Dear All

Thank you for participating in the session.

In Rapid Random Review We discussed:

• Asthma – triggers
• Atopic associated conditions
• Drugs in Asthma

The mini Mock was a Respiratory station – 15 year old admitted with increasing shortness of breath for 2 weeks. Universal clues: pink with nasal prong Oxygen, gross clubbing. Dr I took the hotseat with Dr P & Dr S in Examiner hat mode. Dr concluded the exam in 8 minutes and covered most of the points. Examiners commented on some lack of structure – missing general examination and then returning to it. We discussed the differential of this case as: Interstitla lung disease, Suppurative lung disease.

Learning points are:

• Practice Practice Practice.
• More structured examination technique
• Count respiratory rate in General examination inspection
• Start examination with Hands – least likely to upset
• Write A4 sheet for other examinations.

Please visit www.mrcpchonline.org to add your comments or points I have missed.

Anil Garg