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26: Heart Failure
•40% myocardial damage •High output: beri-beri, Paget’s, anaemia, thyrotoxicosis •Hypertension: sympathetic, aldosterone •LVF: dyspnoea, bibasalcreps, gallop rhythm (3rdHS),..

27: Breathlessness
•Orthopnoea: •PND: -‘going to the window to get air’ •Marfan’s–ass. w/ aortic aneurysms and aortic regurgitation •Thallium/tetrofosmin: ischaemia/infarctio..

28: Palpitations
•Sinus tachy: fever, anaemia, heart failure •SVT (narrow complex) –AF, flutter –Bundle of Kent –WPW/pre-excitation –delta waves –AVNRT –most common &bull..

29: JVP (Jugular Venous Pressure)
  •‘prominent v waves’ –TR –Secondary venous upstroke d/t filling of RA @systole •Distended, non-pulsatileneck veins: SVC obstruction –espd/t SCC of lung &..

30: Chest Pain
    IHD: precipitation by exercise –incl. sexual intercourse •Sweating, nausea, vomiting –high suspicion of MI •Aortic dissection –‘tearing,’ mediast..

31: A Parent’s Guide to Helping Your Child Succeed at GCSE and A Level
  In the modern world, good qualifications are a pre-requisite for almost all interesting and rewarding careers. This means that performing well in exams, particularly GCSEs and A Levels, is cruc..

32: GCSE Technology Exam Guide
    The key focus before March 1st is to be course work as in Technology it is worth 60% of the final mark. The exam is worth 40% and is set on a theme the AQA make available to pupils on ..

33: GCSE Modern Foreign Languages Exam Guide
  Your GCSE French / German exam is split into 4 skill areas: listening, speaking, reading and writing. Each skill is worth 25% of the overall grade so it is important that you prepare well for e..

34: GCSE Maths Exam Guide
  Revision Undertake revision regularly. Doing questions is much better than reading them. Use web sites such as my maths (login) Lytham (password) expand to revise topics at the correct level fo..

35: Short Course ICT (OCR) Exam Guide
  The exam is worth 40% of your final mark so it’s important you gain every mark you can. It is multiple choice. Each question has 4 possible answers. You will be given a piece of informati..

36: GCSE History Exam Guide
  The key to answering exam questions is the comment ; “Use the sources and your own knowledge.”   At all times remember to think of the following about these different question ..

37: English Literature Exam Guide
  Your reading and writing skills will be tested on the Literature paper and you will have to answer questions on a class taught novel and play text. You will also have to respond to a previously..

38: English Language Exam Tips
  Your reading and writing skills will be tested on both the Language exam papers; you will have to respond to fiction and non-fiction and media texts.   You must be able to:   Read ..

39: Business Studies (Edexcel) Exam Guide
  The exam is worth 75% of your final mark so It is important you gain every mark you can. The six main areas for revision are: Business Activity –Types of businesses, aims and objectives..

40: More Practice EMQs for Medical Students
   The answers below are the answers that were given with the EMQs, but as they’re not official answers, they may be wrong. Some of the answers were omitted (shown by _ ); sometimes 2 ..

41: Practice EMQs for Medical Students
  Diabetes   A Peripheral neuropathy B Nephropathy C Retinopathy D Cataract E Autonomic neuropathy F Onset type I diabetes G Hyperosmolar coma H Ischaemic heart disease I Peripheral arterial..

42: EMQs for Medical Students
  Weight Loss   A Hyperthyroidism B Diabetes Mellitus C Addison’s disease D Malabsorption E Malignancy F Renal failure G Depression H Anorexia nervosa I HIV J Tuberculosis K Cardiac fa..

43: MDT Meeting: discussion of care plan for Medical Student OSCE
  Meeting led by one of the allied health professionals; fill in any gaps in care plan Introduction Introduce name and role: Sent by Registrar, Dr Peters, to gather information regarding Mr ..

44: Sickle cell anaemia explanation for Medical Student OSCE
  Explain condition – abnormal ? peptide chains results in HbS production. Common in black Africans. Homozygous = sickle cell anaemia; heterozygotes have sickle cell trait – no dis..

45: Warfarin therapy for Medical Student OSCE
  Introduce, identify, explain, consent Explain: ‘warfarin is a drug that thins your blood and makes it less likely to clot. You are taking it because you are suffering from a conditio..

46: Diabetes Management for Medical Student OSCE
  Introduce, identify, explain, consent Explain: ‘I understand you have been diagnosed with DM, is that correct? What do you understand by the term diabetes? Do you have any issues or ..

47: Blood Pressure Management for Medical Student OSCE
  Introduce, identify, explain, consent Ask Noticed any symptoms of HTN such as headaches, vomiting, visual disturbances, fits? More than 2 raised bp readings on 2 separate occasions? ..

48: Asthma medication: Inhalers, spacers, peak flow, individual management plan for Medical Student OSCE
  Peak flow measurement to diagnose asthma: ‘I understand you have had symptoms of a night cough and wheeze for a while, so I wish to carry out a peak flow test to rule out the possibi..

49: Expalining Procedures: Barium Enema, CT Scan, Bronchoscopy, Colonoscopy etc. for Medical Student OSCE
  General scheme: Introduce, identify, explain, consent Establish purpose of meeting Ask if pt has had procedure before Discover what pt already knows Explain procedure in simple terms ..

50: Venupuncture for Medical Student OSCE
  Introduce, check I.D., explain: ‘To check how well you are responding to treatment, I need to take some blood from you. This will involve placing a band around your arm and then insert..


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