pace your MRCP-PACES

*IMPORTANT 38* Please remember *HBA1C* might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *( LAST ) 3 MONTHS BLOOD SUGAR RECORD/LEVEL* to your patient paceUrMRCP.

*IMPORTANT 37* Please remember *For Breaking Bad News in Station 4* Never hesitate in breaking the bad news and never delay/linger on to do it. Always break the bad news as early as possible after giving the warning shot, ideally within the first couple of minutes. paceUrMRCP.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Tasnuva Aman khan* For passing PACES MRCP UK from UK. We wish her the best for her future.

*IMPORTANT 36* Please remember *For Breaking Bad News in Station 4* Always give a warning shot before telling the bad news to the patient Always say I am sorry I have something concernig to tell you , Or the results have not come as we were expecting, Or I am afraid we have something serious to discuss. paceUrMRCP.

*IMPORTANT 35* Please remember *RHEUMATOLOGIST* might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *JOINT DOCTOR / SPECIALIST* to your patient paceUrMRCP.

*IMPORTANT 34* Please remember For station 2 n 5 In a case of *antiphospholipid antibody syndrome conventional anticoagulants ( heparin and warfarin ) are still preferred for anticoagulation* otherwise now a days NOACS are preferred for anticoagulation whenever required. paceUrMRCP.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Mohammed Akif Bin Haleem* For passing PACES MRCP UK from UK. We wish him the best for his future.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Adil Tahseen* For passing PACES MRCP UK from UK. We wish him the best for his future.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Meera Patil* For passing PACES MRCP UK from UK. We wish her the best for her future.

*IMPORTANT 33* Please remember *CONTRACEPTIVE PILLS* ( ANY TYPE ) might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *BIRTH CONTROL PILLS* to your patient paceUrMRCP.

*IMPORTANT 32* Please remember For station 2 n 5 *Medicine history* is very important in all cases but it becomes more important when you have *calcium disorders* So always keep in mind that *THIAZIDE DIURETICS* can cause *HYPERCALCEMIA* If you find your patient is having high calcium levels and he is taking thiazide diuretics then you have to adress it, otherwise you loose marks in clinical judgement. paceUrMRCP.

*IMPORTANT 31* Please remember For station 2 n 5 *Medicine history* is very important in all cases but it becomes more important when you have *calcium disorders* So always keep in mind that *LOOP DIURETICS* can cause *HYPOCALCEMIA* paceUrMRCP.

*IMPORTANT 30* Please remember *DIURETICS* ( ANY CLASS ) might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *WE WILL GIVE YOU WATER PILLS OR ARE YOU USING ANY WATER PILLS* to your patient paceUrMRCP.

* IMPORTANT 29 * *For clinical stations Please remember : *Duration of treatment for pulmonary embolism* may vary according to clinical presentation of the patient and consultant opinion but the general rules are as follows *For Provoked PE* : 3 months and then reassess risk to benefit profile (depends on whether risk factor persists) *For Unprovoked PE* : treatment is usually continued for > 3 months (people with no identifiable risk factor) *For PE in Malignancy* : continue treatment for 6 months or until cure of cancer *For PE in Pregnancy* : LMWH is continued until delivery/end of pregnancy paceUrMRCP.

* IMPORTANT 28 * For clinical stations Please remember : *Modified two level PE Wells score* *Feature* Clinical signs and symptoms of DVT (leg pain and pain on deep palpation of veins) 3 Heart rate > 100 beats per minute 1.5 Recently bed-ridden (> 3 days) or major surgery (< 4 weeks ) 1.5 Previous DVT or PE 1.5 Haemoptysis 1 Cancer receiving active treatment, treated in last 6/12 , palliative 1 An alternative diagnosis is less likely than PE 3 *Score more than 4 PE likely, score less than 4 PE unlikely* paceUrMRCP.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Ashini* For passing PART 2 CLINICAL EXAM MRCPI from Malaysia. We wish her the best for her future.

Please join

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*Announcement for Online Session No 94* *23 July 2023* *WE WILL NOT RECORD THIS SESSION* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 1 Communication station* regarding our preparation for MRCP PACES ( UK ) and MRCPI ( Ireland ) TIMINGS : Saudia Arabia: 4 00 pm Pakistan : 6 00 pm Bangladesh : 7 00 pm India : 6 30 pm Singapore : 9 00 pm Hong Kong : 9 00 pm Malaysia : 9 00 pm Egypt : 4 00 pm Libya : 3 00 pm Bahrain : 4 00 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 00 pm UAE : 5 00 pm UK : 2 00 pm Ireland ( Dublin ) : 2 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 Kuwait : 4 00 pm Sri Lanka : 6 30 pm Somalia : 4 00 pm ( 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 the case. GOOD LUCK.