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صباحكم سعيد.

هذي هي ملفات الاشهر، وملفات اعتقد انها رح تساعدكم ولو بالقليل.

تنويه ياحبايب: الاجوبه مو بالضروره تكون جميعها صحيحه، الخطأ وارد، تأكد بنفسك اذا شاك في أي سؤال..

اللي وده يستفسر عن شيء او يرسل اسئلة يبغى اجابتها في ديسمبر
يتواصل معاي تلقرام هنا: @itsBdran
وان شاء الله اجاوب عليها هنا بالقروب

ماقول غير الله يوفقكم جميعاً، واعذرونا ان حصل تقصير.

شكراً.

Patient with anal fissure not responding to drug, what procedure is most suitable for his condition?
A. Lateral internal sphincterotomy ✅.
B. Anal curettage
C. Lateral External sphincterotomy.

Another Recall:
25-year-old man presented to the Emergency Department with severe pain during and after defecation for 3 days associated with passage of a small amount of fresh blood after defecation. Physical examination confirmed an acute posterior anal fissure. Digital and proctoscopic examination were not performed due to the anal pain. Which of the following is the most appropriate management?
A. examination under anaesthesia
B. lateral internal anal sphincterotomy
C. chemical sphincterotomy with diltiazem ✅
D. botulinus toxin paralysis of anal sphincter


Schwartz:
first line management of Anal fissures is usually to minimize the trauma incidence by bulk agents, stool softeners, warm baths and analgesic cream. CCB ( as Diltiazem ) helps to heal the fissures and have fewer side effects.

Failed Medical therapy? Lateral internal sphincterotomy is recommended.

Years old female medically & surgically free, with no family history of colon cancer, which colon
cancer screening test iS appropriate for her?
A. 5 years Colonoscopy
B. Annual Fecal Occult Blood ✅
C. Annual sigmoidoscopy

Another recall:
45-year-old women medically free with no personal or family history of cancer. Asking about when to to start colon cancer screening?
A- no need for screening for her case
B- Start now and every 5 years
C- Start at 50 years with annual colonoscopy
D- Strat at 50 with annual Fecal occult blood ✅

Schwartz:
Recommended colon cancer screening tests for average risk patients:
1- Colonoscopy every 10 years
2- flexible Sigmoidoscopy, Air contrast barium enema every 5 years
3- Annual Fecal Occult blood Test ( FOBT ).

جاني فالاختبار.

A 45 years old male smoker has an adenoma removed from his colon. Pathology report shows a benign lesion. What advice should you give this patient to prevent him from getting colon cancer?
A. Eat a low-fiber diet.
B. Eat a high-protein diet.
C. Colonoscopy every year.
D. Stop smoking and start exercising ✅

Let’s exclude:
A- Should be high fiber diet.
B- No relation.
C- if there’s 5 or more adenomas.


Another recall:
After resection of a pedunculated polyp the results was benign adenoma and patient has no family history of colon cancer what to advice for reduction of colon cancer?
A- Prophylactic sigmoidoscopy
B- Prophylactic colectomy
C- Annual colonoscopy
D- Life style modification (healthy diet and exercise) ✅

For anyone in need of assistance to solve December Qs don’t hesitate to send your question to: @itsBdran.
Best of luck to you all.