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*Announcement for Online Session No 72* *06 Nov 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 1 station 2 ( History taking )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 pm UK : 1 00 pm Ireland ( Dublin ) : 1 00 pm Afghanistan : 5 30 pm Kenya : 4 00 pm Germany ( Berlin ) : 3 00 pm Nigeria : 2 00 pm Japan ( Tokyo ) : 10 00 pm Denmark : 3 00 pm Qatar : 4 00 pm Oman : 5 00 pm Italy : 3 00 pm Indonesia : 8 00 pm Mauritius : 5 00 pm Iraq : 4 00 pm Texas Usa : 8 00 am ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Interested candidate may send a personal message to take thw slot GOOD LUCK.

*Announcement for Online Session No 72* *06 Nov 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 1 station 2 ( History taking )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 pm UK : 1 00 pm Ireland ( Dublin ) : 1 00 pm Afghanistan : 5 30 pm Kenya : 4 00 pm Germany ( Berlin ) : 3 00 pm Nigeria : 2 00 pm Japan ( Tokyo ) : 10 00 pm Denmark : 3 00 pm Qatar : 4 00 pm Oman : 5 00 pm Italy : 3 00 pm Indonesia : 8 00 pm Mauritius : 5 00 pm Iraq : 4 00 pm Texas Usa : 8 00 am ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Interested candidate may send a personal message to take thw slot GOOD LUCK.

ANNOUNCEMENT Hello n salam everyone Regarding our *Nov 2022 online course ( 15 days ) for PACES MRCP (UK).* starting from *7 Nov and finishing on 23 Nov.* *Only 2 Active slots are available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases of station 2 ,4 and 5 ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions.* After the performance a detailed feedback will be given to elaborate the weak skills. It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 103* 👈 Please remember bitemporal hemianopia is due optic chiasm compression, It is almost always due to pituitary adenoma in exam. However other causes may include craniopharyngioma and internal carotid artery aneurysm. Good luck.

👉 *IMPORTANT 102* 👈 *Drugs that relieve stable angina* include β-blockers Nitrates Calcium channel blockers Ranolazine Good luck.

👉 *IMPORTANT 101* 👈 *Drugs that improve mortality for stable angina* include Aspirin High-intensity statins. Good luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *Nov 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *7 Nov and finish on 23 Nov.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions.* After the performance a detailed feedback will be given to elaborate the weak skills. It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *Nov 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *7 Nov and finish on 23 Nov.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions.* After the performance a detailed feedback will be given to elaborate the weak skills. It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 100* 👈 There Are Two Conditions Termed Syndrome X 1. Metabolic Syndrome X Any combination of hypercholesterolemia, hypertriglyceridemia, impaired glucose tolerance, diabetes, hyperuricemia, HTN. Key underlying factor is insulin resistance (due to obesity). 2. Syndrome X Exertional angina with normal coronary arteriogram.Patients present with chest pain after exertion but have no coronary stenoses at cardiac catheterization. Exercise testing and nuclear imaging show evidence of myocardial ischemia. Prognosis is excellent. Copied. Good luck.

👉 *IMPORTANT 99* 👈 *Drugs that can lead to lymphadenopathy :* Allopurinol Phenytoin Atenolol Cephalosporins Good luck.

👉 *IMPORTANT 98* 👈 Please remember While examining sensory loss of trigeminal nerve always keep in mind the corneal reflex, as it is the first to be lost. Good luck.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Haithem Alghebra* For passing *PACES MRCP UK* He was with us in our batch for online prepration of PACES in Sep 21 We wish him the best for his future.

👉 *IMPORTANT 97* 👈 Some info about Nystagmus Nystagmus is involuntary, often jerky, eye oscillations. Horizontal nystagmus is often due to a vestibular lesion (acute: nystagmus away from lesion; chronic: towards lesion), or cerebellar lesion (unilateral lesions cause nystagmus towards the affected side). If it is more in whichever eye is abducting, MS may be the cause (internuclear ophthalmoplegia) If also deafness/tinnitus, suspect a peripheral cause (eg VIIIth nerve lesion, barotrauma, Ménière’s). If it varies with head position, suspect benign positional vertigo, If it is up-and-down, ask a neurologist to review,upbeat nystagmus classically occurs with lesions in the midbrain or at the base of the 4th ventricle where as downbeat nystagmus in foramen magnum lesions. Nystagmus lasting ≤2 beats is normal, as is nystagmus at the extremes of gaze. Good luck.

👉 *IMPORTANT 96* 👈 Please remember In the examination of lower limbs if you are limited for time, gait is the most useful test to start with. Good luck.

👉 *IMPORTANT 95* 👈 Lower limb reflexes with their root values • Knee (L3,4) • Ankle (L5,S1) • Plantar reflexes (L5, S1, S2) Good luck.