In a Pneumonia Q .

Triad of Mylgia, arthralgia and headache > Mycoplasma

Hotels/ Water Tanks/ air conditioning > Legionella
Abscess formation or cavity (anywhere in the body) > Staph aureus
Eldely and Alcoholic > Klebsiella

Q mentions Vaginal Discharges:

Bubbly Discharge > Trichomonas > MTZ
Fishy odour +clue cells > Gardenella/Vaginosis > MTZ
white/curdy discharge> Candidiasis> Cotrimazole

Bleeding per Vagina (or brown discharge) in Post Menopausal Woman

Diagn: Carcinoma unless proved otherwise.
Inv of choice, definite, appropriate: Hysteroscopy guided Biopsy
(Biopsy is investi in all body cancers aswell)

In a Question of Breast Lump, Investigation of Choice:

Under 35. always USG
Over 35. Always Mammogram

regarding Organism in Infection,

If a Question mentions 'cavity' any where in body, it's staph aureus.
If pt is of Cystic Firbosis, Pseudomonas
If HIV, Pneumocystis (carinii) jiroveci
if pets, Birds handling , Chlamydia psittaci

Antifungal Therapy in Immunocompromised Fungal infection:

Oral and Pharyngeal , Nystatin
below Pharynx , Fluconazole

Painful Bleeding, Woody Hard Uterus is Abrutio Placenta

Painless Bleeding, Non-tender Uterus, Placenta Praevia.
Best Inv is USG Abdominal. (OHCS says Veginal, Swami says Abdominal)

n a Q, Pt presents before 13 wks, Chorionic Villus. after 13 weeks, Amniocentesis

In PLAB Exam, if Bone tumor is in Knee or Shoulder, it's OSTEO. If it's in Thigh or Pelvis, it's Ewing's.
leave the nice guides and oxfords on a side. remember this

swami tip: If a patient comes with Fractured Tibia, Femur or Pelvis. The Question mentions sized
towels soaked with Blood. Don't waste time calculating volume in towels. First option is always
'Transfuse' or 'Blood grouping cross matching'. towels are just to confuse you.
Tetanus Shots:
****1. course incomplete (< 3 dose)/history unknown:
clean wound > TT
prone wound> TT + TIG
*****2. course complete (<5yrs):
NONE
*****3. course complete (>5yr)
clean wound: None
prone wound: TT

LFTs, just remember these while reading the Question.

↑ ↑ ↑ ALT, AST (others normal/mild change) : Hepatitis
↑ ↑ ↑ ALP (others normal/mild) : Obstruction (jaundice)
↑ ↑ ↑ gamma GT (others normal/mild) : Alcoholic Liver Disease

Vericella in Pregnant Lady > Immunoglobulins

vericella in children> symptomatic
vericella in teenagers> symptomatic
vericella in Immunocompromised> Antivirals

NICE have given guidance as to the treatment of depression in the context of heart disease when initiating treatment in
a patient with a recent myocardial infarction or unstable angina, sertraline is the treatment of choice as it has the most
evidence for safe use in this situation
take account of the increased risks associated with tricyclic antidepressants in patients with cardiovascular disease
an ECG should be carried out and blood pressure measurement taken before prescribing a tricyclic antidepressant for a
depressed patient at significant risk of cardiovascular disease
venlafaxine and tricyclic antidepressants (with the exception of lofepramine) should not be prescribed for patients with a:
high risk of serious cardiac arrhythmias
recent myocardial infarction
In the updated NICE guidance:
sertraline and citalopram are suggested as first choice SSRIs if depression occurs in a patient with a chronic physical
health problem
for people who also have a chronic physical health problem, consider using citalopram or sertraline as these have a
lower propensity for interactions
if patient on flecainide or propafenone
offer sertraline as the preferred antidepressant
mirtazapine and moclobemide may also be used