A 4-month-old uncircumcised boy. He has low-grade fever. Many negative symptoms. He looks well and changed diaper multiple times.
Temp: 39.1
Urine analysis:
High WBC.
Positive nitirte.
Posiitve leukocyte.
What is the most appropriate management?
A. Oral cephalexin. ✅
B. Oral azithromycin.
C. IV ceftriaxone.
D. IV cefuroxime.

جاني بالنص في نوڤمبر

اللي اختبارهم بكره وبعده ويحتاجون مساعده في أي سؤال ارسلوا لي عالخاص : @itsBdran

For exam takers on Wednesday and Thursday and in need of assistance in Solving Questions don’t hesitate to contact me at @itsBdran

الله يوفقكم جميعاً
ويرزقكم اعلى الدرجات يارب..

UTD: You do Venous duplex in Spider Nevi ( Telangectasia ) only if associated wtih Sx or have Risk factors for chronic venous insufficiency.

37 yo male have spider nevi over righ thigh want to do cosmotic
examination normal pulse and no varicosity
what investigation to do?
1-no need ✅
2- venous duplex
3- venous CT angio
4- venous plethysmography

46 yo female known to have varicose veins for 6 years presented with bilateral leg swelling and pain after prolonged standing
No hx of claudication
After examination there’s various veins in the great sephonus vein territory
What is the investigation of choice:
A. CT venography
B. Venous duplex ✅
C. venous plethysmography
D. No investigation required

﴿ إِنَّ الله وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَأَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا ﴾.

🔴 رسسسسمياً 🤩👏🏼👏🏼📢

أعلنت هيئة التخصصات الصحية عن فتح بوابة "المطابقة والمفاضلة" للراغبين بالتقديم بالـ #matching2023 👨🏻‍⚕️✨👩🏻‍⚕️

يستمر التسجيل في البوابة الى يوم 16 يناير وبإمكان كل من لديه حساب سابق في البوابة من استخدامه "للتقديم او التحويل"

📎 عبر : https://matching.scfhs.org.sa/pages/default

نزلت درجات ديسمبر
بشرونا ..

اللي استفادوا من القناة بشكل عام وارسلوا الله يبيض وجيهكم على الدعاوي اللي توصلني على الخاص والله ياخوان اني ما ادري وش اقول واني مبسوط جداً.. شيء يثلج الصدر صراحه ❤️

عسى الله يوفقكم جميعاً ويسر اموركم ويختار لكم اللي فيه الخير والخيره


بالنسبة للي يعلق معاه رابط النتائج يدخل عن طريق ممارس بلس ويدخل على خانة " اختباراتي " وان شاء الله تطلع له مع رابط تحميل الرسم البياني..

‏سلام عليكم ورحمة الله وبركاته
‏مساء الخير دكتور بدران
‏كيف حالك عساك طيب ؟
‏تكفى اذا تقدر تسأل في قناتك اذا يعرفون احد اعترض على درجة اختبار SMLE وتعدلت الدرجة حقته او لا ؟
‏لاني اختبرت الشهر الماضي وطلعت وانا واثق ومتفائل جداً من حلي وضامن فوق ٩٠ لكن طلعت الدرجة ٨٥!
‏ودي اعترض لكن الاعتراض ب ٥٠٠ ريال واخاف مافيه فايده
‏فاودي اعرف اذا فعلاً فيه احد قد اعترض وتعدلت نتيجته






احد يعرف؟

هذي الرساله للي حاب يستفسر عن شيء بالتقديمات.. واللي عنده جواب يجاوب نستفيد من بعض.

مسيتوا بالخير جميعاً، راح أكون معاكم للي بيختبرون في يناير وفبراير وبساعدكم والخّص اللي اقدر عليه إن شاء الله..

أي سؤال تحتاجون مساعده فيه أنا موجود بإذن الله

طريقة التواصل تلقرام مباشرة: @itsBdran

For exam takers in Jan and Feb, anyone in need of assistance to solve any Qs, Don’t hesitate to contact me at @itsBdran

اللي مارديت عليهم ارسلولي نقطة بالله، المحادثات تلخبطت للاسف

شكراً للجميع

A 50 year old sustained blunt trauma to the chest with persistent pneumothorax and significant air leak through double intercostal tubes most appropriate next procedure ?
A. Reposition of ICT
B. Prompt thoracotomy
C. Endotracheal intubation
D. Fiberoptic bronchoscopy ✅

Patient on Double intercostal tubes and still there’s air leak?
More likely to be Tracheo-bronchial injury and diagnosed by Brochoscopy.

Ref: Thawabh.

Pregnant women 15 weeks GA presented with right abdominal pain associated with nausea and vomiting.
Obstetrician Dr excluded pregnancy related diagnosis
What is the most likely diagnosis:
A- cholecystitis
B- Appendicitis ✅
C- pancreatitis

Case of pregnant 16 weeks developed right side abdominal pain (did not specify upper or lower). Temp 73.8
Most common cause
A) gastritis
B) pancreatitis
C) cholecystitis
D) appendicitis ✅

Female 16 week pregnant, came with right sided abdominal pain (RUQ) associated with nausea and vomiting. The doctor ruled out all pregnancy related abdominal pain. What's the most likely diagnosis?
A- Gastritis
B- Pancreatitis
C- Cholecystitis ✅
D- Appendicitis

Remember this:
( Appendix will change in position during the 3rd trimester )

15 weeks and right UPPER quadrant abdominal pain?
Cholecystitis.

3rd trimester and right UPPER quadrant abdominal pain?
Appendicitis

15 weeks and right abdominal pain without specifying upper or lower?
Appendicitis as its the most common surgical emergency.

Nurse work in pulmonary clinic C/O with fever, productive cough. She is not
responding to antibiotics (chest Xray show opacity left upper lobe) which of the
following most likely diagnosis ?
A- Streptococcus pneumoniae
B- Hemophilus pneumonia
C- Mycobacterium Avium complex
D- Pulmonary TB ✅


- Not responding to Antibiotics.
- Apical site opacity.

Most likely she is having Pulmonary TB.

A 6 year old girl presents with reddish urine. Her parents state that she had constipation for 2 weeks and now has incontinence (Not specified if urine or stool). Examination reveals abdominal tenderness with no organomegaly.
Vitals:
BP 115/76
HR 76
RR 27
T 38.9 C
Labs:
WBC 9.5 WNL
Hgb 79 Low
Urine:
Leukocytes 20-25 High
RBC 30-35 High
Protein + High
Blood +++ High

What is the most likely diagnosis?

A- UTI ✅
B- HSP
C- Autoimmune hemolytic anemia
D- PSGN

- Clues:
Fever, Constipation, +ve leucocytosis in urine.

- Man got shot by gun in his Rt. thigh, then developed hematoma in the medial thigh.
The patient developed pain and parasthesia in his Rt. leg, pulse was abscent from femoral artery and below (no vitals or labs), what is the best next step?
A- CT angio
B- Wound exploration
C- Wound exploration and repair in the OR ✅
( No fasciotomy in choices )

- Man got shot by gun in his Rt. thigh, then developed hematoma in the medial thigh.
The patient developed pain and parasthesia in his Rt. leg, pulse was abscent from femoral artery and below (no vitals or labs), what is the best next step?
A- CT angio
B- Wound exploration
C- Wound exploration and repair in the OR ✅
D- fasciotomy

- A 27-year-old man sustains a single gunshot wound to the left thigh. In the ER, he is noted to have a large hematoma of his medial thigh. He complains of paresthesias in his left foot. On examination, there are pulsatile hematoma with weak pulses palpable distal to the injury and the patient is unable to move his foot. Which of the following is the most appropriate initial management of this patient?
A- CT Angiography
B- Immediate exploration and repair in the OR ✅
C- Observation
D- Bedside local wound exploration

- Patient after trauma developed expanding hematoma on the medial side of the thigh with weak pulses,
1- wound exploration in the ER
2- take him directly to OR ✅

- A gunshot in the left leg, hematoma in the medial aspect of the thigh what’s the next step?
A- angiography
B- Apply direct pressure first ✅

- Male victim of gunshot to the thigh, pale and unconscious, BP 90/60 pulse 130, next?
A- orotracheal intubation ✅
B- blood transfusion
C-shift to OR
D-RL infusion


To be organized:
1- exploration of hematoma in OR is indicated if hard signs are present as expanding, pulsatile, absent distal pulse, evidence of distal ischemia.

2- Following ABCDE approach is a priority to any Question if asked about the next step:
* If intubation is needed, should be the first step.
* If Airway is patent and the patient is breathing normally the next would be applying direct pressure to stop the bleeding.

Pregnancy typical DVT symptoms then developed PE, how to dx?
A- Ct
B- D dimer
C- V/Q
D- Us for lower limbs ✅


30 year old female pregnant with new symptoms of dyspnea, productive cough and fatigue. Doppler US was negative what is the next test to do:
A: cta
B: d dimer
C: spirometery
D: ventilation and perfusion scan ( V/Q scan ) ✅

PE and DVT In pregnancy the first thing to do is US of the lower limb if negative —> V/Q scan.