Page 1 of 15: anyone studyin for MRCP 2 - study partner?

Nicki · Credits: 2463 My Scrapbook My Reading List 7 Books

Hi
find it easier to study if I discuss questions...so whatever I study will come on the site!

Right now Im doin neuro
key words to look out for

Steroid resposive dementia- Hashimotos dementia
progressive supranuclear palsy- downward gaze palsy

more later

dr_amh10 · Credits: 1672 My Scrapbook

Let me know if you want to go through stuff - I find that the discursive element of revision really helps me.

AMH

Nicki · Credits: 2463 My Scrapbook My Reading List 7 Books

hokay good ..as we go thru questions lets discuss it out ...so now tell me cerebral hematoma...when neurosurgical referral and when observe?
refer if altered consciousness/altered GCS....if stable observe,refer later?

dr_amh10 · Credits: 1672 My Scrapbook

I agree with that. Where I work, we tend to refer everybody that we feel is appropriate (not intracerebral catastrophies), beacuse even a small bleed will benefit from:

a) optimisation of risk factors
b) cerbral angiography/MRA
c) clipping (endovascular)
d)evaculation (as appropriate)

In this day and age, suitability for intervention/surgery is why the usual reponse we get from neurosurgeons is "manage conservatively". All we can do is record this in the notes.

Where are you taking the exam anyway? I'm glad I'm going to Birmingham after all of the trouble in London - if something like that happened on the day of the exam £290 would be wasted.

AMH

Nicki · Credits: 2463 My Scrapbook My Reading List 7 Books

well i am goin to london but will definately avoid the tube

dr_amh10 · Credits: 1672 My Scrapbook

Acute gouty arthritis of the first metatarsophalangeal joint of the right foot, which is also known as classical podagra.

What is the best form of imaging for young women who are on the OCP with BIH? MRI Brain?

And how do you decide when to get an ITU opinion? When the GCS is <8/15 (patient cannot maintain their airway), or when they are getting tired, need haemofiltration etc??

AMH

Nicki · Credits: 2463 My Scrapbook My Reading List 7 Books

ITU opinion-
definately when not maintaining airway, pCO2 rising (patient tiring),
GCS ....this depends if patient stable and maintaining airway , it can be due to overdose of alcohol,etc when you monitor but ITU not needed
for haemofiltration if haemodialysis not being considered or rapid deterioration inrenal functions

For BIH picture it depends on how question is framed . If they ask for a definate diagnosis- it is MRV(MR venography) to rule out sagittal sinus thrombosis which presents similarly to BIH. If they ask for immediate/next investigation it is CT brain followd by LP(if CT brain normal)

difference b/w De quervains tenosynovitis and OA of first metacarpophalangeal joint- the former has no swelling? both have pain

dr_amh10 · Credits: 1672 My Scrapbook

De quervains tenosynovitis - no pain!

Nicki · Credits: 2463 My Scrapbook My Reading List 7 Books

proximal muscle stiffness ;no weakness in elderly
.
.
.
.
.
.
PMR-ESR first test

dr_amh10 · Credits: 1672 My Scrapbook

<snip>

******************************************************
Edited By: RxPG Team
******************************************************
Edit Reason: Posting copyrighted content or questions from paid online courses is strictly forbidden in RxPG Forums. This activity is a serious violation of intellectual copyrights and is illegal. We at RxPG always take strict action against all such instances and suspend your user account and IP address in almost every case. However, you can paraphrase the exact difficulty or the confusing aspect of the question and discuss it here.
******************************************************

Note:
******************************************************
To keep its forums clean and fruitful, RxPG has provided report abuse buttons on the top of each forum post and anyone can report any abuse of RxPG forum system by clicking on them (pop up).
******************************************************

You can review the TOS (RxPG terms of service) at

Only RxPG members can see links here! Register or Sign In!

******************************************************

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!