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ุ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
A q of pregnant pt diagnosed with UTI , doctor prescribe for her an ABX (which I fortgot), while she was in the ED , the nurse said to the doctor, that it is possible to diagnose UTI in pregnancy and prescribe antibiotic , but still you should make sure that it is safe for her, doctor said hurry please , nurse said sorry but I will stop the order of the ABX and will revise her medication, what describe this situation
A. call out
B. close loop communication
C. Concern, Unccomfortable, saftey
D. Situation, background, assesment, recommondatio.

Here the nurse shows concern for the patient and wants to follow safety protocol. Based on this recall and with this information. Most likely C.
๐Ÿ‘30โค8๐Ÿ’‹1
๐Ÿ‘1
โ€ข ู…ุณุงุก ุงู„ุฎูŠุฑ ุจุดุฑูˆู†ุง ุงู„ู„ูŠ ุงุฎุชุจุฑูˆุง ูˆู…ูˆูู‚ูŠู† ู„ู„ุจุงู‚ูŠูŠู† ๐Ÿค

๐Ÿ“ (ุดู‡ุฑ ุณูŠุจุชู…ุจุฑ 9 ) ู…ุชุงุญ ุงู„ุงู† ุจุงู„ุชุทุจูŠู‚๐Ÿ˜‰๐Ÿ”ฅ

ุงู„ุงุดุชุฑุงูƒ ูŠุดู…ู„ ุฌู…ูŠุน ุงู„ุดู‡ูˆุฑ ุงู„ู…ุชูˆูุฑุฉ ููŠ ุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ

๐Ÿ“ููŠู‡ ุจุงู‚ูŠ ุงุณุฆู„ุฉ ุดู‡ุฑ 9 ูˆุจู†ุถูŠูู‡ุง ุจุฃุฐู† ุงู„ู„ู‡ ุฎู„ุงู„ ุงู„ุงูŠุงู… ุงู„ุฌุงูŠุฉุŒ ุจุณ ุฑูุนุช ู„ูƒู… ุฌุฒุก ุนุดุงู† ุงู„ู„ูŠ ุจูŠุฐุงูƒุฑูˆู† ู…ุงูŠุชุฃุฎุฑูˆู† โœจ

โ€ข ุจุงู„ุชูˆููŠูŠูŠู‚ ู„ู„ูƒู„ ๐Ÿค
โค15๐Ÿ”ฅ4๐Ÿ‘3๐Ÿ˜ฑ1
SMLE Brain pinned ยซโ€ข ู…ุณุงุก ุงู„ุฎูŠุฑ ุจุดุฑูˆู†ุง ุงู„ู„ูŠ ุงุฎุชุจุฑูˆุง ูˆู…ูˆูู‚ูŠู† ู„ู„ุจุงู‚ูŠูŠู† ๐Ÿค ๐Ÿ“ (ุดู‡ุฑ ุณูŠุจุชู…ุจุฑ 9 ) ู…ุชุงุญ ุงู„ุงู† ุจุงู„ุชุทุจูŠู‚๐Ÿ˜‰๐Ÿ”ฅ ุงู„ุงุดุชุฑุงูƒ ูŠุดู…ู„ ุฌู…ูŠุน ุงู„ุดู‡ูˆุฑ ุงู„ู…ุชูˆูุฑุฉ ููŠ ุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ ๐Ÿ“ููŠู‡ ุจุงู‚ูŠ ุงุณุฆู„ุฉ ุดู‡ุฑ 9 ูˆุจู†ุถูŠูู‡ุง ุจุฃุฐู† ุงู„ู„ู‡ ุฎู„ุงู„ ุงู„ุงูŠุงู… ุงู„ุฌุงูŠุฉุŒ ุจุณ ุฑูุนุช ู„ูƒู… ุฌุฒุก ุนุดุงู† ุงู„ู„ูŠ ุจูŠุฐุงูƒุฑูˆู† ู…ุงูŠุชุฃุฎุฑูˆู† โœจ โ€ฆยป
ู…ุณุงุก ุงู„ุฎูŠุฑุฑุŒ ุงุฎุจุงุฑูƒู…ุŸ
ุนู„ู…ูˆู†ูŠ ูƒูŠู ุฏุฑุฌุงุช ุณูŠุจุชู…ุจุฑ ๐Ÿ‘€ุŸ
ุงูƒุชุจูˆู„ูŠ ุชุฌุงุฑุจูƒู… ุจุงู„ุฎุงุต ๐Ÿค
๐Ÿ’”38๐Ÿ˜ข14๐Ÿ‘11โค6๐Ÿคฏ3๐Ÿคฎ2
SMLE Brain pinned ยซู…ุณุงุก ุงู„ุฎูŠุฑุฑุŒ ุงุฎุจุงุฑูƒู…ุŸ ุนู„ู…ูˆู†ูŠ ูƒูŠู ุฏุฑุฌุงุช ุณูŠุจุชู…ุจุฑ ๐Ÿ‘€ุŸ ุงูƒุชุจูˆู„ูŠ ุชุฌุงุฑุจูƒู… ุจุงู„ุฎุงุต ๐Ÿคยป