TEALE FENNING Medical Education    FAQ   Search   Memberlist   Usergroups   Register   Profile   Log in to check your private messages   Log in  mrcog courses for doctors Chest X ray          TEALE FENNING Forum Index -> MRCOG Part 2: MCQ & Past Paper questions View previous topic :: View next topic   Author Message EMAK Century Club Joined: 26 Nov 2006 Posts: 572 Posted: Thu Jan 11, 2007 9:10 am    Post subject: Chest X ray Recognised assiciations of majour pulmonary thromboembolism include early changes in the chest X-ray...... I know prevoiusly that X-ray usually normal in PE...but here mentioned (major)...&( early).... dose the sentense still False...? Back to top mridulaben Century Club Joined: 08 Nov 2006 Posts: 137 Location: Brunei Posted: Thu Jan 11, 2007 9:19 am    Post subject: Recognised association makes it false, i think. Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1854 Location: Nottingham Posted: Thu Jan 11, 2007 11:24 am    Post subject: mridulaben wrote: Recognised association makes it false, i think. The opposite is true - recognised usually makes the answer TRUE. It is not as powerful as the words 'may' or 'never' (which are always true and false respectively) but recognised simply means 'has been reported'. I cannot remember the question(s) but you are right EMAK in that there are usually no early changes but there are in the case of a major PE. We discuss this at length on the MCQ Past Paper Course. Back to top mridulaben Century Club Joined: 08 Nov 2006 Posts: 137 Location: Brunei Posted: Fri Jan 12, 2007 12:25 am    Post subject: Thanks Nick, but this answer is False. Is'nt it? Back to top EMAK Century Club Joined: 26 Nov 2006 Posts: 572 Posted: Fri Jan 12, 2007 8:29 am    Post subject: Thanks Nick, a lot. The answer is True...mridulaben.. Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1854 Location: Nottingham Posted: Fri Jan 12, 2007 8:40 am    Post subject: Let me get the book out and see what the question says and then look at my Past Paper lectures and see what I have said. I think EMAK has got the right message in that the 'recognised' and 'major' make this TRUE. I need to check though so hold on Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966 Posted: Fri Jan 12, 2007 1:23 pm    Post subject: hi nick, this is true. we discussed it in great details at the mcq course. you evenv went online and showed us a great page with xray pics of the changes. i'm sticking with true... raj _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1854 Location: Nottingham Posted: Fri Jan 12, 2007 1:37 pm    Post subject: Yes I remember. There are three signs names after people at least one of which is an early sign ? vascular congestion. Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966 Posted: Fri Jan 12, 2007 5:40 pm    Post subject: the xray changes are.... Elevated hemidiaphragm (50%) Hampton's Hump = Pleural based infiltrate pointed towards hilum Westmark Sign = Dilated proximal vessels with a distal cutoff Pleural Effusion Atelectasis _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1854 Location: Nottingham Posted: Fri Jan 12, 2007 7:05 pm    Post subject: Good work Boss! There is another - Watermeyer or something? Howver, are these early signs? Back to top rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966 Posted: Fri Jan 12, 2007 7:39 pm    Post subject: the westmark is. don't know bout the other one. did not find anything on Watermeyer -- what is it? _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1854 Location: Nottingham Posted: Mon Jan 15, 2007 10:42 am    Post subject: Westmark - you are right Watermeyer is actually a doctor I know - just remembered! 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