General

Question 1

🟡 WHO safety checklist ?

Answer 1

• Before induction of anesthesia > before incision in the OR > Before pt leaves OR. (WHO).

Question 2

🔵 451-Adult male Pt is complaining of fever chills otherwise he’s literally normal, vitally stable, lab findings are normal, what’s the most likely dx?
1. A. Sepsis
2. B. Bacteremia
3. C. SIRS
4. D. Sever sepsis

Answer 2

B. Bacteremia ✅💛

Note :
The present of fever or chills only should clue you ti bacteremia.

Question 3

Lady water burn on arms and foot one day ago, came today with limbs edema. Which of the following does this:
⁃ Serotonin
⁃ Bradyknin
⁃ Prostaglandin l2

Answer 3

Prostaglandin l2 ✅💛

Question 4

Child with leukocoria management
A. Reassure
B. Brain MRI
C. Refer to ophthalmology

Answer 4

Refer to ophthalmology ✅💛

Question 5

Q: Both LL burn wt is 70 calculate fluid
A:
1. 5L in the first 6 bourse and 5L in the next 16 hours
2. 2.5 L in the first 6 hours and 2.5 in the next 16 hours

Answer 5

5L in the first 6 bourse and 5L in the next 16 hours ✅💛

Note :
Parkland formula: 4mL x BSA% burn x weight (kg) = First half in first 8 hours and second half in the next 16 hours.
TBSA is 36 each limp is 18 posterior and anterior
36×70×4mL ≈ 10 L
½ in first 8 h
½ in next 16 h

Question 6

Q: Sign of compensated shock ?
A:
1. Hypotension
2. Cold extremity

Answer 6

Cold extremity ✅💛

Question 7

Q: What is the best investigation of choice for a patient with sleep apnea?
A:
1. Pulmonary Function test
2. Polysomnogram
3. Bronchoscopy

Answer 7

Polysomnogram ✅💛

Question 8

Septic shock case indicates adequate systemic
perfusion?

A-Cardiac index
B- Mixed venous oxygen saturation (SMVO2)
C-Central venous oxygen saturation
(SCV02)
D. pulmonary capillary wedge pressure

Answer 8

Central venous oxygen saturation ✅💛

Question 9

‎Female smoker 50 pack/year had a lung nodule that was 5mm and after 9 months it became 10.5mm. She has no symptoms, normal physical examination , no LN enlargement, nothing at all. What to do next?

‎A. blind percutaneous biopsy
‎B. Refer to thoracic surgery
‎C. Bronchoscopy
‎D. follow up after 6 month

Answer 9

Refer to thoracic surgery ✅💛

To have surgical excision biopsy is the gold standard (it’s a diagnostic and can be curative)

Question 10

• A 39-year-old male presents to the clinic with a 3- weeks history
of painless neck mass. on exam, the mass is located at level 2 ,not
tender, measure 3*5 cm and hard. What is the best next step in
management?
A- CT with contrast
• B-US
• C. MRI
• D. EXCISIONAL BIOPSY

Answer 10

EXCISIONAL BIOPSY ✅💛

Note :
Painless hard mass at LN areas, this is highly suspicious for lymphoma, next step is exsional biopsy → to Dx and determine types (hodgkin vs non-Hodgkin)

Question 11

An 18 years old with 2nd degree burns in both legs. His Weight was 70.
Which of the following fluids will you give him?
A) RL 5L in the first 6 hours and 5L in the next 16 hours
B) RL 2.5L in the first 6 hours and 2.5L in the next 16 hours
C) Normal saline 2.5L in the first 6 hours and 2.5L in the next 16 hours
D) 5L in the first 6 hours and 5L in the next 16 hours

Answer 11

A ✅💛

Question 12

Make truck driver with painful swelling between his gluteal fold. What is the most likely diagnosis:
A. Rectoischial abscess
B. Pilonidal cyst
C. Hidradenitis Suppurative

Answer 12

Pilonidal cyst ✅💛

Question 13

A 32-year-old man presents with an asymptomatic mass in his right testicle, On examination, the mass cannot be transilluminated ultrasound showed a solid mass in the right testicle. Which of the following is the most accurate method in obtaining a diagnosis of testicular cancer?
A. Serum levels alpha fetoprotein and beta human chorionic gonadotrophin.
B. Percutaneous biopsy of the testicular mass
C. Incisional biopsy of the testicular mass through a scrotal incision
D. Radical inguinal orchiectomy

Answer 13

Radical inguinal orchiectomy ✅💛

Question 14

A 30 year old woman had a gradual decrease of visual acuity since the last 3 years. Now she has a disability due to very low vision. What is the diagnosis?
A) glaucoma
B) cataract
C) macular degeneration
D) retinitis pigmentosa
E) keratitis

Answer 14

retinitis pigmentosa ✅💛

Question 15

30 years old male burnt his hand on the stove presented 8 days later with green discharge from the wound, which of the following is the causative organism?
A) E. Coli
B) klebseilla
C) pseudomonas
D) strept pyogens

Answer 15

pseudomonas 💛✅

Question 16

Colectomy in female she’s on tpn after 12 h fever high wbc what’s the
cause
- Pneumonia
- Central line infection
- Venous thrombemolism
- Respiratory distress

Answer 16

Pneumonia or atelactasis ✅💛

Unlikely to be B because catheter related at least 48h

Question 17

Q: Patient with perforated appendicitis after surgery had pus from wound, pain localized to the surgical
site. No guarding no fever what best initial treatment is:
A. Antibiotics
B. Open drainage.
C. Imaging guided drainage
D. Wound exploration

Answer 17

Wound exploration 💛✅

Question 18

Pt did let neck surgery then develop numbness (or loss of sensation) in the lower part of pinna + left triangle of mandible. Which nerve is injured?
A. Third occipital
B. Great auricular
C. Great occipital
D. Lesser occipital

Answer 18

Great auricular 💛✅

Question 19

Thoractomy indications

Question 20

Trauma patient with isolated head trauma and coma for 5 days what’s the method for
nutrition in the first period
A. NGT
B. Central line
C. Peripheral line
D. Gastrostomy

Answer 20

NGT 💛✅