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WELCOME

WELCOME. What you should know ? Some hard facts about this exam… Accuracy with Speed… How to utilize the last two months… What sort of questions will be asked usually… Where you can find those questions… What to study now, how much time,. Levels of difficulty.

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WELCOME

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  1. WELCOME • What you should know ? • Some hard facts about this exam… • Accuracy with Speed… • How to utilize the last two months… • What sort of questions will be asked usually… • Where you can find those questions… • What to study now, how much time,

  2. Levels of difficulty • Fairly simple 30 % • Difficult • usual 20% • some catch points 45% • Very difficult = 05%

  3. What to study.. • No MRCGP without O.H.G.P. • The more you will read this book the better doctor you will become… • Each time you will find new things and concepts … even the words are so wisely chosen that you only start appreciating the things after you have become a master of this book. • Master the hot topics for getting through… • HTN, D.M., Asthma, Musculo-skeletal system, R.A., Anxiety & Depression And others

  4. How, what and How much ? • Practice as much MCQ as possible • Practice tests of 30-35 questions in 30 mintues or 60-70 questions in one hour daily. • Clear your concepts / points. • Try to first do the test and then study the same topic and then repeat test

  5. Few more books, which can b of help… • Swanson, american book, Aids.. And theame is good • Murtagh’s ..australian.. • Alex grant.. Good to the point info. • Questions set of Dr. Nasir shah’s course • Speed practice…if you will do all the questions…good chances are you will get through • BUT best is O.H.G.P.

  6. Questions ? • Pictures.---- usually dermatological conditions-- General conditions =15-20. • C.v.s including HTN = 10-15 questions. • Respiratory Including Asthma = 7-10 questions . • Psychiatric, depression +Anxiety+Grief+ Delayed grief+Parkinsonism+ALZ= 7-10 . • D.M. = 4-5

  7. Questions • E.c.g. = 2-3 • Vacination = 2=3 • Bites =1- 2 • Diarrhea / Traveler’s Diarrhea = 2-3 • Anemia / Peripheral blood Picture = 4-5 • Statistics / models of study = 5-10 • Drug side effects/ interactions = 10-15 • Musculoskeletal Disorders = 7-10

  8. Length of scenarios • Single line 25 % • Three to four lines 25 % • Five lines without lab values 25% • More than five lines with lab values 15 % • Exceptions….like use of charts…needing calculations….. 5 %

  9. Sternal pain • A young girl presents with a painful swelling on the lateral sternal border on left side. O/E there is marked tenderness at the 2nd costo-sternal joint. There is H/O aggravation of symptoms with cough, movement or sneezing. • What is the most probable diagnosis ? • Lymphoproliferative disorder • Osteochrondroma • Rib tuberculosis • Tietze’s syndrome • Rib fracture

  10. Pregnancy related problems • A 36 weeks pregnant lady present with marked swelling of her feet. Her B.P. is 180/120. She gets a seizure while she is still in your clinic. • How will you manage her ? • Inj. Diazepam • Inj. Frusemide • Inj. Magnesium sulphate • Inj. Nitroprusside • Sublingual Captopril

  11. Skin problem A 48 years old male present with four hypo pigmented anesthetic lesions on his back. What is the treatment of choice ? • Dapsone • Inj. Kenacort intralesionally • Inj. Vit. B 12 • Rifampicin • Rifampicin and Dapsone

  12. Drug interaction • A man is taking many drugs. He collapses 30 minutes after taking sindilafil tablet. • Which drug is most likely to have caused this ? • Sulphonylurea • ACE inhibitors • Nitroglycerine • Beta blockers • Alpha 1 blocker

  13. What is the Diagnosis ?

  14. Forehead pain A patient has moderately severe pain in left side of his forehead. There is history of vesicular eruption in the same area about six months back. What is the most appropriate treatment ? • Paracetamol • Codiene sulphate plus paracetamol • Carbamazepin • NSAIDs • Capsicum cream

  15. Osteoporosis Which ONE of the following is NOT a risk factor for the development of osteoporosis Below average BMI Coeliac disease Female sex High dietary salt intake Hyperparathyroidism

  16. Asthma management A 30 years old asthmatic patient is on salbutamol inhaler and steroid inhaler 400 µgmb.d. His fev1 is 57 % of his personal best. Which drug will you add ? A. Increase the dose of inhaler steroids B. start oral steroids C. Add Salmetrol D. Add Montelucast E. Add Aminophylline

  17. Skin problem What is the best treatment option? • Antibiotic cream • Oral antibiotics • Topical terbanafine • Oral terbenafine • Laser ablation

  18. Skin rash A patient has pain in a band around his chest. He has used capsicum cream for pain relief and three days after using this cream he develops a rash. What is the best treatment option ? A. Calamine lotion application B. topical steroid creams C. Topical aciclover cream D. Oral acyclovir E. local antibiotic plus steroids creams

  19. Vaccination • A 5 years old boy is bought to you for vaccination because he has hematological malignancy and is using high dose steroids. He has never been vaccinated before. Which vaccination you will avoid ? A. dT. B. IPV C. Tetnus D. B.C.G. E. Hepatitis B

  20. Hoarseness A 32 years patient has hoarseness for the past three weeks. He has retrosternal burning, dyspepsia and his Hb. is 8.4 gm/dl. How will you proceed ? A. Larangoscopy B. CT scan chest C. Gastroscopy D. X-ray chest E. TSH

  21. Vaccination A 28 years married lady want to conceive in the next month as her husband is returning from Dubai. She has never been vaccinated and wants to have the vaccinations done now. Which vaccination has to be avoided in this particular case ? A. Typhoid B. Inj Polio C. Tetnus D. M.M.R E. Hepatitis B

  22. Child problem • A child wakes up in the nights complaining of pain in his legs and crying. He sleeps after massage and reassurance. He is normal in the day. • What is the most probable cause ? • Separation anxiety • Hypocalcemia • Spasmodic muscular disease • Growing pains • Spinal chord disease

  23. Breast mass • A 32 years old lady presents with a painful & hot mass in her breast which is 2 cm in size. You prescribe her antibiotic. She returns after 6 days. Her mass has grown in size in spite of her usuing the medicines regularly. • How will you proceed next ? • Mammography • Breast U.S.S. • F.N.A. Biopsy • I & D • Excision biopsy

  24. Child problem • A 1 year old child is brought with the complains of repeated rash in the skin folds in the area covered by the nappy. • What will you advise ? • Antibiotic cream • Steroid cream • Zinc sulphate cream • Clotrimazole cream • Liquid paraffin application

  25. Vaginal discharge • A 28 year old married woman complains of fishy smelling vaginal discharge. • What is the treatment of choice ? • Ciprofloxacin • Cotrimoxazole • Co.amoxiclav • Metronidazole • Clotrimazole pessaries

  26. Breathlessness • A 17 years old footballer is hit by his fellow in chest. He falls to the ground and collapses. He is markedly breathless ,is having cold sweating and breath sounds are absent or right side of chest. • How will you treat the case in emergency ? • Give O2 therapy • Give epinephrine S/C • Will ask for X-ray and E.C.G. • Will insert a wide bore cannula • Refer the case to i.c.u. unit, 15 minutes drive

  27. Tinea pedis, Diagonosis or Treatment

  28. Tinea Cruris; Diagnosis and Treatment

  29. Chichken Pox ?

  30. What is the treatment of choice ?

  31. What is the treatment of choice ?

  32. Thank you and best wishes for all of you… • Only those will reach the destination, who will start the journey…sooner or later…does not matter… • A journey of one thousand miles begin with a single step

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