pace your MRCP-PACES

*Announcement for Online Session No 94* *23 July 2023* *WE WILL NOT RECORD THIS SESSION* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow 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.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Ali Mousa* For passing PART 2 CLINICAL EXAM MRCPI from Ireland. We wish him the best for his future.

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

* IMPORTANT 27 * For clinical stations Please remember : *Modified two level PE Wells score is not used for suspicion of Pulmonary embolism in pregnant women* . *Women presenting with symptoms and signs suggestive of an acute PE* should have an electrocardiogram ( *ECG* ) and a chest X-ray ( *CXR* ) performed. In women with suspected PE who also have *symptoms and signs of DVT, lower limb duplex ultrasound and Doppler ultrasound of illiac veins* should be performed. If this confirms the presence of DVT, no further investigation is necessary and treatment for VTE should continue. In women with suspected PE and/or abnormal chest X ray ( even without symptoms and signs of DVT ) either *CTPA* or *a V/Q Scan* should be performed. However when the chest X-ray is abnormal CTPA is preferred over V/Q scan. There is risk of radiation exposure with both of them but the risk associated with missing the diagnosis of PE are far more than it. Ideally, informed consent should be obtained before these tests are undertaken. Decision to start *prophylactic anticoagulants* in pregnancy depends upon the clinical presentation and should be discussed with senior consultants, *D-dimer testing is not usually suggested in the investigations of acute VTE/PE in pregnancy as they are often raised.* paceUrMRCP.

* IMPORTANT 26 * For clinical stations Please remember : When you *suspect pulmonary embolism* then you have to calculate *Modified Two level PE Wells Score* ( or atleast mention to the examiner that you will like to calculate it ) If score is *more then 4* go for immediate CTPA ( Or treat empirically with LMWH If there is delay in CTPA ) If score is *less than 4,* do D Dimers , if D Dimers come out to be positive go for immediate CTPA or empirical treatment with LMWH. If D Dimers are negative then consider alternative diagnosis. paceUrMRCP.

* IMPORTANT 25 * Please remember *ECHOCARDIOGRAPHY OF HEART* is a _Jargon_ always explain it to your patient as *SCAN OF THE HEART* ( some peopls use *JELLY SCAN* the heart for echocardiography too ) during the discussion.. paceUrMRCP.

* IMPORTANT 24 * Please remember *INR ( International normalized ratio )* is a _Jargon_ so be careful while using it in exam especially when asking for the follow up of anticoagulants, always tell your patient that **WE WILL / WE NEED TO CHECK YOUR BLOOD THINNING LEVEL ( OR LEVEL OF BLOOD THINNING ) during this therapy.. paceUrMRCP.

IMPORTANT 23 Please remember VOMITING is a common ENGLISH word but it may be considered as a Jargon by some of the examiners so be careful while using it in exam and always say HAVE YOH EVER THROWN UP/ DO YOU EVER THROW UP to your patient paceUrMRCP.

IMPORTANT 22 Please remember NAUSEA is a commn ENGLISH word but it may be considered as Jargon by some of the examiners so be careful while using it in exam and always say DO YOU FEEL SICK / OR ANY FEELING OF SICKNESS to your patient paceUrMRCP.

IMPORTANT 21 Please remember INFLAMMATION is a controversial word and may be considered as Jargon by some of the examiners so be careful and always say IRRITATION OR SORENESS to your patient paceUrMRCP.

IMPORTANT 20 Please remember DEHYDRATED/ DEHYDRATION May be considered as Jargons by some of the examiners so always say REDUCED AMOUNT OF WATER/FLUIDS/LIQUIDS IN YOUR BODY to your patient paceUrMRCP.

IMPORTANT 19 Please remember while taking history in Station 2 and 5: HEADACHE & VISION are TWINS Which means they must be asked together. So , never miss to ask any vision problem in a patient of headache and any headache in a patient of vision problem, this can give you important clues in the very beginning... paceUrMRCP.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Samreen Mazhar* For passing PACES MRCP UK from Bangalore India We wish her the best for her future.

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

IMPORTANT 18 Please remember ENZYME/ENZYMES is considered as Jargons by most of the examiners so always say PROBLEM IN LEVEL OF SOME SALT/SALTS IN YOUR BODY to your patient paceUrMRCP.

IMPORTANT 17 Please remember: HOW TO ASK SYMPTOM OF PENILE DISCHARGE IN GENITOURINARY SYSTEM.. Always take permission before these questions ( like if you don't mind may I ask you some personal questions ) Then ask your patient: DO YOU HAVE ANY DISCHARGE FROM YOUR PRIVATE PARTS. please remember that GENETELIA are called as PRIVATE PARTS ( atleaast in exam) paceUrMRCP.

IMPORTANT 16 Please remember: HOW TO ASK SYMPTOM OF REGURGITATION IN GIT SYSTEM.. Always ask your patient: DO YOU HAVE ANY BAD TASTE OR FOUL SMELLING TASTE IN YOUR MOUTH. paceUrMRCP.

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

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

IMPORTANT 15 Please remember: HOW TO ASK SYMPTOM OF ACID REFLEX OR GERD IN GIT SYSTEM.. Always ask your patient: DO YOU HAVE ANY BURNING SENSATIONS IN YOUR CHEST. paceUrMRCP.