Recalls drom MRCP 1 Jan 2010

[drrajib]

Lets start memorizing questions and discuss them....

[ahmedwassief]

just came back, paper 1 was hard as hell
one qiuz about difference between 5FU and Capecitabine unfortunaitly i answered wrong the difference was it is used orally

sorry very tired i'll re post later

_________________
ahmedwasief

[giroop2003]

thnks for starting, I answered orally, Thanks god

[Guest]

one hardddd paper 1 and 2m why so many endocrine qs?

[drrajib]

1. Skin lesion and lt ankle sweling..prognosis??
2. Cause of death in a renal pt receiving HD for 5 yrs??
3. Causative organism for infected peritoneal dialysis patient??
4. Ant ST seg elevation MI following GI surgery..Rx option besides anti platelets??
5. What to do in a patient receiving clopidogrel prior to abd surgery??
6. Empyema inv.??USG/CT?
7. Primary pneumo with rim of air <2 cm??
8. Anti TB with decreased visual acity??
9.

[saadi10]

1 suspected pe findings on cxr
2 person has hematuria father and brother had same
3 herpetic virus 8 virus causes
4 type amylodosis al /aa in person with myeloma
5speceked pattern with tight skin ?scl 70
6baby lupus ? ro antibodies
7investigation for pulmonary hypertension
8 restrictive lung function with raised KCO ?pul heamorraghe
9obstructive fev/fvc ratio with reduced kco emphysema
10dna probe to identify rna

l

[drrajib]

1. Resp Pathogen for CF pt?
2. HOCM poor prognostic criteria on Echo?
3. Footballer with sudden cardiac arrest?
4. Inf MI ECG?
5. Cons pericarditis ECG??
6. Poor outcome in a VSD pt with pg??
7. Her angio neurotic oedema cause of plasma leakage?
8. CxR of PE?
9. Dx of PE?
10.

[drrajib]

1.APCKD pt brother refused for kidney donation?

[MRCPaspirant]

* seizures, hypomelanotic patches, multiple renal cysts, periungua fibromas -TUBEROUS SCLEROSIS

[Guest]

psychogenic aphonia or mustism in the woman whom here son disobey here

ATN OR AIN OR minimal change nephropathy In diclofenac in woman aged 60

traces of canaboid ??? canboid abuse or psychotic depression

HCM ?? lft vent out flow more than 30 mmhg or septum thickness more than 3 cm

burgada or rt vent hypoplasia or HCM in young age collapse after football match

ANKYLOSING SPONDYLIS WHAT TO SEE IN X RAY OF LUMBO SACRAL

XRAY IN PUL . EMBOLISM ???

CLOPIDOGREL STOP TO AVOID BLEEDING AFTER 24H OR STOP AND USE LMWH

ODD RATIO ?? QUESTION

PLEURAL EFFUSION DIDNT GET ASPIRATED ?? I ANSWER LAT CHEST XRAY

ANATOMY: SCIATICA AND LONG THORACIC NERVE AND ABDUCTOR POLLICES PREVIS

DISSOCIATED SENSORY LOSS ?? CENRAL CANAL !

[Guest]

1. Subacute IE. treatment? Benpen + gent
2. litium toxicity. precipitant. ?ramipril
3. chronic CML, (?not candodate for imintab). ? a-interferon or ?hydroxycarbamide
4. Discoid lupus on steroids. ?next treatment. ? hydroxychloroquine.
5. Young pt had appendicectomy then went into shock (?sepsis - abscess). investigations ?clotting screen ?DIC
6. Pt with face swelling (on ACEi, Statins ..) ? precipitant
7. Macrocytic aneamia with antibodies to parietal cells. ?biopsy (?gastric wall)
8. chikenpox developed pneumonia ?treatment
9. ?mediator in anaphylaxis
10. ?test to confirm transfusion haemolytic reaction
11. A student's girlfriend kicked his ass after he came back from USA. He thought he's the Dean (?delusional syndrome or ? schizophrenia !!!!!!!)
12. Lady with abdo pain and all Ix NAD --> ?factious disorder
13. Pt thinks he's got cancer --? hypochondria disorder
14. intermittent painful defecation with fresh blood in young lad (?polyp ? haemorrhoids ?anal fissure)
15. Jaundiced pt with deranged LFTs (AST 1453) and tender hepatomegaly recently come back from holiday abroad (?Hep A)

[Guest]

EGYPT?? SALMONELA OR SHIGELLA

ANKLE SWELLING----CA CH BLOCKER

BLUE VISION----SILDENFIL

CONTROL HT RATE IN AF ---BISOPROLOL

AF ---HAEMODYNAMIC LOW----DC

BELLS PALSY---- LACRIMATION OR SALIVATION OR HYPERACUSIS OR HYPERATHESIA

CSF WITH HIGH LYMPOCYTE AND PROTEIN AND GLUCOSE 3.3 ---GUILLAN BARRE OR POLIO

[saadi10]

1 signs of anterior spinal artery occlusion with flaccid paralysis and loss of pain and temp
2symptoms of unwell diarrohea post terminal illeum removal ? bile salt irritation
3 lower quadrant visual symptoms what next investigation
4 dilated pupil slowly reacting to light irregular ?adie pupil
5 raised cholestrol ,ldl,triglycerides tx atrorva /simvas
6 hypokalemia ecg shows U waves
8 smalll ca with siadh
9jaw stiffness with multiple injected sites with discharging sinus tx? metronidazole /vac
10 presenting with bleeding pr and abdominal pain post recent surgery ?mesenteric artery occlusion

[JAK-2 Mutation]

Salaam all

Paper one was average, but 2 was a bit tough. Alhamdullilah I have done better than before. Following are the remembered questions, please note that these are my answers and can be wrong, so please discuss to make them right. Thanks

1.JAK 2 mutation --- PRV
2.Mother upset by her son's disobedience, presented mute but movement ok-- Depression ???
3.HOCM risk -- septal wall thickness 3.3 cm
4. ITP 2 questions
5. Tuberous Sclerosis (periungual fibroma)
6. Pt seeing Dog lying in next bed--Alcohol withdrawal
7. Pt claiming to be dean of medical faculty, after his girl friend left him--Mania
8. Boy behaving schezophrenic, Urine shows mild canabiniod--Dont remember the answer exactly but i marked something related to schizophrenia.
9. Lady with hip pain but all movements normal--Osteoarthritis
10. Positive predicted value---I screwed that up
11. Standard deviation
12. Lady with hypertension, hursutism and weight gain---PCOS or CAH ?
13. Lyme
14. HIV seroconversion in African boy
15. Carbamazepine autoinduction
16. Respiratory depression in an overdose--Diazepam ??
17.Ring Enhacing Lesion-Toxoplasmosis
18.Pneumocystis Jiroveci treatment--Co-trimoxazole
19. Glucose Tolerance test with Plasma growth hormone measurement
20. Man from india with jaunced picture--Hep A
21. Bloating, pain, long standing diarrhoea--Giardiasis
22. Typpical picture of Multiple Myeloma with unmeasured extra Immunoglobulins in blood + Bence John's Protein
23. Central Scotoma----Optic Neuritis
24. Anti-Ro ----Heart block
25. Cyclosporin--Nephrotoxicity
26. FEV1/FVC low -- Emphysema
27. ABGs given -- Mixed Metabolic acidosis and respiratory acidosis
28. Alopecia--Phenytoin
29. Difference between 5FU and new drug Capecitabine---Used Orally
30. Inflamatory infiltrates in lamina propria+Granuloma --- Crohn's
31. Asymptomatic with low Hb but more markedly low MCV and Raised HbA2 --- Beta Thalasaemia Trait
32. Mild haematuria, father and brother also had haematuria---Exercise related haematuria (I tried to figure out if it can be hereditary but the option given was Alport's synd which is X-Linked dominant so no male to male transfer)
33.Widespread ST elevation in anterior leads -- Constrictive Pericarditis
34.Another question with constrictive pericarditis picture and asked what else is found --- widespread ST elevation
35. Rate control in AF in a heart failure patient already on Digoxin---Amiodarone (other options were beta blocker but cant be used in heart failure)
36.Thyroid Nodule in a totally asymptomatic patient---Fine Needle Biopsy ??
37. Minimial Change disease
38. Henoch Schonlien Purpura
39. Lorry driver with chest x-ray having calcification--TB
40.Hypokalaemia, what else is found----U wave on ECG
41.Pleural effusion patient---Do bronchoscopy (It was the 1st question in paper 1 I think)
42. Pt with history of influenza, now pneumonic picture-- Organism responsible ---Staph Aureus ??
43.Cholesterol Embolisation with Levido Reticularis, what else is found -- Eosinophilia
44. Hypertension in Pregnancy -- Methyldopa
45. Pt with low BP, Hickman Line insterted presents with various electrolyte abnormalities, what else can be expected -- Hypophosphataemia
46. Pt with low BP and AF -- DC cardioversion
47. Footballer suddenly collapsed while playing and died on way to hospital -- HOCM
48. Latex Allergy -- IgE mediated hypersensitivity ??
49.Hyperventilation due to panic, what will be immediate blood abnormality -- answer was either low HCO3 or low H+ ion....?? I marked H+ because HCO3 takes time.
50.Short Synacthen test
51. Pt on haemodialysis for 5 years 3 times per week. Cause of death -- Dilated cardiomyopathy ???
52.Beta Blocker Toxicity with very low blood sugar and bradycardia non-responsive to atropine -- Give Glucagon
53. Pt took cocaine, what else can be found -- Ischaemic Cardiac pain
54. Coronary Vasospam--give Calcium Channel Blocker
55.Drug in the marketr for 2 years and now a study claimed to have found a serious side effect, what test will be used to check--- i wrote Case Control study (Because Rand Cont Trial cannot be used for side effect measuremenst, but I can totally wrong, please discuss)
56. Pt with typical DLE -- give HydroxyCholoquine
57. Pt seemed to have Seborrhoea or Dandruff (Not sure) -- But I marked Ketoconazol cream, other options were totally irrelevent except Metronidazole cream.....so i was in doubt and marked Keto.
58.Pt with alcohol abuse presents with ataxia. Wats the reason? Options were various but I marked Vit E Deficiency....Please correct me.
59. Lady after a fall, pain in neck with weakness but joint position sense and vibration sense and light touch preserved--- Anterior spinal compression/Syndrone...???
60. Patient presents with functional symptoms but he also had a history of thinking he had a cancer 1 year ago, but now presents with some functional symptoms--Somatoform disroder and not Hypochondriac disorder.
60.Lady with persistent diarrhoea for 2 years without any cause, some other functional symptoms were also given -- Somatoform disroder
61. Patient with SIADH -- Fluoxetine
62. Prophylaxis for Trigeminal Neuralgia-- I just marked Phenytoin. Please correct me.
63.Lithium toxicity ---Concomittant use of ACE-Inhibitor
64. Rheumatooid Arthritis patient alread on Diclofenac Sodium,what should be started next-- Methotrexate

This is all I can recall by now.
Please share more to make a complete list. Thanks and good luck to all.
May Allah pass us all...Ameen

[saadi10]

ammeen

alopecia is casued by valproate
treatment of neuralgia is carbamazepine
pt on digoxin /warfarin still af uncontrolled i wrote bioprolol ??
pt on dialysis i wrote ischeamic heart disease something related
alcoholic patient with ataxia had blurring of vision 2 years ago therefore i wrote MS
respiratory depression i wrote codiene as its a morphine derivative and can cause resp depression and low gcs
thyroid nodule i agree it can only be FNA
lady with previous hx of investigation for cancer i wrote hypochondriasis as it was major illness for which she got investigated for dont know could be wrong
atn sec to 10 day use of diclofenac

[Guest]

Salam 3aleekom

i agree with most of ur choices , those i recall

1-28 y with DM why type 1 age, bicarb, acetone i chose age

2-Melanoma Depth

3-18 y f eczema and recent small pustule at face and UL topical steroid
4- single nucleotide polymorphism i chose predict protein
5-Huntington chance of sun to be carrier 50%???




however, let us discus these

7. Pt claiming to be dean of medical faculty, after his girl friend left him--Mania i thinnk its paranoid schizophrania

9. Lady with hip pain but all movements normal--Osteoarthritis i think bursitis arthritis would have limitation of active move

10. Positive predicted value---I screwed that up---------50%

11. Standard deviation----------------SEM


12. Lady with hypertension, hursutism and weight gain---PCOS or CAH ? -------PCO there was high LH:FSH ratio

14. HIV seroconversion in African boy--- glandular fever atypical lymphocytes

16. Respiratory depression in an overdose--Diazepam ?? ------i chose dihydrocodien PLS discus

36.Thyroid Nodule in a totally asymptomatic patient---Fine Needle Biopsy ?? i chose scan discus

37. Minimial Change disease--- MGN sicus

41.Pleural effusion patient---Do bronchoscopy (It was the 1st question in paper 1 I think) ---------thoracoscopy pleural biopsy


51. Pt on haemodialysis for 5 years 3 times per week. Cause of death -- Dilated cardiomyopathy ??? -----------septicaemia

55.Drug in the marketr for 2 years and now a study claimed to have found a serious side effect, what test will be used to check--- i wrote Case Control study (Because Rand Cont Trial cannot be used for side effect measuremenst, but I can totally wrong, please discuss) - I agree


57. Pt seemed to have Seborrhoea or Dandruff (Not sure) -- But I marked Ketoconazol cream, other options were totally irrelevent except Metronidazole cream.....so i was in doubt and marked Keto.---------metronidazol pls discus

59. Lady after a fall, pain in neck with weakness but joint position sense and vibration sense and light touch preserved--- Anterior spinal compression/Syndrone...??? ---------------SYRNX dissociated sens loss


62. Prophylaxis for Trigeminal Neuralgia-- I just marked Phenytoin. Please correct me. - carbamazepine

63.Lithium toxicity ---Concomittant use of ACE-Inhibitor ----------Ca channel ??//increas toxicity

[dr.wesam]

1. Heart block after inferior MI. ?RCA occlusion
2. Guillain-Barre ?monitor respiratory function ?FVC
3. 13y after valve replacement. anaemic ? haemolysis
4. PCP treatment. ?Co-trimoxazole
5. Haemochromatosis screening: transferrin saturation
6. Lady with excessive hair --> SE of: ciclosporin
7. Acoustic neuroma --? absent corneal reflex
8. Betablocker overdose with bradycardia not respond to atropine. Next managment --> glucagon (repeat question Jan 2006)
9. Hypopigmentated areas round the eyes in pt with thyrotoxcitosis ? vititligo
10. Male with severe pain behind eye worse in the morning --? ?trigeminal neuralagia
11. Unwell young pt with lymphoadenopathy --> grandular fever (EBV)
12. JAK2 mutation --> Polycythaemia ruba vera
13. Idiopathic parkinson --> ?tremor
14. Tear-drop poikilocytes --> myelofibrosis
15. Pt with polyarthritis and anti-CCP --> ?RA
16. Northern blotting to detect RNA
17. Weight loss for obstructive sleep apnoea
18. Prophylaxis in trigeminal pain --> carbamezipine
19. New AF in compromised pt --> DC shock
20. AF with CCF not respond to digoxin --> give bisoprolol as per NICE
21. Lady with tenderness + pain lateral R hip --> I wrote bruisitis
22. A question on sensitivity
23. Positive predicted value TP/FP+TP
24. Respiratory depression due to overdose --> dihydrocodeine
25. Ring enhancing lesion --> Toxoplasmosis
26. Obese lady with deranged LFTs and USS prognostic --> Nonalcoholic steatahepatits
27. Hypokalemia --> flattened P wave
28. Refeeding syndrome --> low phosphate
29. Risk Sudden death in HOCM --> ?enlarged L atrium
30. Serious SE (fluminant hepatitis) of a new drug as per a journal article. Best course of action is to do metaanalysis of related clinical trials as this would give the strongest evidence.
31. DLE --> hydroxychloroquine
32. Dandruf --> ketoconazole
33. Fall and loss of pain and temperature and joint sensation preserved --> ?cervical disc prolapse

[saadi10]

few more that i can barely remember
plz help give answers
testicular feminization ? male with female gentalia
mitochondrial disease shows ?optic atrophy
polypeptide degradation occurs in ?? endoplasmic reticulum
nurse presents with a rash she has palmar rash and papules 0.4cm around gentalia
renal failure /loss of left knee and right ankle reflex with loss of power /urine positive for hematuria ? PAN/ SLE
cause of pnuemonia in a 50 year old ?mycoplasm/h influenza
a patients cxr showing 2-5mm calcified lesion ???
recent colonic operation now severe chest pain management ? nitrates
dx with cholecystitis 6months ago had stent insertion on aspirin and clopidogrel tx ?? delay for 6 months plz tell
patient tx for meningitis but after 4 days again confused and restless ? investigation ?urea/elec or MR scan brain
dx of parkinsonism i wrote repeated falls ( signifies ridigidty )
recently had chemotherapy now has neuropathy ? cause cyclophosphamide /vincristine
shin lesion with ankle swelling ?resolves
cause of raised urinary sodium
treatment of immune thrombocytopenia

[CT 1]

Hi all of you
Just back from exam Happy after paper 1 , devastated after paper 2
I think same topics but with variety of questions may be I need more practice
Here are some questions which i remember , answers might be wrong but please discuss and add if remember more



1 . Alcoholic , weight loss , chest signs and symptoms , CXR shows pleural effusion aspiration attmepted but failed whats the NEXT investigation
its clearly mention next not best investigation

bronch
ct chest
us chest
thoraco


2. carbamazemine autoinduction


3. valporate hair loss

4. cyclosporin excessive hair

5.patient suffered peripheral neuropathy , had chemo whic medication to stop ? vincristine

6. mismatch blood transfusion what test to confirm ? direct coombs test

7. Ring enhancing lesion on CT aids patient ( toxo )

8. 10 days after chemo patient neutrophil 1.2 ( Neutropenic sepsis )? prophylactic cipro

9. patient with variety of symptoms and sign anaemia . renal failure . neuropathy ? Polyarteritis nodosa

10. Mild headache in elderly which investigation ? ESR

11. Patient having unequal pupil and Ptosis ( Horner) which investigation to confirm ? cxr

12. CSF showing 100 lympho plus high protien ? TB

13. Ankylosing spondylosis what will present in Lumbar xray ? sclerosis / osteophyste / sydem/ wedge shape

14. patient with hip pain and lateral tenderness ? Osteoarthritis

15. 2/52 renal transplant dont remember the exact question but indicating cyclosporin toxicity

16 . patient on cyclosporin LFT become derange what investigation next to find the cause renal ultrasound / urea creatinine / cyclosporin levels

17. Alcoholic with deranged LFT pointing towards NASH

18. Contraindication to liver biopsy PT / obesity / platelets / ultrasound appearance of intra dilation of biliary tree

19 . patient on 5 HTN medications develops ankle edema amlodipine/ doxazocin / monoxidine

20 . Preg HTN methyldopa

21. 19 yr old patient having heavy protien urea but no heamturia most common cause membranous / minimal /FG / Ig A

22. routine medcial check showing iron deficiency with basophilic stripling , patient asymptomatic lead poisonng / sideroblastic dont remember other options

23. elderly feeling lethatgic investigation showing Iron defeciency but no altered bowel symptoms which investigation first ( gaasto / colonoscopy )

24. patient having blood diarrhoea / recent antibiotics for chest infection history of MI / diabetes ( c .diff / ischaemic colitis / diverticulits )

25. patient having blood diarrhoea not respond to 5 days of metro ? campylo

26. IV drug abuser sign and symtoms of tetanus which antibiotcs ? metro ? doxy

27 . Endocarditis blood culture alpha hemolytic which combination ? ben + rifa / benpen + genta

28 . GB syndrome patient asking for Vital capacity i think

29 . 37 yr old patient with Upper and lower motor sign father had similar problem at 78 yr of age ? amyotrophic lat sclerosis

30 . Bronchiectasis whic organism common ? Kleb / Moraxella / H influenza

31. Pulmonary HTN best investigation ? Echo / ctpa / vq scan

32 . caviating lesion with RF ? Wegners

33. weight loss / hemoptysis / hyponatremia which lung ca ? small cell

34 . patient heavy smoker and asbestos exposure diagnose lung cancer which account more i think smoking mainly

35 . testicular feminisation how will patient look like male with female genitals / male with inguinal testis / femal with clitromegaly etc

36 . Type 2 dm obese which medication first metformin

37. thyroid mass with normal TFT which investigation next ? FNAC ? radioisotope scan

38 . Man 30s pain behind eye and problem with colours examination showis central scotoma ? optic neutris

39 . question asking about absent ciliary reflex

40 . cocaine abuser ischaemic chest pain

41 . elder with fast AF but unstable hypotensive sys less then 80 ? cardiovert ? iv amiodarone / iv betablocker

42 . VSD want to become pregant which will be make it difficult ? Pulmonary HTN / aortic regurg cant remember all

43 . patient why playing dead HOCM

44. RTA which will be present renal stones

45 . Cushing meatbolic alkalosis

46 . Patient investigated for palpitation all normal last yr think he had cancer ? Hypochondriasis

47 . Mother stressed with disobeyed child suddenly unable to speak ? akinetic mutism ? dpreseeion


48 . pastient with left hemiplegia and h/o of CABG 15 yrs , unable to find right brachial and radial pulse . having head neck and back pain
? brachia site stenosis / dissection / GCA

49 . Nurse from southern india experiencing wight loss and diarrhea facal elastase less then normal ? tropical sprue ? coeliac

50 . lady with linear erythema and exfoliative margins on the shoulder prv h/o of overdose ? factitious / psoraisis

51 . lady taking carbimazole develops hypopig around eyes ? vitiligo

52 . Discoid lupus not responding to normal treatment what next

53 . MMSE 18 medication donezepil

54 . qusetion about drug induced Diabetes inspidus

55 . idiopathic PD ? symmetrical bradykinesia

56 . Acromegaly invest OGGT and growth harmone

57 . copd with PE which invetigation ? CTPA ? V/Q scan

58 . patient blood gas showing mixed metabolic and resp acidosis

59 . patient blood gas showing type 2 resp failure diagnosis copd / Asthma

60 . RA anti ccp positve

61 . RA treatment metho / pred

62 . patient ABPA admitted with exacerbation what to give first ? steroids ? itraconazole / neb saline / neb steroids


63 . patient with Hypokalemia what will ECG shows

64 . patient with Pericardial rub What will ECG shows ? small complex

65 . Ramipiril most common side effect cough

66 . pateint with facial edema ? which medication ramipirl

67 . Patient on lithium HTN medication made levels high ? ACE

68 . Cholestrol emboli what will in the blood ? eosinophilia ? thrombopcytopia


69 Patient with features of DIC what investigation ? coagultion ? d dimers

70. ITP treatment prednisolone

71.another question with neutropnia what to give GCFactor

72 . question about reactive arthirtis affectiong knees ankle and sole rash

73 . 2 questions of Herpes patient ? iv acyclovir

74 . myxoma where left atra / right atria / ventricles

75 . clusture headache question

76 , Perxisome straight forward question

77 . Hypercalcemia patient recieving fluids 4 hrs qhat next pamidranate

78 . Hypercalemia but low PO which is increasing ca reabsorbtion ? PTH / 1 , 25 / Hypophostemia

79 . 2 questions of Primary Hyperparathyroid

80 . Question about prolactinoma

81 . patient with renal failure and high total protien ? Multiple myeloma

82. Recent major surgery now 3 days later major MI after aspirin and clopidogrel what next ? primary angio / thrmobolysis / LMWH / unfrac heaprin

83 . patient on clopidogrel and aspirin awaiting surgery ? stop clopi and start LMWH

84 . SLE want to ask about developing neonatal Lupus which antibody present ? Anti Double Ds ? Anti Ro ? Anti sm

85 . question about PBC

86 question of Autoimmune Hepatis

87 cystic fibosis what chance of sister being carrier or effected cant remember the exact qyuestion ? 1:4 ? 2:3

88 . tubeorus scleosis two question asking association polycystic kidney

89 . diabetic patient with B/L small kidneys and protienuria and mild renal derangement ? Amylodosis ? diabetic nehropathy ? renavascular both kidneys

90 . ALL poor prognosis Ph chromosome

91 . CML treatment Imatinib

92 . question of grave disease

93 . megaobastic anaemia ileal resection

94 . another question with high MCV cause ? b12 def ? folate def

95 . parietal lobe infarction patient unable to read ? agraphia

96. patient with glucose in urine fasting and 2 hr normal feeling tired and lethargic ? Renal glucosuria

97 . medical student think he is dean of the university

98 . hemibalissmus wher is lesion ? subthalamic ? substania nigra ? caudate nucleus

99 . separate RNA from DNA ? northern blotting ? hybri

100 . whome to isolate patient with MRSA septicaemia / pneumonia and MRSA in sputum / perotenal TB 1 day treatment / pulm TB 16 day treatment


These are some , if some one has good memory fill the rest of the parts
Thanks

[aladdin80]

Stridor, dysphagia (Flow volume loop)