE #Surgery #طالب_طب #مدونة_طالب_طب #فضفضة_طبيب
Above Elbow splint ✅
Tomorrow, Dr. @KDilaijan will continue ENT lecture..
2 yr old boy is seen in ER for 2 days Hx of fever, runny nose, dry cough & hoarsness of voice.
Exam: Temp: 38.1, RR 38, O2 Sat 97%. Inspiratory stridor, barking cough & clear rhinorrhea. Xray done.
Most likely organism?
2 yr old boy is seen in ER for 2 days Hx of fever, runny nose, dry cough & hoarsness of voice.
Exam: Temp: 38.1, RR 38, O2 Sat 97%. Inspiratory stridor, barking cough & clear rhinorrhea. Xray done.
Most likely organism?
✅✅✅ Answer:
Completion Thyroidectomy ❌❌
In this scenario, FNA: Benign (Bethesda II), Lobectomy was done for symptoms. Final pathology: PTC (<1 cm).
This is what we call: Microcarcinoma, usually incidental Dx.
In this case, No further treatment is indicated ✅
In this scenario, FNA: Benign (Bethesda II), Lobectomy was done for symptoms. Final pathology: PTC (<1 cm).
This is what we call: Microcarcinoma, usually incidental Dx.
In this case, No further treatment is indicated ✅
Loading suggestions...