SMLE Ride Study Guide 2024
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Questions and Answers

Which management option is considered most appropriate for this patient?

  • Distal splenorenal shunt
  • Splenectomy (correct)
  • Sengstaken blakmore tube
  • Portacaval shunt

What is a potential indication for a portacaval shunt?

  • Acute appendicitis
  • Portal hypertension (correct)
  • Bowel obstruction
  • Acute cholecystitis

What condition might a Sengstaken blakmore tube be used to manage?

  • Lower abdominal pain
  • Acute pancreatitis
  • Renal failure
  • Esophageal variceal hemorrhage (correct)

What symptom could indicate the need for surgical intervention in this case?

<p>Severe lower abdominal pain (B)</p> Signup and view all the answers

What complication is associated with a distal splenorenal shunt?

<p>Potential for gastric bleeding (D)</p> Signup and view all the answers

What is the most likely cause of the postprandial vomiting in this patient?

<p>Gastric outlet obstruction (B)</p> Signup and view all the answers

Given the patient's history, which complication of a duodenal ulcer should be monitored for?

<p>Hemorrhage (A), Perforation (C)</p> Signup and view all the answers

What symptom would most likely accompany postprandial vomiting in this scenario?

<p>Epigastric pain (C)</p> Signup and view all the answers

Which diagnostic procedure is most appropriate for evaluating the patient’s condition?

<p>Upper endoscopy (B)</p> Signup and view all the answers

What is a potential initial treatment option for this patient’s condition?

<p>H2 receptor antagonists (A)</p> Signup and view all the answers

What type of shock is characterized by loss of blood volume due to bleeding?

<p>Hemorrhagic (B)</p> Signup and view all the answers

Which type of shock is primarily caused by severe allergic reactions?

<p>Anaphylactic (A)</p> Signup and view all the answers

Which of the following types of shock is commonly associated with heart failure?

<p>Cardiogenic (D)</p> Signup and view all the answers

What type of shock results from a severe infection leading to systemic inflammation?

<p>Septic (A)</p> Signup and view all the answers

Which type of shock can occur during a surgical procedure if significant internal bleeding is encountered?

<p>Hemorrhagic (C)</p> Signup and view all the answers

What was the size of the cold mass found in the patient's left neck during the ultrasound?

<p>1.5 x 2 cm (B)</p> Signup and view all the answers

What did the FNA cytology reveal about the nature of the neck mass?

<p>Suspicious follicular neoplasm (A)</p> Signup and view all the answers

What is the best initial management option for a patient with a suspicious follicular neoplasm?

<p>Left hemithyroidectomy (A)</p> Signup and view all the answers

At what age did the male patient present with the left neck mass?

<p>40 years old (B)</p> Signup and view all the answers

What indicates that the cold mass was not hyperfunctioning?

<p>Suspicion of malignancy based on FNA (C)</p> Signup and view all the answers

What is the patient's heart rate as stated in the information?

<p>170 bpm (B)</p> Signup and view all the answers

Which medication is considered the most appropriate next step for managing this patient's condition?

<p>Digoxin (B)</p> Signup and view all the answers

What is the patient's blood pressure as indicated in the scenario?

<p>120/80 mmHg (D)</p> Signup and view all the answers

Considering the patient's condition, what underlying issue is contributing to the symptoms of palpitation and tachycardia?

<p>Atrial fibrillation (D)</p> Signup and view all the answers

What is the patient's oxygen saturation level?

<p>92% (A)</p> Signup and view all the answers

Which risk factor is considered most considerable for the condition discussed in the content?

<p>Smoking (A)</p> Signup and view all the answers

What is one potential risk factor that might be less significant than smoking for the discussed condition?

<p>Male gender (A)</p> Signup and view all the answers

If age is 55, which of the following is still considered a more considerable risk factor?

<p>Smoking (D)</p> Signup and view all the answers

Among the following, which factor is least likely to significantly impact the condition discussed?

<p>Male gender (C)</p> Signup and view all the answers

Considering all factors listed, which provides the greatest risk for worsening the identified condition?

<p>Smoking (D)</p> Signup and view all the answers

Flashcards

Patient age

37 years old

Medical history

Chronic duodenal ulcer

Chief complaint

Frequent postprandial vomiting

Symptom duration

2 weeks

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Location of ulcer

Duodenum

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Best management for splenic issues

Splenectomy is the most appropriate management for issues involving the spleen.

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Abdominal pain (24 hrs)

Sudden, severe lower abdominal pain, associated with abdominal swelling and constipation, needing prompt medical attention.

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Emergency dept admission (aged 68)

A man presenting at an emergency department (ED) with pain and other symptoms.

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Abdominal Distension

Abnormally swollen abdomen, a symptom associated with several conditions.

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Constipation

Difficulty in bowel movements, potentially related to the abdominal pain and distension.

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Appendicitis

Inflammation of the appendix, a small pouch attached to the colon.

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Appendectomy

Surgical removal of the appendix.

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Peritoneal Cavity

The space within the abdomen that contains the organs.

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Surgeon's Goal

To find and remove the appendix during appendectomy.

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Complicated Appendectomy

When the appendix is difficult or impossible to find during surgery.

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Major risk factor for duodenal ulcers

Smoking is a significant contributor to the development of duodenal ulcers.

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Age as a risk factor

While age can be a factor, it's not the most significant risk factor for duodenal ulcers.

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Male gender as a risk factor

While men are more prone to duodenal ulcers, it's not the primary risk factor.

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Hypertension as a risk factor

Hypertension, while a health concern, is not directly linked to duodenal ulcers.

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Key takeaway on duodenal ulcers

Smoking stands out as the most significant risk factor for duodenal ulcers, exceeding the influence of age, gender, or hypertension.

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Rapid Heart Rate

A heart rate exceeding 100 beats per minute (bpm) is considered rapid, indicating a potential issue with the heart's rhythm or function.

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Atrial Fibrillation (A-fib)

A-fib is a common irregular heart rhythm where the upper chambers of the heart (atria) beat chaotically instead of in a coordinated manner.

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Dilated Cardiomyopathy

A condition where the heart muscle weakens and the chambers enlarge, affecting the heart's ability to pump blood efficiently.

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Palpitations

A fluttering or pounding sensation in the chest, often associated with rapid or irregular heartbeats.

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Management of Rapid Heart Rate in A-fib

In cases of rapid heart rate in a patient with A-fib and other heart conditions, the immediate goal is to slow down the heart rate and stabilize the rhythm.

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Suspicious Follicular Neoplasm

A type of thyroid tumor that has the potential to be cancerous but requires further investigation to determine its true nature.

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Initial Management of Cold Thyroid Mass

The first step in treating a suspicious thyroid mass is usually a repeat fine-needle aspiration (FNA) biopsy. This procedure aims to obtain more cells for analysis.

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Repeat FNA

A procedure where a fine needle is used to extract more cells from a suspicious thyroid mass for further analysis. This helps to determine the nature of the tumor.

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Left Hemithyroidectomy

A surgical procedure where one side of the thyroid gland (in this case, the left side) is removed.

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Cold Thyroid Mass

A thyroid nodule that doesn't absorb much iodine on imaging scans. This characteristic suggests it might be abnormal and needs further evaluation.

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Study Notes

SMLE Ride - By The Elites - November 2024

  • This is a study guide for the SMLE Ride exam.
  • The study guide includes questions and answers, covering various medical topics.
  • A Telegram channel link is provided (https://t.me/SMLERide).
  • The exam is in November 2024.
  • Previous questions from MedGard are included.
  • The guide provides numerous case studies and corresponding answers.
  • The questions cover various medical specialities, including but not limited to, gastroenterology, internal medicine, and surgery.

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Related Documents

SMLE Ride ~ November Part 1 2024 Past Paper PDF

Description

Prepare for the upcoming SMLE Ride exam with this comprehensive study guide. It includes a variety of questions and answers across multiple medical specialties such as gastroenterology, internal medicine, and surgery, along with case studies. Stay informed with resources and discussions available in the associated Telegram channel.

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