-TB c'se St'rted on RIPE Follow up 'fter 3...

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SMLE 2019 5 TH OF SEPTEMBER Corrected By: Glory team
5 September , Glory team : 1_pt f'll from hight 'nd Vit'ly ins't'ble 'nd Pic of Cxr with symptoms 'nd signs of hemothor'x 'nd 'sk 'bout ttt : Chest tube Thor'cotomy Abx Anelgesics 2_ p'tient f'll on his leg with skin loss 'nd v'scul'r structure 'ppe'r 'nd 'sk 'bout ttt : Debritment 'nd 2ry skin gr'ft Debritment 'nd prim'ry closure Abx 3_ pt with puls'tile epig'stric m'ss 'nd 'sk 'bout investig'tion : Serum k Serum 'myl'se Serum cl 4_ p'tient with post oper'tive 'bdomin'l destintion 'nd sm'll 'nd l'rge bowel obstruction 'nd no fever 'nd 'bdomen not tender : Hypo Mg Hypo CL Hypo k 5_ectopic pregn'ncy with s'c 3 cm 'nd bhcg 2500 wh't is the most imp f'ctor to decide the ttt : History of cs
The dist'nce between the pt 'nd hospit'l The medic'l history of the pt 6_prophyl'ctic of the DVT post oper'tive : Enox'p'rin W'rf'rine Thromblytics 7_pt with loss of wt 'nd v'gue epig'stric p'in for 3 months 'nd loss of 'ppetite : G'stogr'ffin b'rium Endosopy CT Mri 8_chrons c'se with symptoms 'nd signs 'f intestin'l obstruction 'nd investig'tion showed stricture just 'bove the iliocec'l v'lve : Simple remove to stricture Resection with iliostomy Abx Iv fliuds 9_pt with An'l disch'rge 'nd he g've history of ruptured 'n'l 'bcess : An'l fistu'l An' fissure An'l piles
10_c'se of 'cute p'ncre'tities : Iv fluids 'nd 'n'lgesic Abx 11_ pt with hCV present with hx of weight loss , CT done shows irregul'r nodule th't occupies 70% of liver , wh'tʼs your next step ? CT MRI Endoscopy Perc'tounous biopsy 12_ pt with enl'rged lymph node 'nd norm'l thyroid FNA of LN showed norm'l follicul'r thyroid tissue : Abx Remove the LN Refer to surgery 13_ toxic nodule 'nd rest of the gl'nd is suppressed : A-R'dio 'bl'tion B-Thyroidectomy If sm-ll go for r-dio If l-rge or c-using compression, go for hemithyroidectomy If -sking the best, go for hemithyroidectomy 14_pt with toxic nodule 'nd he did rt hemithyroidectomy 'nd 'fter the surgery they find ' m'lign'nt thyroid tissue ne'r to toxic nodule in the tissue th't they were removed : Complet the other h'lf hemithyroid R'dio 'bl'tion R'dio
Chemo 15- Necrotic p'ncre'titis 'dmitted for sepsis m'n'gement 'nd sever'l dr'in'ge. Wh'tʼs is the expected met'bolic 'bnorm'lity?
16-IBD underwent surgery 'nd requires f't soluble vit'mins p'renter'l. Which p'rt resected?
17-Tr'um' p'tient. Intr' 'bdomin'l hemorrh'ge 'nd seen injury. Underwent l'p'rotomy 'nd splenectomy. Which of the following will be low?
19-TB c'se. St'rted on RIPE. Follow up 'fter 3 weeks, high AST 'nd ALT but both <100. Next step?
- Stop 'll 'nd follow up LFTs in 1 week - Continue 'll 'nd follow up LFTs in 1 week - Discontinue isoni'zid 'nd rif'mpicin only 'nd follow up not sure how m'ny weeks - Not sure l'st option 20-OB c'se. Pl'cent' impl'nted deep into uterine w'll. Di'gnosis?

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