Answer all the questions using standard surgery textbooks as reference, at a surgical residency level.

Reading File
I need to read the PDF first to see the questions, then answer them from surgical textbooks.
Running Command

cd "/tmp/workspace/attachments/d7bb5eef-6792-4f17-b6ff-2e68746d3eca/" && python3 -c " import pdfplumber with pdfplumber.open('paper 1.pdf') as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): print(f'--- PAGE {i+1} ---') text = page.extract_text() if text: print(text) else: print('[No text extracted]') "

The PDF appears to be image-based (scanned). Let me use analyse_media on it as an image to extract the content.
Running Command

python3 -c " from pypdf import PdfReader import base64 reader = PdfReader('/tmp/workspace/attachments/d7bb5eef-6792-4f17-b6ff-2e68746d3eca/paper 1.pdf') print(f'Pages: {len(reader.pages)}') # Try to extract images from first page page = reader.pages[0] print('Page keys:', page.keys()) if '/Resources' in page: resources = page['/Resources'] print('Resources:', resources.keys() if hasattr(resources, 'keys') else resources) if '/XObject' in resources: xobj = resources['/XObject'] print('XObjects:', list(xobj.keys())[:5]) "

Running Command

python3 -c " from pypdf import PdfReader import os reader = PdfReader('/tmp/workspace/attachments/d7bb5eef-6792-4f17-b6ff-2e68746d3eca/paper 1.pdf') os.makedirs('/tmp/workspace/pdf_images', exist_ok=True) for page_num, page in enumerate(reader.pages): resources = page['/Resources'] xobj = resources['/XObject'] for name, obj in xobj.items(): obj = obj.get_object() if obj.get('/Subtype') == '/Image': data = obj.get_data() filter_type = obj.get('/Filter', '') print(f'Page {page_num+1}, {name}: filter={filter_type}, size={len(data)} bytes') ext = 'jpg' if 'DCT' in str(filter_type) else 'png' with open(f'/tmp/workspace/pdf_images/page_{page_num+1}.{ext}', 'wb') as f: f.write(data) print(f' Saved as page_{page_num+1}.{ext}') "

I have the images. Now let me upload them to analyse the content. I'll first encode and serve them as base64 data URIs to analyse_media.
Running Command

python3 -c " import base64, os # Check sizes are reasonable for i in range(1,9): path = f'/tmp/workspace/pdf_images/page_{i}.jpg' size = os.path.getsize(path) print(f'page_{i}.jpg: {size} bytes ({size/1024:.1f} KB)') "

I need to serve these images via a local HTTP server so analyse_media can access them, or convert them to data URIs. Let me start a simple HTTP server and analyse all pages in parallel.
Running Command

cd /tmp/workspace/pdf_images && python3 -m http.server 8765 & sleep 1 echo "Server started" curl -s -o /dev/null -w "%{http_code}" http://localhost:8765/page_1.jpg

The server is up. Now I'll analyse all 8 pages in parallel to extract all the questions.
analyse_media
analyse_media
analyse_media
analyse_media
analyse_media
The localhost approach didn't work for analyse_media (external service can't reach localhost). I've also exhausted my analyse_media budget. Let me use fetch_image instead which reads local files differently, or better - use the vision capability directly by reading the images as base64.
Reading File
Reading File
Reading File
Reading File
Reading File
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Reading File
I now have all 8 exam papers (2017-2025). Let me read the medical library skill and then use the library to answer these questions comprehensively.
Reading File
Now let me do parallel library searches for the major topics across all 8 papers. I'll focus on the most complex/long-answer questions that require detailed textbook content.
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Reading File
Reading File
Reading File
Finding Sources
Finding Sources
Finding Sources
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Finding Sources
Finding Sources
I have enough library content from the key sources. Now I have all the questions from all 8 papers and solid textbook backing. Let me write comprehensive answers.

Retry this command but make a pdf with all the answers

Let me run parallel library searches for all the major topics across the 8 papers simultaneously.
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Reading File
Finding Sources
Finding Sources
Finding Sources
Reading File
Reading File
Reading File
I have enough library content. Now I'll write all the answers and generate the PDF directly. This is a large task - I'll write the comprehensive answers and create the PDF in one pass.
Running Command

mkdir -p /tmp/workspace/surgery-answers && echo "ready"

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