SAQ 5: Nephrology

45 year old male is brought is with pain abdomen. His urine dipstick suggests 3+ RBCs. His vitals at triage are BP 110/80 mm Hg, pulse = 98/min, SpO2 of 97% on room air.

11)      What are the causes of hematuria other than renal calculi or tumor? (2 points)

22)      N2O:O2 mixture is contraindicated in what conditions? (2 Points)

33)      What are the indications of admission for renal colic? (2 Points)

44)      Define AKI? Give possible causes? (4 points)

ANATOMY UPPER LIMB

Anatomy Upper Limb Fast facts: Please comment, Share and Like

SAQ 4: Anesthesia & Pain Relief

Regarding anesthesia in the A&E department:

1)      Name 4 different methods of anesthesia which can be used to reduce a Colle’s fracture.  (2 points)

2)      What is the maximum dose of lignocaine with and without adrenaline. (1 points)

3)      Name 3 general anesthetic drugs which can be used in RSI for induction and their doses. (3 points)

4)      Until what age is straight blade laryngoscope preferable and why? (2 points)

5)      Name the Mechanism of action of Suxamethonium. What are the C/I of using Suxamethonium for paralysis in adults. (2 points)

MRCEM Part A FAST FACTS: Physiology Part 2

MRCEM FAST FACTS: Physiology Part 1

SAQ 3: Pediatrics

5 year old boy from Taiwan is brought by his mother with history of fever and a rash over his palms. The picture is as depicted above:

11)      What is your diagnosis? (1)

22)      What is the type of Hypersensitivity reactions occurring? (1)

33)      What is the treatment to be started in the ED? (1)

44)      What bedside investigations you would perform in the ED and what will you expect? (2)

55)      Why is giving steroids to the patient contraindicated? (1)

66)      What are the characteristic clinical features of the diagnosis in consideration? (2)

77)      Give further management. (2)

SAQ 2: Resuscitation

1. 54 years male is brought in the ED with unresponsiveness and no signs of life. There is no pulse and the monitor shows the rhythm below. He was lying in cold snow on the street for unknown duration. What is your next steps of management? (2 marks)



2. His temperature is 29 Celsius. What different steps you would take specifically in this case? (4 marks)

3. He has a pulse now and is still unconscious. What are tasks in the post resuscitation scenario? (4 marks)

SAQ 1: Resuscitation

1. Describe the EKG? (2)

2. What are the Unstable features related to the diagnosis? (2)

3. Assuming the BP is 120/90, RR is 16/min, and SpO2 is 94 % on 2 liters of Oxygen and IV Access is obtained; what is your initial management? (2)

4.Your initial treatment does not work, and the patient arrests; monitor shows the same rhythm but there is no palpable pulse. What is your initial management? (2)

5. List the reversible causes of cardiac arrest (2)

MRCEM Part B & C Tips: Study Time Frame

Congratulations on passing your part A MRCEM Examinations.

Here is a video I have compiled which can help you devising a strategy to approach Part B & C



MRCEM Part B & C Tips

MRCEM FAST FACTS PART A: HEMATOLOGY SECTION 1

Watch the Video on Hematology Fast Facts for MRCEM Part A.
If you have any suggestions or comments, Kindly list them below.

Good Luck