لضمان أقصى استفادة في التحضير لـ اختبار SMLE، راجع الأسئلة أكثر من مرة—خصوصًا الأسئلة المهمّة.
وش يعني الأسئلة المهمّة؟ هي:
•المواضيع اللي تحتاج تقوية
•الأسئلة اللي أخطأت فيها سابقًا
التركيز على هالأسئلة يرفع فرص نجاحك بشكل كبير في اختبار الرخصة الطبية السعودية. 🎯📚
Quick Explanation
Postmenopausal bleeding on tamoxifen raises concern for endometrial pathology. An inadequate office endometrial biopsy requires further evaluation to exclude malignancy; in tamoxifen users transvaginal ultrasound can be misleading, so direct visualization with hysteroscopy and directed biopsy is the most appropriate next step.
A 59-year-old postmenopausal woman with a history (Hx) of breast cancer (CA) on tamoxifen presented with a 2-month history of bleeding. The endometrial biopsy was inadequate. What is the most appropriate next step?
📢🔔
الآن تجميعات شهر اكتوبر كاملة على الموقع وجاهزة لكم، تم جمع +5000 سؤال، وبعد حذف المكرر واختيار أفضل ريكول النتيجة هي +577 سؤال 📚📝🤓.
https://t.co/ysoFFWbUkh
A 44-year-old Saudi man has a 3-month history of fever and back pain that radiates to his legs. Examination shows bony tenderness over the entire back. Blood culture grows gram-negative coccobacilli. Which of the following is the most likely diagnosis?
Quick Explanation
Brucella species are small gram-negative coccobacilli causing chronic/undulating fever and osteoarticular disease (spondylitis/sacroiliitis) with back pain; endemic in Saudi Arabia and grows in blood cultures. Tuberculosis is acid-fast, not gram-negative coccobacilli; leishmaniasis and schistosomiasis do not fit the blood culture/organism description.
Quick Explanation
Inhalation of perfume suggests acute bronchospasm/reactive airways (asthma). Pulmonary function testing (spirometry ± bronchodilator response or bronchial provocation) is the key test to demonstrate airflow obstruction, reversibility, or hyperresponsiveness and thus establish the diagnosis. CXR, CBC, and blood cultures are not diagnostic for this condition.
A patient presented with an attack of cough and shortness of breath after inhaling a perfume. What is the most important step to establish the diagnosis?
Quick Explanation
The campaign targets behavioral/lifestyle factors to prevent the emergence of risk factors (unhealthy diet → obesity/hypertension) in the population. That is primordial prevention (stopping risk factors from developing), not primary (preventing disease once risk factors exist), secondary, or tertiary prevention.
A public health ministry launches an educational campaign to reduce the consumption of high‑carbohydrate and high‑fat diets in order to lower the future risk of developing hypertension. What type of prevention is this?