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MRCP 2 Forum Hot - Library - Unanswered
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dr_amh10Send an Instant Message to dr_amh10  




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Quick Scroll 07.26.05 (3 years ago) #121

The characteristic laboratory features of a pleural effusion complicating rheumatoid arthritis are:
high protein
high LDH
high white cell count
low sugar
low C3
positive rheumatoid factor
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Quick Scroll 07.26.05 (3 years ago) #122

Resusciation equipment must be present during:

1) Tensilon test for MG (severe bronchospasm & syncope)

2) Insulin stress test for GH deficiency - contraindiacted with elderly people, epileptics and those with IHD.
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Quick Scroll 07.26.05 (3 years ago) #123

Pacemakers:

- symptomatic sinus node function
- symptomatic AV block
- bifascicular block with syncope
- alternating RBBB & LBBB
- drug resistant tachyarrythmias
- neurocardiogenic syncope
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Quick Scroll 07.26.05 (3 years ago) #124

methysergise and carcinoid syndrome cause retroperitoneal fibrosis......
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Quick Scroll 07.26.05 (3 years ago) #125

PACING
in AF VVI pacing
in LVF biventricular pacing
in all others DDD(R)- R if young to increase rate during exercise
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Quick Scroll 07.26.05 (3 years ago) #126

Hypercalcaemia supressing with steroids
sarcoidosis
Hypervitaminosis
Addisons
MM

mild supression
Metastasis
Ectopic ACTH
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Quick Scroll 07.26.05 (3 years ago) #127

from the last exam - hepatitis c - pegylated interferon has some psychiatric side effects and cannot be used as a single agent....
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Quick Scroll 07.26.05 (3 years ago) #128

What are the three most important prognostic factors immediately post MI?

1)AGE
2) DIURETICS (remember the Killip classification)??
3) SERUM CREATININE
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Quick Scroll 07.26.05 (3 years ago) #129

What do we know about GLARGINE?
1) recommended in all type I diabetics
2) in type II DM :

a) for those who need assistance from carer to inject

b) restricted by significant hypoglycaemic episodes

c)can switch from bd insulin together with oral hypoglycaemics
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Quick Scroll 07.26.05 (3 years ago) #130

Individuals with a low Killip class are less likely to die within the first 30 days after their myocardial infarction than individuals with a high killip class.
The killip classification
Killip class I includes individuals with no clinical signs of heart failure.
Killip class II includes individuals with rales in the lungs, an S3 gallop, and elevated jugular venous pressure.
Killip class III describes individuals with frank pulmonary edema.
Killip class IV describes individuals in cardiogenic shock.
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