SMLE WINNER

Patient came with symptoms of pleural effusion, what features in pleural fluid analysis suggests RA: A. high ph B. low protein C. low glucose

Pediatric patient in a poor area with distended abdomen and sparse hair, most likely diagnosis is: A. kwashiorkor B. marasmus C. seevere malnutrition D. dehydration

Clear case of a perforated peptic ulcer, asking about the next step: A. Erect X-ray B. Supine X-ray C. CT chest

Pediatric patient explaining clear features of trisomy 13, with heart murmur upon auscultation, what is the heart defect likely to be found: A. ASD B. VSD C. Coarctation of aorta

Patient with severe abdominal pain and bloody diarrhea xray was done showing thumb printing A. ischemic colon (exactly writing this way) B. crohns

Case of schizophrenia patient with recurrent vomiting and constipation episodes, presents with severe abdominal pain and distention ct was colon dilated more than 10 cm, conservative therapy was done with IV fluids, NPO, and antibiotics What is the proper management? A. Colonoscopy B. decompression sigmoidoscopy C. surgical resection

Child with reduced oral intake, vomiting and looking ill, sausage shaped mass felt on examination, what is the diagnosis? A. Intussuception  B. Malignancy

Company want to study subgroup of people for prevalence of Alzheimer's disease , what method used by the IRB to check the ethical point Utilitarianism Skeptic ethics او شي زي كذا Delogatory Forgot last one

Newborn with microcephaly and distended abdomen exam show hepatosplenomegaly, I think mother was diabetic. Labs show pancytopenia and elevated LFT AST/ALT. Next ? A. Chromosomal analysis. B. Congenital infection screening. C. US abdomen. D. CT abdomen.

surgical checklist safety in WHO? A: before admission, before skin incision, at discharge B: before induction of anesthesia, before skin incision, before pt leave OR C: before admission, before induction of anesthesia, before pt leave OR D: before admission, before induction of anesthesia, at discharge

4 years old boy, mother complained of poor training to bathroom. which muscles is targeted in therapy? A -Perianal B -Pelvic floor C -Rectus muscle D -Detrusor

Pt complain of jaundice and abdominal pain start befor 2 days family have same complain What positive investigation in this case? A. Hav IgM B. Hav IgG C. Hbv D. Hcv

33 women pph and recover. after some days came to hospital with complain she cant feeding his baby because no mother milk what's the diagnosis? A. Shaheen syndrome B. Asharman syndrome

Woman had C-section. What is the best way to prevent adhesions? A- perform the C/section preterm B- add adhesion barrier consisting of oxidized regenerated cellulose before closing the wound C- closure of the peritoneum D- Add a layer the incision site

Pt who had take vit supplements ( didn’t mention b12) and newly diagnosed with TB and take anti TB for 3 month, Now complain of tingling and numbness of tip of hand What the drug cause that? A. Ethouxate B. Pyrazmaide C. Isonizsed D. Rifapmcin

35 years old patient come with medial leg ulcer. The most likely diagnosis is: A- Diabetic B- Venous hypertension C- Atherosclerosis D- Buerger's disease

Hyponatremia euvolemia with convulsion mangmment : A- NS B- Half NS c- 5% dextrose D- Hypertonic Saline

A female came to ER with signs and symptoms of appendicitis, appendectomy was done, intra-operatively the surgeon discovered the appendix was normal, but it is the standard of care to remove the appendix even if it is normal, what should the surgeon do? A. Tell the patient what happened and that it is the standard of care B. Do not tell the patient C. Write a report about what happened and give it to the hospital committee

A 45 years old male patient underwent appendectomy after signs and symptoms of appendicitis. Histopathology report : tip of appendix carcinoma. What is the most appropriate management A- Observation B- Chemotherapy C- Radiotherapy D- Right hemicolectomy

A patient with a pelvic fracture who was resuscitated and is currentlu unstable BP 86/50 HR 110 What is the next step? A) Surgical intervention B) Pelvic binder