Bdran’s Space

Healthy patient presenting with dysphagia with no family history of esophageal cancer, asking about the strongest risk factor for esophageal cancer? A. Esophageal stricture. B. Barrett's esophagus. ✅ C. GERD. D. Smoking. Asking about “Strongest” And he didn’t specify which cancer SCC or Adenocarcinoma. I’d go with Barrets. اذكر هذا السؤال تهاوشنا عليه كثير بس مو مشكله تماعط الشوش مع الآخرين طريق جيّد للوصول الى الحقيقه.

Frequently asked Q: I deal with ( Most appropriate ) as it means next appropriate step. 90% of Questions will be clear in the exam ( next step or best or definitive or anything ) But if you experienced a Q ends with ( Most appropriate ) I recommend to answer it as if he’s asking about next step.

Pregnancy typical DVT symptoms then developed PE, how to dx? A- Ct B- D dimer C- V/Q D- Us for lower limbs ✅ 30 year old female pregnant with new symptoms of dyspnea, productive cough and fatigue. Doppler US was negative what is the next test to do: A: cta B: d dimer C: spirometery D: ventilation and perfusion scan ( V/Q scan ) ✅ PE and DVT In pregnancy the first thing to do is US of the lower limb if negative —> V/Q scan.

- Man got shot by gun in his Rt. thigh, then developed hematoma in the medial thigh. The patient developed pain and parasthesia in his Rt. leg, pulse was abscent from femoral artery and below (no vitals or labs), what is the best next step? A- CT angio B- Wound exploration C- Wound exploration and repair in the OR ✅ ( No fasciotomy in choices ) - Man got shot by gun in his Rt. thigh, then developed hematoma in the medial thigh. The patient developed pain and parasthesia in his Rt. leg, pulse was abscent from femoral artery and below (no vitals or labs), what is the best next step? A- CT angio B- Wound exploration C- Wound exploration and repair in the OR ✅ D- fasciotomy - A 27-year-old man sustains a single gunshot wound to the left thigh. In the ER, he is noted to have a large hematoma of his medial thigh. He complains of paresthesias in his left foot. On examination, there are pulsatile hematoma with weak pulses palpable distal to the injury and the patient is unable to move his foot. Which of the following is the most appropriate initial management of this patient? A- CT Angiography B- Immediate exploration and repair in the OR ✅ C- Observation D- Bedside local wound exploration - Patient after trauma developed expanding hematoma on the medial side of the thigh with weak pulses, 1- wound exploration in the ER 2- take him directly to OR ✅ - A gunshot in the left leg, hematoma in the medial aspect of the thigh what’s the next step? A- angiography B- Apply direct pressure first ✅ - Male victim of gunshot to the thigh, pale and unconscious, BP 90/60 pulse 130, next? A- orotracheal intubation ✅ B- blood transfusion C-shift to OR D-RL infusion To be organized: 1- exploration of hematoma in OR is indicated if hard signs are present as expanding, pulsatile, absent distal pulse, evidence of distal ischemia. 2- Following ABCDE approach is a priority to any Question if asked about the next step: * If intubation is needed, should be the first step. * If Airway is patent and the patient is breathing normally the next would be applying direct pressure to stop the bleeding.

حاب تتعلم كيف تكتب Case report؟ بما إن كتابة الـ Case report تكاد ان تكون من المهارات الاساسيه للطبيب وأهميتها في تطور الممارسات الطبية ومُلفته للنظر في السيرة الذاتيه هذا كورس اونلاين لمدة يوم رح يعلمكم طريقة الكتابه خطوه بخطوه مع بيانات إفتراضيّة للتدريب.. يقدمه: Dr Hatan Mortada Plastic and reconstructive surgery resident. تاريخ: غداً السبت ٢٨ يناير. عن طريق: Zoom رسوم التسجيل: ٩٥ ريال فقط. Objectives: ⁃ Identify the types of cases that should be reported and why ⁃ Learn how to structure a case report ⁃ Learn how to include a review of literature in a case report ⁃ Learn how to write a case report introduction, case presentation, and discussion ⁃ Selecting the right journal for your case report ⁃ The best way to arrange your case report's figures and tables ‎🔴رابط التسجيل 🔴 https://forms.gle/9TTgBNesTZVJuwWF9 WhatsApp only ⚪ https://t.co/Gpt5OfOfiS ‎ للتواصل : medcodes.sa@gmail.com

A 6 year old girl presents with reddish urine. Her parents state that she had constipation for 2 weeks and now has incontinence (Not specified if urine or stool). Examination reveals abdominal tenderness with no organomegaly. Vitals: BP 115/76 HR 76 RR 27 T 38.9 C Labs: WBC 9.5 WNL Hgb 79 Low Urine: Leukocytes 20-25 High RBC 30-35 High Protein + High Blood +++ High What is the most likely diagnosis? A- UTI ✅ B- HSP C- Autoimmune hemolytic anemia D- PSGN - Clues: Fever, Constipation, +ve leucocytosis in urine.

Nurse work in pulmonary clinic C/O with fever, productive cough. She is not responding to antibiotics (chest Xray show opacity left upper lobe) which of the following most likely diagnosis ? A- Streptococcus pneumoniae B- Hemophilus pneumonia C- Mycobacterium Avium complex D- Pulmonary TB ✅

Pregnant women 15 weeks GA presented with right abdominal pain associated with nausea and vomiting. Obstetrician Dr excluded pregnancy related diagnosis What is the most likely diagnosis: A- cholecystitis B- Appendicitis ✅ C- pancreatitis Case of pregnant 16 weeks developed right side abdominal pain (did not specify upper or lower). Temp 73.8 Most common cause A) gastritis B) pancreatitis C) cholecystitis D) appendicitis ✅ Female 16 week pregnant, came with right sided abdominal pain (RUQ) associated with nausea and vomiting. The doctor ruled out all pregnancy related abdominal pain. What's the most likely diagnosis? A- Gastritis B- Pancreatitis C- Cholecystitis ✅ D- Appendicitis Remember this: ( Appendix will change in position during the 3rd trimester ) 15 weeks and right UPPER quadrant abdominal pain? Cholecystitis. 3rd trimester and right UPPER quadrant abdominal pain? Appendicitis 15 weeks and right abdominal pain without specifying upper or lower? Appendicitis as its the most common surgical emergency.

Pregnant women 15 weeks GA presented with right abdominal pain associated with nausea and vomiting. Obstetrician Dr excluded pregnancy related diagnosis What is the most likely diagnosis: A- cholecystitis ✅ B- Appendicitis C- pancreatitis Answer is Cholecystitis. Remember this: ( Appendix’s position will change mostly in 3rd trimester ) 15wks and RUQ pain? Cholecystitis 3rd trimester and RUQ pain? Appendicitis 15wks and Abdominal pain with no specific location? Appendicitis as its the most common cause of acute abdomen.

A 50 year old sustained blunt trauma to the chest with persistent pneumothorax and significant air leak through double intercostal tubes most appropriate next procedure ? A. Reposition of ICT B. Prompt thoracotomy C. Endotracheal intubation D. Fiberoptic bronchoscopy ✅ Patient on Double intercostal tubes and still there’s air leak? More likely to be Tracheo-bronchial injury and diagnosed by Brochoscopy. Ref: Thawabh.

مسيتوا بالخير جميعاً، راح أكون معاكم للي بيختبرون في يناير وفبراير وبساعدكم والخّص اللي اقدر عليه إن شاء الله.. أي سؤال تحتاجون مساعده فيه أنا موجود بإذن الله طريقة التواصل تلقرام مباشرة: @itsBdran For exam takers in Jan and Feb, anyone in need of assistance to solve any Qs, Don’t hesitate to contact me at @itsBdran اللي مارديت عليهم ارسلولي نقطة بالله، المحادثات تلخبطت للاسف شكراً للجميع

هذي الرساله للي حاب يستفسر عن شيء بالتقديمات.. واللي عنده جواب يجاوب نستفيد من بعض.

‏سلام عليكم ورحمة الله وبركاته ‏مساء الخير دكتور بدران ‏كيف حالك عساك طيب ؟ ‏تكفى اذا تقدر تسأل في قناتك اذا يعرفون احد اعترض على درجة اختبار SMLE وتعدلت الدرجة حقته او لا ؟ ‏لاني اختبرت الشهر الماضي وطلعت وانا واثق ومتفائل جداً من حلي وضامن فوق ٩٠ لكن طلعت الدرجة ٨٥! ‏ودي اعترض لكن الاعتراض ب ٥٠٠ ريال واخاف مافيه فايده ‏فاودي اعرف اذا فعلاً فيه احد قد اعترض وتعدلت نتيجته احد يعرف؟

اللي استفادوا من القناة بشكل عام وارسلوا الله يبيض وجيهكم على الدعاوي اللي توصلني على الخاص والله ياخوان اني ما ادري وش اقول واني مبسوط جداً.. شيء يثلج الصدر صراحه ❤️ عسى الله يوفقكم جميعاً ويسر اموركم ويختار لكم اللي فيه الخير والخيره بالنسبة للي يعلق معاه رابط النتائج يدخل عن طريق ممارس بلس ويدخل على خانة " اختباراتي " وان شاء الله تطلع له مع رابط تحميل الرسم البياني..

نزلت درجات ديسمبر بشرونا ..

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﴿ إِنَّ الله وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَأَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا ﴾.