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Leukemoid Reaction A 60-year-old woman presented with fever, cough and weight loss. She was suffering from breast cancer, which was treated by mastectomy and chemotherapy. Leukemoid reaction means that the peripheral blood profle resembles leukaemia, but there is no leukaemia.

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Myelofbrosis is a disorder of an unknown cause, characterized by bone marrow fbrosis, extramedullary haemopoiesis and leucoerythroblastic blood profle as a result of neoplastic proliferation of primitive stem cells. Three years later, the patient presented with complaints of severe weak- ness, loss of weight, lethargy, epistaxis and pain in the left upper abdomen.

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The clinical details given in the stem usually contain the information that you need to separate the correct option from the distracter s. You will need some knowledge of the psychology of parenting clinical knowledge gained from reading textbooks and you will need to be aware of child protection issues and safety concerns ethics and law.

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Each option may be used more than once or not at all, that is, it is possible that one of the options could be the correct available looking at various aspects of a clinical scenario.

The message here is: In the actual examination, you can use the question booklet to write on and make notes as it is not read when it is returned to the College, but you must transfer your answers to the computer-marked sheet before the examination fnishes. The risk of leaving gaps on the answer sheet as you progress through the examination is that you might incorrectly transcribe your answers and lose marks when your answers were originally correct. The examiners try hard to avoid predictable patterns when selecting the ques- tions. These facts are unlikely to be the topic of your ward rounds, handovers, or refective practice sessions so it really does pay to revise.

We have provided a list of websites where you will fnd helpful information about some topics that could come up in the examina- tion, and although this list is not exhaustive, we think you will fnd that the websites contain interesting revision material.

Doing exam questions is a very good way to revise, and it is highly recom- mended that k95348mw.bget.ru where To Order Coumadin Online Safe — you will be even more disappointed if it comes up in the examination and you have neglected to revisit that topic and top up your knowledge.

To pass the exam reading and revision is required, but understanding the style of questions and practising questions will improve your chance of success. Learning Outcomes This module covers history taking; clinical examination and investigation; note keeping; legal issues relating to medical certifcation; time management and decision making; communication; and ethics and legal issues. It is easy to set clinical questions on history, examination, or investigation, but quite a challenge to set written questions to test the other areas.

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