pace your MRCP-PACES

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*IMPORTANT 171* Please remember *Ataxia* is considered as a jargon by most of the examiner so don,t use it, always ask your patient that do you have any *unsteadiness of your gait.* paceUrMRCP.

*IMPORTANT 170* Try to rule out Heyde’s syndrome in a case of aortic stenosis which is a combination of microcytic anaemia and aortic stenosis. paceUrMRCP.

*IMPORTANT 169* *ECG and Brugada Syndrome ( Autosomal Dominant ) You may find • convex ST elevation in V1–V3 • partial RBBB • ECG changes are absent at rest may be unmasked by sodium channel blockers, e.g. Flecainidine paceUrMRCP.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

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*Announcement for Online Session No 102* *1 Oct 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 Clinical Consultation 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 Zimbabwe : 3 00 pm ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The candidate for this session has been selected. GOOD LUCK.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*Announcement for Online Session No 102* *01 Oct 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 Clinical Consultation 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 Zimbabwe : 3 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.

*IMPORTANT 167* *Some causes of prolonged PR interval* • Idiopathic. • Hypokalaemia. • Digoxin toxicity. • Myotonic dystrophy. • Aortic root abscess. • Sarcoidosis. • Lyme disease. paceUrMRCP.

*IMPORTANT 166* Some causes of Long QT : • congenital – which are: – Jervell-Lange-Nielsen ( Autosomal recessive, associated with deafness) – Romano-Ward ( Autosomal dominant ) • drugs – Amiodarone, Sotalol, TCA, Chloroquine, Erythromycin, Antipsychotics, Antihistamine (if given with cP450 inhibitors) • electrolytes – hypokalaemia, hypocalcaemia, hypomagnesaemia • others – Subarchnoid Haemorrhage, hypothermia, Myicardial Infarction, myocarditis. paceUrMRCP.

*IMPORTANT 165* *The causes of hypoglycemia in non diabetics* *EXPLAIN* *E* *x* ogenous drugs, eg insulin, oral hypoglycaemics, alcohol, eg a binge with no food; aspirin poisoning; ACE-i; B-blockers; pentamidine; quinine sulfate; aminoglutethamide; insulin-like growth factor. *P* ituitary insufficiency. *L* iver failure *A* ddison’s disease *I* slet cell tumours (insulinoma) and immune hypoglycaemia (eg anti-insulin receptor antibodies in Hodgkin’s disease). *N* on-pancreatic neoplasms, eg fibrosarcomas and haemangiopericytomas. paceUrMRCP.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Sep-Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*IMPORTANT 164* Please remember that all forms of diabetes carry an increased risk to mother and fetus Like : Miscarriage, pre-term labour, pre-eclampsia, congenital malformations, macrosomia, and a worsening of diabetic complications, eg retinopathy, nephropathy. paceUrMRCP.

*IMPORTANT 163* Please remember that typical symptoms of polydipsia, polyuria and weight loss are more common with Type 1 DM. paceUrMRCP.

*IMPORTANT 162* *Some causes of Diabetes Mellitus* Steroids Anti-HIV drugs Newer antipsychotics Pancreatitis; surgery (where >90% pancreas is removed) Haemochromatosis Cystic fibrosis Pancreatic cancer Cushing’s disease Acromegaly Phaeochromocytoma Hyperthyroidism Pregnancy. paceUrMRCP.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Sep-Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.