january 2009 mrcp part 1 questions

Discussion in 'MRCP Forum' started by dr A, Jan 20, 2009.

  1. dr A

    dr A Guest

    im just after the exam
    it was really hard for me..

    some stuf i remebr,
    1.cholesterol embolisation
    2.dicrotic notch
    3.cipro to avoid in pregnancy
    4.ALL poor prognostic factor ..age 20 yrs
    5.HOCM best diagnosis -TOE?
    6. diarrhoea, gastric ulcer--do gastrin leverls
    7. de quarvains thyroiditis (painful)
    8. firm thyroid- hashimotos
    9.NsaidS causing ARF mechanism- ATN
    10. post splenectomy overwhelming infection -pneumococcus
    11- anti ro-heartblock in child
    12. dermatomyositis-heliotrope rash
  2. salboy

    salboy Guest

    Thnis was my 4 th attempt
    It was the worst paper of all
    Please every one post their recalled questions so that we could know where we stand
    I am recalling the themes and will post them shortly
  3. rasha27

    rasha27 Guest

    what was the commnest maligancy assoicated with non hodgkin lymphoma
  4. rasha27

    rasha27 Guest

    -tonic puiple unreactive to light and slowly reactive to accomodation unilateral
    -alzhimer disease uninary incontiance , grasp reflex, mood disorder
    -concrete thinking
    - basilar artery infaction - crossed hemiplegia 3rd nerve on one side and hemiplegia on the other side
  5. rasha27

    rasha27 Guest

    -multiple sclerosis unsteadiness of the gait and sensory loss spastic paraplegia
  6. rasha27

    rasha27 Guest

    porasis of the saclp due to hairline affaction which is hyperkeratotic plaque
  7. rasha27

    rasha27 Guest

    i cant remmeber more
  8. rasha27

    rasha27 Guest

    bullous pemphgoid ----no mucsal affection
    pytriasis versicolor
    phenytoin
    antiglidan antibody-- typical sites of dermatitis herptiform
    indication of surgrey in aortic valve stenois is the symptomatology of the patient not sure about this
    amlodpine ---- causes gingival hyperplesia
    staph discutis----- backpain and following pacemaker insertion
  9. rasha27

    rasha27 Guest

    antinuclear antibody to confrim the diagnosis of ANA
  10. rasha27

    rasha27 Guest

    antimyleperoxidas----- cresent GN
  11. rasha27

    rasha27 Guest

    what about the pt who had mild anemia (112 hb) and lymphcytosis
    observation _ chlorambcil_ fludrabine_ ( both could treat CLL)
  12. rasha27

    rasha27 Guest

    pt with heavy peroid and have mild vwd------- desmopressin
    achlaesia of the cardia
    vipoma ----- hypkalemia secretory diarrhea
    depressive illness ----- loss of interest
    acute global amnesia
    aysmetrical tremor---- idiopathtic parkinsomism
    progressive supranular palsy---- upgaze paralysis, congitive impairment,falls
    osteoarthtritis---- pain and swelling in base of the thumb
    surface antibody------- effect of b vaccination
    acute hepatitis A----- after 4 weeks jaudice dark urine
    paget disease------- normal ca and p high ALP usually there is no ostelytic lesion in prostatic cancer
  13. burningice

    burningice Guest

    some question

    ALL-philadelphia poor prognosis...i think.
    lithium tixicity.heamodyalisis
    HOCM;transesophageal
    HIV diarrhoea not responding to cryptospodimium
    implantable pacemaker sugery...diarrhoea-cl.defficile
    von vilibrand-DDVAP/or tranxemic acid???
    tricyclic toxicity:bicarbonate
    MALT..eradication therapy???oral PPI
    Cl.Defficile..cause cipro
    Long standing RA-impaired renal function--Do rectal biopsy
    SLE;membrnous GN
    Huntingoton..Penetrance
    peutz jehger...ASD
    BNP--Decreases renine-aldosteron
    QT-sodium blockade
    VT-verapamil contra or adenosin
    solid liquid-achalasia
    megaloblastic anemia after gastric surgery...small bowl bact.overgrowth
    pt for cholecystectomy-small percardial effusion..reasurance i ans????
    assessment for aortic valve replacemnt---symptomatic pt
    pain in the base of the thimb..osteoarthrits
    spetic arthritis..joint aspiration..
    joint aspiration__WBC-no organism,..intraaurticular steroid
    left hip pain after chemotherapy;avascular necrosis????
    which thyroid cancer-worst prognosis????papilary with lymh node mets or madulary with bones mets or anplastic?????????really tough
    heamophilia:mother carier..father heamophilic...in theor daughter..0% or 25% ?????
    thas wt i remmber at the moment
  14. burningice

    burningice Guest

    nefedipin causes gingival hyperplasia
  15. burningice

    burningice Guest

    heamophilia----50%
  16. dr A

    dr A Guest

    1)nifedipine coz gingival hyperplasia .
    2)ALL poor porgnosis .. with philelphia chromosome .
    chemo and pts having joint pain ? this one was very tough ...
    3)HOCM ...TOE
    4)young gal with headache n raised csf protein with normal glucose ? Viral/cryptococcal ? wbc 200 ..and lymph 60%????
    5)heamophilia father n mother is carried ... one of the daughter wud be carrier and one will have the disease ... 25 or 35% ??? they asked percentage duaghter have heamophilia ... if the other duaghter has a bar X chromosome .. then she cud have disease too rather than being a carrier ... so why not 35 % ???
    6)back pain with N ca and Phosphate .. and raised alk PO...pagets
    a man with left arm pain ... with lost bicep,tricep n flexor reflexes but preserved touch n propioception ??? myelitis ?syringomylia ? cant recall wat were other options ...
    brainstem is the place effected if internuclear opthalmoplegia occurs ..as the man with poor right gaze and loss of right eye addaction ...???
    7)thumb pain ... ostearthritis
    8)pain in the joint and no organism ... give analgesics first then go for intra articular steroids ?? plz give ur veiws on this one
    8)cipro to be avoided in pregnancy
    9)side effects of valproate ... pt on OCPs ... wat alternative anti epileptic to choose ?? carbamazepine ??lamotrigene is used as a second line or as an adjuvant?? no ?? plz comment
    10) gal with polyuria of one week ... Na is NOrmal ... osmolality of plasma 300 something and that of urine is 200 something ... psychogenic polyuria ..cant recal the full question ??
    11) a man with transient gluteal itchy rash from africa ... shistosomiasis ??? or dranuclosis ?
    12) itchy hyper keratotic leasion on the hair line .. tinea capitis(psoraisis is not itcy)
    13)dermatitis herpitiformis ... IgA
    14)MALT... H pylori erradication
    15)maxalliray N...foraman ovale
    16)one sided dilated pupil non responsive to direct n concensual light reflex... 3rd N palsy
    there was a ques abt gonoccocus infection and immunoglobins likely to be deficient ... IgA 1 /IaA 2/IgG 1 /IgG2/IgM??? which one isnt ?i guessed IgG1??
    17)diarrhea with blunted atrphic villi in small intestine .easinophilic inclusion .. giardiasis?
    18)HiV diarrhea not responding to treatment ... crypococal
    19)aneamia ... sperocytosis ... osmotic fragility ? or G6PD def ??
  17. dr A

    dr A Guest

    hungtington ..is a trinucleatide disorder .. so anticipation is the answer ... more severity with ease suscessive generations
    1)pts with asthma .. on beclomethason 800microgm and salbutamole inhalar ..use it twice in a day and wakes up one a wk with dyspnea ... continue same treatment ?
    2)normal anion gap in pts with urerterosigmoidostomy...
    pts with FEV1 1.2 and FVC 2.6 and transfer factor 55 %
    improment after bronchodilartor .... FEV1 1.9 and FVC 3.8(somewat this much improvement ..not real values cant recall em )
    what is the condition ? asthma ..emphsema .. pul fibrosis .. embolism ? one more ... i calculated the ratio was less than 58 percent .. ???transfer factor is very low...so i wrote pul fibrosis...cud it be emphysema ?:(
  18. Dr A

    Dr A Guest

    1)pt have CCF ..on thizide but edema is still not decreasing... natirutric peptide is deficient ?
    2)SIADH....and collapsed bronchus
    3)pts has senile atrphy of the brain ... wat to give to improve dementia and agrresive behaviour...denozipil ?
    4)pt with urinary incontinence .. ,..anti cholinergic?
    5)hypertensive pt... with side effect of ankle swelling etc (calcium channel blocker ) which drug to be given ..i think thiazide was already being given or it was not in the list ...b blocker or losartan ... he is 70 plus of age
    6)cannabis related schizopherina
  19. burningice

    burningice Guest

    chest x rays were noraml....i think it was emphysema
    a-1 antitrypsin..smokers.PiSZ(pastest)
    non-smoker--PiZZ
    anorexic:refeeding:hypophosaphat
    acromegaly:IGf
  20. burningice

    burningice Guest

    erythropoetin????dec red cell aplasia??
  21. newday

    newday Guest

    long qt is due to potassium channel blockade
  22. dr A

    dr A Guest

    1)CLL and plan for surgury .. no symptoms .. observation
    2)aortic stenosis operate when symptomatic
    3)pts is going to have tooth extraction under local anaesthesia .. pt of warfarin with stable INR ....what to do ? continue warfarin ?or change it with heparin or asprin?
    5)carotid angioplasty ...cholestrol embolism
    6)chest pain ..ST elevation in V1-V6 and inversion in inferior leads...wat to find on angioplasty ...ant decending 100 completely stenosed or 70 %? i dont think it was right coronary involved ... plz comment ! i will appreciate if those who give answers ..plz explain them a lil ..thanks !
    7)digoxin..half life ??
    8)thiazide work by increasing K excretion to distal tubule
    9)peutrz jegher is autosomal dominant
    10) pt with stomach ulcer... gastrin levels
    11)6 month history of transient urticarial wheal on trunk legs ....idiopathic alleric urticaria
    12)violacious ulcer ...pyoderma gangrionosum
    13)young gal with mouth ulcers ,rash ,fever, SLE
    14 )4 week acute jaundice after a travel ...hep A
    15)hep c patient... vaculitic lesions ...cryoglobinura
    16)hep B vaccine ...monitor with Hep B antibody
    splenectomy pt ...at risk of peumococi infection
    18)headache ...drowsy but responsive pt ... bitemopral heminopia ...pituitary apoplexy
    19)pt diabetic and bipolar....which drug coz SIADH... does any of the hypoglycemics coz SIADH ? i choose carbamazepine ..
    20)pts with very low levels of alpha(15%) !anti trypsin def ...genotype is ZZ
    i will post more as i remember em
  23. newday

    newday Guest

    cefuraxime causes pseudomembranous colitis
  24. dr  A

    dr A Guest

    long QT is becoz of potassion channel blocker ..as caused by amiodarone
  25. dr A

    dr A Guest

    1)yeah i think it was emphysema ..
    2)anti trypsin levels MM 100%, MZ or SZ arround 50 percent...ZZ (15%)...mrcpass and oxford
  26. dr A

    dr A Guest

    1) pt treated for chest infection ..develop pseudo membranous colitis ...
    penicilline ...these are the commenest drug use for community acquired peumonia(step pneamococci)
    2)pt with crf...given erythropoiten ..what it will improve.,...the progression of the disease is halted why bp control (v impo use of ACEi) so i choose excersice tolerance ...erythropoiten alpha coz red cell aplasia ..doesnt protect against it .
  27. burningice

    burningice Guest

    amiodaron is a k blocker,but it also blocks Na,,,,procainamide also causes
    long Qt and it is Na blocker..its tricky
  28. burningice

    burningice Guest

    Hep B vaccine-check surface antigen.
    MRSA..wash hands
  29. burningice

    burningice Guest

    C. difficile-associated diarrhea (aka CDAD) has been linked to use of broad-spectrum antibiotics such as cephalosporins and clindamycin, though the use of quinolones is now probably the most likely culprit; quinolones are frequently used in hospital settings.(wiki)
  30. newday

    newday Guest

    i think dont stop warfarin as it may cause rebound hypercoagulatbility
    and the risk of thromboembolism out waight the risk of bleeding in minor surgery
  31. salboy

    salboy Guest

    Dr A
    In MI 100 occlusion is necessary have an ST elevation MI
    70 % stenosis is a common finding that you could get in any ACS patient
    Since it was an ant MI picture therefor the answer was 100% occlusion
  32. Guest

    Guest Guest

    patient going for dental treatment- continue warfarin in therapeutic range?
    pitutary apoplexy?- in BP low, patient with head, and hemi anopia
    chronic inflammatory demyelination in alcoholic woman who had neuropathy? other answers urate nephropathy/alcoholic nephropathy
    2 answers with dermatomyositis?
    there were 2 similar que with asymmetric kidneys(answered arteriogram for one and renal biopsy for other)
    rash in gluteal regios- dracunoculosis?
    girl with fever and neck stifness and CSF picture-cryptococcus?
    80 yr old female with cough ,diarhoea in hopital-legionnaries/listeria pneumonia?
    digoxin loading dose- half life?
    staph discitis? in pt with back pain follwinf defibrillator insertion?
    most prominent feature in aortic dissection? back pain?
    ALL most poor prognostic factor- age? or t(9,22) she ws 20 yrs
    most poor prognostic for plantar ulcers in diabetic- previous ulceration or loss of foot arch?
    heaturia with normal USS protein 3, next thing cystoscopy?
    pt with hip pain aftr chemo- gout or avascular necrosis?
    patient with limited internal rotation, knee pain.. but knee is normal-wt to do next?x ray pelvis? (to see fracture neck of femur?)
    pccasion when BNP would not go up?
    BNP inhibits renin anldesterone?
    imatinib inhibits tyrosin kinase
    anti jo antibodies for SJOGREN?
    patients with high JVP (6cm)- constrictive pericarditis?
    depressive disorder (businessman not enjoyin life thinkin he has money problems)
    man inappropriately dressed and shouting saying he can save children- hypomania?
    psychotic depression for anothr question?
    aftr 4 days patients in ward develops delirium- due to alcohol?
    alcohol- patient sees dog near bed in hospital?
    stats-
    sensitivity
    man whitney u test
    chi square test
    reduces false positives

    oxygen concentration 40%?(had to calculate it)
    cipro to avoid in pregnancy?
  33. salboy

    salboy Guest

    I would appreciate if some one could answer these questions Please
    -Dignostic- of Aortic dissection??
    -In Tooth extraction stop warfarin for 2 days only
    -?? Pontine haemorrhage
    -Fuction of L parietal lobe in a right handed person
    A patient with splenomegaly in any leukemia what what other finding will you see ?? hepatomegaly
    -L supraclavicular lyphnode ??
    - has some one written Cauda equina in soem item
    - Colostomy site ?? contact dermatitis??pyoderma gangrenosum
    -Firm thyroid?? Iodine def?? Atrophic hypothyroid
    -Side effects of all the hypertensives what will you use I chose Minoxidil as it was the only one there seemmed not used
    - Any one written Erytheme nodosum some where
    - Whit rashes after holiday skintanning ?? Ptyriasis versicolor
    -Good prognosis with which organism in Infective EC- ??S Viridans
    -Patien with arthritis ,Alopecia and mouth ulcers ???? which marker would you find --- please answer to this one
    - CRF Pt with Lipodystrophy ?? which complment is effected ???C9
    - A patient with Ci Inh def
    - In Good pastures which Antibody ?? AMA
    - Any one could recall the Stats
    ?? Chi squrd test
    ?? sensitivity will decrease with decrease number of subjects in a new drug testing
    ??
    -For haemophilia A all daughters would be carrier therefore the naswer was 0%
    - Pure motor lesion ??
    -Any one wrote Gullianbarie Syndrome ina neurology
    -Alcohlaic man after 4 days agitated that doctors want to kill him ?? delirium ?? wernicke
    -age 50 + R heart cath - Oxygenation ?? PFO??ASD
    -One of the response in Gastro with hepatorenal syndrome
    -Accidental injury with Adrenaline what pharmacological treatment would you give
    - Pateient with2 years no job Hx of sucide hearing voices discussion abt him??Psychotic depression
    I am still collecting from my other friends please try to get as many as possible
    I some one could response to my above recollections I would be very much obliged --Dr A
  34. salboy

    salboy Guest

    -Hospital acquired pnemonia -- Gram - organisms
    -?? Erythma Multiform in any response of skin
    - action of spironolactone on which site
    -cause of ARF in chronic analgesic ingestion in Rhumatiod pt
    -27 yrs old with 5 cigs daily -2 yrs of haemoptysis intermittently?? bronchial CA?? forign body
    - Hamoptysis with aspergillin test positive -B/G of TB - CxR apical solid shadow =arpergillin skin test + --- ??ABPA ?? invasive aspergillosis
    -Any response like LTOT
    - decision about stopk treatment in a Type 2 respiratory failure
  35. dr A

    dr A Guest

    1)splenomegaly with leukodystrophic pic ...i wrote lymphadenopathy ....leukodystryphic pic is associated with conditions which coz bone marrow invasions ..like myeloma,leukemia ,lymphoma....hepatomegaly is also a possibility ..it was difficult
    2)gal with alopecia,mouth ulcers,fever arthralgia...ANA antibodies...SLE
    3)4 days in hospital pt becoming aggressive and confuse....acute confusional state(delirium)
    4)right catheterization ...with increase oxygenation in SVC and RT ven...atrail septal defect..the age was arround 40...
    5)spironolatone ...acts on distal tubule ...inhibit the action of aldosterone
    6)pt going in resp 2 failure and refusing ventilation ... take consent from the near relative ...i am not sure...wat u guys say ?
  36. 5555

    5555 Guest

    mrcp 2009

    i think HOCM :TTE not ToE
  37. 5555

    5555 Guest

    in pt with pallative care on modifed released morphine and sustanied relaes ???????????wot is the answer
    is cipro contraindicated in pregn
    there were 2 qs about eldery gentaman admitted with pneumina and after 4 days he developed confusion ... in the first he think the sister want 2 kill him and in rhe second he thought the doctor want 2 kill him.....wot is the answer DT or acute confusional state ...
  38. dr A

    dr A Guest

    good prognosis in IE ,....step viridans
    2)heamturia plus protein ..normal scan ..do renal biopsy
    3)sensitivity for stat ques
    4)proteinuria in pt with SLE>...membranous
    5)flank pain with heamturia ...scan and urine no stone ...renal vein thrombosis ? cant recal the xact ques
    6)hypopigmented patchy after holiday ...pitryasis versicolor
    8)itchy vesicular rash on trunk legs ...dermatitis herpitiformis
    9)crops of vesicle pustule and crust on the body ...i think i wrote varicella
    10)yellow crusted lesion on the chin of a young gal ...impetigo
    11)pts up for surgury and have a small pericardial effusion ...everything normal ... proceed to the surgury ??the other were do mamography or aspirate ...wat u guys say was the answer?
    12)firm goitre with hypothyroid pic ...hasimoto thyrioditis
    13)psychostic depression
    14)man shouting outside the school saying he have some xtra powers ... badly dressed ...schizophrenia ...hypomaniac are mostly euphoric and are not as agressive as maniacs....wat is peamophilia..i think ths was also in the option list
    15)pt with early morning low mood,worried abt money ,loss of interest ...depression
    16)man stressed at work and feel like his soul detach from his body ...generalized anxiety
    17)transient amnesia in elderly
    anyone plz answer the ques regarding epipelpsy and side effect of na valproate ..which alternative to choose ?
    when the result will come ??
  39. nnad

    nnad Guest

    MRCP PART 1 JAN--09

    hi everyone.....well the paper wuz very conceptual nothing as to just reproduce wat you straightaway had in your head......on exam proved to be good but i think a subscription of two websites is needed...
    well
    there were some mcqs on the auditory hallucinations..person came wid hearing that someone tells him to cut his throat
    alc withdrawl/dependence dnt remember
    cannabis
    psychotic schizophrenia?

    -a person was caught from a school shouting that he cud save all the children from the devil of perils(i think_)he took flouxetin as a mood stabilizer.
    i wrote misuse of drug?


    - person caught driving at very high speed on the road n he had a pressured speech. and he was very agitated n asking why he was taken in to restriction...n he said he was riding on a cart pulled by horses (i think) don't remember the choices
  40. nnad

    nnad Guest

    MRCP PART 1 JAN--09

    result is on the 13 of feb best of luck to every one....what is the general impression of the paper...how wuz it...to me it wuz tough sp the second one
  41. dr A

    dr A Guest

    pts drowsy in hospital coz on large doses of morphine for ca pain....change it to naproxen and decrease the dose of morphine
  42. dr A

    dr A Guest

    pt taking drugs and hearing voices to cut his throat ...cannabis schizopherinia
    there was another ques of schizopherenia..with amphetamine is the answer i think
    yea the paper were very conceptual ...esp second one i found it very difficult ! good luck to everyone ! ... plz keep on posting ques as u remember them
  43. dr A

    dr A Guest

    ques abt large cannon a wave on jvp ..i think they didnt mention the ecg changes ....complete heart block ? morbitz type 2 block ?
    what is the treatment for senile brain atrophy with dementia ???
  44. dr A

    dr A Guest

    in a pateint for suspected aortic dissection with sever curshing chest pain ...other feature that wud be present wud be hypertension ...bp control is the mainstray of its treatment
    accidental adrenaline injection what to give ???cant remember the choices ...
  45. nnad

    nnad Guest

    MRCP PART 1 JAN--09

    1- pt on warfarin wid INR 3-4 i think..wid dental extraction to be undertaken; i chose change to subcut unfractionated heparin
    2- aortic stenosis wen to operate...i wrote first wen pt symptomatic
    then changed it to 50 mmhg pressure at valve..? tell me
    3- chest pain wid st elevation V1-V4 that makes LAD the option...i wrote 70 percent stenosis as i thought if complete than it wud have been from V1-V6?\
    4-pt wid peptic ulcer surgery had abdominal bloating, diarrhea.,
    i wrote... chronic pancreatitis.dunno why
    5- pt wid headache, anopia i wrote subarachnoid haemmorhage

    6- chronic infl demyelinating -that's what i wrote too
    7- rash at the gluteal region000 dracunculis..?
    8- dig loading dose depends on volume of distribution
    9- pt wid pacemaker insertion presents wid diarhea n lower back pain- staph discits
    10- old lady wid confusion , cough , diarrhea - i wrote listeria meningits..legionelaire disease was an option too?
    11- hip pain after chemo since the time period was 6 months or more so it was avascular necrosis of the hip joint...
    12- aortic dissection prominent feature - back pain
    13 - poor prognostic factors for planter ulcer in diabets.i wrote loss of vibration sense?
    14-pt wid limited internal rotation ..knee pain but on xray knee was normal
    options were xray pelvis, xray femur, arthroscopy knee-last one is the one i wrote
    15- ulcer at colostomy site...invading the underlying muscle i wrote reactivation of the inflammatory disease...other options were pyoderma gangrenosum ..?
    16- mouth ulcer, alopecia arthropathy. young lady..i wrote ANA
    17- accidental injury wid adrenaline. i wrote phentolamine, there was GTN ,b blocker in the options
    18=cause of ARF in pt wid rhematoid arthritis using NSAIDS i wrote papillary necrosis...other option was ATN
    19- pt retired of a job loss of interest in everything...thinks he has less money wife states. there is no money problem. i wrote depressive illness
    20- man seemed detached from the surrounding world..disssociative disorder
    21- Na valproate alternative is lamotrigine...it was at onexam
  46. 5555

    5555 Guest

    1- ithink the key is the incubation period... 4 week goes with hepatitis E (3-8weeks) while hepatits A(15 days-45days)....
    2-that Q of stool wt which improved with fasting doesn't suugest VIPOMA ...it's more likely laxative...
    3- investigation 4 HOCM is TTE not TOE...
    4-??breast CA on morphine drowsy ... ?????????anyone knoe the answer...
    5-conus medullaris not cauda equina ...in e medicine
    6-in hypoxia in which organ vasoconstriction occur....cerebral..skeletal....lung ..renal
    7-in pt with leukoerythroblastic blood pic and sign aneima and spleenomelgy i think it's more likely basal cracles as decompensated anemia not LN or hepato...
  47. Guest

    Guest Guest

    indication for glycoprotein 11B- 111A inhibitors- left ventricular thrombus?
    female with limpaired internal rotation and pain in knee- X ray pelvis ( to exclude fracture neck of femur)
    after sodium valporate- lamotrigine?
    phenytoin side effect? dequarvains and peripheral neuropathy
    listeria pneumonia or legionnaires?
    chronic demyelinating neuropathy?
    bad prognosis for ALL- age or t (9,22).. the gal ws 20 yrs wchich ws outside the margin of 10 yrs
    dracunoculosis?
    40 percent for that calculation answer?
    spherocytosis pt -next investigation- osmotic fragility?
  48. Guest

    Guest Guest

    erythropoetin causes red cell aplasia and this is avoided by giving darbepoetin,the ans. was improved exercise tolerance
  49. Guest

    Guest Guest

    females rarely have G6PD deficiency(X LINKED) so i wrote spherocytosis.
  50. dr A

    dr A Guest

    old man with senile dementia and brain atrophy ...wat to give to improve his symptom ?
    2) transient rash on the gluteal region ... shistosomiasis or drunculosis?? the man was from africa?

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