تجميعات برومترك الجراحة — أسئلة اختبار الهيئة

1. Mvc pelvic injury, uretrogram done revealing extraperitoneal bladder injury with fluid collection. What to do:

1. Surgical exploration
2. Catheter for 2 wks then definitive management
3. Catheter for 2 weeks then reassess ✓

الشرح: تمزق المثانة خارج الصفاق (extraperitoneal) يُعالج تحفظيًا بـ urethral/Foley catheter لمدة 10–14 يومًا ثم cystogram لإعادة التقييم. الاستكشاف الجراحي مخصص لـ intraperitoneal rupture أو حالات معقدة (bladder neck، عظم داخل المثانة)، ولا حاجة لإصلاح نهائي روتيني بعد القسطرة. المعلومة المفتاحية: Extraperitoneal = catheter؛ Intraperitoneal = surgery.

2. Young boy fell and hit his head; he had a seizure for one minute which resolved completely. On examination he is conscious, oriented, and there is no neurological deficit. Which of the following is the most appropriate next step?

1. Urgent non-contrast computed tomography (CT) ✓
2. Admission and observe for 24 hours
3. Discharge

الشرح: Seizure بعد head trauma يستوجب non-contrast CT؛ المعلومة المفتاحية: Post-traumatic seizure → CT.

3. Old male came for routine exam doctor accidentaly found out a mild swelling in inguinal region when he cough or lay straigh which is not tender and cause nothing symptoms. What to do?

1. Watchful and routine followup ✓
2. open surgery
3. laproscopic with mesh
4. reasuure

الشرح: فتق إربي بدون أعراض يكفيه watchful waiting؛ المعلومة المفتاحية: Asymptomatic inguinal hernia.