يحتوي موقع Q Bank على أكثر من ٣٠٠٠ سؤال جديد من مختلف التخصصات الطبية (Medicine, Surgery, OB/GYN, pediatrics, and others). بعد كل سؤال ستظهر الإجابة الصحيحة ✅ مع شرح مفصل لها. علمًا بأنه سيتم تحديث الموقع بشكل شهري لإضافة الأسئلة الجديدة لكل فترة 📥
🌐: https://t.co/ME9IJZHKEc
October 2024 🗓️
A 50-year-old female presents to the clinic complaining of heavy periods and abnormal uterine bleeding. An ultrasound is done and is shown below. Which of the following is the most likely diagnosis?
A nurse noticed a swelling in the fetal head after the use of forceps during delivery. The hemorrhage is under the periosteum and is confined to suture lines. It is most likely to be:
A patient who was pulled out from fire is complaining of hoarseness. Physician examination revealed facial burns, singed nasal hair, and carbonaceous sputum. Crackles were heard on auscultation. Which of the following is the most likely diagnosis?
Aspirin 👏🏼👏🏼
UpToDate: Evidence of efficacy — Evidence from randomized trials clearly shows that prophylactic administration of aspirin to pregnant women has modest ability to reduce the risk of developing preeclampsia and its sequelae.
Note: Aspirin decreases preeclampsia risk and Methamphetamine INCREASES the risk.
Citalopram 👏🏼
Citalopram, a widely prescribed serotonergic antidepressant, is different from other serotonin selective reuptake inhibitors (SSRIs) and more likely to cause death in overdose. Mnemonic: Cities are toxic
UTD: Citalopram has the greatest potential for serious toxicity compared with other SSRIs. Citalopram is a racemic bicyclic phthalane derivative that is structurally different from the other SSRIs. It acts as a highly selective serotonin reuptake inhibitor but, unlike other SSRIs, also has antihistaminergic properties.
Upper GI endoscopy 👏🏼👏🏼
UTD: Upper endoscopy is the diagnostic modality of choice for acute upper GI bleeding. Endoscopy has a high sensitivity and specificity for locating and identifying bleeding lesions in the upper GI tract.
A 63-year-old male presented with one episode of hematemesis. On examination, he has spider angioma and bilateral gynecomastia with splenomegaly. Blood pressure: 100/60. Labs: Hematocrit: 0.23 (0.4-0.6), Hemoglobin: 85 (130-170). What is the most appropriate next step after initial resuscitation with IV fluids?
B 👏🏼👏🏼
Slipped capital femoral epiphysis (SCFE) is a disorder of adolescents in which the growth plate is damaged and the femoral head moves (“slips”) with respect to the rest of the femur. The head of the femur stays in the cup of the hip joint while the rest of the femur is shifted.
Sometimes SCFE occurs suddenly after a minor fall or trauma. More often, however, the condition develops gradually over several weeks or months, with no previous injury.