SMLE Brain
18.6K subscribers
178 photos
12 videos
14 files
51 links
Providing SMLE resources ๐Ÿฉบ ๐Ÿง 

Smlebrain.com
Twitter.com/smlebrain
Ask me here: @AskSmleBrain
Download Telegram
A 12 year old boy is terminally ill with osteosarcoma. He asks you how long he is likely to survive. His parents asked you in the past to avoid discouraging their son by withholding the true severity of his condition. What is the best course of action?
Anonymous Quiz
51%
Discuss the patientโ€™s condition honestly without providing an estimated survival time
35%
Explain that a positive attitude will improve life expectancy and he shouldnโ€™t worry about longevity
7%
Provide an estimate of survival time based on a literature review
7%
Refer this question to the patientโ€™s parents
๐Ÿ‘10๐ŸŒญ6๐ŸŒ5๐Ÿ‘Œ3๐Ÿ”ฅ2โค1๐Ÿ˜1
ู…ุณุงุก ุงู„ุฎูŠุฑ ุนู„ูŠูƒู… ุฌู…ูŠุนุงู‹ุŒ ูŠุง ุงู‡ู„ุงู‹ ููŠ ุงูŠ ุงุญุฏ ุฌุฏูŠุฏ ู…ู† ุงู„ุฏูุนุฉ ุงู„ุฌุฏูŠุฏุฉ ุฏุฎู„ ุงู„ู‚ู†ุงุฉุŒ ุนุดุงู† ู„ุง ูŠุญุตู„ ู„ูƒู… ุชุดุชุช ุฃูุถู„ ุชุชุจุนูˆ ุงู„ุฑุณุงูŠู„ ุงู„ู…ุซุจุชู‡ ูˆ ุชู‚ุฑูˆู‡ุง ู‡ูŠ ููŠู‡ุง ุงู„ู…ู‡ู… ..

ูˆ ุงู†ุง ุงู† ุดุงุก ุงู„ู„ู‡ ุฑุงุญ ุงูƒู…ู„ ู…ุนุงูƒู… ุจุญู„ ุงู„ุงุณุฆู„ุฉุŒ ูˆุญุงู„ูŠุงู‹ ุงููƒุฑ ุงู†ุธู… ู‚ุฑูˆุจุงุช ู„ู„ุจุญูˆุซ ุจุญูŠุซ ู†ุณุงุนุฏ ุงู„ุงุบู„ุจ ุงู†ู‡ ูŠุณูˆูŠ ุจุญุซ ูˆูŠู‚ุฏุฑ ูŠุญุตู„ ุนู„ู‰ ุงู„ู†ู‚ุงุท ู„ู„ู†ุดุฑ.

ุจุงู„ู†ุณุจู‡ ู„ู„ุฌุฏูŠุฏูŠู† ๐Ÿ‘€ ููŠ ู…ุดุฑูˆุน ุจุจู„ุบูƒู… ุนู†ู‡ ู‚ุฑูŠุจุงู‹ ุฑุงุญ ูŠููŠุฏูƒู… ุจุฃุฎุชุจุงุฑ ุงู„ SMLE ุฌุฏุงู‹ ุฅู† ุดุงุก ุงู„ู„ู‡ ูˆุจุงู„ุชูˆููŠู‚ ู„ู„ูƒู„ ๐Ÿซต๐Ÿป๐Ÿซถ๐Ÿป
๐Ÿ‘33โค26๐Ÿ”ฅ5๐ŸŒ5๐Ÿฅฐ1๐Ÿคจ1
A child with muscle atrophy disease and recurrent chest infections requires resuscitation. However, the mother informs the medical team that the child has a "Do Not Resuscitate" (DNR) order in place. How should this situation be handled?
Anonymous Quiz
27%
Take the DNR order from the mother
24%
Seek consent for DNR from the hospital
36%
Take the order by hospital physician to carry out resuscitation
13%
Consult hospital administration
๐Ÿ˜20โค8๐Ÿ‘7๐ŸŒ4๐Ÿ”ฅ2๐Ÿค”2๐Ÿคจ2๐Ÿณ1
Patient came for surgery, and during operation, doctor requested the nurse to administer a unit of blood. However, the nurse informed the doctor that the patient had already received a unit of blood as per a previous order. What is this situation called?
Anonymous Quiz
61%
Collaborative communication
27%
Order assessment
6%
Hand off
7%
Cut off
โค13๐Ÿ‘6๐Ÿฅด6๐Ÿ”ฅ3
A child๐Ÿ‘ฆ๐Ÿป is admitted to the PICU with a subdural hematoma. The father reports the child fell from his bed. On physical examination, the child has ecchymosis on the buttocks and back and bilateral femoral fractures๐Ÿ’ฅ๐Ÿฆด. What's the most likely diagnosis?
Anonymous Quiz
1%
Hematoma
4%
Pathological fracture
90%
Battered child syndrome
5%
Accidental injury
๐Ÿ˜ข17๐Ÿ‘9โค6๐Ÿคฌ5๐Ÿ”ฅ2๐ŸŒ1
A female who recently got married has been taking oral contraceptive pills (OCPs) even before her marriage. She wishes to continue taking OCPs, but her husband wants her to stop. What is the most appropriate approach?
Anonymous Quiz
15%
Patient consent is enough
56%
Both the patient and her husband should be consented
27%
The patient's consent should be taken after discussion with her husband
1%
Husband's consent is enough
๐Ÿคฌ26โค12๐Ÿ‘10๐Ÿค”5๐Ÿ‘Ž4๐Ÿคฉ4๐Ÿ‘Œ2๐Ÿ”ฅ1๐ŸŒ1
SMLE Brain pinned ยซู…ุณุงุก ุงู„ุฎูŠุฑ ุนู„ูŠูƒู… ุฌู…ูŠุนุงู‹ุŒ ูŠุง ุงู‡ู„ุงู‹ ููŠ ุงูŠ ุงุญุฏ ุฌุฏูŠุฏ ู…ู† ุงู„ุฏูุนุฉ ุงู„ุฌุฏูŠุฏุฉ ุฏุฎู„ ุงู„ู‚ู†ุงุฉุŒ ุนุดุงู† ู„ุง ูŠุญุตู„ ู„ูƒู… ุชุดุชุช ุฃูุถู„ ุชุชุจุนูˆ ุงู„ุฑุณุงูŠู„ ุงู„ู…ุซุจุชู‡ ูˆ ุชู‚ุฑูˆู‡ุง ู‡ูŠ ููŠู‡ุง ุงู„ู…ู‡ู… .. ูˆ ุงู†ุง ุงู† ุดุงุก ุงู„ู„ู‡ ุฑุงุญ ุงูƒู…ู„ ู…ุนุงูƒู… ุจุญู„ ุงู„ุงุณุฆู„ุฉุŒ ูˆุญุงู„ูŠุงู‹ ุงููƒุฑ ุงู†ุธู… ู‚ุฑูˆุจุงุช ู„ู„ุจุญูˆุซ ุจุญูŠุซ ู†ุณุงุนุฏ ุงู„ุงุบู„ุจ ุงู†ู‡ ูŠุณูˆูŠโ€ฆยป
A patient has recently stopped smoking and has started using nicotine replacement patches. The patient is motivated to quit smoking and is actively taking steps towards achieving that goal. Which stage of smoking cessation is the patient currently in?
Anonymous Quiz
69%
Action
15%
Preparation
12%
Contemplation
3%
Precontemplation
๐Ÿ‘9๐Ÿ˜9โค3๐Ÿ‘1
A 27-year-old woman at 39 weeks of gestation experiences a complicated delivery due to shoulder dystocia. As a result, the infant develops brachial plexus palsy. What is the best approach to reduce complication rates for shoulder dystocia?
Anonymous Quiz
40%
Schedule simulation drills with the entire clinical team at regular intervals
8%
Conduct a debriefing for team members after each adverse event
14%
Perform a root cause analysis after every adverse event
38%
Use a checklist that categorizes shoulder dystocia risk in every patient chart
๐Ÿ‘8๐Ÿ‘Ž7โค2๐Ÿ˜ˆ2๐Ÿ”ฅ1
An 89-year-old man with a history of metastatic cancer asks you to prescribe medications that will end his life. While you personally have reservations about assisted suicide, you are in a state where its legal. What is the appropriate course of action?
Anonymous Quiz
41%
Inquire about the patient's reasons for wanting assisted suicide
5%
Comply with the patient's wishes and agree to help perform assisted suicide
15%
Encourage the patient not to pursue assisted suicide
39%
Refer the patient to a qualified medical provider who assists with performing assisted suicides
๐Ÿ‘12โค6๐Ÿฅฐ2
A 10-year-old child with a severe neurological progressive condition is under the care of a pediatrician. The parents ask about the duration of a DNR order for their child. How should the DNR order be managed in this case?
Anonymous Quiz
18%
DNR is valid for life
45%
DNR is reviewed annually
15%
DNR is reviewed every 3 months
22%
DNR is reviewed every 6 months
๐Ÿ”ฅ14๐Ÿฅด5โค3๐Ÿ‘3๐Ÿฅฐ1๐Ÿค”1๐Ÿคจ1
A study was conducted on 1320 cases to investigate the effects of a new drug. In order to ensure a successful study, which of the following factors must be avoided?
Anonymous Quiz
68%
Plagiarism
10%
Explain the study to the cases
11%
Unknown identity of the cases
11%
Consent of the cases
๐Ÿ‘12๐Ÿ‘Œ1
A critically ill patient is admitted to the intensive care unit (ICU). The medical team is considering a Do Not Resuscitate (DNR) order for the patient. Which of the following statements is true about DNR orders?
Anonymous Quiz
64%
DNR orders should be taken by 3 worthy doctors
16%
DNR orders should be discussed with the patient
16%
DNR orders should be discussed with the patientโ€™s family
3%
DNR orders should be discussed with hospital administrators
๐Ÿคฌ14๐Ÿ‘13๐Ÿ˜9โค7๐Ÿฅด3๐Ÿ‘Ž2๐Ÿ”ฅ1๐ŸŒ1
An 8-year-old girl has sustained a painful open fracture-dislocation that needs immediate treatment following a car accident. Her parents are out of town, and the babysitter is in a different hospital. Which of the following is the best course of action?
Anonymous Quiz
66%
Reduce the fracture and complete a thorough evaluation
17%
Do not treat the patient until given verbal consent over the phone by her parents
10%
Obtain verbal consent from the babysitter over the phone
7%
Obtain a court order to treat the patient
๐Ÿ‘16๐Ÿค”7๐Ÿ‘Œ4โค3๐Ÿคฉ1
A patient is experiencing hemiplegia and weakness after a stroke. The patient is currently undergoing physiotherapy. What form of disease prevention is this?
Anonymous Quiz
62%
Tertiary
8%
Secondary
3%
Primary
27%
Rehabilitation without prevention
๐Ÿคฌ20๐Ÿ‘13๐Ÿคฃ7๐Ÿค”2๐Ÿฅฑ2๐Ÿฅด2โค1๐Ÿฅฐ1
A father of one of your patients, approaches you and asks you to prescribe an oral hypoglycemic medication for his daughter's treatment. However, the daughter is currently uninsured. He requests that you put the prescription in his name. What is correct?
Anonymous Quiz
8%
Write a prescription in the father's name but inform daughter's PCP physician about her treatment
5%
Write prescription in father's name to prevent complications and suggest daughter gets medical help
60%
Do not write a prescription to his insurance company for intention to commit fraud
27%
Write a prescription for the daughter for a different and less expensive medication
๐Ÿคฃ23๐Ÿ”ฅ7๐Ÿ˜ข6โค2๐Ÿ‘Ž1๐Ÿณ1
A man with liver problems and a history of alcoholism visits the clinic. After he leaves, his wife approaches you and requests an alcohol lab test because she suspects that his drinking is causing his illness. What is the correct action to be taken?
Anonymous Quiz
54%
Do not perform a test for alcohol without the patient's permission
22%
Send the specimen for testing for alcohol but only inform the patient of the result
13%
Tell the patient about his wife's request and ask him about alcohol use
11%
Ask the wife for more information before deciding whether to send the specimen for alcohol testing
๐Ÿ˜ฑ29๐Ÿค”18๐Ÿ‘10๐Ÿ‘Ž10โค3๐Ÿ”ฅ2
The doctor checks on the labor of his patient on Friday evening. he's leaving for vacation in a few hours, but an on-call obstetrician will be available for deliveries. The physician recommends a CS. Which of the following principles is demonstrated?
Anonymous Quiz
54%
Conflict of interest
20%
Beneficence
24%
Directive counseling
3%
Justice
๐Ÿ‘16๐Ÿ˜10๐Ÿค”8โค3
ู…ุณุงุก ุงู„ุฎูŠุฑ ุนู„ูŠูƒู… ุฌู…ูŠุนุงู‹
ุจุดุฑูˆู†ุง ุงู„ุงู†ุชูŠุฑู†ุฒ ุงู„ุฌุฏุฏ ูƒูŠู ุงู„ุฏูˆุงู… ูˆุจุฏุงูŠุชู‡ ู…ุนูƒู…ุŸ ๐Ÿ‘€
ุงุฏุฑูŠ ุงู„ุงุบู„ุจ ู…ู†ูƒู… ุฑุงุญ ุฏูˆุฑ ู†ุตุงูŠุญ ูƒุซูŠุฑุฉ ู…ู† ุชุฌุงุฑุจ ุงู„ู„ูŠ ู‚ุจู„ู‡ ูˆุณุฃู„ ุนู† ุงู„ุชูŠู… ููŠู‡ ูˆุทุจูŠุนูŠ ููŠู‡ ู…ู†ู‡ ูƒู„ุงู… ุงูŠุฌุงุจูŠ ูˆ ููŠู‡ ุณู„ุจูŠุŒ ู„ูƒู† ู†ุตูŠุญุชูŠ ู„ูƒู… ู„ุงุชุจู†ูˆู† ููƒุฑุฉ ู…ุนูŠู†ุฉ ุน ู…ูƒุงู† ูˆ ุชูŠู… ู…ู† ุชุฌุฑุจุฉ ุงุญุฏ ู‚ุจู„ูƒู…ุŒ ุงูุถู„ ุทุฑูŠู‚ุฉ ุงุฐุง ุจุฏูŠุชูˆ ุงู„ุฑูˆุชูŠุดู† ุจู‚ุณู… ู…ุนูŠู† ุงู†ุณูˆ ูƒู„ ุงู„ู„ูŠ ุณู…ุนุชูˆู‡ ุนู†ู‡ ูˆุชุนุฑููˆ ุนู„ูŠู‡ ุจู†ูุณูƒู… ูˆุดุฎุตูŠุชูƒู… ุงู†ุชู….
ุจุงู„ู†ุณุจู‡ ู„ุฃุฎุชุจุงุฑ ุงู„ SMLE ููƒุฑุชูˆ ุจุฃูŠ ุดู‡ุฑ ุชุจูˆู† ุชุฎุชุจุฑูˆู†ู‡ุŸ ๐Ÿ‘€
โค15๐Ÿ˜ข9๐Ÿ‘2๐Ÿค”2๐Ÿ˜ฑ2