Sunday, March 18, 2012

Your Life Is Your Ministry And Your Storm Is Your Message

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Have you been asking God to show you your ministry so that you can serve you and requesting Him to remove the problems in your life so that you can serve Him better?
If you have, understand that your life is really your ministry and your storm (problems) contains your message that your ministry is to preach and you may have to preach it without a microphone.
Learn from Shadrach, Meshach and Abednego's storm in Daniel 3 when King Nebuchadnezzar built the golden image and ordered everyone to worship it or be thrown into a hot furnace for they decided to remain faithful to God. They then told the King that their God could deliver them from his furnace, but even if He chose not to deliver them, they still would not worship the golden image. (Daniel 3:17-18)
For choosing to remain faithful to God, they were then thrown and Fell down bound into the midst of the burning fiery furnace. (Daniel 3:23) After being thrown in, King Nebuchadnezzar and his counselors continued to watch them and what they saw was the message that the ministry of Shadrach, Meshach and Abednego delivered.
They saw four free and unbound men. Men who were walking in the midst of the flames and not lying on the floor of the furnace. This sight shocked the King Nebuchadnezzar and convinced Him that the God of Israel, the God of Shadrach, Meshach and Abednego was the true God for he said, Blessed be the God of Shadrach, Meshach, and Abednego, who has sent His angel, and delivered His servants who trusted in Him and refused to serve or worship any god, except their own God. Therefore I make a decree, that any people, nation, and language who speak anything amiss against the God of Shadrach, Meshach, and Abednego, shall be cut in pieces, and their houses shall be made a dunghill: because there is no other God who can deliver like this. (Daniel 3:28-29)
Therefore, we can see that the ministry of Shadrach, Meshach and Abednego was actually how they lived their lives in their storm by walking with the Son of God. And, they were able to preach to King Nebuchadnezzar and his counselors their message which was that their God was the only true God worth worshipping. They were also able to preach this message without a microphone by simply walking with the Son of God through their fiery trial.
Therefore, understand that your life is your ministry and your storm whether it is a fiery financial or health or marital crisis, is your message. Then preach your message by continuing being faithful to God as you walk with Jesus Christ through your trials regardless of whether He cools it today or lets your enemies heat it up 7 more times by compounding your problems.
Preach your message by being faithful to God in your trials because how will unbelievers like King Nebuchadnezzar and his counselors know that your God can deliver you if they do not see Him delivering you from your fiery hot tribulations?

Monday, March 12, 2012

Top 10 Beautiful Budget Wedding Planning Costs

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When planning a low cost, beautiful budget wedding, one must take into account the costs encountered in each of the ten categories that constitute a complete wedding plan.  These categories are:
1. The Wedding Ceremony
Costs encountered in planning for a chic low cost wedding ceremony include the location rental fee, officiant’s fee, marriage licence fee and the cost of ring pillows.

2. The Wedding Reception
Costs encountered in planning for a chic low cost wedding reception include the location rental fee, caterer’s fee, costs of the food, drinks and wedding cake as well as the centrepieces and favors.

3. The Wedding Attire
Costs encountered in planning for a chic low cost wedding bride’s attire include the cost of the wedding dress, veil or tiara, shoes, jewellery as well as hair, makeup and nails services. Costs encountered for the groom include the cost of the suit and shoes. The other major cost for both of them is the cost of the wedding rings. 

4. Wedding Flowers
Costs encountered in planning for a chic low cost wedding flowers include the bride’s bouquet, maid-of-honor bouquet, bridesmaids bouquets and flower girl baskets as well as the grooms boutonniere.

5. Wedding Music
Costs encountered in planning for a chic low cost wedding music include the ceremony and reception music, sound system rental and the DJs fees.

To learn about the other essential weddings costs, read How to Plan a Chic Cheap Wedding

Wednesday, March 7, 2012

Answers for Free PLAB, MRCP, USMLE step 1, 2, 3 Test Preparation Questions

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Test Preparation Questions and Answers from Amazon

Question 1 Correct Answer C

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Short bowel syndrome is usually the result of surgical resection of the intestines or jejunoileal bypass. The malabsorption is a result of inadequate absorptive surface. Malabsorption of vitamin B12 results in paraesthesias while malabsorption of calcium results in bone pain and carpopedal spasms.


Lactose intolerance results from deficiency of lactose which is a disaccharidase in the mucosal cells of the small intestine which splits the disaccharide lactose into glucose and galactose. Patients complain of borborygni, flatulence, nausea, abdominal cramps, pain, and diarrhea after ingesting lactose containing food like milk. Laboratory investigations reveal that the diarrheal stools are acidic. When the hydrogen breath test is administered, there is elevated hydrogen content in the expired air as the colonic flora digests the unabsorbed lactose. Treatment includes following a lactose-free diet.


Celiac disease is a hereditary disorder caused by gluten intolerance. Gluten is found in wheat, rye, barley, and oats. Patients may be asymptomatic or may present with diarrhea, abdominal discomfort, distention, and steatorrhea in which their stools are pale, malodorous and difficult to flush as they float on the toilet water. They may have anemia from iron and folate deficiency, osteomalacia and bone pains from calcium deficiency, and edema from hypoproteinemia. Laboratory investigations may reveal elevated alkaline phosphatase and prolonged prothrombin time. Diagnosis is confirmed by small intestine mucosal biopsy showing a flat mucosa due to villous atrophy and by subsequent improvement on a gluten-free diet. Specific treatment includes a gluten-free diet.


Tropical sprue is an acquired disease which affects both visitors and natives to tropical areas such as the Caribbean and South India. Its etiology is not known. Patients usually present with diarrhea. They may also complain of weight lossand report that their stools are soft and bulky in steatorrhea. They may also develop deficiencies of folate and cobalamin. Stool microscopy should be done to look for cysts and trophozoites Histological examination of small bowel mucosal biopsy aids in making the diagnosis. Treatment is with tetracycline or oxytetracycline.


Whipples disease, which mainly affects men, is caused by the bacteriumTropheryma whippelii. It is a multisystemic disease which affects the small intestines, joints, brain, heart and eyes. Patients can present with diarrhea, steatorrhea, abdominal pain, weight loss, and joint pains. On examination they may be pale, with lymphadenopathy. Histological examination of small bowel mucosal biopsy reveals PAS positive foamy macrophages. Treatment is with trimethoprim-sulfamethoxazole or chloramphenicol.

Question 2 Correct Answer A

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The clinical picture is suggestive of plant contact dermatitis. Patients usually present with vesicles or bullae with a linear streaky distribution on their hands or legs or other areas of their skin which came into contact with plants such as the poison ivy. Management includes the use of topical steroids such asbetamethasone dipropionate.


Topical antibiotics such as mupirocin are used to treat infective conditions such as impetigo.


Topical antifungals such as clotrimazole cream are used to manage fungal infections such as tinea corporis.


Topical retinoids such as tretinoin and adapalene are used in the management of acne vulgaris.


Topical chemotherapeutic agents such as as 5 Fluorouracil are used in the management of actinic keratosis.

Question 3 Correct Answer C


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Maple bark disease is a Hypersensitivity pneumonitis caused by Cryptostroma corticale that is commonly found in infected maple bark. Symptoms of acute hypersensitivity pneumonitis include cough, dyspnea, fever, and malaise that occur in a previously sensitized person around 6 h after reexposure to the antigen. These symptoms usually clear within a few hours or a few days if there is no further exposure to the antigen. Signs include inspiratory rales.


Malt worker's lung is a Hypersensitivity pneumonitis caused by Aspergillus fumigatus or Aspergillus clavatus that are commonly found in moldy barley and malt.


Farmer's lung is a Hypersensitivity pneumonitis caused by Micropolyspora faeni or Thermoactinomyces vulgaris that are commonly found in moldy hay.


Sequoiosis is a Hypersensitivity pneumonitis caused by Pullularia pullulans or Graphium species that are commonly found in moldy sawdust from redwoods.


Wheat weevil disease is a Hypersensitivity pneumonitis caused by Sitophilus granarius that is commonly found in infested wheat flour.

Question 4 Correct Answer B


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The clinical picture is suggestive of superficial basal cell carcinoma.Patients present with slow growing, reddish, scaly, irregular plaques which can be on their trunk or any other part of the body. These lesions ulcerate and bleed easily. Management includes the use of topical chemotherapeutic agentssuch as 5 Fluorouracil. Other treatment options include surgical excision and cryotherapy. 


Topical immunomodulators such as tacrolimus and pimecrolimus are used in the management of atopic dermatitis.


Topical retinoids such as tretinoin and adapalene are used in the management of acne vulgaris.


Topical emollients such as plain petrolatum are used to manage asteatotic or dry skin conditions such as eczema craquel√©.


Topical antifungals such asclotrimazole cream are used to manage fungal infections such as tinea corporis.

Question 5 Correct Answer A


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In food poisoning caused by Shigella dysenteriae, patients present with bloody diarrhea usually 16 hours after ingesting contaminated foods. They may also be febrile. Common sources of infection include potato salad and raw vegetable salads. A stool examination reveals polymorphonuclear leukocytes without trophozoites. The diagnosis is confirmed by culturing the organism from stool. Management includes rehydration and antibiotics like Ceftriaxone, ciprofloxacin, trimethoprim-sulfamethoxazole or ampicillin.


Metronidazole is used to treat Entamoeba histolytica colitis. Patients usually present with bloody and mucoid diarrhea. Stool examination reveals hematophagous trophozoites and cysts.


Paromomycin and Diloxanide furoate are used to treat asymptomatic Entamoeba histolytica.


Mebendazole is used to treat Ancylostoma americanus and Ancylostoma duodenale infestation. Patients may present with iron deficiency anemia and the ova are visualized in stool microscopy.

Question 6 Correct Answer C


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The clinical picture is suggestive of actinic keratosis. Patients present with multiple papules and plaques with an adherent scale usually on sun exposed areas such as the face, scalp and hands. The skin is usually sun damaged. Management includes the use of topical chemotherapeutic agents such as 5 Fluorouracil.


Topical antifungals such as clotrimazole cream are used to manage fungal infections such as tinea corporis.


Topical steroids such as betamethasone dipropionate are used to manage inflammatory dermatosis responsive to steroids such as lichen planus.


Topical retinoids such as tretinoin and adapalene are used in the management of acne vulgaris.


Topical emollients such as plain petrolatum are used to manage asteatotic or dry skin conditions such as eczema craquel√©.

Free PLAB, MRCP, USMLE step 1, 2, 3 Test Preparation Questions

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Test Preparation Questions and Answers from Amazon

Question 1
A 50-year-old Caucasian woman presents to the hospital complaining of tingling sensations in her hands and legs for the past one month. She is not on any medications. She has had one previous admission for a jejunoileal bypass. She is a married clerk, and does not drink alcohol, smoke cigarettes, or use illicit drugs. What is the most likely diagnosis?
A. Celiac disease
B. Whipple disease
C. Short bowel syndrome
D. Tropical sprue
E. Lactose intolerance
Question 2
A 34-year-old Caucasian woodsman presents to the hospital complaining of lesions on his hands and legs for the past 2 days. He reports that he had been working in the woods when they developed. On examination you note vesicles in a streaky linear distribution on his upper and lower limbs. What is the most appropriate next step in the management of this patient?
A. Topical Steroid
B. Topical Antifungal
C. Topical Antibiotic
D. Topical Retinoid
E. Topical Chemotherapy
Question 3
A 40-year-old African American man presents to the emergency room complaining of difficulty breathing and cough that begins around noon every workday. He reports to work at 7.00 am at a local maple tree farm and reports that he never coughs or has difficulty breathing when he is off duty. On examination he is not in respiratory distress but he has inspiratory rales. What is the most likely cause of his symptoms?
A. Aspergillus fumigatus
B. Micropolyspora faeni
C. Cryptostroma corticale
D. Pullularia pullulans
E. Sitophilus granarius
Question 4
A 53-year-old fair-skinned Caucasian woman who is an avid gardener, presents to your office complaining of a red lesion which bleeds easily and has been present on left forearm for the past 6 months. On examination you note a scaly, irregular, ulcerated plaque. What is the most appropriate next step in the management of this patient?
A. Topical Retinoid
B. Topical Chemotherapy
C. Topical Antifungals
D. Topical Emollient
E. Topical Immunomodulator
Question 5
A 25-year-old Hispanic man who works as a chef presents to the hospital complaining of passing bloody diarrhea for the past one day. On examination, his temperature is 39 degrees centigrade. A stool examination reveals polymorphonuclear leukocytes but no trophozoites. Which one of the following is the most appropriate treatment for him?
A. Ceftriaxone
B. Metronidazole
C. Mebendazole
D. Paromomycin
E. Diloxanide furoate
Question 6
A 50-year-old fair-skinned Asian fisherman presents to your office complaining of painless swellings over his face for the past several years. On examination you note multiple plaques with an adherent scale on the sun damaged skin over his cheeks and forehead. What is the most appropriate next step in the management of this patient?
A. Topical Antifungal
B. Topical Steroid
C. Topical Chemotherapy
D. Topical Retinoid
E. Topical Emollient
Question 7
Which of the following is not true?
A. Pityriasis versicolor is caused by Malassezia furfur.
B. Form 2 is the most common type of Tinea versicolor.
C. Many patients with Tinea versicolor are unaware that they have the skin condition.
D. Malassezia furfur blocks the conversion of tyrosine to melanin.
E. Patients with dark skins present with whitish patches while those with light colored skin present with pinkish patches.
Question 8
Which of the following is not true?
A. Cryptosporidium parvum divides inside the brush border cells of the small intestines.
B. Humans get infected by ingesting the trophozoites
C. Cryptosporidium parvum can be spread to humans through animal to human transmission.
D. Cryptosporidiosis is considered to be one of the opportunistic infections of AIDS.
E. The incubation period of cryptosporidiosis is seven days.