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Ninja SMLE Recall: منشور #36111 — TG.ME

Ninja SMLE Recall@ninjasmle · 13.9K subscribers Open in TelegramOpen

t.me/ninjasmle/36111

September 8, 2026 67 1

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32 Years old male with history of bipolar II, for the last 3 weeks he was complaining of depressed mood and anhedonia, past-medical history of hypertension on Lisinopril. What is the most appropriate management? (as I think) A. Lamotrigine and titrate slowly B. Stop Lisinopril as it may worsen symptoms C. Fluoxetine to treat his depression D. Electroconvulsive therapy for rapid symptoms relief Alhomrani: I Don’t Think The Recall Is Written Like This , See Similar (From June/July) A question about a patient with bipolar disorder whose condition worsened over the last 3 weeks. He was RECENTLY diagnosed with hypertension and started on an ACE inhibitor. What is the management? Choices: A) Stop the ACE inhibitor B) Give Lamotrigine We Need Someone To Refine The Recall In Future , But For Now Answer Is: B. Stop Lisinopril as it may worsen symptoms ACE inhibitors Antagonise RAAS System And Block Amiloride Sensitive Channel (Which Is Responsible For Lithium Absorption) ACE Inhibitors Worsen Bipolar Control In Lithium Users As They Decrease Lithium Serum Level 82·Sep 8 The whole clinical picture is not consistent with hypothalamic amenorrhea. It's either one of the two: 1- Could be poor recall 2- Could be the 'word gymnast' used as distraction In either way, it doesn't matter. Answer: D 78·Sep 8 A 17-year-old healthy girl and gymnast in her school team presents with history of the absence of menstruation. She reports that she develops breasts later than her friends and never began menses. On examination, her Tanner stage V development of breasts and pubic hair. Which of the following is the most likely cause of this girl primary amenorrhea? A. Hypogonadotropic hypogonadism B. Transverse vaginal septum C. Testicular feminization D. Gonadal agenesis Answer: A 115·Sep 8 يا فرسان الطبّ الذين خاضوا غمار الاختبار اليوم، بوركت مساعيكم وكلّل الله جهودكم بالنجاح والتوفيق. تأكيداً لروح التعاون ونشر العلم، ندعوكم لمشاركتنا ما استوقفتكم من أسئلة، سواء كانت حديثة العهد أو مكررة، ونسعد بتلقي انطباعاتكم حول مجريات الاختبار وتجربتكم معه. إنَّ مساهمتكم اليوم هي ضياءٌ لمن خلفكم، فكونوا خير عونٍ لزملائكم في مسيرتهم نحو التميز. شاركونا عبر الرابط التالي: &rlm;http://smle-w.com/submit 105·Sep 8 A 17-year-old healthy girl and gymnast in her school team presents with history of the absence of menstruation. She reports that she develops breasts later than her friends and never began menses. On examination, her Tanner stage V development of breasts and pubic hair. Which of the following is the most likely cause of this girl primary amenorrhea? A. Hypogonadotropic hypogonadism B. Transverse vaginal septum C. Testicular feminization D. Gonadal agenesis Answer: A 85·Sep 8

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