re CT of sickle cell pt - ethmoid sinsuses looked hypertrophied. Given the history i chose ethmoid bone infaction. yes sinusitis can give u pain around the eye and on palpation but does it give pain during eye movement and periorbital skin involvement?? which is what the question said i think... re pt with macular rash, thrombocytopenia, fever + who had taken antimalarials - was this HIV?? i guess it could have been dengue but there was no mention of headache, retro orb eye pain, myalgias etc.
still i remmber some slide but the diagnosis is vague: 1-slide for both leg and knee with question about there abnormality which seem to be on the skin. 2-slide showed supraclavicular area with lymphnode enlargment :
another questions 1-lactose defecinsy for patient with diarreah and bloating aafter gastroenetritis. 2-aquestion on ulnar and medial pulsy 3-abdomen ct slide for possible polycystic kidney
Hi... Can anyone remember the ques of one pregnant woman with HTN The drug to chose for HTN....a)Methyldopa...b)Lebetolol... I couldnt remember the scenario/...i chosed labetolol... pls tell about the scenario if u can recall and the appropiate answer... thanx
Hmm...this was a very tricky exam but this exam is always tricky. This exam was exceptionally very tough... I think the pass score should be around 52%.... thats just a guess....
that pregnant lady with hypertension proteinuria and derange LFTs had pre-eclemsia and the treatment was iv magnesium other wise she would have fits soon.
I AM STILL VERY DEPRESSED SINCE THE DAY OF THE EXAM???????? REALLY IT'S A NIGHT MARE!!! I DO'T KNOW HOW TO TACKLE THIS? PLZ PRAY FOR ME TO PASS!!!!!!!!!!!!!!!!!!!! :cry:
I AM STILL VERY DEPRESSED SINCE THE DAY OF THE EXAM???????? REALLY IT'S A NIGHT MARE!!! I DO'T KNOW HOW TO TACKLE THIS? PLZ PRAY FOR ME TO PASS!!!!!!!!!!!!!!!!!!!! :cry:
another questions 1-complete heart block in acute inferior mi patient hemodynamic stable the anaswer is close observation ? 2-post strep IgA nephropathy 3-cva due to paradoxical emboli 4-upper lobe pnemonia caused by klebsiella 5-downbeating nystagmus in patient .i think the lesion around foramen magnum 6-one slide showed papilloedema 7-patient with prostate cancer receiveing two drug for it . one of them is hormonal and i think cause the side effect which mension on the question?
wat was the gestational age of that lady ? A - Magnesium sulphate should be considered for seizure prevention in women with pre-eclampsia for whom there is concern about the risk of eclampsia. This is usually in the context of severe pre-eclampsia once a delivery decision has been made and in the immediate postpartum period. In women with less severe disease the decision is less clear and will depend on individual case assessmen labetelol is also correct managment ... but i think Mg is more appropriate ..keeping in veiw that her bp was 200/110 n she has proteinuria n liver functions derranged ,, wat was the gestational age ??
as i recall ...that ques didnt have stable pateint ,,,, pt with complete heart block ....dt inferior MI wat u guys say ?
The lady was 36 weeks pregnant and the BP was 165/115 IV Mg is the answer other wise she will start to Fits
Dr Manoj I passed my part 1 in June 2009 I recalled 186 questions at that time On this forum you are a well known person for the memory So I am waiting for your list once you upload I can help you in making it better
blood++++ in urine one week after sorethroat--- answer was IgA GN not post streptococcal as this types typically occurs app 2 weeks after infection, also blood in urine to this degree is usaually IgA
Yes if I remeber correctly the question concerning patient with PMHx of ?membranoues nephropathy mention proteinuira (the question did not mention blood in urine - microscopic nor macroscopic) one week after pharynigits
Hi...who is this dr..manoj. Anyway...thanx for makin fun of me...really i am now a man of fun... I will try to provide ques today.... actually...i lost my interest as i did really bad in this exam... anyway...i will give the ques today if that can do any help of u people... Dear Salboy...thanx....i think u will help me to upgrade the ques...as i couldnt memorize the complete scenario.... take care
Your inout is very much appreciated Dr Manoj. I'm also feeling very downhearted about the exam - this is the torment we all go through afterwards, getting mixed up with qs and As. All we can do now is hope and pray - keeping my fingers crossed for everyone!
a patient with ischemic stroke presented 2 hore after the onset ct showed no bleed--- treatment :to thombolyse
hello I m new to aippg nd infact new to rcp as I gave part 2 after xemption !can any1 tel me wutz d usual pass percentage of MRCP 2 nd wut z d xpected percentile or wutsoever of dis xam ? u all seem really apt at it ! nd infact its such a helpful site serving both purposes ! I mean both pre and post xam trauma ! gud luck 2 us all ! please answer my querry : wat cud b d xpected score dis time ?
Guest - judging by past scores, the pass mark is usually 52-56% but may be higher this time. Guest 211 - there's no need to be rude! Dr manoj's memory and questions are a gift to us all and he has every right to take his time after suffering such a traumatic exam.
HI EVERYONE WHAT HAPPEN WHY IS THE RATE OF DISSCUSION VERY SLOWLY PLZZZZZZZZZZZZZZZZZ COMMENT ABOUT ANY QUEST OR STILL DEPRESSED javascript:emoticon(':?:') more questions 1-patient with cocaine poising with tachycardia and hypertension treatment with ca channel blocker. 2POLY GLANDULAR DISEASES 3-one question eaton lambert syndorme. 4-another question mention CREUTZFELDT- JAKOP DISEASE 5-SIADH: treatment 5% hypertonic saline ....restriction of fluid , i think it will be hypertonic saline as the Na levelis 105 and the patient is symptomatic. 6-skin rash i think its describing bullous pemphigoid. 7-question on amoebic liver abscess. 8PT CAME FROM THIALAND fever ...HIV converstion. 9-picture for esophagus .. achalasia. 10-tertiary hyperparathyroidism ...treatment parathyroidectomy.? 11-CXR for mitral stenosis. 12- Cyclosporin toxicity in post renal transplant 13- Hyponatraemia- psychogenic polidipsia . 14-non vibrio cholera entritis ....ciprodar ? 15- CT-PERIVENTRICULAR CHANGES-LEUKOENCEPHALOPATHY . 16-patient with lymphadenopathy aspiration lymphnode not informative next step..lymph node excition. 17-asymptomaic jaundice ....Gilbert. 18-pneumothorax <10% discharge and follow him up. 19- ERCP demonstrating Ca head of pancreas . 20- cranial Diabetes insipidus 21-lung fibrosis:bleomycin . 22-paroxysomal AF 23-whitish vaginal discharge with valvur erythema and excoriation 24-pain of malgnancy Continous release morphine---or Oxycodone . 25-cyctic fibrosis patient want to got children advice sterility 26-hepatitis treat with interferone 27-Prolactinoma: always medical treatment first: cabergoline .
patient with positve SLR I think it was L4/L5 disc prolapse one case with hypogonadism,gynaecomastia nd abn LFts was due to liver involvement one case with greenish discharge was pseudomonas aeruginosa one case was necrotizing fasciitis the 2nd question of paper A was bronchiectasis there was also a case o hypopituitarism One CT scan was adult polycystic kidney disease one slide was amiodorone (drug) induced hypersensitivity(I initially confused it wid erysipelas) though ! one slide was barrets oesophagus in context of history nd double lumen on CT scan I marked dissection of aorta one slide was palmo plantar pustulosis there was a case of olanzapine induced DM fludrocortisone for postural hypotension related autonomic neuropathy ciprofloxacin for s.paratyphi ciprofloxacin for v.cholera I wrote slow release for multiple myeloma pain
herpes virus as a cause of erythema multiforme(erythema with central blistering) metformin toxicity in a patient on metformin shwing metabolic acidosis with resp compensation I think the patient with infarct time lapse was not precise so it was aspirin dengue fever with symptomatic treatment patient with hemiparesis nd fever had cerebral abscess co trimoxazole as prophylaxis in HIV steroid for local application in psoriasis methotrexate orally for psoriasis recurrent PMR add Azathioprine to steroids oral fluconazole or clotrimazole for vaginal candidiasis????????plz tel was it a slide of toxoplasmosis in paper 1 nd d treatment was pyrimethamine nd sulphadiazine there was a slide of meningioma there was a slide of glioma?????????????????????????????????????
yes i thought that it was also drug induced hypersentivitey rash ...but it was a difficult slide..somebody with a gud experiance in derma can tell better may be ! Yes one pt had Ct of meningioma n other i thought was glioma .. but i cant recall the stem of the question. pt with type 2 DM,was on metformin has creatinine 130..wat to do ? add sulfonyluria or stop metformin or add rosigliatazone.LFT were also abnormal...wat u people suggest ? please explain in detail to support ur answer !
Hi guys, how r u after this tough experience?!!! I passed my part 1 in Jan 2009, then I had to finish my master degree in cardiology in may, so my prep was only 2 months, which is too short for such an exam, anyway I wish Good luck for everyone. Lets start with cardiology questions 1. Acute chest pain with ST raising after one day of LAD stenting……Acute stent thrombosis 2. Patient devoloped dyspnea after recurrent chest pain with raised JVP and bilateral fine basal crepitation, ECG showing pathological Q with residual ST raising in V1-V5… Ant MI. 3. ECG showing mobitz type 1 AV block 4. in the next question, What to do ……… monitoring 5. One picture of pericardial effusion on CT . 6. Patient 24 hrs post pacemaker insertion. Collapsed with fever, hypotension raised JVP dullness on left side of chest, surgical wound clean. Choices: cardiac tamponade, pulmonary embolism, Septic shock?? 7. 1st question of the first paper where Cath findings were given ..which data will support pericardial effusion… the one with equal PCWP with LVEDP 8. Pt arrested while sports with ECG showing VF, most likely…HCM 9. Mechanism of arrhythmia in ECG showing WPW … AVRT 10. Young 25 year old patient in AF with WPWat a rate of 150, which drug to give …Flecanide (ECG revealed wide QRS tachycardia with irregular rate) 11. 52 years old Patient with SOB with CXR sowing enlarged RT atrium, ECG showing RBBB, most likely… secondum ASD, DCM 12. IE patient deteriorated after 1 week with ECG showing prolonged PR interval …. aortic root abcess 13.80 years old Patient in AF on ECG TTE shows mitral calcification, what investigation do next … TEE 14. CT with Coarctation of Aorta 15. what will you see in IE…low C3 16. 70 years old man with HTN and 2 attacks of AF, was on aspirin and warfarin developed gastric ulceration in endoscopy, echo showed marked dilatation of LVEDD and LVESD, how to manage… warfarin 17. ECG showing bifascicular block 18. TIA with history of air flight, what is the casue…. paradoxical emboli 19. dual chamber pace maker with normal working . 20. 70 years old man developed dyspnea with past history of chemothapy and radiotherapy for lung caner, what is cause of dyspnes….. Ischaeimc induced cardiomyopathy ….as there was definite segmental wall motoion abnormality( akientic IVS extending to the apex). 21. Peripartum cardiomypopathy 22. Old female patient found collapsed with temperature 35, bradycardia and hyperacute T wave in ECG, What to give… Ca gluconate 23- MVP associated with arrhythmia . ttt : Bisoprolol. 24- CXR for mitral stenosis Waiting for discussion...
what was that slide ...a black boy with small haemorrhagic lesions on face ?? it didnt look like eczema herpetiformis ...there were no vesicles ...just small haemorrhagic lesions ? wat u guys say abt this one?
cant recall tis question! wut wer other options?thnx fr supporting d answers ! a bit relieved! der was another question wid pancreatic CA der was this q of simvastatin induced rhabdomyolysis another question of drud induced cholestasis
three other mcqz wer haemolytic uraemic syndrome vasulitis with hep c was cryoglobulinaemia vasculitis with hep B was polyarteritis nodosa
R u talking about young boy with angioedema nd hhgic lesion ! don kno bt I think it was angioedema ! please discuss
The Guy in the Question of Sudden cardiac death was 25 years old and playing sport, then arrested. "Sudden cardiac death in young athletes has many causes, but the most common is undetected hypertrophic cardiomyopathy." (The Merk manual) There is no notes pointing to ARVD at all. So, the Right answer is HOCM.
yes i think it was HOCM ...as the pt was in VF n more common cause of sudden death is HOCM r u sure they were hyperacute T waves in that ECG ...in the man with low temperature... cant recall wat i wrote in response to this answer u knw the ques in pt with Hep B he also had asthma n eosinophillia n RFt were also derranged ... cant recall the whole stem but it was a difficult ques !! any body remmeber the full ques ?
Pt with breast cancer,recently on chemo, neutrophil 0.3, fever +, Tx is ceftazidime + telcoplanin I would like to know the 26 man with diarrhoea, stool cultured Salmonella, is it typhi, pratyyphi nor non-typhoidal species?
for the young man arrested during football match his ecg showed vf with st elevation in v1 and v2???????????? Brugada syndrome, HOCM
Dear Guest 33; If The ECG shows VF, u can never detect ST raising in any lead. ECGlibrary definition of VF:- bizarre, irregular, random waveform no clearly identifiable QRS complexes or P waves wandering baseline.
Dear all , discussion this time is very poor & deficient with some sort of confusion , no one say his answer with strong evidence , just follow his answere with the word i think , i think this time a few candidate will pass this exam , let us prepare for december
The pass mark is low for this exam. I didn't finsh the paper in April and only failed in april by 0.5%. You can't judge how you do with this exam - don't get too depressed people. Have a beer
oung homosexual with hx of giardia infection presenting with respiratory symptoms. Transbronchial lung biopsy shows non-caesating granulomas. asnwers available: HIV, sarcoidosis, chronic variable immunodeficiency, congenital hypogammaglobulinemia, this question was posted by malaysian doctor what do you think the answer is sarcoidosis causes non -caseating granuloma but common varaible immundeficiency also causes a sarcoidosis like syndrome with non-caseating grauloma in association with skin lesions did the scenario mention skin lesions ?
