TICAGRELOR Superior to clopidogrel in patients undergoing PCI

Current guidelines suggest that patients undergoing percutaneous coronary intervention (PCI) receive dual-antiplatelet therapy. There are limited data on the pharmacodynamics of P2Y12 inhibitors in patients with cardiac arrest and return of spontaneous circulation (ROSC) undergoing PCI and therapeutic hypothermia (TH).

on comparison of  inhibition of platelet reactivity in patients undergoing TH receiving clopidogrel or ticagrelor. Notably, clopidogrel was ineffective in lowering platelet reactivity, with ticagrelor providing a more rapid (within 4 hours) and sustained reduction (6 days) in platelet reactivity.

Identify the fundus finding in hypertensive retinopathy
1. microaneurysm
2. arterio-venous nipping
3. macular edema
4. macular star






note the narrowing of the blood vessel in DARK RED which is the artery and is nipped by vein
answer is 2.

50 year old patient with chest pain for 4 hours ,sweating and difficulty in breathing wheeled in. ECG is shown above. which blood vessel is blocked in this patient
1. LAD
2. proximal RCA
3. distal RCA
4. posterior inter-ventricular descending artery

CXR - PIC based MCQ 1

picture based MCQ target MCI june 2014

an alcoholic with breathlessness and distress was admitted in the casualty. the CXR shows?
1. pneumonia
2. para -pneumonic  effusion
3. cavity
4. pneumatocele

 

MCI SEPT 2013 recall (ALL SETS)

Happy new year !!

Guys the solved MCI September 2013 recall fully solved is in print and shall be available by 20 th January 2014.Keep the tempo on and don't sleep till you are mentally exhausted.