Basmah - High Yield - Sem 10
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والشكر موصول لكل من ساعد وكل من شجع على استكمال النية دي من أول من قال كلمة بس إيجابية لحد من كتب كل سؤال نزل هنا بضمير وإخلاص
ربنا يبارك في الجميع ويحقق لكل منكم و إيانا سؤله بإذن الله.
غالبًا دي آخر حاجة بالنسبة لي هنزلها هنا خلاص ..
أتمنى نكون أفدنا ولو بنسبة ١٪، وأتمنى نكون أخلصنا في النية الي كانت من أول ما بدأت فكرة القناة هنا دون أن يكون شابها أي حاجة تانية وهي الإخلاص في تقديم معلومة بشكل ما قد يتناسب مع بعض الناس، والحمد لله حرصنا على ده وعلى النية دي حتى يومنا هذا ولكن الأهم إنه يكون كده فعلًا عند ربنا
في النهاية هنختم بقول الله عز وجل:
بسم الله الرحمن الرحيم:
{….وَأَنزَلَ اللَّهُ عَلَيْكَ الْكِتَابَ وَالْحِكْمَةَ وَعَلَّمَكَ مَا لَمْ تَكُن تَعْلَمُ ۚ وَكَانَ فَضْلُ اللَّهِ عَلَيْكَ عَظِيمًا}
الحمد لله..
نسألكم الدعاء لنا بالخير، وإن شاء الله نتخرج كلنا على خير ونسمع عنكم جميعًا كل خير وطيب بإذن الله.
القاعدة العامة في حالة ال
Monteggia / Galeazzi fractures
هي حاجتين بما إن فيه fracture and dislocation مع بعض
١- تصلح الdislocation الأول عن طريق closed reduction
٢- ثم تصلح الfracture عن طريق open reduction and internal fixation، ومينفعش يكون closed في الحالة دي لان الdislocation هيرجع تاني
Which of the following is the preferred treatment for a Monteggia fracture dislocation of the proximal forearm?
اعرفوا المعلومة دي
Stages of fracture repair:
Circulatory—> The stage of closure of any wound and primary calus formation
Metabolic—> The stage where the primary callus is reinforced leading to clinical union
Mechanical—> The stage in which the united bone is remodeled along the line of the stress
Which of the following is NOT one of the stages of fractures repair?
Following attempts at closed reduction, a lateral malleolus fracture has a 2-mm displacement. Which of the following is the best treatment?
Which of the following is associated with fractures of the calcanus?
السؤال ده مهم
Fracture of calcenous are commonly and frequently associated with falls from hight يبقى ايه؟
Which of the following is most diagnostic for compartmental syndrome?
قريب من فكرة الي قبله
Early external fixation of the pelvis reduces bleeding and mortality in patients in shock consequent to pelvic fractures.
—> An unstable patient should not be sent for CT scan.
A 60-year-old man is hit by a pickup truck and brought to the emergency department with a blood pressure of 70/0 mm Hg. Peritoneal lavage showed no blood in the abdomen. The blood pressure is elevated to 85 systolic following the administration of 2 L of Ringer's lactate. An x-ray showed a pelvic fracture. What is the next step in management?
(A) Exploratory laparotomy with packing of the pelvis
(B) CT scan of the pelvis
(C) External fixation of the pelvis
(D) Open reduction and internal fixation (ORIF) of the pelvis
(E) Exploratory laparotomy with bilateral ligation of the internal iliac arteries
السؤال ده بيتسأل كتير في الجراحة العامة باختلاف طريقته
السؤال ده محطوط عشان عشان تغلطوا، ولكن عشان نقول إن فيه قاعدة مهمة في الpolytrauma بتقول
In polytrauma with severe head injury, use damage control orthopedics that says:
1- Avoid definitive fixation early like ORIF
2- Use temporary stabilisation (skeletal traction or external fixation) until the patient is physiologically stable.
If traction fails to produce adequate alignment, open reduction can be performed at a later date.
الكلام ده مهم
A 40-year-old man is involved in a car crash, presenting with blood pressure of 80 mm Hg.
The patient is found to have subdural hematoma and a supracondylar fracture of the left femur. FAST shows fluid within the abdomen. He is taken to the OR, where intra-abdominal bleeding is controlled, and the subdural hematoma is drained. The femur fracture should be treated by which of the following?
(A) Long-leg cast
(B)Steinmann pin insertion and traction
(C) Operative reduction and internal reduction
(D) Aspiration of knee joint
(E) Operative reduction with internal fixation
A patient undergoing surgery suddenly develops hypotension. The monitor shows that the end tidal CO2 has decreased abruptly by 155 mm Hg. What is the probable diagnosis?
A patient undergoing surgery suddenly develops hypo-tension. The monitor shows that the end tidal CO, has decreased abruptly by 155 mm Hg. What is the probable diagnosis?
A two months old infant has undergone a *major surgical procedure*. Regarding postoperative pain relief which one of the following is recommended?
An elective surgery is to be done in a patient taking heavy dose of aspirin. Management consists of:
In the immediate post operative period, the common cause of respiratory insufficiency could be because of the following except:
