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SMLE Brain

smlebrain
Providing SMLE resources 🩺 🧠 Smlebrain.com Twitter.com/smlebrain Ask me here: @AskSmleBrain
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November 01, 12:08
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October 30, 21:31
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October 30, 09:48
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October 30, 09:43

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October 26, 12:57

Five days after right thigh surgery, a man has pain and swelling around the wound. The dressing is saturated with foul-smelling green discharge. Which organism is the most likely cause?
A) Staphylococcus aureus
B) Clostridium perfringens
C) Streptococcus pyogenes
D) Pseudomonas aeruginosa

October 26, 12:57

A young male who is asymptomatic presented with abnormal LFTs. He is a smoker and drinks alcohol on the weekends. Labs showed high AST, ALT (2:1 ratio), total bilirubin and slightly high iron TIBC and very high ferritin (450). What is the cause of his abnormal LFTs?
A) Hemochromatosis
B) Alcoholic hepatitis
C) Cholangitis
D) Primary biliary cirrhosis

October 26, 12:57

A patient presents with signs and symptoms of fluid overload, including bilateral lower limb edema, ascites, and distended jugular veins. Laboratory investigations show low serum sodium. What type of hyponatremia is most likely?
A) Euvolemic hyponatremia
B) Hypervolemic hyponatremia
C) Hypovolemic hyponatremia
D) Pseudohyponatremia

October 26, 12:57

A patient came to the ER with a stab wound in the right thigh. He is drowsy with a GCS of 9/15. What is the initial management?
A) IV fluid
B) Control bleeding
C) Apply tourniquet
D) Endotracheal intubation

October 26, 12:57

A middle-aged hypertensive male who smokes has an LDL of 4.3 mmol/L and total cholesterol of 6.1 mmol/L with normal triglycerides; what is the appropriate treatment?
A) High intensity statin
B) Lifestyle modification and recheck
C) Moderate intensity statin
D) Smoking cessation only