most appropriate

Question 1

Pt had RTA in er, only has a bruises in
lower abdomen and abdominal pain, what is
the most appropriate next step ?
Bp: 110/80 Temperature : 37.2, HR: 88, RR: 19

Answer 1

Initial assessment and resuscitation

Question 2

guillain barre syndrome most appropriate treatment?

Answer 2

IVIG

Question 3

patient kc of copd came compliaing of ugi bleeding stabilized after
endoscopy.after that he became dyspneic and cyanosed. his workup is as
followes(approximation) ph 7.24 pco2 7.4 not sure of the number but higher then normal What is
the most appropriate initial management?

Answer 3

intubate and hyperventilate

Question 4

Patient developed circumferential right forearm burn. 02 sat in right digit is 86% - I can’t
remember if they mentioned anything about the pulse — What is the appropriate action?

Answer 4

bedside escharotomy

Question 5

25. Pregnant at 38 weeks of gestation came with labor. Cervix effaced 80% dilated
    6 cm and there is uterine contraction. Vaginal examination revealed palpation of
    nose, mouth and lips. Ctg was reactive no abnormality Which of the following is the most
    appropriate next step?

Answer 5

Cesarean section
( if they did not specify where the chin is localted I will choose this
answer)

Question 6

A 50 years old female no past surgical and medical history, presented with
complaints of urine incontinence with coughing and sneezing, Most appropriate management ?

Answer 6

urethral ring

Question 7

26 year-old male patient underwent appendectomy after signs and symptoms of
appendicitis. Histopathology report: 2 cm carcinoid at Base of the appendix . What is the
appropriate management?

Answer 7

Right hemicolectomy

Question 8

Similar recall : 26 year-old male patient underwent appendectomy after signs and symptoms of
appendicitis. Histopathology report: 1 cm carcinoid at tip of the appendix . What is the
appropriate management?

Answer 8

Observation.

Question 9

Known case HCV and liver cirrhosis came with perforated peptic ulcer. Laparotomy will
be performed. What is the most appropriate next step before laparotomy?

Answer 9

Cryoprecipitate

Question 10

39 year old female complaints of heartburn and regurgitations for 6 months burning is
primary after eating and occasionally has chest pain, not associated with weight loss or lifestyle
changes. the patient mentioned that she eats dinner 2 hours before going to bed and complains
of heartburn primarily at night.. She’s taking omeprazole 20 mg per day did endoscopy . She had
distal esophagitis. her BMI is 28
What is the appropriate next step?

Answer 10

advice weight loss

Question 11

A 20-year-old man was admitted for a simple tonsillectomy. The operation took longer
time than usual because of a bleeding resulted from a surgical error. The surgery was successful
and the patient fully recovered with no complications. Next day the patient asked the surgeon
why is operation took longer time than usual. Which of the following is the most appropriate
action?

Answer 11

Reassure the patient and tell him what happened