Download free passmedicine full files and all notes for MRCP
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20.11.11
Download free passmedicine full files and all notes for MRCP
Download free passmedicine full files and all notes for MRCP
Please click on the link below
19.11.11
16.11.11
SAMPLE LETTER OF RECOMMENDATION
November 7, 2011
Letter of Recommendation
It gives me great pleasure to write this letter of recommendation in support of Dr.XYZ whom I have known as an in-patient clinical/surgical resident, and as an XYZ physician since November, 2006 till present.
Dr. XYZ proved himself to be a competent, responsible and hardworking resident doctor. He is keen to work and keeps himself updated. He is not only dependable but he demonstrated total commitment to the care of patients. Dr. XYZ shared in follow-up and management of Internal medicine in-patients. In the wards he performed various practical procedures like lumber puncture, abdominal and thoracic paracentesis, liver and pleural biopsies, endotracheal intubations, etc.
He is extremely co-operative
14.11.11
11.11.11
Infectious Disease MCQ MCCQE
Infectious Disease MCQ
1- 22 year old male presents to the ER with a 1 day history of erosions of the lips, conjuctivitis and blistering rash. He has a temperature of 37.9 and no other systemic complaints. He is currently on a course of Cotrimoxazole Full dose twice daily PO for an episode of otitis media diagnosed 3 days ago. The best initial step in the management of this patient is:
a. Prescribe a course of topical steroids
b. Change antibiotic, preferably to a cephalosporin and send home
c. Admit to hospital, monitor fluid status and stop antibiotic
d. Refer to Dermatology for further investigation
e. Reduce the dose of his antibiotic
2- A 40 year old diabetic male presents with an acute onset of redness in the hands and forearm with streaks extending up towards the axilla. There is local pain and crepitus. Temp 40, pulse 110 and BP 95/65. WBC is elevated. The most likely causative offending organism is:
a. Group A streptococcus
b. Staph. epidermidis
c. Viridans Streptoccocus
d. Group D strep
e. Group B strep.
3- In the above patient, the most appropriate approach for therapy is:
a. IV antibiotic only
b. Oral Antibiotic only
c. Surgical debridement with IV antibiotic
Obstetrics MCQ mccqe
Obstetrics MCQ
1- A 23 year old female who is breastfeeding her 3 week old infant complains about breast pain and fever of 40C. On examination, the left breast is tender with a red and hard right upper quadrant. What is the most appropriate management?
a. Increase frequency of breastfeeding and analgesia
b. Perform manual milk extraction for 24 hours
c. Discontinue breastfeeding, analgesia and antibiotic therapy
d. Incise and drain the breast
e. Antibiotic therapy, continue breastfeeding from opposite breast.
2- A 29 Year old gravida 3 para 3 had a vaginal delivery 30 minutes ago. After delivery of the placenta, she continues to bleed and has now bled approximately 500 mls in the past 15 minutes. The most common cause of this condition is:
a. Lacerations
b. Retained placental tissues
c. Placenta accreta
d. Uterine Atony
e. Distended bladder
3- A 19 year old has chronic asymptomatic hepatitis B infection. She is 22 weeks pregnant. When considering the risk of transmission to her yet to be born baby, you would:
a. Give hepatitis B immunoglobulin to the mother at 37 weeks
b. Give the neonate hepatitis B immunoglobulin immediately after birth
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