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MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Sat, 21 Nov 2009 03:04:45 GMT

Author: voges
Posted: Sat Nov 21, 2009 8:34 am (GMT 5.5)

how do u exclude cardiac failure from the above scleroderma question?

in coeliac disease,is both b12 andfolate low?
or is it only b12?

can anyone shed some light on these condtions such as bacterial overgrowth and coeliac disease and others..

PG Entrance Message Board :: RE: alternative careers for MBBS graduates

Anonymous — Sat, 21 Nov 2009 02:20:17 GMT

Author: Mahalakshmi
Subject: Duty doc in Tamilnadu
Posted: Sat Nov 21, 2009 7:50 am (GMT 5.5)

Hi
There's an opening for duty doc at Krishna hospital,Tiruchengode near Salem Tamilnadu
Good experience for ortho trauma care OBG and emergency care
Contact 04288 254252 or 04288 254272

MRCP Forum :: RE: :::.:: MRCP 2 Nov, 2009 ::.:::

Anonymous — Sat, 21 Nov 2009 02:19:59 GMT

Author:
Posted: Sat Nov 21, 2009 7:49 am (GMT 5.5)

Hey Dochamer... are u here to help or make us feel like idiots..having to struggle to do the prep with our jobs

AMC Clinical Exam :: RE: Want a study partner for march 2010 clinical

Justysia — Sat, 21 Nov 2009 01:07:55 GMT

Author: Justysia
Posted: Sat Nov 21, 2009 6:37 am (GMT 5.5)

Where are you both?

AMC Clinical Exam :: RE: Clinical studypartner for Feb/Mar 2010

Justysia — Sat, 21 Nov 2009 01:07:07 GMT

Author: Justysia
Posted: Sat Nov 21, 2009 6:37 am (GMT 5.5)

Randwick area?

AMC Clinical Exam :: RE: how long we have to wait

Justysia — Sat, 21 Nov 2009 01:04:55 GMT

Author: Justysia
Posted: Sat Nov 21, 2009 6:34 am (GMT 5.5)

Sept 2008- Feb 2010 so 18 months as above

AMC Clinical Exam :: RE: Study partner amc clinical in sydney randwick.

Anonymous — Sat, 21 Nov 2009 00:57:14 GMT

Author:
Posted: Sat Nov 21, 2009 6:27 am (GMT 5.5)

Hi Rajendra,
Bit too far for me to travel to Liverpool. I am exactly in Randwick and exam in Feb 2010. Every day is precious now and spending 3h/d travelling for studying is just alittle bit of waste. Good luck with your search though

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 21:45:15 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 3:15 am (GMT 5.5)

i would be surprised if we dont .. everything comes up and anything..so yea i would expect college staff to through some stat questions as if there is no questions to complete the exam..

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 21:35:07 GMT

Author: guest1..
Posted: Sat Nov 21, 2009 3:05 am (GMT 5.5)

Do we get any quest on statistics in part2?

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 21:25:32 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 2:55 am (GMT 5.5)

the correct answer is pulmonary vasculature disease..

explaination:

PFTs actually normal values if you take a close look ( which obviously we wont in the exam ) apart from a low KCO and TLCO ..

this is classically seen in pulmonary vasculature disease ..

limited scleroderma is associated with anti-centromere antibody .. and is more likely associated with pulmonary hypertension ( pulonary vascular disease )

diffuse scleroderma is associated with anti-Scl70 antibody.. and is more likely to be associated with pulmonary fibrosis..

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 20:28:22 GMT

Author: .. double dot
Posted: Sat Nov 21, 2009 1:58 am (GMT 5.5)

pft indicate a restrictive dsorder and with a low tlco and kco would indicate a parenchymal problem... moreover pulm fibrosis is seen in scleroderma..

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 20:02:02 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 1:32 am (GMT 5.5)

a patient diagnosed with limited scleroderma has become increasingly short of breath.. the following are the PFT performed:

FEV1 95% FVC 98% TLC 93% RV 101% TLCO 65% KCO 69%

what is the diagnosis:

pulmonary fibrosis
mild anemia
extrapulmonary restriction
congestive cardiac failure
pulmonary vasculature disease

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 19:54:15 GMT

Author: .. double dot
Posted: Sat Nov 21, 2009 1:24 am (GMT 5.5)

easy one.....radiation enteritis,....... radiation causes strictures and nidus for bacterial overgrowth and they consume b12 and produce folate

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 19:27:52 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 12:57 am (GMT 5.5)

50 year old female c/o 1 year history of abdo cramps, diarrhea, passing loose stool , foul smelling 3-4/day in association with weight loss..she has a good appetite, she has total abmonial hysterectomy done with radiation.

she has low B12 ..normal Folate .. normal CXR and AXR .. Normal ESR

what is the diagnosis:

ileal TB
small bowel lymphoma
diverticulosis
Crohns disease
radiation enteritis

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 19:26:27 GMT

Author: .. double dot
Posted: Sat Nov 21, 2009 12:56 am (GMT 5.5)

this is wht i found

� Duration after first DVT or PE with a reversible risk factor
Most physicians will want to keep a person on warfarin for 3 months if they have developed a clot due to a risk factor that was temporary or reversible (i.e. extended travel). There have been many trials and studies performed that look at the risks and benefits of using warfarin over different time frames.

� Duration after first DVT or PE with no known cause
It is recommended that a person who develops a clot and no reason, disorder, or risk factor can be identified should take warfarin for at least 6 to 12 months. It should be strongly considered to continue warfarin indefinitely because they do not have a risk factor to remove.

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 19:11:25 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 12:41 am (GMT 5.5)

for DVT :
If the cause will go away (eg post-op immobility): � At least 6 weeks for below knee DVT.
� At least 3 months for above knee DVT or PE.

� At least 6 months if no cause found.

glomus syndrome : tumours affecting the skul base.. could affect cranial nerves 7 8 9 10 11 and 12..

the first sign of parkinsonism ...hmmm..difficult unless there is a new study or something done on that for early diagnosis..

some would say tremor ...others would say bradykinesia..

may be someone else knows something ..

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 19:03:42 GMT

Author: .. double dot
Posted: Sat Nov 21, 2009 12:33 am (GMT 5.5)

as far as i read, if a person diagnosed with dvt, and this was secondary to a known cause like for ex, immobilization then warfarin for 3 months... i really want to know whts the duration if no known cause was found..?? shud try to google it

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 18:55:18 GMT

Author: voges
Posted: Sat Nov 21, 2009 12:25 am (GMT 5.5)

what about first episode of DVT( with no clotting problems)? warfarin for 3 months or 6 months?

what is glomus jugular syndrome?

any idea on the first sign of parkinsonism?

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 18:50:13 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 12:20 am (GMT 5.5)

some of these questions above by voges missing vital info i guess as they were collected by candidates who sat the exam and it is understandable the stress they went through..

thank you double dot for the answers ..appreciated..
so amantidine is the choice for those not tolerating IFN and ribavirin..

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 18:42:21 GMT

Author: .. double dot
Posted: Sat Nov 21, 2009 12:12 am (GMT 5.5)

In the absence of thrombophilia, the recommendation from guidelines for treatment of a second provoked DVT is 6 months of warfarin. The APTT is in the normal range, which reduces the likelihood of her suffering from anti-phospholipid antibody syndrome, although she may of course have an inherited disorder. Recurrence of DVT whilst on warfarin would be an indication for life-long anti-coagulation, as would diagnosis of a thrombophilic condition.

Suicidal ideation is a recognised adverse event associated with combination interferon and ribavirin therapy. Pegylation of interferon is associated with increased treatment effectiveness, and reduced AEs, but switching to unpegylated interferon is not likely to significantly improve his symptoms. Giving him anti-depressents is also unwise as he is likely to use them in an overdose attempt. Lamivudine is an effective agent in the treatment of Hepatitis B. Amantadine has been shown to be an effective agent to switch to in patients who are unable to take interferon and ribavirin due to adverse effects, with response rates of 27% in one study.

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 18:39:49 GMT

Author: voges
Posted: Sat Nov 21, 2009 12:09 am (GMT 5.5)

1.A patient with conductive deafness,tongue palsy(Unilateral)nasal regurgitation ,swallowing probs and palatal palsy.........most probably Glomus Jugular syndrome or nasopharyngeal carcinoma?...I answered that wrong.

6.A old patient with parkinsonism...his son wants to know the first sign of parkinsonism....a)Daytime somnolence...b)Insomnia(My answer)

25.A small cell ca of Lung patient came with respiratory distress,suspected LEMS and ectopic ACTH but no sign of cushing....blood pic shows high sodium and low potassium....how to treat.........a) metyrapone(Most person answered)..b)KCL( i cant explain why i chosed this)

these questions were in april 2009..
anyone knows the answers?

what is Glomus Jugular syndrome?

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 18:32:28 GMT

Author: h_ahmad77
Posted: Sat Nov 21, 2009 12:02 am (GMT 5.5)

anybody with correct answer for the above 2 questions by double dot?

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

Anonymous — Fri, 20 Nov 2009 18:25:10 GMT

Author: voges
Posted: Fri Nov 20, 2009 11:55 pm (GMT 5.5)

lifelong warfarin
psychiatric consultation and antidepressants

MRCP Forum :: RE: Best qbank for MRCP part 1

Anonymous — Fri, 20 Nov 2009 18:02:21 GMT

Author: Geust 211
Posted: Fri Nov 20, 2009 11:32 pm (GMT 5.5)

for part 1
passmeicine
onexam

for part 2
pastest
ydr

MRCP Forum :: RE: who will enter mrcp2 in november 2009 let,s discuss aplan

h_ahmad77 — Fri, 20 Nov 2009 17:59:56 GMT

Author: h_ahmad77
Posted: Fri Nov 20, 2009 11:29 pm (GMT 5.5)

hey double dot .. was the answer to DVT Question correct? ..

well.. for the HCV patient .. i would consider psychiatric consultation and antidepressants..