pace your MRCP-PACES

👉 *IMPORTANT 571* 👈 *For history taking* Always ask about 3 Ps in history taking of a lady in child bearing age ( more important in this age ) Periods , Pills and Pregnancy Good Luck

👉 *IMPORTANT 570* 👈 *For history taking* Always be polite in asking about sexual history. Always ask are you in a relationship if patient says yes you may ask permanent or casual if he says permanent polity ask him any chance of casual relationship in the recent past . Never ask straight away do u have any unprotected sexual relationship Good Luck

👉 *IMPORTANT 569* 👈 *For history taking* Try to avoid asking sexual relationship in exam always use the words lik private or intimate relationship. Good Luck

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Sheetal* For passing *MRCP UK PACES from India* She has been with us in our batches of Sep 22 & Dec 23 for the online prepration of PACES. We wish her the best for her future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Paul* For passing *MRCP UK PACES from Nairobi* He has been with us in our batch of Dec 22 for the online prepration of PACES. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Shahla* For passing *MRCP UK PACES from India* She has taken personal coaching sessions multiple times in 21, 22 and 23 for her prepration of PACES. We wish her the best for her future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Anand Kumar* For passing *MRCP UK PACES from India* He has been with us in our batches of July 22, Oct 22 & Dec 22 for the online prepration of PACES. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Muhammad Faizal* For passing *MRCP UK PACES from India* He has been a very keen member of our whatsapp group for the online prepration of PACES. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Aisha Sohail* For passing *MRCP UK PACES from Pakistan* She has been a very keen member of our whatsapp group for the online prepration of PACES. We wish her the best for her future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Ehsan Ul Haq* For passing *MRCP UK PACES from Pakistan* He has been with us in our batch of Feb 23 for the online prepration of PACES. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Amna Gardezi* For passing *MRCP UK PACES from Pakistan* She has been with us in our batch of Jan 23 for the online prepration of PACES. We wish her the best for her future.

👉 *IMPORTANT 568* 👈 *For History taking* Never say do you use illicit drugs...it may seem a bit offensive. Always be polite and say do you use any drug for recreation or do you use any party drugs Good Luck

👉 *IMPORTANT 567* 👈 In a patient with HHT, Pregnancy is not contraindicated but we must confirm AVM before pregnancy as they may worsen due to hemodynamic stress during pregnancy, For this reason it should be a planned pregnancy and refer the patient to woman health specialist. We will confirm AVM by doing some imaging before she gets pregnant Good Luck

👉 *IMPORTANT 566* 👈 *Examination in CKD.* Look for • *Periphery*: Peripheral oedema. Signs of peripheral vascular disease or neuropathy. A vasculitic rash. Gouty tophi. Joint disease. Arteriovenous fistula (thrill, bruit, recently needling?). Signs of immunosuppression: bruising from steroids, skin malignancy. Uraemic flap/encephalopathy if GFR<15. • *Face:* Anaemia, xanthelasma, yellow tinge (uraemia), jaundice (hepatorenal),gum hypertrophy (ciclosporin), Cushingoid (steroids), periorbital oedema (nephrotic syndrome), taut skin/telangiectasia (scleroderma), facial lipodystrophy (glomerulonephritis). *•Neck:* JVP for fluid state, tunnelled line (if removed, look for small scar over in ternal jugular, and a larger scar in 'breast pocket' area), scar from parathyroid ectomy, lymphadenopathy. • *Cardiovascular:* BP, sternotomy, cardiomegaly, stigmata of endocarditis. If right-sided heart failure/tricuspid regurgitation, JVP does not reflect fluid state. • *Respiratory:* Pulmonary oedema or effusion. • *Abdomen:* PD catheter or scars from previous catheter (small scars just below umbilicus and to side of midline), signs of previous transplant (scar, palpable graft), ballotable polycystic kidneys± palpable liver. Good Luck

paceUrMRCP-PACES HALL OF FAME We are thankful to our respected coalleagues who have made us proud by their success in PACES MRCP ( UK ). We believe that this number will keep on increasing 101.Dr Muhammad Rahib 100.Dr Shilpa 99.Dr Nagaraj Patil 98.Dr Vincent Jose ( MRCPI ) 97.Dr Hana Abdalla Adam Mohamed ( MRCPI ) 96.Dr Thanuja Alahakoon 95.Dr Farehah ( MRCPI ) 94.Dr Sankar Nath Jha ( MRCPI ) 93.Dr Saadia Khan 92.Dr Montasir Elmobark 91.Dr Kiran 90.Dr Ai Yun Loh 89.Dr Eow 88.Dr Lim 87.Dr Lalitha 86.Dr Ashwin Mathew 85.Dr Kasthuri 84.Dr Rohit 83.Dr Sangshaptak Saha 82.Dr Hira Jamil 81.Dr Santa Subhra Chatterjee 80.Dr Shishir 79.Dr Rubeya Ahmad 78.Dr Javaria Imran 77.Dr Rishi Gopalakrishnan 76.Dr Ramandeep Kaur 75.Dr Shakeel 74.Dr Shamla 73.Dr Murtaza 72.Dr Urvashi 71.Dr Urmimala Bhattacharjee 70.Dr Jayalakshmi 69.Dr Steffin Methai Kattor 68.Dr Yew 67.Dr Cyrin 66.Dr Farhat Nazneen 65.Dr Meenal 64.Dr Adil 63.Dr Umar Iftikhar 62.Dr Sohail ( MRCPI ) 61.Dr Amarnath duraikannan 60.Dr Maha 59.Dr Samar 58.Dr Sidra German 57.Dr Mahmood Akhtar 56.Dr Muhammad Hashim 55.Dr Manmohan 54.Dr Pooja 53.Dr Haithem Alghebra ( MRCPI ) 52.Dr Amna 51.Dr Nandhakumar 50.Dr Ew Ju Vern 49.Dr Mohamed Muslim 48.Dr Jerry John 47.Dr Majid Iqbal 46.Dr Phoebe 45.Dr Aimi N Zainudin 44.Dr Tahseen Azim 43.Dr Samina 42.Dr Suzi 41.Dr Samia 40.Dr Tan 39.Dr Kalpesh Kondalkar 38.Dr Sunil Abhishek 37.Dr Faiz Mashood ( MRCPI ) 36.Dr Sharalaa Engatramana 35.Dr Prasad ( MRCPI ) 34.Dr Kalyan Nath ( MRCPI ) 33.Dr Reshma Thalikan 32.Dr Aneesa Shahul 31.Dr Arooj 30.Dr Esraa Soliman 29.Dr Amitave Chatterjee 28.Dr Malik Dilaver 27.Dr Ravi 26.Dr Priya 25.Dr Mujtaba Waris 24.Dr Shaheen Noman 23.Dr Apoorv Tiwari 22.Dr Niaz 21.Dr Janaki 20.Dr Lavanya Devi Palaniswamy 19.Dr Waqas 18.Dr Sadaf Hammad 17.Dr Osama Abdelaziz 16.Dr Rajeev Sharma 15.Dr Nehal Kunjomoidu 14.Dr Steffy 13.Dr Mustafizur Rahman (MRCPI) 12.Dr Vareeja Kasibian 11.Dr Niya Jamaludheen 10.Dr Farook Abdelgioum 9.Dr Kamran Ali 8.Dr Anik Rahman 7.Dr Manoj Dodiyah 6.Dr Madhusha 5.Dr Komal Zahid 4.Dr Hina Shaikh 3.Dr Sameer Abdus Samad 2.Dr Saurabh Gaba 1.Dr Rithik Mohan

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Muhammad Rahib* For passing *MRCP UK PACES from Dabai UAE* He has been with us in our batches of Jan-Feb 22 & March 22 for the online prepration of PACES. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Shilpa* For passing *MRCP UK PACES from India* She has been with us in our batch of Dec 22 for the online prepration of PACES. *SHE IS OUR 100 th CANDIDATE TO PASS PACES.* We wish her the best for her future.

👉 *IMPORTANT 565* 👈 *Common symptoms of CKD* Symptoms of fluid overload (SOB, peripheral oedema) anorexia nausea vomiting rest less legs fatigue weakness pruritus bone pain amenorrhoea impotence. Good Luck

👉 *IMPORTANT 564* 👈 *The most common causes of CKD in the UK are* diabetes (24%), Glomerulonephritis (13%) Increased BP/renovascular disease (11%). Good Luck

👉 *IMPORTANT 563* 👈 *Certain systemic diseases which may cause CKD* Diabetes amyloidosis sarcoidosis Heart failure TTP Alport syndrome Fabry disease Good Luck