21.12.15

MRCEM exam. Am i ready ?

Am i ready for MRCEM?

Ask this question to yourself while standing in front of mirror. If you think you are, here are few sincere tips to help boost your adrenaline.

Do NoT Stay ignorant about the MCEM Postgraduate Examination
and Certification

MRCEM stands for Membership of Royal College of Emergency Medicine. The College of Emergency Medicine, United
Kingdom (CEM) is responsible for conferring the MRCEM and the FRCEM (Fellowship of  the Royal College of Emergency
Medicine). The College of Emergency Medicine became a College by Royal Charter on 29th February 2008. MRCEM was previously known as Membership of Faculty of Accident and Emergency Medicine (MFAEM). 

The MRCEM examination is set at a standard appropriate with the level of expertise necessary for entry into higher specialist training in Emergency Medicine as well as that for practice at an intermediate level for those not wishing to enter higher training.

The exam assesses the knowledge, skills and behaviors necessary for the
clinical practice of Emergency Medicine in the UK and Irelan

10.12.15

MCEM (Now called as MRCEM) examinations from Royal college of Emergency Medicine



MCEM is one of the certifications available and recommended for doctors training in emergency medicine, within India. The curriculum developed by College of Emergency Medicine-UK for MCEM is of highest standards and also is in line with the curriculum prescribed by International Federation of Emergency Medicine for training in emergency medicine. The MCEM curriculum has evolved through time and continues to get revised to accommodate the best clinical practice and the best collective knowledge possible.

 Completing MCEM enables a doctor to enter UK for higher specialist training in emergency medicine. There is no need to sit the PLAB exams. With MCEM, one will be

14.10.15

How to use resources to Pass MRCP Exam - Key Facts

There are a lot of ways from different sites and many of us will find some of them suitable to us. But i am gonna tell you the best n tricks to get yourself prepared for MRCP esoteric exam.



Here are the tip:
  • Do MCQs as much as you can and revise them with Explanation (very imp), don't just keep doing mcq and not to read about explanation, Remember in exams questions will appear from explanation not from questions you did, but if you are lucky enough; you can have some repeat from those that you practiced.
  • do BUZZWORD study: What i meant by BUZZWORD or PING-Word study, it means that a hint in the question that will lead you to the answer. FYI Qs in MRCP are not so straight forward so you are gonna face very long stem with multi directional approach from examiners. But they give one hint in the stem that can let us choose the answer. For Example, if a patient gives hx of pneumonia and they also tell you patient is alcoholic, heavy drinker etc then you should probably be thinking about kleibsella, don't you!!!!
  • If you don't understand a topic in passmedicine or whatever type mcq you are using then you should go for the OHCM 9th edition or KALRA 4th edition like books instead of reading USMLE STEP 2 CK or MASTER THE BOARDS; we are dealing UK exam here, not US-Board. So don't distract yourself as it will lead to poor performance in exam.
  • Once you have done all questions; like if you are doing 100-150 questions per day then you will finish passmedicine in max 4 weeks and pastest in 45 days. Revise them again and don't forget to do those questions that you made incorrect and read from your reference book either OHCM 9th edition or KALRA 4th edition.
  • Also you have another approach read SUDAMEDICA The Only MRCP Book You Will Ever Need to study first then attempt passmedicine questions and do pastest questions simultaneously as well. Both q banks with revision of at least 2 times will make you pass the exam easily.
  • In addition to these 2 q banks you also have onexamination, if you got enough time and you have done all, don't stop yourself doing mcq's from onexamination as well, they will groom you to the exam standards and also make you ready for MRCP Part 2 attempt.

Finally here are the links where you can download the latest of all above sources that i mentioned for Free access to medical education purpose #FOAMED
For Pastest
For OnExamination, Onexam 1 & onexa2.

24.9.15

Difference between MRCP UK n MRCP Ireland


That is one of the commonest question that candidates face while they are approaching to their post graduate studies especially for those who want to do MRCP.

Is there any difference between the value of MRCP uk and ireland? should a person prefer any one of those? which exam u find is more difficult when comparing both?

First of all for the difficulty, many people have many views.

The commonest view about it is that Irish part is more difficult than UK. However,  the Irish questions are much more wonderful than the UK part ( this is for part I ) . UK part, in addition to simple questions; have some questions with options that are very basic  and clinically oriented.

Both exams are not easy if someone goes unprepared.

In UK part they will ask you what's the diagnosis most of the time, but in Irish MRCP you must know diagnosis 1st n then what'd be next step for that diagnosis like investigation or treatment.

Preferences & Value:

Preferences for exam over each other, I think it depends what's your goal. If you want to move to UK, then go for MRCP UK only. However, if someone plan for Ireland then MRCPI should be preferred.
Since worldwide both diplomas are accepted, there shouldn't be much difference in choosing either.

19.9.15

USMLE First Aid 2015 free Download




Download USMLE FIRST AID following the link

DOWNLOAD PDF

Study it for USMLE, FCPS Part 1 especially and also for the proper basics understanding. Excellent book

FCPS part 1 past papers-All at one place


Here are all my collections over long time for past papers of FCPS Part 1

Instructions to get all past papers under these links:

  • While scrolling down you will reach the end of page showing "OLDER POSTS", click on it to get more past papers under that specefic subject.
Subject wise approach:

9.9.15

Entry to ST3 Post (Specialty Training)? after Doing MRCP only?How about MRCP Ireland, MMed Singapore?


Entry to ST3 requirements:

There are 3 methods by which someone seeking ST3 training post in UK.
  1. Gaining Complete MRCP Diploma
  2. Alternative training pathway examinations
  3. EAA Eligibility
Gaining Complete MRCP Diploma

There are three parts to the MRCP(UK) examination - Part 1, Part 2 (written), and Part 2 (clinical examination) - commonly referred to as 'Part 1', 'Part 2' and 'PACES'.


Alternative training pathway examinations

Others will also accept training pathways for ST3 position if someone has done alternate training in other specialisties. These Include audiovestibular medicine clinical genetics clinical neurophysiology , dermatology haematology ,palliative medicine rehabilitation medicine and sport & exercise medicine .
These specialties are also accepted for the ST3.

EAA Eligibility

Under the EAA  EU-Directive 2005 Act  can also be eligible to get the post provided the information accordingly. See the link of the Act.


Questions arise how about the MRCP Ireland and MMed of singapore????

Are they accepted???

Here is the answers to these questions


MRCP Ireland

According to the JOINT ROYAL COLLEGE OF PHYSICIANS OF TRAINING BOARD;
MRCP Ireland will not be accepted as a direct substitute for the MRCP(UK) in ST3 recruitment. However, candidates who are EEA nationals, whose training to date has been undertaken under the Irish 'Basic Specialty Training' system, and who have gained the MRCP(Ireland) examination, are likely to be eligible under the EEA eligibility rule described above (assuming all other criteria are also met).

MMed Singapore 

MMed Singapore qualification contain the full MRCP(UK) diploma, and hence will continue to be accepted as 'alternative' to MRCP(UK)


Saudi Licensing Exam prep---Mock Exam 9 with answers

Mock Exam 9

Q1. Most common medical problems faced in primary health care is:
a. Coryza
b. UTI
c. Hypertension
d. Diabetes

Q2. You were working in a clinic with a consultant who prescribed a drug that was contraindicated to the patient (the patient was allergic to that drug) but you didn't interfere & assumed that he knows better than you do. Which of the following you have violated:
a. Professional competence
b. Quality of patient care
c. Honesty
d. Patient relationship
e. Maintaining trust

Q3. Physician's carelessness is known as:
a. Malpractice
b. Criminal neglect
c. Malfeasance
d. Nonfeasance

Q4. For health education programs to be successful all are true except:
a. Human behavior must be well understood
b. Information should be from cultural background
c. Doctors are the only health educators
d. Methods include pictures and videos

Saudi Licensing Exam prep---- Mock Exam 8 with answers

Mock Exam 8


Q1. Patient with hypercholesterolemia, he should avoid:
a. Organ meat
b. Avocado
c. Chicken
d. White egg

Q2. A mother brought her 10 y/o obese boy to the family practice clinic, what is your advice:
a. Same dietary habits only exercise
b. Fat free diet
c. Multifactorial intervention

Q3. Attack rate for school children that developed pink eye, first day 10 out of 50, second day 30 out of 50:
a. 20
b. 40
c. 60
d. 80


Q4. Treatment of contacts is applied in all of the following except:
a. Bilharziasis
b. Malaria
c. Hook worm
d. Filariasis
Q5. A patient is taking bupropion to quit smoking what is SE
a. Arrythmia
b. Seizure
c. Xerostomia
d. Headache

Q6. 10 people developed nausea,

Saudi Licensing exam Exam Prep- Mock Exam 7 with answers and explantion

Mock Exam 7


Q1. As doctor if you see patient and you face difficulty to get accurate information from him the best tactic to do it is:
a. Ask direct question (close-ended)
b. Ask open question
c. Control way of discussion
d. Use medical terms

Q2. Endemic means:
a. Spread of disease in incidence all the time
b. It cause by virulent pathologic organism
c. Spread of disease from country to country by carrier
d. Rapid spread of disease
e. There is very low incidence

Q3. Patient diagnosed with DM type 2 and he is in your office to discuss with him the plane to reduce his weight, you will told him to:
a. Decrease calorie intake in daytime
b. Decrease calorie and increase fat
c. Decrease by 500 kcal/kg per week
d. Decrease 800 per day

Q4. In PHC, from 50 children 10 got the disease on the 1st week, another 30 on the subsequent 2 weeks, what is the inci

SAudi Licensing Exam--Exam Prep--Mock Exam 6 with answers and explanation

Mock Exam 6





Q1. Besides IV fluids, what is the most important drug to be given in anaphylaxis?
a) Epinephrine
b) Steroids

Q2. The best to give for DVT patients initially which is cost effective:
a) Low Molecular Weight Heparin “Enoxaparin”
b) Unfractioned Heparin
c) Heparin
d) Warfarin

Q3. Management of anaphylactic shock all of the following, EXCEPT :
a) IVF
b) 100% O2
c) Corticosteroid

Q4. Patient developed lightheadedness and SOB after bee sting. You should treat him with the following:
a) Epinephrine injection, antihistamine and IV fluid
b) Antihistamine alone

Q5. A child had bee bite presented after 18 hour with le

SAudi Licensing Exam--Exam Prep--Mock Exam 6 with answers and explanation

Mock Exam 6





Q1. Besides IV fluids, what is the most important drug to be given in anaphylaxis?
a) Epinephrine
b) Steroids

Q2. The best to give for DVT patients initially which is cost effective:
a) Low Molecular Weight Heparin “Enoxaparin”
b) Unfractioned Heparin
c) Heparin
d) Warfarin

Q3. Management of anaphylactic shock all of the following, EXCEPT :
a) IVF
b) 100% O2
c) Corticosteroid

Q4. Patient developed lightheadedness and SOB after bee sting. You should treat him with the following:
a) Epinephrine injection, antihistamine and IV fluid
b) Antihistamine alone

Q5. A child had bee bite presented after 18 hour with le

Saudi Licensing Exam--Exam Prep-- Mock Exam 5 with answers

Mock Exam 5



Q1. A man came with bruising and increase time of bleeding with factor 8 deficiency :
a) Haemophilia A
b) Von Willebrand disease

Q2. An old man 65 years with Hemoglobin= 9, you will:
a) Assess Iron levels
b) Assess LDH
c) Arrange for endoscopy

Q3. In aspirin overdose :
a) Liver enzyme will peak within 3-4 hr
b) first signs include peripheral neuropathy and loss of reflexes
c) 150 mg/kg of aspirin will not result in aspirin toxicity

Q4. A man who is having severe vomiting and diarrhea and now de

Saudi Licensing Exam--Exam Prep-- Mock Exam 5 with answers

Mock Exam 5



Q1. A man came with bruising and increase time of bleeding with factor 8 deficiency :
a) Haemophilia A
b) Von Willebrand disease

Q2. An old man 65 years with Hemoglobin= 9, you will:
a) Assess Iron levels
b) Assess LDH
c) Arrange for endoscopy

Q3. In aspirin overdose :
a) Liver enzyme will peak within 3-4 hr
b) first signs include peripheral neuropathy and loss of reflexes
c) 150 mg/kg of aspirin will not result in aspirin toxicity

Q4. A man who is having severe vomiting and diarrhea and now de

Saudi Licensing Exam- Mock Exam 4 & answers with explanation

Mock Exam 4


Q1. Which of the following is treatment for Giardiasis:
a) Prazequantil
b) Mebendazole
c) Metronidazole
d) Albendazole

Q2. Patient with epilepsy came with left shoulder pain, on examination flattened contour of the shoulder, and fixed adduction with internal rotation, what is the diagnosis?
a) Inferior dislocation
b) subacromal posterior dislocation
c) subglenoid anterior dislocation
d) subclavicle anterior dislocation
e) subclavicle anterior dislocation

Q3. Drugs used for Leishmania
· There are two common therapies containing antimony (known as pentavalent antimonials): meglumine antimoniate (Glucantime) and sodium stibogluconate (Pentostam)

Q4. A 12 years old female brought by her mother to ER after

Saudi Licensing Exam- Mock Exam 4 & answers with explanation

Mock Exam 4


Q1. Which of the following is treatment for Giardiasis:
a) Prazequantil
b) Mebendazole
c) Metronidazole
d) Albendazole

Q2. Patient with epilepsy came with left shoulder pain, on examination flattened contour of the shoulder, and fixed adduction with internal rotation, what is the diagnosis?
a) Inferior dislocation
b) subacromal posterior dislocation
c) subglenoid anterior dislocation
d) subclavicle anterior dislocation
e) subclavicle anterior dislocation

Q3. Drugs used for Leishmania
· There are two common therapies containing antimony (known as pentavalent antimonials): meglumine antimoniate (Glucantime) and sodium stibogluconate (Pentostam)

Q4. A 12 years old female brought by her mother to ER after

Saudi Licensing exam prep- Mock Exam 3

Mock Exam 3 

Q1 -A pregnant lady came to you to screen her fetus for down syndrome, what is the best method:
a.   Amniocentesis.  + Karyotyping
         b.   Choriocentesis.
 
……………………………………………………………………………………………………………………………………………………..

Q2 - What is the most common chromosomal abnormality?
a. Trisomy 13
b.   Trisomy 21
         
……………………………………………………………………………………………………………………………………………………..


Q3 -  A child came to ER with fever, stridor, … , x-ray showed swollen epiglottis, in addition to oxygen, what u will do?
a.   Throat examination.
b.   An emergency tracheostomy.
c.   Endotracheal intubation.
d.   Nasopharyngeal intubation.
       
……………………………………………………………………………………………………………………………………………………..

Q4 - 24 y/o female newly diagnosed type 2 DM, she is wea

Saudi Licensing exam prep- Mock Exam 3

Mock Exam 3 

Q1 -A pregnant lady came to you to screen her fetus for down syndrome, what is the best method:
a.   Amniocentesis.  + Karyotyping
         b.   Choriocentesis.
 
……………………………………………………………………………………………………………………………………………………..

Q2 - What is the most common chromosomal abnormality?
a. Trisomy 13
b.   Trisomy 21
         
……………………………………………………………………………………………………………………………………………………..


Q3 -  A child came to ER with fever, stridor, … , x-ray showed swollen epiglottis, in addition to oxygen, what u will do?
a.   Throat examination.
b.   An emergency tracheostomy.
c.   Endotracheal intubation.
d.   Nasopharyngeal intubation.
       
……………………………………………………………………………………………………………………………………………………..

Q4 - 24 y/o female newly diagnosed type 2 DM, she is wea

Saudi Licensing Exam Prep--- Mock Exam 2 with answers and explanation

Mock Exam 2
I suggest you to solve these questions first to know at what level you stand and then go for the answers..


Q1 -  Which is not found in coarctation of the aorta:
             a. Upper limb hypertension
             b. Diastolyic murmur heard all over precordium
            c. Skeletal deformity on chest x-ray

Q2 - Female patient presented with tender red swelling in the axilla with history of repeated black head and large pore skin in same area: ttt is
                a. Immidate surgery
                b. Topical antibiotic
                c. Cold compressor
                d. Oral antibiotic

Q3 - In indirect hernia the relation of the sac to the cord structure is:
         a. Anteromedial
          b. Anterolateral
          c. Posteromedial
          d.Postrolateral
Q4 -  The most common cause of croup is:
         a. Parainfluenza
          b. Influenza
Q5 -kwashikor disease  usually associated with :
         a. decrease protein intake, decrease carbohydrate
         b. increase protein , increase carbo
         c. decrease protein , increase carbo
Q6 - in cachectic patient, the body utilize

Saudi Licensing Exam Prep--Mock Exam Series

Here today we are going to start Mock Exam Series for preparation of SLE..
Questions will be posted and answers will be posted in the end of paper in a link...
Key to solve these questions are as follows:

Do questions before going through answers. Best of luck for your exam
============================================================

Mock Exam 1


Q1 - 502)  59 y/o presented with new onset supraventicular tachycardia with palpitation,no Hx of SO Or chest pain ,chest examination normal , oxygen sat in room air = 98% no peripheral edemaOthers normal, the best initial investigation:
  a.  ECG stress test                                                                                            
b. Pulmonary arteriography                                                                  
c. CT scan                                                                                                
d. Thyroid stimulating hormone          

Q2 -Lactating women presented with breast engorgment  and tendress  Your managements:
       a. Warm compressor and continoue breast feeding
       b. Dicloxacillin and continoue breast feeding
      c. Dicloxacillin and milk expression
      d. Discontinoue breast feeding  and cold compressor

Q3 -The Fastest route of antipsychotic is:
      a. IM
      b. IV
     c. Oral
     d. Sublingual
 
Q4 -While you are in the clinic you find that many patients presents with red follicular conjactivitis (Chlamydia ) your management is:
          a. Improve water supply and sanitation
         b. Improve sanitation and  destroying of the vector

11.8.15

FCPS part 1 Radiology past paper pool

FCPS part 1 Radiology past paper pool

Qs 1. Structure present between celiac trunk and superior mesenteric artery is?
A. Pancreas
B. Stomach
C. Spleen
D. Duodenum
E. Liver

Qs 2. Hepatoduodenal ligament transmits
A. Hepatic artery
B. Portal vein
C. Common bile duct
D. Hepatic duct

Qs 3. Mixed venous blood is found in
A. Left atrium
B. Left ventricle
C. Pulmonary artery
D. Pulmonary vein
E. Rt femoral vein

Qs 4. The bulb of posterior horn of left ventricle is made by?
A. Forceps major
B. Forceps minor
C. Thalamus

Qs 5. Structure passing anterior to

FCPS Part 1 RADIOLOGY FEB 2014

FCPS Part 1 RADIOLOGY FEB 2014

Qs. 1. Heinz bodies are found in
A. G6PD deficiency
B. HS
C. Sickle cell disease

Qs 2. During a surgery a surgeon nick hepatoduodenal ligament. Which structure is likely to be damaged
A. Portal vein
B. Bile duct
C. IVC
D. Hepatic Duct

Qs 3. Gall Bladder
A. Produces bile
B. Submucosa is present
C. Mucosa is thrown in extensive folds

Qs 4. Bare area of liver is limited by
A. Right and left traigular ligament
B. Falciform ligament
C. Ligament teres
D. Ligament venosum

Qs 5. Medial side of arm is suppli

FCPS Part 1 dentistry past papers

FCPS Part 1 dentistry past papers


1-Accessory rib is attached to which vertebra ?

Answer :- C7

2-A person got head injury in temporal region, function which may lost is ?

Answer :- Auditory...


3-A person is unable to comprehends and intelligence the words, lesion is located at ?

Answer :- Wernicke's area 4

4-A person is unable to speak properly, lesion is located at ?

Answer :- Broca's area 5

5-Regarding vagus nerve which is inappropriate ?

A-It is located between IJV and internal carotid artery in carotid sheath
B-It is the longest nerve
C-It lies posterior to carotid sheath
D-It emerges from internal

FCPS Dentistry Part 1 2011 Paper

FCPS Dentistry Part 1 2011 Paper


(1)The most susceptible intraoral site of oral cancer is

1-Floor of mouth
2-Soft palate
3-Attached gingiva & alveolar ridge
4-Lateral borders & ventral surface of the tongue

(2)Koplik spots are seen in...

1-Measels
2-Shingles
3-Herpangina
4-Chicken pox

(3)Sialoliths are most commonly found in

1-Stensen's duct
2-Wharthon's duct
3-Bartholian's doct
4-Ducts of rivinus

(4)A pt.presents with a slow-growing, painless mass at the junction of the soft and hard palates,which is present for many years without ulceration or telangiectasia of the overlying mucosa,
the most likely diagnosis is

1-Pleomor

FCPS Gynae Obs Paper part 1 June 2014

FCPS Gynae Obs Paper part 1 June 2014


Kindly correct the answers if found wrong, thanks

1) ureter is narrow at the following points except?
pelvic brim
pelvic ureteric junction where it lies on the psoas (ans)
where it passes through the bladder

2)regarding spinal nerves true statemnt?
they leave the vertebral canal via intervertebral foramina(ANS)
dorsal root contain both sensory & motor fibers
have ganglia on there ventral root

3) following statements about ischio rectal fossa are true except?
has pudendal canal in lower medial wall (ANS)
allows dilatation of anal canal during defecation
extend forward into urogenital triangle
bounded lat by obturatr internus
is bounded post by sacrotuberous ligamnt

4) regarding suprarenal gland all true excpt?
foetal gland is 1/3rd the size of kidney(ANS)
cortex develop frm mesoderm

5) following structures present in dermis except?
melanocytes(ANS)
fibroblast
macrophages
reticulocytes
mast cells

6) neural crest cell give
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