Prometric Exams Preparations

Hello, please we still have an unclaimed transection-
Guys we have received Again 3 unclaimed  transaction yesterday & couldn’t figure it out yet who made it . so once you paid for your coaching or whatever, you need to send us the screenshot and also  if it’s by mistake we will refund you.

Congratulations another client from online Coaching just passed DHA.

Unclaimed transection-
Guys we have received 4 unclaimed  transaction this week & couldn’t figure it out yet who made it . so once you paid for the mentorship, dataflow or what so ever please you need to notify us with screenshot and also if it’s by mistake we will refund you that amount .

https://t.me/Inquire_formore

Nothing beats giving the candidates good news

Dataflow mumaris plus account service

https://t.me/Inquire_formore

🎊🎉Congratulations Dr Naaz for passing Omsb exam today 🎉🎊
So happy and proud 💪🏽😊

Position: GP Doctor (with MOH License)
Location: Oman
Salary: 1,400 OMR
Nationality: Indian or Pakistani candidates preferred

We are seeking a qualified GP Doctor with an MOH license. If you meet these criteria and are looking for an opportunity in Oman, please reach out to us.
Contact: +968 78892209

Message Forwarded as recieved… Kindly contact the given number for further details.

Kuwait 🇰🇼 Prometric exams preparations Classes are going on. Send us Mesage 👇👇👇

https://t.me/Inquire_formore

Mesage us👇👇👇
https://t.me/Inquire_formore

Coaching classes ❤️🇦🇪🇰🇼🇯🇴 🇸🇦

Congratulations

Omsb recalls few days back.

We provide all dataflow services

Mentorship session review from our October session doctor from India
😊 .

Right now we have above 100% pass result in UAE - Dha GP / MOH GP and OMAN - Omsb GP  .

Join us - @Inquire_formore

Anyone giving Omsb exam and want recent yesterday recalls can message me for it for free . Thanks Dr Zeeshan for sharing it

WE ARE OPEN FOR YOUR DATAFLOW PROCESSING.

https://t.me/Inquire_formore

congratulations

Another recent DHA exam passer.❤️❤️

Apply for your dataflow with us.

Good news guys .. 1 more Dr from India passed DHA . Congratulations Dr 🎉🎊

100% result continue for DHA GP since January. 43 passer starting January and 30+ are waiting for exam date .

To all UAE GP students you are free to join our 4days free classes. Only uae 🇦🇪 GP students. Mesages here

https://t.me/Inquire_formore

Congratulations Ma'am

#dataflow Mesage us for any problems or processing 👇👇👇

https://t.me/Inquire_formore

All you need to know about DHA. #DHA

Books 📚 / material for bds Middle East exam Available now

Bring your dataflow processing to us we solve all problems related to dataflow report from start to finish

https://t.me/Inquire_formore

Another result from online Coaching 👏 Congratulations Aspa

COACHING 😍

15 students dataflow report processing completed. Mesages us with your email

If we have completed your coaching. Please complete your balance fees as promised 🙏
Thank you

Preparing for PROMETRIC EXAM?
Do you have notes?
📚📚📚📚📚📚📚

What if you get your hands on the notes we have, that guarantees your clearance in the exam with good scores?

From last 5 years, these notes have been playing a good work for Nurses and Doctors preparing for their Prometric exams.
It's our guarantee!! Our notes will definitely help you gain the edge!

We are happy

Congratulations and good luck further ❤️

12-A 61-year-old man is due to undergo his first screening colonoscopy. His medical history is significant for hypertension, and he is currently taking lisinopril and amlodipine. The patient denies headache and chest pain. His blood pressure today is 160/100 mm Hg. What is the next step in the management of this patient? A-Schedule the patient for colonoscopy

B-Retake the patient’s blood pressure
C-Optimize blood pressure control
D-Refer for cardiology consultation
F-Cancel the colonoscopy and get a CT colonoscopy

Ans: C. controlling systolic hypertension reduces perioperative cardiac complications, and systolic hypertension should be controlled prior to any elective surgery. There is no need to repeat the blood pressure reading. The patient cannot have the colonoscopy yet due to his uncontrolled blood pressure.

https://t.me/Inquire_formore

Congratulations Samia we are very happy for you success

*Patient on warfarin presents with intracranial hemorrhage, which of the following will most rapidly reverse the anticoagulation in this patient ?*

A) Fresh frozen plasma
B) IV vitamin K
C) IV desmopressin
D) Prothrombin complex concentrate

Mesage
https://t.me/Inquire_formore

Q2-A 64 year’s old man is placed on Lisinopril as a part of managing CAD in association of ejection fraction 25% and symptoms of breathlessness. Although he has rales some times in the lung examination. Patient is asymptomatic now. Physical examination showed minimal pedal edema. His Potassium level is high which is high on repeat examination. His ECG is normal.
How would you best manage this patient?

A-Add kayexalate (Potassium binding resin)
B-Insulin glucose
C-Stop Lisinopril
D-Switch Lisinopril to candisartan
E-Switch Lisinopril to Hydralazine and nitrates



Ans: E. Although cough is the most common adverse effect of ACEI (Lisinopril), they may also cause hyperkalemia.you can not just switch ACEI to ARBs, since both medication cause Hyperkalaemia because of their effect on inhibiting aldosterone. Aldosterone  normal function to excrete potassium from distal tubules.
Hydralazine is direct acting arteriolar vasodilator. Hydralazine will decrease afterload and has been shown to clear mortality benefit in patient with systolic dysfunction. Hydralazine should be used with nitrates to dilate the coronary arteries so the blood is not stolen away from coronary perfusion when after load is decrease with use of hydrazine.

Q3-Which of the following is most common adverse effect of statin medication?

A-Rhabdomyolysis
B-Liver dysfunction
C-Renal dysfunction
D-Encephalopathy
E-Hyperkalaemia



Ans: B. at least 1% of patient taking statin will develop elevation of liver transaminase to the level where you will need to discontinue the medications.elevation of CPK level,rhabdomyolysis and  or myositis occurs in less than 0.1% patients and rare to have stop medication because of myositis.there is no recommendation to routinely monitor all patient with CPK in absence of symptoms.on the other hand all patients on statin should be monitore routinely for liver enzymes even in absence of any symptoms.

Q4-70 year’s old woman comes to the emergency room with crushing substernal chest pain for the last hour. The pain radiates to left arm and associated with anxiety, diaphoresis and nausea. She describes pain as “sore” and dull and clinches her fist in front of her chest. She has a history of hypertension.
What is most likely to be found in this patient?

A->10 mmof hg decrease blood pressure on inspiration
B-Increase jugualar venous pressure on inhalation
C-Triphasic scratchy sound on auscultation
D-S4 gallops








Ans: D. Acute coronary syndrome associated with S4 gallops because of ischemia leading to noncompliance of left ventricle. The S4 gallop is the sound of atrial systole as blood is ejected from atria into a stiff ventricle.
A decrease in blood pressure more than 10mmof hg during inspiration is pulsus paradoxus and is associated with cardiac temponade.
An increase in JVP on inspiration is kussmaul sign seen in most oftenly seen with constrictive pericarditis or restrictive cardiomyopathies.
A triphasic patchy sound seen in pericardial rub.
Although pericarditis can occur as a complicationof myocardial infarction (Dressler’s Syndrome), this would not occur for several days after Myocardial infarction and is much rarer than simple ventricular ischemia.