Demo Vaka/Soru Havuzu
Global hazırlık için ilk özgün demo çekirdeği.
Bu ekran USMLE, PLAB, BOARD ve Medical English içeriklerinin nasıl görüneceğini gösterir. Faz 2 ile bu içerikler gerçek soru çözme motoruna bağlandı; her karttan doğrudan çözmeye geçebilirsin.
BOARD / EM Cases
EM Board Case
Zor
Post-intubation hypotension
A trauma patient becomes profoundly hypotensive immediately after intubation. What are the first critical actions?
Wait for CT
Check tube/ventilator, decompress possible tension pneumothorax, start resuscitation
Give oral fluids
Call outpatient clinic
Yanıt: Check tube/ventilator, decompress possible tension pneumothorax, start resuscitation
Post-entübasyon hipotansiyonda tüp/ventilatör, tansiyon pnömotoraks, preload/şok ve ilaç etkisi hızla değerlendirilir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, airway, asthma, G100V1
Zor
G100-BOARD-001 | Crashing asthmatic
A 29-year-old with severe asthma is silent chest, exhausted, SpO2 86% despite nebulizers, and rising CO2. What is the most important next step?
Prepare for controlled RSI/intubation with senior airway help while continuing aggressive bronchodilator therapy
Discharge after one more nebulizer
Give oral cough syrup
Wait for outpatient spirometry
Yanıt: Prepare for controlled RSI/intubation with senior airway help while continuing aggressive bronchodilator therapy
Sessiz akciğer, yorgunluk ve hiperkapni impending respiratory failure bulgularıdır. Airway planı, ekip ve resüsitasyon eş zamanlı yürütülmelidir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, trauma, shock, G100V1
Orta
G100-BOARD-002 | Trauma hypotension
A trauma patient is hypotensive with positive FAST after MVC. Pelvis is stable and breath sounds are equal. What is the key disposition/management?
Massive transfusion protocol and urgent operative/trauma surgery source control
CT with oral contrast before resuscitation
Outpatient follow-up
Only crystalloid for several hours
Yanıt: Massive transfusion protocol and urgent operative/trauma surgery source control
Travmada pozitif FAST + hipotansiyon intraabdominal kanama lehinedir. Hemostatik resüsitasyon ve cerrahi kaynak kontrolü gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, pediatrics, seizure, G100V1
Kolay
G100-BOARD-003 | Pediatric seizure fever
A 16-month-old has a generalized seizure lasting 12 minutes with fever. What is the initial seizure-stopping medication?
Benzodiazepine
Oral acetaminophen only
CT before medication
Antibiotics only
Yanıt: Benzodiazepine
Aktif uzamış nöbette ilk abortif ilaç benzodiazepindir. Ateş yönetimi ve altta yatan neden değerlendirmesi sonrasında yapılır.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, cardiology, RV infarct, G100V1
Zor
G100-BOARD-004 | STEMI with RV infarct
Inferior STEMI patient is hypotensive, lungs clear, JVP elevated. Right-sided ECG suggests RV infarction. Which intervention should be used cautiously/avoided initially?
Nitroglycerin
IV fluids
Primary PCI
Aspirin
Yanıt: Nitroglycerin
RV infarktında preload bağımlılığı vardır; nitratlar hipotansiyonu kötüleştirebilir. Reperfüzyon ve dikkatli sıvı yaklaşımı önemlidir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, CCB, G100V1
Zor
G100-BOARD-005 | Calcium channel blocker overdose
A patient overdosed on verapamil and is bradycardic, hypotensive and hyperglycemic. What therapy is a key antidotal strategy?
High-dose insulin euglycemia therapy
N-acetylcysteine
Methylene blue as first-line for all cases
Flumazenil
Yanıt: High-dose insulin euglycemia therapy
Kalsiyum kanal blokeri toksisitesinde yüksek doz insülin euglisemi tedavisi önemli tedavi seçeneklerinden biridir; kalsiyum, vazopressör, lipid vb. olguya göre eklenir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, GI bleed, airway, G100V1
Orta
G100-BOARD-006 | Massive GI bleed airway
A patient with massive hematemesis is confused and cannot protect the airway. What should be prioritized?
Airway protection with resuscitation and blood product preparation
Oral PPI only
Outpatient endoscopy
Nasogastric tube before assessing airway
Yanıt: Airway protection with resuscitation and blood product preparation
Massif hematemezde aspirasyon riski ve şok birlikte değerlendirilir. Havayolu, dolaşım ve kan ürünü hazırlığı önceliklidir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, ACLS, dysrhythmia, G100V1
Zor
G100-BOARD-007 | Electrical storm
A patient has recurrent unstable ventricular tachycardia despite cardioversion. What is a key immediate management component?
ACLS-based repeated cardioversion/defibrillation as indicated, antiarrhythmic therapy and correction of triggers
Discharge after sinus rhythm once
Only oral beta blocker and wait
No electrolyte assessment
Yanıt: ACLS-based repeated cardioversion/defibrillation as indicated, antiarrhythmic therapy and correction of triggers
Elektriksel fırtınada ACLS, antiaritmik, elektrolit/iskemi/toksin gibi tetikleyicilerin düzeltilmesi ve yoğun bakım/kardiyoloji desteği gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, pediatrics, fever, G100V1
Orta
G100-BOARD-008 | Neonatal fever ED disposition
A 12-day-old infant has rectal temp 38.2°C. What is the safest ED disposition?
Admit after full sepsis evaluation and empiric antibiotics
Discharge if viral test is negative
Give antipyretic and no labs
Routine follow-up in 2 weeks
Yanıt: Admit after full sepsis evaluation and empiric antibiotics
İlk ay febril bebek yüksek risklidir. Sepsis değerlendirmesi, ampirik antibiyotik ve yatış güvenli yaklaşımdır.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, psychiatry, toxicology, G100V1
Orta
G100-BOARD-009 | Agitated delirium
A severely agitated patient is hyperthermic, tachycardic and fighting staff. What is the safest first priority?
Team-based safety, rapid sedation when needed, cooling and search for medical/toxicologic causes
Argue until he calms down
Leave him alone unmonitored
Discharge for behavioral issue
Yanıt: Team-based safety, rapid sedation when needed, cooling and search for medical/toxicologic causes
Agitated delirium tıbbi acildir. Personel/hasta güvenliği, sedasyon, soğutma ve hipoglisemi/toksin/sepsis gibi nedenlerin dışlanması gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, pediatrics, DKA, G100V1
Zor
G100-BOARD-010 | Pediatric DKA cerebral edema
A child with DKA being treated develops headache, bradycardia and decreased consciousness. What complication is suspected and what is treatment?
Cerebral edema; hypertonic saline or mannitol and ICU escalation
Hypoglycemia only; give oral juice
Migraine; discharge
Otitis media; antibiotics only
Yanıt: Cerebral edema; hypertonic saline or mannitol and ICU escalation
Pediatrik DKA’da bilinç bozulması/serebral ödem ölümcül komplikasyondur; hipertonik tedavi ve yoğun bakım gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, trauma, airway, G100V1
Zor
G100-BOARD-011 | Penetrating neck trauma
A patient with penetrating neck injury has expanding hematoma and stridor. What is the priority?
Immediate airway control with surgical/trauma support
CT angiography before any airway plan
Discharge if speaking
Apply small dressing and wait
Yanıt: Immediate airway control with surgical/trauma support
Penetran boyun travmasında expanding hematoma/stridor havayolu tehdididir. Kontrollü havayolu ve cerrahi destek önceliklidir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, ACLS, atrial fibrillation, G100V1
Kolay
G100-BOARD-012 | Atrial fibrillation unstable
A patient with atrial fibrillation has hypotension and pulmonary edema. What is the next step?
Synchronized cardioversion
Start oral rate control and wait 12 hours
Outpatient Holter
No treatment
Yanıt: Synchronized cardioversion
Hemodinamik instabil taşiaritmide senkronize kardiyoversiyon gerekir. Stabil hastada rate/rhythm stratejisi ayrıca değerlendirilir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, disaster, rhabdomyolysis, G100V1
Orta
G100-BOARD-013 | Crush injury rhabdomyolysis
A rescued earthquake victim has crushed legs, dark urine and CK markedly elevated. What is a key early ED treatment?
Aggressive IV isotonic fluids while monitoring electrolytes and renal function
Fluid restriction
Oral calcium only
Delay fluids until CK normalizes
Yanıt: Aggressive IV isotonic fluids while monitoring electrolytes and renal function
Crush/rabdomiyolizde böbrek hasarını azaltmak için erken IV sıvı ve elektrolit takibi kritik önemdedir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, vascular, limb ischemia, G100V1
Orta
G100-BOARD-014 | Acute limb ischemia
A patient has sudden painful pale cold leg with absent pulses. What is the key management?
Urgent vascular surgery consultation and anticoagulation if not contraindicated
Apply warm compress and discharge
Wait for outpatient Doppler next month
Compression bandage
Yanıt: Urgent vascular surgery consultation and anticoagulation if not contraindicated
Akut ekstremite iskemisi zaman kritik vasküler acildir; heparinizasyon ve damar cerrahisi değerlendirmesi gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, electrolytes, seizure, G100V1
Orta
G100-BOARD-015 | Severe hyponatremia seizure
A patient has sodium 112 mEq/L and a generalized seizure. What is the most appropriate treatment?
Hypertonic saline bolus
Free water intake
Oral salt tablets only and discharge
D5W infusion
Yanıt: Hypertonic saline bolus
Nöbet gibi ciddi semptom veren hiponatremide hipertonik salinle kontrollü acil düzeltme gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, beta blocker, G100V1
Zor
G100-BOARD-016 | Beta blocker overdose
A patient overdosed on propranolol and has bradycardia, hypotension and seizures. Which treatment is commonly used in severe beta-blocker toxicity?
Glucagon and supportive vasopressor/critical care therapy
Naloxone only
Vitamin K
Protamine
Yanıt: Glucagon and supportive vasopressor/critical care therapy
Beta bloker toksisitesinde glukagon, vazopressör, yüksek doz insülin ve lipid gibi tedaviler olguya göre kullanılır; propranololde nöbet görülebilir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, ENT, airway, G100V1
Zor
G100-BOARD-017 | Ludwig angina
A diabetic patient has fever, submandibular swelling, tongue elevation and drooling. What is the priority?
Airway assessment/control plus broad-spectrum antibiotics and surgical consultation
Oral mouthwash only
Routine dental appointment next month
NSAID and discharge
Yanıt: Airway assessment/control plus broad-spectrum antibiotics and surgical consultation
Ludwig anjini havayolu obstrüksiyonu riski taşır. Airway, IV antibiyotik ve cerrahi/KBB değerlendirme gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, pediatrics, respiratory, G100V1
Orta
G100-BOARD-018 | Pediatric bronchiolitis
A 4-month-old with bronchiolitis has apnea episodes and poor feeding. What is appropriate disposition?
Hospital admission/monitoring
Discharge without observation
Routine antibiotics for all bronchiolitis
Steroids as sole treatment and discharge
Yanıt: Hospital admission/monitoring
Apne, küçük yaş ve beslenme bozukluğu bronşiolitte yatış/izlem gerektiren risklerdir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, pediatrics, G100V1
Orta
G100-BOARD-019 | Caustic ingestion
A child ingests drain cleaner and has drooling and oral burns. What should be avoided?
Inducing vomiting or attempting neutralization
Airway assessment
Poison center/GI consultation
NPO and supportive care
Yanıt: Inducing vomiting or attempting neutralization
Kostik alımda kusma indüksiyonu ve nötralizasyon zararı artırabilir. Airway, NPO, destek ve uzman değerlendirmesi gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, environmental, drowning, G100V1
Kolay
G100-BOARD-020 | Drowning resuscitation
A drowning victim is hypoxic and coughing with altered mental status. What is the main resuscitation priority?
Oxygenation and ventilation support
Prophylactic antibiotics for every case before airway
Diuretics
Immediate discharge after warming
Yanıt: Oxygenation and ventilation support
Boğulmada temel ölüm mekanizması hipoksidir; oksijenasyon/ventilasyon önceliklidir. Antibiyotik rutin profilaksi değildir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, infection, urology, G100V1
Orta
G100-BOARD-021 | Fournier gangrene
A diabetic man has perineal pain, fever, crepitus and toxic appearance. What is the key management?
Broad-spectrum antibiotics and urgent surgical debridement
Topical antifungal only
Outpatient urology visit
Oral analgesic only
Yanıt: Broad-spectrum antibiotics and urgent surgical debridement
Fournier gangreni nekrotizan enfeksiyondur; erken geniş spektrum antibiyotik ve cerrahi debridman gerekir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, salicylate, G100V1
Zor
G100-BOARD-022 | Salicylate toxicity
A patient has tinnitus, vomiting, tachypnea and mixed respiratory alkalosis/metabolic acidosis after overdose. What treatment enhances elimination in significant toxicity?
Urinary alkalinization with sodium bicarbonate
Naloxone
Activated charcoal only after 48 hours
Calcium gluconate as antidote
Yanıt: Urinary alkalinization with sodium bicarbonate
Salisilat toksisitesinde idrar alkalinizasyonu eliminasyonu artırır; ağır olguda hemodiyaliz düşünülür.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, TCA, G100V1
Zor
G100-BOARD-023 | Tricyclic antidepressant overdose
A patient with TCA overdose has hypotension and QRS widening. What is the key treatment?
IV sodium bicarbonate
Flumazenil
Furosemide
Aspirin
Yanıt: IV sodium bicarbonate
TCA toksisitesinde sodyum kanal blokajı QRS genişlemesi yapar; IV sodyum bikarbonat temel tedavidir.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, neonatal, resuscitation, G100V1
Orta
G100-BOARD-024 | Shoulder dystocia newborn depression
After difficult delivery with shoulder dystocia, newborn is limp and apneic. What is the immediate neonatal resuscitation priority?
Warm/dry/stimulate and provide positive-pressure ventilation if apneic or gasping
Chest compressions before ventilation in all cases
Wait for spontaneous breathing for 10 minutes
Give oral glucose first
Yanıt: Warm/dry/stimulate and provide positive-pressure ventilation if apneic or gasping
Neonatal resüsitasyonda ventilasyon ana basamaktır. Apne/gasping varsa PPV hızla başlanır.
Soru motorunda çöz
BOARD / EM Cases
Emergency Board, toxicology, serotonin syndrome, G100V1
Zor
G100-BOARD-025 | Hyperthermic serotonin syndrome
A patient on SSRI and linezolid has agitation, clonus, hyperreflexia and fever. What is best management?
Stop serotonergic agents, supportive care, benzodiazepines, cooling; consider cyproheptadine in moderate/severe cases
Give more SSRI
Antipsychotic monotherapy and discharge
No temperature management
Yanıt: Stop serotonergic agents, supportive care, benzodiazepines, cooling; consider cyproheptadine in moderate/severe cases
Serotonin sendromunda tetikleyici kesilir, destek/soğutma/benzodiazepin verilir; ağır olguda siproheptadin düşünülür.
Soru motorunda çöz