WELCOME

A. What you should know ?B. Some hard facts about this exam…C. Accuracy with Speed…D. How to utilize the last two months…E. What sort of questions will be asked

usually…F. Where you can find those

questions…G. What to study now, how much time,

Levels of difficulty

A. Fairly simple 30 %B. Difficult C. usual 20%D. some catch points 45%

E. Very difficult = 05%

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

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

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.

Questions ?

A. Pictures.---- usually dermatological conditions-- General conditions =15-20.

B. C.v.s including HTN = 10-15 questions.C. Respiratory Including Asthma = 7-10

questions .D. Psychiatric, depression

+Anxiety+Grief+ Delayed grief+Parkinsonism+ALZ= 7-10 .

E. D.M. = 4-5

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

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 %

Sternal pain A young girl presents with a painful A young girl presents with a painful

swelling on the lateral sternal border on swelling on the lateral sternal border on left side. O/E there is marked tenderness left side. O/E there is marked tenderness at the 2nd costo-sternal joint. There is at the 2nd costo-sternal joint. There is H/O aggravation of symptoms with H/O aggravation of symptoms with cough, movement or sneezing.cough, movement or sneezing.

What is the most probable diagnosis ?What is the most probable diagnosis ?

A.A. Lymphoproliferative disorderLymphoproliferative disorderB.B. OsteochrondromaOsteochrondromaC.C. Rib tuberculosisRib tuberculosisD.D. Tietze’s syndromeTietze’s syndromeE.E. Rib fractureRib fracture

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 ?

A. Inj. Diazepam B. Inj. FrusemideC. Inj. Magnesium sulphateD. Inj. NitroprussideE. Sublingual Captopril

Skin problemA 48 years old male present with four

hypo pigmented anesthetic lesions on his back.

What is the treatment of choice ?

A. DapsoneB. Inj. Kenacort intralesionallyC. Inj. Vit. B 12D. RifampicinE. Rifampicin and Dapsone

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 ?

A. SulphonylureaB. ACE inhibitorsC. NitroglycerineD. Beta blockersE. Alpha 1 blocker

What is the Diagnosis ?

Forehead painA 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 ?

A. ParacetamolB. Codiene sulphate plus paracetamolC. CarbamazepinD. NSAIDsE. Capsicum cream

Osteoporosis

Which ONE of the following is NOT a risk factor for the development of osteoporosis

Below average BMI Coeliac diseaseFemale sexHigh dietary salt intakeHyperparathyroidism

Asthma management

A 30 years old asthmatic patient is on salbutamol inhaler and steroid inhaler 400 µgm b.d. His fev1 is 57 % of his personal best.

Which drug will you add ?

A. Increase the dose of inhaler steroidsB. start oral steroidsC. Add SalmetrolD. Add Montelucast E. Add Aminophylline

Skin problem

What is the best treatment option?

A. Antibiotic creamB. Oral antibioticsC. Topical

terbanafineD. Oral terbenafineE. Laser ablation

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 applicationB. topical steroid creamsC. Topical aciclover creamD. Oral acyclovirE. local antibiotic plus steroids

creams

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. IPVC. TetnusD. B.C.G.E. Hepatitis B

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. LarangoscopyB. CT scan chestC. GastroscopyD. X-ray chestE. TSH

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. TyphoidB. Inj PolioC. TetnusD. M.M.RE. Hepatitis B

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 ?

A.Separation anxietyB.HypocalcemiaC.Spasmodic muscular diseaseD.Growing painsE.Spinal chord disease

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 ?

A. MammographyB. Breast U.S.S.C. F.N.A. BiopsyD. I & DE. Excision biopsy

Child problemA 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 creamSteroid creamZinc sulphate creamClotrimazole creamLiquid paraffin application

Vaginal discharge

A 28 year old married woman complains of fishy smelling vaginal discharge.

What is the treatment of choice ?

A. CiprofloxacinB. CotrimoxazoleC. Co.amoxiclavD. MetronidazoleE. Clotrimazole pessaries

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 ?

A.Give O2 therapyB.Give epinephrine S/CC.Will ask for X-ray and E.C.G.D.Will insert a wide bore cannula E. Refer the case to i.c.u. unit, 15 minutes drive

Tinea pedis, Diagonosis or Treatment

Tinea Cruris; Diagnosis and Treatment

Chichken Pox ?

What is the treatment of choice ?

What is the treatment of choice ?

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