US of GB - •

calculus cholycystitis- •
Acoustic shadow •
 after appendectomy - •
Small bowel obstruction •
Ttt : lysis •
Cause : adhesion •
 Sigmoid valvolus •
??Contraindication : needle decompression •

:NB
In current book : Endoscopic decompression is contraindicated if
there is evidence of strangulation or perforation

strangulation and perforation ‫ما افتكر هل كان فيه‬

 After stap wound •
Tension pneumothorax •
? What is the type of shock •
? Obstructive •
 Diverticulitis •
Coomon complication : obstruction •
In CT there is edematous mucosa << what is •
? the ttt
Antibiotic and observe •
 Breast cancer •
Tru cut biopsy •
: What is the change •
Microcalcification , change in articheture •
 Inguinal hernia •
Complication : strangulation •
Ilioinguinal n •
? Ttt of not strangulation irriducable hernia •
Dr.RoYaL (Batch 27)
‫صورة حرمه وجهها منفخ‬
‫عملنالها انتيوبايشن مرتين وفشلنا‬
‫اش نعملها ‪Angioedema‬‬
‫وفين مكان‬
‫‪cricothyroidotomy‬‬

‫‪in cricothyroid‬‬
‫‪membrane‬‬
 Fungating cancer •
What is the diagnostic test •
Tru cut biopsy •
 ?What would be the most likely etiology of this disease .1
Fluonide deficiency )a
Calcium deficiency )b
Iodine deficiency )c
Radiation exposure )d
Povidone–iodine deficiency )e

?What would be your best diagnostic test .2

Free T3 & T4 )f
Laryngeoscopy )g
FNA )h
Neck & chest CT )i
Radioactive iodine scan )j

For surgical consent what type of complication you should explain .3

?to the patient
Damage to perivascular sympathetic chain )k
Tracheomalacia & tracheostomy )l
Accessory nerve injury )m
Ptosis )n
Vagus nerve injury )o
Dr.RoYaL (Batch 27)
?What is the classical radiographic finding of this disease .1
Apple core on barium swallow )a
Bird peak on barium swallow )b
Foreign body on barium swallow )c
Perforation on barium swallow )d
Communication between esophagus & trachea on barium swallow )e

?What would be the most likely risk factor for this disease .2
Viral infection causing loss of ganglion cells )f
Chaga’s disease )g
Swallowing sharp object )h
Columnar metaplasia of the esophagus )i
Sever retching and vomiting )j

? How would you confirm the diagnosis .3

hours PH monitoring 24 )k
Esophageal manometry )l
Endoscopy & biopsy )m
Bronchoscopy )n
CT chest with oral & IV contrast )o

Dr.RoYaL (Batch 27)

 years old man, known diabetic, who presented with this condition 45 .1
affecting the lower third of his left leg , all pulses was intake , the X ray was
?taken on admission what is your diagnosis
Cellulites )a
Osteomyelitis )b
Myositis ossificans )c
Necrotizing fascites )d
Dry gangrene )e

In addition to resuscitation what would be the most appropriate intervention .2

? after
Admission for intravenous antibiotic )f
Intravenous antibiotic & urgent debridement )g
Oral antibiotic & urgent debridement )h
Immediate above knee amputation )i
Intravenous antibiotic & hyperbanic oxygen therapy )j
Dr.RoYaL (Batch 27)
‫طفل اكل شي وانتفخ‬

Anaphylactic shock
Ttt: epinephrine
IgG
 ERCP
Obstrctive jundice
Alkaline phosphatse
?? compilication
Pencratic calcification
CT ? next step
GB mass fever , hypotension
Empyemia
??Ttt: resusication , antibiotic