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Exam Number : RACP
Exam Name : Royal Australasian College of Physicians exam (FRACP)
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Domain 1: Clinical Process
THEME 1.1 CLINICAL SKILLS
Learning objectives
1.1.1 Elicit the history and obtain other relevant data
1.1.2 Conduct an appropriate physical examination
1.1.3 Synthesise findings from history and physical examination to develop a differential diagnosis and management plan
1.1.4 Plan and arrange investigations appropriately
THEME 1.2 PATIENT CARE AND THERAPEUTICS
Learning objectives
1.2.1 Manage general care in the unwell patient
1.2.2 Prescribe appropriate and safe pharmacotherapy
1.2.3 Incorporate health and wellness promotion in clinical practice
1.2.4 Manage patients with surgical problems
1.2.5 Facilitate ongoing care planning
THEME 1.3 PROCEDURAL SKILLS
Learning objectives*
1.3.1 Prepare patient for procedure
1.3.2 Competently perform procedures relevant to Adult Medicine
1.3.3 Provide care following procedure

Domain 2: Medical Expertise
THEME 2.1 MANAGEMENT OF ACUTE MEDICAL PROBLEMS
Learning objectives
2.1.1 Recognise and manage the critically ill patient
2.1.2 Manage specific acute medical problems
2.1.3 Communicate with patients and their families/carers in an emergency situation
THEME 2.2 MANAGE PATIENTS WITH UNDIFFERENTIATED
PRESENTATIONS
Learning objectives
2.2.1 Manage patients with undifferentiated presentations
THEME 2.3 MANAGE PATIENTS WITH DISORDERS OF ORGAN SYSTEMS
Learning objectives
2.3.1 Manage patients with disorders of the cardiovascular system
2.3.2 Manage patients with endocrine and metabolic disorders
2.3.3 Manage patients with disorders of the gastrointestinal system
2.3.4 Manage patients with non-malignant disorders of the haematological system.
2.3.5 Manage patients with disorders of the immune system
2.3.6 Manage patients with mental health disorders
2.3.7 Manage patients with disorders of the musculoskeletal system
2.3.8 Manage patients with disorders of the neurological system
2.3.9 Manage patients with disorders of the renal and genitourinary systems
2.3.10 Manage patients with disorders of the respiratory and sleep system
2.3.11 Manage patients with skin disorders
THEME 2.4 MANAGE PATIENTS WITH DEFINED DISEASE PROCESSES
Learning objectives
2.4.1 Manage patients with neoplastic diseases
2.4.2 Manage patients with genetic disorders
2.4.3 Manage patients with infectious diseases
THEME 2.5 MEDICINE THROUGHOUT THE LIFESPAN/GROWTH AND DEVELOPMENT
Learning objectives
2.5.1 Manage common presentations in adolescents
2.5.2 Manage common presentations in pregnancy
2.5.3 Manage common problems associated with the menopause
2.5.4 Manage problems in the older patient
2.5.5 Manage patients at the end of life



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‘Molecular drone’ that carries off atoms features strategy to quicker atomic manage | RACP exam Questions and exam dumps

Iron(III) phthalocyanine chloride can also be used as a ‘molecular drone,’ one which lands on a floor, bonds to a single atom and flies off with it – leaving a emptiness in its wake – researchers from Italy have demonstrated. The discovering, the team say, may additionally open the door to speedy atomic manipulation and fabrication on a relatively enormous scale.

The means to govern the positions of individual atoms and, via extension, vacancies has enabled the introduction of novel, atomic-scale devices with myriad abilities applications. Proof-of-thought contraptions made to this point, for example, include good judgment patterns, single atom tips storage and atomic arrays with advantage for use in quantum computing. All of these examples had been produced with the aid of at once manipulating atoms the usage of the tip of a scanning probe microscope (SPM). whereas a ground-breaking approach, this formulation has certain barriers.

An image showing a figure

‘Atom manipulation by means of scanning probe microscope enables absolute spatial manage,’ explains chemist Massimiliano Cavallini of the Italian country wide research Council. ‘although, despite some tentative parallelisation, that you would be able to best manipulate atoms one at a time, using complex instrumentation accessible in a limited number of laboratories.’ moreover, lots of the atom-scale instruments developed thus far had been manufactured in an extremely-excessive vacuum and under cryogenic situations – that means that the patterns produced are typically unstable beneath ambient conditions.

inspired through how some molecules are able to function an identical action to SPM suggestions – particularly, rearranging or changing atoms with a surface – Cavallini and colleagues turned to iron(III) phthalocyanine chloride, a compound that can kind coordination bonds the usage of its metal. ‘Iron(III) has a strong capacity to form octahedral complexes. It completes its coordination shell by way of bonding an atom of the floor, in their case iodine, which is an excellent ligand for iron,’ Cavallini provides. The crew used a floor product of iodine(I)-modified silver(III) – however, in precept, the method will also be used on all non-steel terminated surfaces, Cavallini explains.

of their demo, the crew confirmed how, in a simple electrochemical telephone at ambient situations, decreasing the abilities caused the ‘drones’ deposited throughout the floor to pick up atoms and leave vacancies of their wake. in addition, once a emptiness has been shaped, a exchange atom can be dropped in its place with the aid of mean of underpotential deposition. it may possibly even be possible ultimately to adapt the drones so as to add atoms onto surfaces without making a vacancy first, Cavallini says.

Samuel Jarvis, an expert in nanoscale characterisation from Lancaster university who turned into no longer involved in the look at, stated the paper suggests the beginnings of a potential formulation for atomic manipulation that may well be used at significant size scales. ‘this is an outstanding achievement, however what it wants now is a few way to direct the manipulation to control the pattern it generates, and this is where SPM nevertheless has an area,’ he explains. ‘If this is a molecular drone, then the next step is to Strengthen a GoPro so it could possibly see the place it’s going.’

An image showing a figure

‘There is still some way to go to control the method, as for now the paper lacks a quantitative description of spatial distribution of vacancies and, within the examples, the vacancies are fairly densely clustered – greater similar to what would be produced with frequent “etching”,’ agrees Sandrine Heutz, a useful molecular substances researcher from the London Centre for Nanotechnology and Imperial faculty London. besides the fact that children, she adds, ‘there's a big library of phthalocyanine derivatives and boom modes that may well be used in the future to translate this discovery into ordered patterns, so there's capabilities that this could really work’.

With their initial examine finished, the researchers have this problem firmly of their crosshairs. ‘for the time being, the drone adjusts its positioning [from where it was deposited] simplest a number of angstroms by means of exploiting the interaction between the metallic atom of the molecule with an atom of the surface, Cavallini notes. youngsters, he provides, ‘the use of self-assembled monolayers – phthalocyanines are liable to form these – will allow the fabrication of ordered arrays of atomic vacancies with control within the positioning of a number of nanometres’.




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