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
ู…ุณุงุก ุงู„ุฎูŠุฑุฑ ุนู„ูŠูƒู… ุฌู…ูŠุนุงู‹ โœจุŒ ูƒูŠู ุงู„ุงุญูˆุงู„ุŸ ๐Ÿ‘€
ุงุชู…ู†ู‰ ุงู†ู‡ ุงู„ูƒู„ ุงุณุชูุงุฏ ู…ู† ุงู„ู…ู„ุฒู…ุฉ ูˆุงู„ุญู„ูˆู„ ุจุงู„ู‚ู†ุงุฉุŒ ูˆุงู„ุชุทุจูŠู‚ ๐Ÿ™
ูˆู…ุงุดุงุกุงู„ู„ู‡ ูƒุซูŠุฑ ู…ู†ูƒู… ู…ู† ุงู„ู„ูŠ ุงุฎุชุจุฑูˆ ู…ุงู‚ุตุฑูˆ ุจู†ู‚ู„ ุงู„ุงุณุฆู„ุฉุŒ ูˆุชุฐูƒุฑูˆ ุฏุงุฆู…ุงู‹ ุงู„ุชุนุงูˆู† ุงู„ู…ุณุชู…ุฑ ูŠุชุฑูƒ ุฃุซุฑ ุงูŠุฌุงุจูŠ ูˆ ูุฑุตุฉ ุงู„ุญุตูˆู„ ุน ู†ุชุงุฆุฌ ู…ุฑุถูŠุฉ ู„ู„ุฌู…ูŠุนุŒ ุจุฃุฐู† ุงู„ู„ู‡.

ุจุงู„ุชูˆููŠู‚ ู„ู„ูƒู„ ๐Ÿค
โค44๐Ÿ”ฅ5๐Ÿณ4๐Ÿ˜2๐Ÿ‘1
15 year male doing an LP (not actually emergency procedure) u should ?

A- take consent from patient NOT assent from parents
B- Take consent from parents NOT assent from patient
C- Take permission from parents, assent from patient
D- you donโ€™t need any cus it is an emergency procedure

If the question was exactly like this, I would pick C as it is the closest answer. Consent from the patient and assent from parents is the most accurate answer as he has passed the age of puberty according to the Saudi ethics handbook for residents
๐Ÿ‘44๐ŸŒ20โค4๐Ÿคฏ4๐Ÿ’‹4๐Ÿ˜ข1
โ€ข ุงู„ู„ูŠ ุฎู„ุตูˆ ูˆุงุฎุชุจุฑูˆุง ุจุดุฑูˆู†ุง ูˆู…ูˆูู‚ูŠู† ุงู„ู„ูŠ ุงุฎุชุจุงุฑู‡ู… ููŠ ุณูŠุจุชู…ุจุฑ ๐Ÿค

๐Ÿ”ฅุงุจุดุฑูƒู… ุงู„ุญู…ุฏู„ู„ู‡ ุจุนุฏ ุฌู‡ุฏ ูƒุจูŠุฑุฑ ุญุงู„ูŠุงู‹
(ุดู‡ุฑ ุงูˆู‚ุณุช 8)ูƒุงู…ู„ ูˆุดุงู…ู„ ู…ูˆุฌูˆุฏ ุจุงู„ุชุทุจูŠู‚ุŒูˆูˆุตู„ุช ุนุฏุฏ ุงู„ุงุณุฆู„ุฉ (800+)ุณุคุงู„ ๐Ÿซก
ูˆุจุฏูˆู† ุชูƒุฑุงุฑ ู…ุงุดุงุกุงู„ู„ู‡๐Ÿ‘€๐Ÿ”ฅ

โ€ข ุงู„ู„ูŠ ู…ุดุชุฑูƒูŠู† ุจุงู„ุชุทุจูŠู‚ ุชู„ู‚ุงุฆูŠ ุจูŠุญุตู„ูˆู† ุงู„ุงุณุฆู„ุฉ ู…ูˆุฌูˆุฏุฉ ๐Ÿ‘

ุจุงู„ุชูˆููŠูŠู‚ ู„ู„ูƒู„ ูˆูุงู„ูƒู… ุงู„ุฏุฑุฌุงุช ุงู„ุทูŠุจุฉ โœจ
โค14๐Ÿ”ฅ9๐Ÿค”2
SMLE Brain pinned ยซโ€ข ุงู„ู„ูŠ ุฎู„ุตูˆ ูˆุงุฎุชุจุฑูˆุง ุจุดุฑูˆู†ุง ูˆู…ูˆูู‚ูŠู† ุงู„ู„ูŠ ุงุฎุชุจุงุฑู‡ู… ููŠ ุณูŠุจุชู…ุจุฑ ๐Ÿค ๐Ÿ”ฅุงุจุดุฑูƒู… ุงู„ุญู…ุฏู„ู„ู‡ ุจุนุฏ ุฌู‡ุฏ ูƒุจูŠุฑุฑ ุญุงู„ูŠุงู‹ (ุดู‡ุฑ ุงูˆู‚ุณุช 8)ูƒุงู…ู„ ูˆุดุงู…ู„ ู…ูˆุฌูˆุฏ ุจุงู„ุชุทุจูŠู‚ุŒูˆูˆุตู„ุช ุนุฏุฏ ุงู„ุงุณุฆู„ุฉ (800+)ุณุคุงู„ ๐Ÿซก ูˆุจุฏูˆู† ุชูƒุฑุงุฑ ู…ุงุดุงุกุงู„ู„ู‡๐Ÿ‘€๐Ÿ”ฅ โ€ข ุงู„ู„ูŠ ู…ุดุชุฑูƒูŠู† ุจุงู„ุชุทุจูŠู‚ ุชู„ู‚ุงุฆูŠ ุจูŠุญุตู„ูˆู† ุงู„ุงุณุฆู„ุฉ ู…ูˆุฌูˆุฏุฉ ๐Ÿ‘ โ€ฆยป
๐Ÿ›‘Correction of this question๐Ÿ›‘

A patient was brought to the Emergency Department following a road traffic accident. During the initial assessment, the doctor inquired about the airway, to which the nurse responded that it was patent with signs of obstruction. The doctor then inquired about breathing, and the nurse reassured that it was okay. The doctor proceeded to ask about circulation, and the nurse responded once again. What type of communication is demonstrated in this scenario between the doctor and nurse?

A. Check back
B. Situation, background, assessment, and recommendation (all in one answer)
C. Close loop communication
D. Call out

Answer: D

Call out is a more specific answer that represents whats happening in the case scenario
๐Ÿ‘64โค31๐Ÿคจ15๐Ÿคฌ11๐ŸŒ9๐Ÿค”5๐Ÿณ3๐Ÿ˜3๐Ÿ”ฅ2๐Ÿฅด2
๐Ÿ‘Œ23๐Ÿ‘10โค5
ุงุณุงู„ุฉ ุงู„communication ู‡ุฐูŠ ุฌุฏูŠุฏุฉ ุชู…ุงู…ุง ูˆู…ุง ูƒุงู† ู…ูˆุฌูˆุฏ ุจูขู ูขูขุŒ ูˆู„ุง ููŠ ูƒุชุจ ู…ู† ุงู„ู‡ูŠุฆุฉ ุชุบุทูŠ ุงู„ู…ูˆุถูˆุน ู†ูุณ ุจุงู‚ูŠ ู…ูˆุงุถูŠุน ุงู„ุงุฎู„ุงู‚ูŠุงุช. ุงู„ู„ู‡ ูŠูˆูู‚ูƒู… ุฌู…ูŠุนุง ูˆู„ุง ุชู†ุณูˆู†ูŠ ู…ู† ุงู„ุฏุนุงุก๐Ÿ™๐Ÿป
โค30๐Ÿคฌ8๐Ÿ™8๐Ÿคฎ6๐Ÿ˜ข4๐Ÿ‘2
+ ุงุณุงู„ุฉ ุงู„ethics ุงู„ุณู†ุฉ ู‡ุฐูŠ ุญุฑูŠู‚ุฉ
๐Ÿคฌ28๐Ÿ”ฅ16๐Ÿ˜ข11โšก4๐Ÿค”2โค1
๐Ÿ›‘ The following question is most likely not SMLE, I donโ€™t recommend studying non-SMLE questions for the exam ๐Ÿ›‘

A woman at 10 weeks gestation comes to the office for an initial prenatal visit, the patient has no chronic medical conditions and no prior surgeries, while discussing what to expect during the pregnancy and delivery, the patient states that she would like a primary cesarean delivery performed, the patientโ€™s mother has struggled for years with urinary and fecal incontinence after having 3 vaginal deliveries and the patient does not want the same complications, the physician discusses the complications associated with cesarean delivery. Including the increased risk of complications in future pregnancies, based on the lack of medical and Obstetric indications, the physician is uncomfortable agreeing to perform the procedure, however the patient states that she understands the risk and still wants a cesarean delivery, which of the following is the most appropriate management of this patient?

A) Refer the patient to another obstetrician-gynecologist
B) Perform a caesarean delivery on maternal request
C) Tell the patient the procedure will not be covered by her insurance
D) Wait and discuss further when the patient is in active labor

Answer: A
๐Ÿค”15โค8๐Ÿ‘6๐ŸŒ6๐Ÿ‘5๐Ÿคจ4๐Ÿ”ฅ1๐Ÿ’‹1
Uworld question, not SMLE ๐Ÿ˜’
๐Ÿคฎ22๐Ÿคฃ10๐Ÿคฏ5๐Ÿคฌ4๐Ÿฅฐ3๐Ÿ˜1๐Ÿ‘จโ€๐Ÿ’ป1
ู…ุณุงุก ุงู„ุฎูŠุฑุฑ ุฌู…ูŠุนุงู‹ุŒ ูƒูŠู ุงู„ุฃุญูˆุงู„ ุจุดู‘ุฑูˆู†ุง ุŸ
ุงู„ุญู…ุฏู„ู„ู‡ ุงู„ููŠุฏุจุงูƒ ู…ุง ูˆู‚ูุช ุน ุงู„ุชุทุจูŠู‚ ุดูƒุฑุงู‹ ู„ูƒู…ุŒ ุงุชู…ู†ู‰ ู„ูƒู… ุงูุถู„ ุงู„ุฏุฑุฌุงุช ุจุฃุฐู† ุงู„ู„ู‡โœจ
ูˆุจุงู„ู…ู†ุงุณุจุฉ ุน ูƒู„ุงู…ูƒู… ุงู„ุทูŠู‘ุจ ูˆุงู„ุฏุนูˆุงุช ู‡ุฐูŠุŒ ุงูˆู„ ูฅ ุงุดุฎุงุต ุญุงุจูŠู† ูŠุดุชุฑูƒูˆู† ุจุงู„ุชุทุจูŠู‚ ูŠูƒู„ู…ูˆู†ูŠ ูˆู„ู‡ู… ูƒูˆุฏ ุฎุตู…๐Ÿ˜‰๐Ÿ”ฅ
โค19๐Ÿ“3๐Ÿฅฐ2๐Ÿ‘1๐Ÿ”ฅ1
SMLE Brain pinned a photo
Parents brought their child to the clinic. The child looks dirty and is dressed inappropriately. The patents looked careless and the child is not vaccinated. Their last visit to the clinic was 4 year ago. What is the form of abuse mentioned?
Anonymous Quiz
5%
Physical
3%
Emotional
1%
Sexual
91%
Neglect
๐Ÿคฃ32๐Ÿ‘14๐Ÿ˜ข8๐Ÿ’ฏ6๐ŸŒ5โค4๐Ÿฅฑ4๐Ÿฅฐ3๐Ÿ‘Œ1๐Ÿ‘จโ€๐Ÿ’ป1
A pregnant woman presented to the clinic. During her visit the doctor informed her that the fetus has anencephaly and advised for termination. The wife agreed but her husband is refusing. What is the appropriate action?
Anonymous Quiz
66%
You need both consent from her and husband
6%
Only need her consent
27%
Only need her consent and she should inform her husband
2%
Obtain consent from a representative
๐Ÿคฏ25๐Ÿ‘15๐Ÿ‘14โค11๐ŸŒ5๐Ÿค”2๐Ÿ˜2๐Ÿ”ฅ1๐Ÿณ1๐Ÿ’ฏ1
ู…ุณุงุก ุงู„ุฎูŠุฑุŒ ูˆู„ู„ู‡ ุงู„ุญู…ุฏ ุงู„ููŠุฏุจุงูƒ ู…ุงุฒุงู„ุช ู…ุณุชู…ุฑู‡ ุน ุงู„ุชุทุจูŠู‚ โœจ
๐Ÿ”ฅ14โค6
SMLE Brain pinned a photo