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SMLE

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DrNote
SMLE
SU
SMLE 2026
Surgery2023

A patient with urethral injury post-MVA, what is the next step in management? (No suprapubic tube in choices)

IM
SMLE 2026
Internal Medicine2022

A 60-year-old farmer presents to your clinic with diarrhea and headache which are persistent despite treatment. You run an antibody panel and he tests positive for brucellosis. Which of the following is the proper treatment?

PE
SMLE 2026
Pediatrics2023

A 4-year-old child with an asymptomatic umbilical hernia is presented. What is the appropriate treatment?

IM
SMLE 2026
Internal Medicine2021

asthma is poorly controlled on inhaled steroids and systemic sometimes, the patient mentioned she’s using aspirin and nsaid almost daily for her migraine. She also has nasal polyps. How would you manage her?

IM
SMLE 2026
Internal Medicine2022

Jaundice on lap elevated Alkaline phosphatase and direct bilirubin, US extrahepatic dilatation with minimal intrahepatic, what diagnosis?

OB
SMLE 2026
Obstetrics/gynecology2023

Pic of placenta previa with scenario of term mother present with mild or moderate painless vaginal bleeding on ultrasound she has placenta totalis ask about management:

OB
SMLE 2026
Obstetrics/gynecology2022

Mother with Rh negative gave birth to a healthy Rh positive baby,what to do next?

PE
SMLE 2026
Pediatrics2022

6 years came with high fever and loin pain, on examination he is looking toxic - Your antibiotic choice

PE
SMLE 2026
Pediatrics2022

child came with nasal congestion on examination and there is pale nasal polyp and dark periorbital swelling

OB
SMLE 2026
Obstetrics/gynecology2022

A 32-year-old woman presented to your clinic desiring IUD. She had previous pregnancy with IUD and she had history of postpartum endometritis. Absolute contraindication for IUD insertion are which of the following?

IM
SMLE 2026
Internal Medicine2023

37 yo male have spider nevi over righ thigh want to do cosmotic examination normal pulse and no varicosity what investigation to do?

PE
SMLE 2026
Pediatrics2024

A baby presented to the hospital with bleeding she is two days old and delivered at home What is the diagnosis

SU
SMLE 2026
Surgery2023

Which of the following is true regarding the WHO surgical safety checklist?

OB
SMLE 2026
Obstetrics/gynecology2023

What would you expect in 15 week gestation pregnancy?

IM
SMLE 2026
Internal Medicine2022

Patient with ascending limb weakness with history of gastroenteritis 3 weeks back, w hat is the mostly prognosis of these diseases?

IM
SMLE 2026
Internal Medicine2023

pt Dx as ureteric stone 4mm first time visit ER, what ur treatment? (A 45-year-old man presents to the emergency department with right flank pain. He reports that the pain has been present for 2 days and is getting worse. He also reports nausea and vomiting. A urinalysis shows blood and leukocytes. An ultrasound shows a 4-mm ureteric stone. Which of the following is the best initial treatment?)

OB
SMLE 2026
Obstetrics/gynecology2022

30weeks GA lady with PPROM, no contraction, What is the Next step?

SU
SMLE 2026
Surgery2023

A patient who underwent a hernia repair operation 12 years ago presents with signs of intestinal obstruction. Which of the following is the most likely cause?

IM
SMLE 2026
Internal Medicine2023

40 YO man with slurred speech and weakness of his right upper limb, the following day, all his neurological signs resolved, PE is normal and he has no carotid bruise but carotid Doppler studies show 80% stenosis at the bifurcation of the left carotid artery, what is the appropriate surgical approach for this patient?

IM
SMLE 2026
Internal Medicine2024

A pregnant woman comes for her 13-week check-up. Which vaccine should she receive?

IM
SMLE 2026
Internal Medicine2022

Patient with hypothyroidism, you started thyroxine, she came after 2 weeks still complaining of symptoms, TSH was still high, What you should do?

IM
SMLE 2026
Internal Medicine2021

Meningitis with papilledema increase risk for?

IM
SMLE 2026
Internal Medicine2024

A 57 year old female diagnosed with PE Which of the following will be an indication for thrombophilia testing

PE
SMLE 2026
Pediatrics2023

A child known leukaemia on chemotherapy and developed high fever . Hemodynamically is table Which of the following antibiotic is the best empirical treatment

IM
SMLE 2026
Internal Medicine2024

A patient with oral thrush. What is the treatment of choice

IM
SMLE 2026
Internal Medicine2023

Male pt in his 60s k/c of DM was admitted to the hospital ICU as a case of pneumonia, and asked about the glycemic control U want to give, labs: HBA1C=8.5