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Bookmark this thread for your 2026 RANZCP exam revision. #ranzcp #psychiatry mdster.com/r/w25t

Training: Practice on a computer to prep for the 2026 digital transition. Complete two full 150-minute mocks to build endurance. Rewrite your weakest answers against model guides to sharpen logic.

Strong trainees often underperform in the RANZCP MEQ because they study for it like a knowledge test. It is actually a test of clinical reasoning. Here is how to master the 2026 format.

Save this thread for your next PALS certification or pediatric rotation. #peds #meded mdster.com/r/ZSad

When is it time for a permanent pacemaker? Look for symptoms, low mean rates, or post-op block persisting beyond 7-10 days. For congenital block, watch for poor feeding, tachypnea, or ventricular dysfunction.

Most pediatric bradycardia isn't a heart problem. It’s a lung problem. If a child's heart rate drops, check the airway first. Primary arrhythmias are less common but easy to miss if the clinician is focused only on the number.

For fertility, be candid. Donor-oocyte IVF has the highest success rate. Autologous attempts are unpredictable. Save this for your next Gynae rotation. #meded #obgyn #medicaleducation #womenshealth mdster.com/r/Fxgg

Management: Use physiologic HT (transdermal estradiol + progesterone) until age 51. This isn't just for hot flashes—it's vital for preventing bone loss, urogenital atrophy, and cardiovascular disease.

Primary Ovarian Insufficiency (POI) is a classic exam trap. If you stop at 'early menopause,' you're missing the multisystem risks. Here is how to manage the diagnosis like a specialist.

Save this thread for your next anesthesia rotation or board exam review. #anesthesia #foamed mdster.com/r/MefK

When the ST alarm goes off, look at the patient. Check the BP, pulse ox, and whether the Bovie is active. If the change is real, fix the supply-demand balance by treating hypotension and tachycardia.

You see 2mm of ST depression on the monitor mid-case. Is it a real event or just noise? Lead selection in the OR isn't just about P-waves; it’s about choosing the right camera for the job.