السلام عليكم ؛ 

في هذا الفيديو اقدم لكم نموذج مماثل لبعض الاسألة التي تأتي في اختبار الهيئة السعودية للتخصصات الطبية SMLE في مادة الجراحة ..

حيث يتم ذكر السؤال مع الاجابة وذمر مفصل لسبب اختيار الاجابة وكيفية الحل في الاختبار 

مثال:-

A 45-year-old male presents with sudden onset of severe epigastric pain that radiates to the back. He has a history of chronic alcohol use. On examination, he is tachycardic, hypotensive, and has epigastric tenderness without rebound tenderness. Laboratory findings show elevated serum amylase and lipase. What is the most likely diagnosis?

A) Acute pancreatitis
B) Peptic ulcer disease
C) Acute cholecystitis
D) Perforated gastric ulcer

Correct Answer: A) Acute pancreatitis

Explanation:
The patient's presentation (severe epigastric pain radiating to the back, history of alcohol use, and elevated amylase/lipase) is highly suggestive of acute pancreatitis. Other choices can be ruled out based on the absence of their characteristic findings (e.g., positive Murphy’s sign for cholecystitis, free air under the diaphragm for a perforated ulcer).