It is difficult to say how long you need as it very much depends upon you – your method and speed of study, whether you are working while preparing for the examination (Non-UK trainees; UK trainees – tough, you will be always working while preparing), whether you are trained in the UK or familiar with the UK system etc.
For UK trainees – I would suggest you discuss with your educational supervisor. He is the best person to advise you if you are ready. I would consider giving myself at least six months.read more
Forty-five years old man of Bangladesh origin presented to the A&E with a 2-month history of cough, fever, haemoptysis and weight loss. Chest X-ray (CXR) revealed upper right lobe haziness and a cavity. WCC – 13 x10^9/L (Normal 4 – 11 x10^9/L ), normal renal function, mildly raised Alanine aminotransferase (ALT) and bilirubin, CRP of 50 mg/L (Normal<5 mg/L) . Sputum was acid-fast bacilli (AFB) negative and had been sent for AFB culture. CT abdomen thorax pelvis– confirmed the cavitation and showed some hypodense area in his spleen. He has been to Bangladesh recently to visit his flood affected family members. The patient has a background history of diabetes and on Sputum culture grew this bacteria(see picture for the colony). It is an aerobic, gram-negative bacillus, sensitive to co-amoxiclav but resistant to amoxicillin, gentamicin, erythromycin, aztreonam.
Q – Would you consider the bacteria significant? What is your provisional diagnosis? What treatment would you consider? What infection control or precautionary measure would you take considering the epidemiology and the sputum culture result?read more
Jane Doe (28 years, F), 18 weeks pregnant, reported to the midwife that she had contact with her nephew (Age: 1 year), who has been seen by his GP for a maculopapular rash. GP is suspecting measles. The midwife is asking for your advice regarding further management.
What additional information would you ask?read more
New question: Provide a plan for your trust board how to effectively manage the winter pressure for the next year. Your role is mainly to draft a policy outlining the management of the anticipated norovirus and flu outbreak, but you have to take a more holistic view of other trust services as well.
There is a plan for consolidation of pathology services in your region. Your hospital might lose its laboratory in the consolidation process. Please write a report to the trust board explaining its impact on the service you are providing to your users.read more