After the exam.(MRCP MAY 06 RECALLS)

Discussion in 'MRCP Forum' started by sma, May 17, 2006.

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  1. sma

    sma Guest

    Finally, I'm a free person again, at least for some time...both the papers were tough especially paper 2, lots of intermingling choices...will post them later after a good nights sleep. For the first question about which drug inhibits purine synthesis...I put methotrexate, is that correct? then there was one with the girl with Turners who had HTNa nd equal BP in both arms so I selected renal artery aplasia, what else can I remember now...2 questions about hyperventilation and 2 about cluster headache....which is what I am about to get now so I better go and get some rest...bye
  2. Guest

    Guest Guest

    paradoxical embolus____>transthoracic or transoesophagal echo???
    Inferior MI____>Rt coronary artery
    MOA of cisplatin______???
    OA pt with swelling of wrist jt____>OM? Gout? RA?
    realative risk____>???

    I will post more from my memory.
    cu
  3. Guest

    Guest Guest

    I am not quite sure what my performance was.. but I guess I'll wait for next month... Don't rely on for the answers:

    1. Contraindication to Surgery for Lung cancer: Pleural effusion

    2. Lung functions shows FEV1/FVC 40% in RA patient: Bronchiltis Obiterans

    3. Cisplatin action

    4. How to confirm diagnosis of Leigionerre... Urinary antigen?!?!

    5. How to confirm Meningococaemia: PCR?!?!

    6. erectile dysfunction: Anxiety??

    7. Sildenfil and nicorandil

    8. Ciclosporin side effect

    9. ABG: Respiratory Alkalosis: PE

    10. Paroxitene and unstable angina...

    11. UC flare up. next step: possibly azathioprine

    12. Knee joint question

    13. Cervical spondilysis

    14. Two question about RA... psoriatic arthropathy

    15. A possibly osteomyelitis!!!

    16. metformin and the B12 anaemia

    17. metformin and renal impairment?!?!?

    18. Sarcoidosis: CXR

    19. Overdose of paracetamol and anorexia nervose

    20. Overdose of Diazepam and Disulopin: ECG??? there was tachycardia of 140

    21. Lateral condyle (tennis elbow) pronation of arm

    22. Sensitivity

    23. positive Predictive value

    24. NNT what does it mean!

    25. phase I.. what happens in it?

    26. two question about choosing the right test in statistics

    27. Lung functions COPD

    28. MI then thrombolysed then got red dusky coloration of feet anf eosinophilia.. I just though it could be cholestrol embolism

    29. Warfarin and factor VII

    30. thalassaemia a.. both parents were traits!

    31. APTT prolonged... some 50:50 mix up.. which factor??

    32. patient with some history of back pain: non-specific back pain

    33. common peroneal nerve and dorsiflexion of ankle

    34. intermittent loss of consciousness.. you know who I am talking about!

    35. Benign intracranial hypertension

    36. optic neuritis or giant cell arteritis??? swollen pale disc + monoocular visual loss!

    37. partial left homonymous hametonpia: which lobe??

    38. cortical thrombophlebitis?!?!? it was complicated question but the CT was very suggestive

    39. I guess there was Dengue fever

    40. Which malaria..??? It was 6 month period!

    41. hypocalcaemia and LOng QT

    42. pregnancy and amiodarone for AF

    43. HOCM and amiodarone.. there was VT on the treadmill

    44. statins caused myalgia.. what not to use with?/ Fibrates

    45. Rx for myclonus epilepsy: Valpraote???

    46. There was partial third palsy and six nerve and the ophthalmo section of the fifth.. orbit apex???

    47. What ABG to expect in hyperventilation??

    48. question about P(A-a) O2..

    49. what contains double stranded circular DNA

    50. G6PD and trimethoprim for UTI

    51. two questions about autoimmune haemolytic anaemia: one of them was about dirst antiglobulin test

    52. IgA nephropathy

    53. E coli HUS.. question

    54. Rhabdomylasis and low dose dopamine???

    55. thiazide action???

    56. ADH action.. where??

    57. patient with past hx of alcohol presents with topheous gout.. he got Alluporinol two days later he got pain in wrist, hands and knees.. one of the option was alcohol binge.. I liked it!

    58. question about tuberous sclerosis

    59. there was two question I choose colonscopy for.. I can remember them at all

    60. HIV and odynophagia!

    the rest is on the way!
  4. Guest

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    tarekdeema

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    tarekdeema
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    Posted: Wed May 17, 2006 6:12 pm Post subject: A funny question from may 2006

    --------------------------------------------------------------------------------

    there was a question about a group of elderly who travelled togethere to some place and some of them developed pneumonia ,they where moving around all the time togethere but they where allocated to different hotel ,the people who developed pneumonia where staying in the same hotel what is the most likely causative organism:
    1-steptococcus
    2-staph
    3-legionella
    4-influenza
    5-mycoplasma

    a nice one::::::




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  5. Guest

    Guest Guest

    hanoo

    hanoo
    Guest






    Posted: Wed May 17, 2006 5:05 pm Post subject: MRCP 1 16 MAY

    --------------------------------------------------------------------------------

    Hi everyone,
    exam was very tough esp. second part.
    thyroid,diabetes,rhumatology and skin i think that topics were too much in exam.

    1. melanoma----- change of colour
    size of tumor
    i did change of color i eas not not sure.

    2. painless liver enlargment and jaundice.

    3. treatment of gonnorhea

    4. yratment of cholera.
  6. Guest

    Guest Guest

    hi everyone the exam was tough but hoping against hope to pass.
    some questions i remembered.

    1.mech.of action aciclovir--dna polymerase inhibition.
    2.IgA Nephropathy

    3.Antidote for cyanide poisoning-colbat edetate

    4.a question about melanoma and carvenous sinus involvement.

    5.cluster headcahe

    6.villous adenoma--colonoscopy

    7.T3 toxicosis

    8.Carbimazole 30mg and persistence T4 elevation--propilthyuracil.

    9.a case of PE

    10.A case of behcet dx -venous thrombosis.

    11.Sidenafil and nicorandil

    12.sideroblastic anaemia

    13.Gullain-barre and vital capacity

    14.myotonic dystrophy with cataract and weakness

    15.cANCA and wegener granulomatocic

    16.APKD and polycystin

    17.NNT AND reciprocal of ARR.

    18.VIT.K and factor VII

    19.OSteomalacia and low calcium and low phosphate but high ALP.

    20.CONFUSED and aggressive man --Haloperidol.

    21.Prolonged QT and hypocalcemia

    22.lithium and drug induced DI

    23.CHronic pancreatitis in pregnant lady with loose stool and malabsorptive picture

    24CI to surgery lung ca. SVC obstruction

    25.Generalized anxiety disorder and IMPOTENCE

    26.Major depression and relatives death

    27.Scabies and pruritus rash sparing the face

    28.Polymorphic light eruption in sun exposed areas.

    30.Hep.D super infection

    31.Thyroid malignancy common in autoimmune thyroiditis--Lyphoma

    32.A case of PCOS

    33.A case of BIH

    34.A CASE OF WERNICKES ENCEPHALOPATHY.

    35.OESOHAGEAL HSV IN HIV

    36.A case of cholera -rx--Doxycycline

    37.Dog bite infection and FLUCLOX.AND BENZYLPEN.

    MORE TO COME

    THANKS

    OREOLUWA
  7. Guest

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    afsheensalman
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    Posted: Thu May 18, 2006 1:07 pm Post subject: may 2006 part1

    --------------------------------------------------------------------------------

    erectile dysfunction was another recurrent topic ... sildenafil contra indications- nifedipine or nicordil?
    differential dagnosis for ED- perfomance anxiety or an organic cause (clue=normal early morning erections)




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  8. Guest

    Guest Guest

    lump in nose+lump in neck+lung infiltrate
    1-lymphoma
    2-histocitosis x
    3-sarcodosis
    4-wegners
  9. kenglad

    kenglad Guest

    answer

    its svco thats contraindicated in ca lung
    not pleural effussion cuz it can be reactive unless the choice was malignant pleural effusion

    and its nicorandil
  10. rahba sept

    rahba sept Guest

    many basic even in the 2 paper

    hello am first time for part 1 when i see the questions i thought it easy but then i was surprised all of it is basic pharmacology and anatomy and investigation and antibiotic treatment and diabet thyroid frequent questions i,ll post first remembering ones:

    1-lateral condylo pain which will increse it -thumb -open fingers....

    2-leg loss reflex what the cause diabetic coronary...neurolog

    3-posterior comunicate artery-anterior comunicate artery

    4-a trait thalasemia -

    5-tirdness weakness synaktin short test

    6-diabetus insibidus drug indused ..lethium..

    7-erythema on shin ..rash polyuria ..sle..sarcoidosis..

    8-idiopathic parkinson ..assemetry tremor

    9-ondansterion for nausia was taking metochlopromide

    10-acute loss of vision ..venous thrombosis..

    11-dry eye ..ulcers mouth genital ...sjogren...behcet..

    12-smoking ..coal miner....bladder carcinoma..

    13-methadon ..

    14-lethium toxisity ....thiazide or nomal saline...


    this is for now i,ll continue when i remember more

    thank u
  11. kenglad

    kenglad Guest

    some answers

    paradoxical embolus definitely for transesophageal echo as u can visualise better

    oh urinary antigen definitely for legionnaire's

    and it has to be cholesterol embolus as bld eosinophil is high

    i opted for giant cell arteritis as the patient very old and giant cell common is old age

    intermittent loss of concious=ness with quick recovery and no residual neurological defect - definitely vasovagal so answer is postural hypotension - its in harrison's

    6 months indicate ovale malaria as they have a hypnozoite phase

    myoclonus best treated with ethosuximide

    adh acts on collecting duct to increase permeability

    rosacea best treated with oxytetracycline

    nicorandil cannot be given with sildenafil
    too much dilatation
    too much is not always good hehehe

    melanoma definitely size look it up in kumar and clarke

    ca lung c/i is svc obstruction
  12. Guest

    Guest Guest

    SMK Al rifae'ei

    SMK Al rifae'ei
    Guest






    Posted: Thu May 18, 2006 7:48 pm Post subject: 16 may

    --------------------------------------------------------------------------------

    i will sening the questions ,try to anser it as we go on:

    dog bite...antibiotic
    complement ,,,SLE
    WHICH TENDON
    PREDICTIVE VALUE
    MEDIAN STUDY
    PSEUDOMEMBRANEOUS COLITIS ANTIBIOTIC
    ASSESS OPERATION RISK-MI
    ?MYOTONIA DYSTROPHICA
    ESOPHAGEAL ULCER ALEDRONATE
    MARFAN FIBRILLIN
    TURNERS-- BP
    PREGNANT WITH SVT
    IG HYPERACUTE REACTION
    ciclosporine mechnism
    acyclovir mechanism
    rhabdomylysis mange
    repeat ?urine for protein
    cluster headache?/?
    ?reactive arthritis
    ?prevent calcium stones
  13. Guest

    Guest Guest

    A young diagnosed spastic angina best mangement.
    -fecanide
    -betablocker
    -asprine
    --Asprine is correct.
  14. Guest

    Guest Guest

    A 17 year old boy with hypertrohpic cardiomyopathy tratment with best prognosis.
    1-betablocker.
    2-Alcholc aplation of septum.
    3-implantable defibrilator automatic.
    4-Another antiarthysmic.
    implantable defibrilator is correct.
  15. igm-hyperviscosity
    behget dvt
    WHAT WAS THE OLD LADY WITH WRIST SWELLING-
  16. AC

    AC Guest

    mrcp 1 may 16

    a patient with tinnitus, 0.9 cm swelling in pituitary, with no hormones elevated- how do you proceed....
    observation??
  17. AC

    AC Guest

    mrcp 1 may 16

    best indicator for tonsillar abscess - trismus, .....
  18. rahba sept

    rahba sept Guest

    best indicater for tonsillitis

    another choisis for best indicator for tonsilitis abscess is continious fever

    i,ll cotinue questions

    1-foramen ovale

    2-prick test ...ige .

    3- scabis...

    4-e coli

    5-cholangio carcinoma ..

    6-ulcerative cholitis...

    7-mody ..

    8-liver biopsy...us guided ..mrcp ...ercp..

    9-paroxetin...hypertension..

    10-spinal ..foot depression..

    11-frontal lobe syndrome..parital lesion ..

    12-knee replacement ...

    13-noctornal dysphasia

    14-tachicardia ..diarrhia....anticholinergic...tox..

    15-crticosteroid injection ..joint ..

    16-c4..c5..c6..c7....{c4}

    17-vertebral prolapse....

    18-3..6...trigemeni........pons

    19-aspirin coronary spasm ...metoprolol...propranolol..

    20-genetic...mother brother...father brother..............mother brother...link ressesive

    21-hematuria thrombocytopenia..anemia...imunoglobulin..iga..

    22-hemophelia..

    23- 1/2......1/4....1/6...1/8

    24-graves disease ....t3...t4...

    25-hematuria....hypervescosity..syndrome


    26-chronic subdural hematoma


    27-eozinophilia....nephrology....


    thanks
  19. rahba sept

    rahba sept Guest

    lady with wrist swelling

    i think choisis was bone tumor ...
  20. kenny

    kenny Guest

    answers2

    its nothing for microadenoma.the effect is nil if size does not increase
    so do nothing

    this is for emran what in the whole wide world is spastic angina?
    are u sure you took the mrcp part 1 may paper dude?

    oh yeah wot about the chap with the allergy to seafood and his bp was 170/100
    tachy at 110
    spo2 98 on air

    options were
    iv adrenaline
    sc adrenalin
    im adrenaline
    close observation
  21. kenglad

    kenglad Guest

    educate me

    1)chap presented with painful shin then malar rash with abdo pain and polyuria.which investiagtion would clinch the diagnosis

    me think it was chest x ray cuz u can see bilateral hilar lymohadenopathy of sarcoidosis no?

    2)lowish ca 2.00 normal po4 1.3 and a sky hi alk phos
    it's PAGETS innit? cuz excessive bone turnover so hi alk phos and lowish ca from consumption

    3)chap on carbamazepine and came to you with agranulocytosis but no fever.free t4 hi
    wot shud u do?
    - stop carbamazepine and change to PTU
    -radioactive iodine
    -pennicillin V
    -reduce dose of carbamazepine
    wots the answer eh?

    4)cisplatin goddamit i knew i shud have read it up
    wots the mode of action?

    5)lady with severe hip oa goin for surgery with stable angina
    how should u assess her?
    probably thallium scan cuz she can't possibly go for a walk on the treadmill
    wot with her painful hip and all that

    6)chap with an MI who undergoes exercise treadmill and then has paroxysms of short lived vt
    probably electrophysiological testing and ablation

    7)young chap with coronary artery spasm
    aspirin

    8)pregnant lady with SVT?
    metoprolol?

    9)thrid nerve palsy with pupillary sparing and 5th opthalmic branch involvement and 6th nerve involvement
    probably orbital apex no?

    10)chap post renal transplant on cyclosporin and prednisolone and comes to u for an infection
    twcc 3+ ie low
    wots wrong

    b lymphocyte,t lymphocyte,bone marrow suppression?!

    11)cant ankle dorsiflex,cant use extensor hallucis longus,medial aspect loss of sensation in the lower limbs.wots wrong with this fella?

    12)pregnant again question with background alcohol abuse with small babies,diarrhoea,low folate etc
    wots wrong
    -alcohol excess?
    -chronic pancreatitis
    -coeliac?

    13)20 year old girl with dm on sc insulin keeps getting hypos and hba1c of 5.4.
    is she anorexic?

    14)crazy man hitting wife and claim nobody ain't gonna touch me cuz me got friends high up in the police department
    hypomonia?
    paranoid schizophrenic

    15)jysus!~human genome project!!!
    wots the answer
    issit e)not all dna code for a gene?
  22. kenglad

    kenglad Guest

    other question i need answers too

    16)u are the SHO on call and u have limited isolation beds
    which of these following organism spreads easiest

    a)legionella
    b)mycoplasma
    c)varicella
    d)staph
    e)strep pneumonia

    issit varicella cuz she's the odd man out

    17)someone told me that its pearsons correlation for comparing the median between placebo and statin
    tell me it aint true!

    18)remember the one about the HIV chap with odynophagia etc
    must be cmv oesophagitis huh?
    can it possibly be candida?
  23. Guest

    Guest Guest

    sorry i wanted tosay spasm but some of your questions i did not saw in the exam.
  24. kenglad

    kenglad Guest

    oh i see

    spasm issit
    hmm nope that's a diff question
    i reckon some questions must be diff depending on ur centre of examination
  25. Guest

    Guest Guest

    PSYCHIATRY
    1-a lady brought to casualty after the death of her maother sit on chair not resposive :CONVERSION DISORDER this is typical in which there is a stressfull condition(death of mother) dissociated into physical symptoms for the primary gain(alliavation of symptoms an escape phenonmena)
    2-a man brought to casulty several time with abdominal pain recently brought with swaeting shivering and said if u dont give me morphine i will commite suicide :MUCHUENSUS SYNDROME (intentional production of symptoms for a primary gain which is MORPHINE its not somatisation disorder ..
    3-there was a question about post traumatic disorder i cant remember exactly
    4-
  26. Guest

    Guest Guest

    1-test to confirm haypersensetivity (PLASMA TRYPTASE TEST ACTIVITY),specific for mast cells
    2-test to confirm nickle skin sensitivity producing wheals and urticaria (PATCH TEST)this is for skin hypersensitivity ,the prick test is for sytemic hypersensitivity like ASHTMA,ABA.
    3-treatment of cholera DOXYCYCLINE
    4-The Pt who is hypertensive and developed anaphylaxis with blood pressure 170/100 OBERVE him initially and give hime antihistamin and if BP dros then give him adrenaline 0.5 ml IM 1/1000 and steroids ..
    5-test to cnfirm ABA :Apargiluus precipitins
    6-HOCM with runs of VT :Automated cadiverter defibrillator
    7-SVT WITH 250 RATE :AMIODRONE
    7-pt receiving statin developed myalagia drug that should be avoided is:NICOTINIC ACID as both are causes of myositis
    8-Pt who was moderate drinker hypertesive brought with gouty attack and given allopurinol came back with an attack the cause is :ALLOPURINOL THERAPY as it was given solely in an alcholic without being covered by NSAIDS which precipitate an attack of gout
    9-vellous adenome removed follow up COLONOSCOPY once a year in the first 2 years and then everey 3 years
    10-Rt sided effusion,high CA125 :OVARIAN FIBROMA (meigs syndrome)
    11-opthalmoplegia+impared sensation in foehead+NO proptosis :CAVERNOUS SINUS THROMBOSIS
    12-78 women with acute loss of vision+pale disck:GIANT CELL ARTERITIS
    13-lump in nose+lump in neck+pulmonary infiltarte :SARCOIDOSIS the lump in neck is salivary gland swelling ,the lump in nose is lupus perinio (MICULIZ SYNDROME
    14-women with +anti RO ,+anti Sm :SLE
    16-Women brought with fatige has +anti smooth muscle antibodies what test to perform (LVT its autoimmune hepatitis)
    17-dog bit in hand with cellulitis give:B.PEICILLIN+FLUCLOXACILLIN to cover staph,sterpt,pasturella
    20-Pt with mody what from history suggest it :STRONG FAMILY HISTORY cuz its AD inhirited Type 2 in young
    21-paraplegia with loss of pain and temp and sparing of post colum(ANT. SPINAL ATRTER OCCLUSION
    22-DOXORUBUCIN :DILATED CARDIMYOPATHY
    23-post transplant taking cyclosporin:NEPHROTOXICITY
    24-UC+s2 cm lesion in liver (CHOLANGIOCARCINOMA)
    26-carbimazole developed agranulocitosis (START PENICILLIN V )
    28-Needle stick injury from HIV postive :COMMENCE THERAPY IMMEDIATELL with 3 drugs for a month
    29-the thalasamia trait family brought anxious about rishk to thier fetus :(THERE IS NO RISK TO THE FETUS) the child HbF will take over ,roblems will appear at 9 months of age when the Gamma chain transform into Beta chain and as they are alfa trait the prognosis is good the child will have a good beta chain
    good luck for all and welcome to any discussion will post the remaining when they come into memory
  27. AC

    AC Guest

    mrcp 1 may 16 questions

    a patient with nocturnal cough, BMI- 22, probable diagnosis - asthma, GERD, obstructive sleep apnoea


    best indicator for peritonsillar abscess- trismus??
  28. kulbit

    kulbit Guest

    MRCP Part 1 May 16 2006

    Hi,
    i hope all of you have done well. it definitely wasnt a cakewalk. it fact it was a well- set and well balanced paper. i think my performance was average. i am desperate to check out the answers. i managed to recollect a few questions. i shall list them below with the few options i remember and the answers that i think are correct.

    1. The absence of which complement factor predisposes to the development of drug induced lupus.
    Ans: C4.

    2. A young athlete with a family H/o SCD. i episode of ill-sustained VT of 20 beats on exercise testing. Next line of management.
    a. Holter monitoring
    b. Amiodarone
    c. automatic implantable defibrillator
    d. septal ablation
    Ans: automatic inplantable defibrillator.

    3. In a patient on Warfarin which factor is likely to be reduced
    ANs: Factor VII.

    4. Patient with type 1 DM on insulin presents with 3 episodes of hypoglycemia. There is H/o weight loss from 55-45 kg in 3 months. No significant clinical findings. Possibility
    a. Anorexia nervosa
    b. Hyperthyroidism
    c. Cushings syndrome.
    Ans: Anorexia nervosa.

    5. H/o travel to africa 6 months ago, now presents with fever and chills.
    a. Brucellosis
    b. Falciparum malaria
    c. Ovale malaria
    Ans: Brucellosis

    6. a patient with nocturnal cough and BMI of 22. most likely cause of his cough is
    a. Asthma.
    b. GERD.
    c. OSA.
    Ans: GERD.

    7. Test to confirm nickle skin sensitivity producing wheals and urticaria
    Ans: Patch test.

    8. Treatment of Cholera:
    Ans: doxycycline.

    9. Paraplegia with loss of pain and temp and sparing of post column
    Ans: Anterior spinal artery occlusion.

    10. Cardiotoxicity of Doxorubicin
    Ans: Dilated cardiomyopathy.
    11. Needle stick injury from a HIV positive patient.
    Ans: commence post exposure prophylaxis with 3 drugs immediately.

    12. If you are the SHO on call and u have limited isolation beds which of these following organism spreads easiest

    a)legionella
    b)mycoplasma
    c)varicella
    d)staph
    e)strep pneumonia
    Ans: VZV.

    13. HIV positive patient with odynophagia.
    Ans: Candida albicans. CMV esophagitis is another possibility, but I think candida is the more common one.

    14. A patient presented with painful shin lesions with abdominal pain and polyuria. Which investigation would clinch the diagnosis
    Ans: Chest X-ray to diagnose sarcoidosis

    15. Lady with severe hip OA going for surgery with stable angina.How should u assess her?
    Ans: Thallium scan.

    16. Patient with coronary vasospasm. Drug to be avoided.
    Ans: Aspirin.

    17. The following are true regarding the human genome.
    Ans: Only a small amount of DNA codes for genes.

    18. A lady with 3 year H/o joint pains and malaise. Anti smooth muscle antibody is positive. Next line of investigation is
    a. LFT
    b. Thyroid function test.
    Ans: no idea

    19. H/o sudden onset of pain in the right eye while hitting nail into the wall. Pain is severe and continuous with occasional exacerbations. Right pupil is small and there is mild ptosis.
    a. carotid artery dissection.
    b. facial migraine.
    c. cluster headache.
    d. trigeminal neuralgia.
    Ans: carotid artery dissedction.

    20. Right 3 rd nerve palsy with papillary sparing with right 6th nerve palsy and loss of pinprick sensation over the forehead. There is no proptosis. The possible site of lesion is:
    a. orbital apex
    b. cavernous sinus.
    c. interpeduncular fossa.
    d. midbrain
    e. pons.
    Ans: orbital apex/ cavernous sinus thrombosis

    21. Patient is on sildenafil. Which drug has to be avoided?
    Ans: Nicorandil

    22. H/o difficulty in closing mouth after chewing for long periods, ptosis and distal muscle weakness.
    a. MG
    b. LEMS
    c. Muscular dystrophy.
    Ans: MG as there is easy fatigability but what about distal muscle weakness.

    23. NNT is calculated as
    Ans: NNT =1/RRR but this option was not there. I think it is percentage difference between AR and RR because RRR= (1-RR) X 100%.

    24. Patient with Pulmonary hypertension and upper GI bleed. The preventive therapy would be.
    Ans: propranolol.

    25. Patient presents with h/o fatigue, lassitude. Investigations reveal thyroid hormones in the lower limit of normal, hyperkalemia and hyponatremia. Next line of investigation is
    a. Short synacthen test
    b. TSH
    c. FT4
    Ans: Short synacthen test as it is likely to be Addison’s disease.

    26. Lady with amenorrhoea and raised LH and FSH. The likely possibility.
    a. Primary ovarian failure
    b. PCOD
    c. Investigate for pituitary cause.
    Ans: primary ovarian failure.

    27. Throid profile showing increased T3, Low TSH and T4 in the lower limit of normal. The likely possibility is
    a. T3 toxicosis
    b. familial dysalbuminemic hypothyroidism
    c. tertiary hypothyroidism.
    d. sick euthyroid syndrome
    Ans: T3 toxicosis

    28. a lady presents with 1 year h/o pain in the right hand progressing to involve the entire right upper limb, scapular and pectoral regions. There is decreased pinprick in the hand and absent tendon reflexes, but there is no significant wasting. The possibility is
    a. brachial plexus infiltration
    b. cervical sponduylosis
    c. syringomyelia
    Ans: Brachial plexus infiltration.

    29. H/o vertigo on turning head like while crossing road, also present while turning around in bed.
    a. BPPV
    b. Carotid sinus hypersensitivity
    c. chronic vestibulitis
    Ans: BPPV

    30. H/o sudden falls without loss of consciousness in an elderly lady. She recovers within 1 minute and is able to continue.
    a. cataplexy
    b. myoclonic epilepsy
    c. drop attacks
    d. carotid sinus hypersensitivity
    Ans: drop attacks.

    31. A person attacks his friend and shows no remorse. Friend says that of late he is very abusive. Wife says that he hasn’t slept for 2 days. On examination he is aggressive. He says he cannot be punished as he has contacts with high level police officials.
    a. paranoid schizophrenia
    b. manic episode
    Ans: manic episode

    32. A lady is silent and withdrawn since finding her dead mother in her room. She does not eat, or move from her chair.
    a. catatonic schizophrenia
    b. major depression
    c. conversion disorder.
    Ans: major depression/ conversion disorder.

    33. A patient has frequent nightmares and intrusive thoughts after witnessing the death of 2 colleagues. Wife reports frequent episodes of crying.
    Ans: post-traumatic stress disorder.

    34. Patient presents with h/s/o psychosis. She was started on phenothiazines. She comes 6 months later with h/o joint pains, raynauds phenomenon and dry mouth.
    a. drug induced lupus
    b. MCTD
    Ans: Drug induced lupus.

    35. A boy with hemophilia. Which of his relatives is likely to have the disease.
    Ans: mother’s brother
    36. A lady has a brother with hemophilia. Assuming that her husband is normal what is the chance that her daughter will be a carrier.
    Ans: 1 in 2.

    37. Patient with repeated episodes of clostridium difficele diarrhea has come with findings s/o UTI. Treatment
    Ans: Vancomycin.

    38. Pt receiving statin developed myalagia. Drug that should be avoided is
    Ans: Niacin

    39. Antibiotic for dog bite
    Ans: co-amoxyclav.

    40. A man was brought to the casualty with abdominal pain, sweating shivering and said if u dont give me morphine I will commit suicide
    Ans: Munchausens syndrome

    41. A person develops allergy to sea food containing prawns I hour after consuming it and presents 3 hours later with hypertension and tachycardia. Next line of action
    Ans: close observation.

    42. A patient has been detected to have a pituitary tumor of 9 mm without any other abnormalities. A repeat CT few months later does not shoe any increase in size. Next line of action
    Ans: nothing to be done.

    43. a patient with ulcerative colitis has a single hypoechoiec lesion in his liver. What is the possibility
    a. focal nodular hyperplasia
    b. cholangiocarcinoma
    c. hemangioma
    d. adenoma
    Ans: cholangiocarcinoma/ adenoma.

    44. A patient with ulcerative colitis continues to have rectal bleeding though he is on prednisolone. Next line of management
    a. iv hydrocortisone
    b. oral azathioprine
    c. iv cyclosporine
    Ans: iv hydrocortisone or oral azathioprine.

    45. ABGA in hyperventilation.
    Ans: decreased pCO2, increased PO2 and pH
  29. different questions

    to the people who seem to have gotten different questions in their exams - 10 in the morning and 10 in the afternoon paper are random ones that get eliminated automatically once the test is over and they fudge the results.
  30. Guest

    Guest Guest

    MRCP Part 1

    What S Up??? No Body can support us With answers??? :wink:
  31. Guest

    Guest Guest

    Q32- THE ANSWER IS CONVERSION DISORDER as there was a stressfull precipitating cause (death of mother) and dissociated into physical symptoms which are being silent and unresposive as an escape phenomena (primary gain) belle indifferent to that thoughts ,,,its definately unlikely to be a major depretion as in major depression there is no obvius cause it could have been right if it was reactive plus from the q there was no SOMATIC feature (wt loss,diurnal variation,constipation....etc

    q-THE DOG BITE you have a dog bite plus cellulitis so u should cover staph,strept and pasturela so u give benzyl penicillin+flucloxacillin
  32. kenglad

    kenglad Guest

    the answer is

    hi kulbit the answer is syringomyelia and not brachial plexus infiltration
    syringomyelia can affect one side first
    the symptoms appear typical of syringomyelia

    otherwise i agree with u regarding the human genome project,manic episode,primary ovarian failure

    however there was an answer for NNT it was the reciprocal of absolute risk reduction and that was choice E

    good luck dude
  33. Guest

    Guest Guest

    I do agree with the above post answers
    Regarding Q 20,,,,the answer was cavernous sinus thrombosis as there was lesion to cranial nerve 3,4,6 and opthalmic devesion of trigeminal nerve plus there were neither proptosis nor conjuctival injections so orbital apex is unlikely
  34. kenglad

    kenglad Guest

    i thot

    me thot it unlike for it to be cavernous sinus thrombosis precisely because there were no cheimosis etc as i thot these are characteristic features of cavernous sinus thrombosis.
  35. Guest

    Guest Guest

    Hi to all these are what I remembered from May Exam please add on and correct me 'cos these are my answers

    1-action of cisplatin--cell metaphase arrest
    2-in acute renal rejection what is the anti HLA antibodies- IgG, M, E,D,A
    3- 4 WEEKS POST RENAL TRANSPLANT REJECTION WHAT IS THE MECAHNISM- DUE TO CYTOTOXIC t-cELLS
    4- first action of aciclovir--- Inhibition of thyamidine kinase
    5- Treat Of dog bite celliulities+lymphoedema- Fluxo+penicllin
    6- ypug pt complaining of abdominal pain and threatens to commit suicide if not given Morphin--- Munchehasen syndrome
    7- Calculate Pos. Predective value from Agiven table-- 40/50=80%
    8- Def. of NNT to treat the difference between Absoulut and realtive risks.
    9- def. of sensetivity
    10- calcuation the oral dose of 60 mg Morpgin--180mg
    11-case of mania- beating his G/friend and saying he has police connections.
    12-case of post traumatic stress syndrome- the guy envolved in accident witnesse his friends death.
    13-Preg. lady Hx of alcoholism presented with diarroea in third trimester Foetal USS -IUGR--- chronic pancreatitis
    14- Preg. with SVT how to treat-- Verapamil, amiodarone, flecanide, misoprolol
    15- which drugs needs dose adjustment in Renal failure-- Temazepam, metformin
    16- medication to D/C if wants to start viagra-- Nicorandil
    17- Treatment of gonnoreahea--- Amoxcillin
    18-pt presented with nech stifness, headach and fever CSF: HIGH PROTIEN, normal gucose, high lymphocytes-- TB meningitis
    19-pt with Hx of seafood alargey, presented with tachyponea >35. BP 170/110 what will u do next-- IM adrenalin
    20-pt with URTICARIA how would u Tx-- Citizidine
    21- Pt had Sx of UMN+LMN what is the diagnosis-- interior spinal artery oclusion
    22- Pt presented with face and upper trunk URTICARIA for 6 months recently changed her facial cleanser and take paracentamol for headach what is the Dx-- idiopathic URTICARIA .
    23- Which on is Autosomal dom- HMSN1, Lebres Disease, Retinintis pig,
    24- Guillan Barre monitoring-- Vital capacity
    25- a case (cant remember) Ivx showing cryoglobulin-- Hep. C infection
    26- post mi pt recieved thrombolysis, presented with dusky feet--- Chlosterol embolism
    27-elderly with frequent fall what inX to R/O reversable cause- brain CT sacn.
    28- How to Dx idiopathic parkinsonism--- asymmetrical Bradykinesia
    29- pt prested with weakness sfter conversation or eating-- M. Gravis
    30-case of joint pain, dactilitis--- Psoriatic arthropathy
    31- eczematous pt presented with pustular lesions overe face and trunck how would u mamange?
    32-pt had painful nodule on the shin, followed by facial rash, apolyurea, which Invx-- CXR
    33- SOME NEW LAW OF CALCULATING ALL LIPID PROFILE.
    34- COMPARING POPULATION PERCENTAGE- Chi-squard
    35- comparing the cholst. level between male and female-- pearson test
    36- calculating the NNT , pts on warfarin risk of stroke 2% on Asprin 4% what is the NNT over five years, 10,20, 30, 40, 100
    37- How to Dx menigeaococcemiea-- Blood PCR, CSF microscopy, throat swab,
    38- Rx of cholera- Doxycyllin
    39-Pt with COPD and LRTI which common organisim- Staph aurus, L. pnemophilla, Mycoplasma..
    40- Pt with cytic fibrosis and LRTI which Tx-
    41- pt with low FEV/FVC low TLCO and High KLCO-- respiratory muscle weaksess
    42- Pt hyperventilationg which ABG- High Po2 Low Pco2, High PH low bicarb
    43-pt with longstading RA nd 9 years Hx of DM presented with protinurea, kideny USS shows 1.2 difference what is the Dx-- Amylidosis
    44- Elderly pt with Iron def anemia, OGD-Gastritis what to do next---colosocopy
    45-Pt with bowel adenoma resected how to follow up- Colonoscopy
    46- pt with hypothyrodism on replacement presented with normal TSH, low T4, normal T3---- adequate Tx
    47-pt presented with lasstitude 6 mths low TSH, high T3, Normal T4---- T3 thyrotoxic
    48-Pt with UC +hepatic lesion, high Alk p what Dx- Heaptoma, adenoma, Adencarcinoma, hepato Ca, Cholangiocarcinoma,
    49- case with Knee osteoarthritis management --- knee replacement
    50- preg lady with Alpha thal trait+ husband trait wants to know the risk to the foetus--- no risk to the feotus
    51-pt with G6PD given AB for UTI presented with jaundice whish drug--- trimethoprim
    52- x-linked disease which family member will be affected-- mothers brother
    53- which organeel contains circular DNA-- Mito
    54- t with paradoxical embolus which Invx--- Transoesophageal ECHO
    55- pt post MI 6 weeks presnted with SVT which Invx-- ECHO, Electrophiseological testing,
    56- elderly lady with freq. LOC weaks up with help after 1 min Dx- drop attacks
    57-young lady with diplopiam recent wieght gain Dx----BIH
    58- young pt with chronic nocturnal cough, normal CXR Dx-- chronic sinusitis
    59- pt present with neck sweeling+ swelling in the nostril Dx--- Sarcoidosis
    60- HSP which renal Pathology --- IgA nephropathy
    61-AS X-ray Appearance- Dysmophytes
    62- Joint pain Xray shoing Osteopenia Dx--- RA
    63- Pt with overdose what will increase the toxicity?-----Anorexia nervosa
    64- which Diabetic agent will increase insulin senstivity?--- Rosiglitazone
    65-Pt with MODY how to confirm it?----- Strong family history
    66-action of ADH?----on collecting tubules
    67-Pt with liver cirrohsis and ascites which Tx?--------- Aldosterone antagosist
    68- Pt with DM presented with proteinurea, High HbA1C and background retinopathy he is on insulin, ramipril what to do next?-------better glycemic control
    69-pt presents with ptosis myosis 6 hours after cleaning the ceilling Dx-----Carotid Artery Discetion
    70-Pt with sudden severe back pain, Aortic aneuresim confirmed what do next?---- start Labetolol
    71-pt with features of Turner syndrome what will casue high BP?--------Coarctation of aorta
    72-Pt with features of marfan, which gene defect?---fibrillin
    73-Q about human genome project? only few genes code for protien
    74-pt with painful third nerve palsy which artery?--Post. Com.Artery
    75-Pt with diplopia, third and fifth (opthalmic) nerve palsy where is th lesion? cavernous sinus thrombosis.
    76-pt with headache which wakes up with pain hs wife noticed that during these attacks his eye becomes red, 6 weeks ago he had minor head truama with whiplash injury, what is the diagnosis--- I wrote cluster haedache but I think the right answer is cavero-orbital fistula
    77- which medication inhibits purin synthesis?-- Azathioprin
    78-features of polycythemia, itch, what to expect?--Hyperurecemia
    79- Long QT what ppt. it?---- Hypocalcemia
    80-pt with high IgM levels, what would be expected?-- Hperviscosity
    81-Pt with featurs of Behcets disease prestens with left leg swelling and pain what is the Dx?---- Venous thrombosis
    82-Bursa on lateral epicondyle which movement will excerabate the pain?---pronation
    82- Pt with mesothelioma and asbestosis exposure which statement is right?--- smoking increase the risk of mesothelioma
    83-Pt with urinary retention, loss of senation of medial aspect of thigh--- Lubosacral lesion
    84- pt with common peroneal lesion
    85- Pt with impotance, dismessed from work Dx?-- Performance anxiety
    86-Medication enhancing Lithium Toxicity?---Thiazaide diuretics
    87- Pt with recurrent nephrolitheasis, InVx showed Hypercalceuria how to manage?---Thiazaide diuretics
    88- Prophylaxis of pt going for dental procedure Hx AS+bicuspid valve?--- 3g Amoxixllin before the procedure
    89-case of polysurea pt Hx of bipolar disease Dx?---Drug induced Nephrogenic DI
    90-Pt with Occupational asthma how tp confirm the Dx?--- Spirometry at work and after work
    91- pt with imtrm. abdominal pain, urin turns dark on standing Dx----- Interm. Porohyria
    92-most common cyclosporin complication?---Nephrotoxicity
    93-mu r the medical incharge with one isolation room which infection to isolate?--Staph.ausrsu
    94-Elderly pt with psychosis Dx as schizophrenia giviv Phenothiazin presented with Raynauds phenomena, dry mouth, and invx low C4, pos Anti Ro and anti Sm Dx?--SLE
    95-pT WITH CARBAMAZAPINE INDUCED NEAUTROPENIA WHAT TO DO NEXT?---I wrote radioiodine Tx but I think the right answer is propathyureacyl.
    96-Oesaphegeal vareces what prophylaxis?-- Propanolol
    97-Pt with 2nd amennoreha high FSH LH Dx?---- PCODs
    98-pt with hypopigementation, seizure and subingual fibroma Dx? Tuberous sclerosis
    99-pt 24 years with polycyctic kidney grandmother died at 54 of P. kidney which statement is right? PKD1 polycustin gene
    100-Regarding lung Physiology ? Av gradient will deacrease with altitude .
    101-pt with painfull wrist not relifed by NSAIDS what to do next? cortison injection of the joints
    102- Pt with Hep B resistent to interferone presented with sudden hepatic apin, and jaudice, deteriorating LFT Dx?--- Hep D superinfection
    103- Pt with celiac dis, on ca, Vit D, and elandoronate, presented with dysphegia Dx?--- Drug induced oesophageal ulcer
    104- cANCA?--- Pos in wegner dis.
    105- pt with Hypercal, high Alk.P Normal phosphate level Dx?---Pagets dis.
    106- Autoimmune hemolytic anemia how to confirm the Dx? Pos DAG test
    107- Pt with RA on brufen presetned with easy brusing Dx?--I cant remember
    107- Pt on chronic warferin Tx which factor will be low?---7
    108-young hypertnsive pt presented with optic hemmorahge Dx?-- Hpertensive retinopathy
    109-C/I to lung surgery?--- SVC obstruction
    110- 55 uears old lady presented with sudden loss of one eye dx? giant cell arteritis.
    111- pt presented with tinitis, CT san showed interasellar pit enlargement on .95 cm no hurmonal dist, no increase in size ofter one year what to do next?--- Nothing
    112- pt with features of addisons dis, which test to confirm?---Short synthacten test
    113-Pt with pain on abduction of arm Dx? Supracapsular lesion
    114-most common site for atrial mexoma?--- left atrial
    115- Nurse got pricked deeply with HIV post. Pt what to do next?-- Start zudivudin immediately for one month

    The rest will follow
    Regards
  36. mrcp fighter

    mrcp fighter Guest

    great..
    thx a lot.ur last ques nurse pricked with niddle of hiv patient ....there were two option one intravenous zidovudine and start anti hiv drug.is there any zidovudine inj form.i am confused.i think the other is correct.
  37. Guest

    Guest Guest

    116-Pt with paradoxical embolus Ivx? transesophagelecho
    117- pt with hepatic disesae which Ivx? ERCP
    118-PT WITH PROMYELOCYTIC LEUKEMIA Invx? Karyotyping
    119- skin lesion, on close inspection there is keratin plaque and skin atrophy Dx? SLE
    120- young pt with generalised myoclonus epilepsy Tx? Sodium Valporate
    121- a drug in the market pt developed new side effect which study design? case control study
    122-pt with joint pain penile lesion Dx? reactive artheritis
    123-Pt with HCM+non sustained SVT, HE IS ASYMPTOMATIC Tx? implantabel defibrilator.
    124- elderly lady Hx of IHD going for knee surgery how to assess her cardiac Fxn?--- Thallium scan
    125-ST elevation in lead 2,3, AVF which artery?--RCA
    126-Rhabdomylysis renal failure Tx? Iv normal saline
    127-Qs about peritonsiller abscess?
    128-indcation for melanoma transformation? change in size
    129-sile of melanocyte in the skin? stratum basale
    130-which malignancy asoo. with thyroiditis? Lymphoma
    131- Pt with intracerebral hemorrhage, CT= hemorrahge extending to the cortex, Hx of High BP Dx? Polycystic kidney dis.
    132-herpes simplex virus which statement is correct? increase risk of infection befroe the menses
    133-pt asking the meaning of anticipation? deacreasing age of presentation with subsequent generation
    134-pt presentaed with steroid resistant UC, prsented with diarrohea and 10% wt loss refusing surgery, how to Tx? cyclosporin
    135-young eczematous pt presented with itchy postules,esp at nite sparing his head Dx? scabies
    136- group of elderly, typical presentation of legionellar dis how to Dx? urinery Ag
    137-def of wich complemet leads to-?-?-?- disease?--- C4
    138-pt presented with polyurea, urinary Na 10, urinary osmo 295, plasma osmol low Hx of bipolar disorder Dx? Drug induced Nephrogenic DI
    139-which medciation causes galactorreah? metclopromide
    140-pt with pleural effusion and high CA 125 origin of Tumor? Ovary
    141-pt presents with lack of interst, depression and fatigue Dx? Chronic fatigue syndrome
    142-S/E of Doxorubucin? Dialated cardiomyopathy
    143-drug in phase one tria what dose it mean? I acnt recall my Answer
    144-pt present with diarrohe and hematurea( HUS ) which organism? EColi
    145- pt presented with abdominal bloatedness and diarrhea fro 2 weeks duration Dx? antamoeba histolitica
    146- statin induced myalgia which lipid lowering drug to avoid? I dont know the answer
    147-pt preseted with back pain radiating to his shoulder after Hx of trauma for 6 monts past Hx of similar problem resolevd spontanously over 8 mths Dx? non specific back pain
    148-pt with left homounymos hemianopia with sensory inattention Dx? parteal lobe lesion
    149-confuse and aggitated eldely Tx? Haloperidol
    150-some qs about methadone i cant recall
    151-Q about normal joint? the suprapetellar bursa is not related to knee joint
    152-Rt hypochondrial pain after liver biopsy why? hemetoma collecton
    153-pt with typical gout given allopurinal his condition deteriorated why? Allopurinol induced
    154- pt already on meclopromide and still nauseated how to Tx? I cant recall the options or my answer

    please add on and correct my mistakes
    regards
  38. Guest

    Guest Guest

    116-Pt with paradoxical embolus Ivx? transesophagelecho
    117- pt with hepatic disesae which Ivx? ERCP
    118-PT WITH PROMYELOCYTIC LEUKEMIA Invx? Karyotyping
    119- skin lesion, on close inspection there is keratin plaque and skin atrophy Dx? SLE
    120- young pt with generalised myoclonus epilepsy Tx? Sodium Valporate
    121- a drug in the market pt developed new side effect which study design? case control study
    122-pt with joint pain penile lesion Dx? reactive artheritis
    123-Pt with HCM+non sustained SVT, HE IS ASYMPTOMATIC Tx? implantabel defibrilator.
    124- elderly lady Hx of IHD going for knee surgery how to assess her cardiac Fxn?--- Thallium scan
    125-ST elevation in lead 2,3, AVF which artery?--RCA
    126-Rhabdomylysis renal failure Tx? Iv normal saline
    127-Qs about peritonsiller abscess?
    128-indcation for melanoma transformation? change in size
    129-sile of melanocyte in the skin? stratum basale
    130-which malignancy asoo. with thyroiditis? Lymphoma
    131- Pt with intracerebral hemorrhage, CT= hemorrahge extending to the cortex, Hx of High BP Dx? Polycystic kidney dis.
    132-herpes simplex virus which statement is correct? increase risk of infection befroe the menses
    133-pt asking the meaning of anticipation? deacreasing age of presentation with subsequent generation
    134-pt presentaed with steroid resistant UC, prsented with diarrohea and 10% wt loss refusing surgery, how to Tx? cyclosporin
    135-young eczematous pt presented with itchy postules,esp at nite sparing his head Dx? scabies
    136- group of elderly, typical presentation of legionellar dis how to Dx? urinery Ag
    137-def of wich complemet leads to-?-?-?- disease?--- C4
    138-pt presented with polyurea, urinary Na 10, urinary osmo 295, plasma osmol low Hx of bipolar disorder Dx? Drug induced Nephrogenic DI
    139-which medciation causes galactorreah? metclopromide
    140-pt with pleural effusion and high CA 125 origin of Tumor? Ovary
    141-pt presents with lack of interst, depression and fatigue Dx? Chronic fatigue syndrome
    142-S/E of Doxorubucin? Dialated cardiomyopathy
    143-drug in phase one tria what dose it mean? I acnt recall my Answer
    144-pt present with diarrohe and hematurea( HUS ) which organism? EColi
    145- pt presented with abdominal bloatedness and diarrhea fro 2 weeks duration Dx? antamoeba histolitica
    146- statin induced myalgia which lipid lowering drug to avoid? I dont know the answer
    147-pt preseted with back pain radiating to his shoulder after Hx of trauma for 6 monts past Hx of similar problem resolevd spontanously over 8 mths Dx? non specific back pain
    148-pt with left homounymos hemianopia with sensory inattention Dx? parteal lobe lesion
    149-confuse and aggitated eldely Tx? Haloperidol
    150-some qs about methadone i cant recall
    151-Q about normal joint? the suprapetellar bursa is not related to knee joint
    152-Rt hypochondrial pain after liver biopsy why? hemetoma collecton
    153-pt with typical gout given allopurinal his condition deteriorated why? Allopurinol induced
    154- pt already on meclopromide and still nauseated how to Tx? I cant recall the options or my answer

    please add on and correct my mistakes
    regards
  39. Evangelos

    Evangelos Guest

    MRCP1

    Good Luck to everybody!

    Looking back to the answers that are posted in this forum, I woud like to add that CIPROFLOXACIN and not Trimethoprim is contraindicated in G6PD Deficiency!!!
  40. mrcp fighter

    mrcp fighter Guest

    dr.osman
    we want ur help.cause many persons sending ques with answers.but many are incorrect.plz give the answer of this ques.
  41. Guest

    Guest Guest

    regarding the question about G6PD deficiency cipro can cause haemolysis and ALL SULPHONES can cause hemolysis like trimethoprim (THESE TYPE OF QUESTIONs MAKE ME THINK THAT RCP ARE PUTTING VERY STUPID QUESTIONS WITH MORE THAN ONE TRUE ANSWER)...
  42. Evangelos

    Evangelos Guest

    RE

    WELL trimethoprim is a diaminopyrimidine and in the market is usually combined with sulphamides. It is the sulphamides that cause the haemolysis in G6PD, not trimethoprim. On the contrary CIPRO causes haemolysis in G6PD therefore is contraindicated in such patients.
    I believe Cipro was the correct antibiotic.
    GOOD Luck to everybody :D
  43. mrcp fighter

    mrcp fighter Guest

    one ques was ..cause of galactorrhoea ...majority gave answer metoclopamide but the thing that meto cause gynocomastia not galactor...the answer was omeprazole.this is the game of rcp.
  44. Evangelos

    Evangelos Guest

    According to the eformulary of Doctors.net, based on the BNF, metoclopramide can cause gynaecomastia AND galactorrhoea, whereas omeprazole or the other options do not cause galactorrhoea as side effects :D

    I also chose metoclopramide like the majority, but I have found so many other mistakes so i really hope to the factor of luck as well.

    Cheers
  45. kenglad

    kenglad Guest

    i should have

    haha i should haf sat next to you evangelos during the rcp exam
    i knew trimethoprim was a bit suspect
    anyways its cipro issit
    good for u lad
  46. hussam ali

    hussam ali Guest

    some more qs

    1—old man with rt knee joint pain &swelling known case of OA on NSAID e out improvement on x-ray d r deformity narow cartiligenous space & cyst in perarticular area
    management:
    a-inra- articular steroid
    b-total joint replacement
    c-synevectomy
    d-continou NSAID
    I put total joint replacement by guess

    2—pt in her 32 weeks pregnansy c/o fatigue investigations shows SVT what u will give
    a-adenosine
    b-flecanide
    c-dilti9azem
    d-
    I don’t know the answer ??
    3—pt e tender erythematous rash on her legs and fatigue joint pain and polyuria o/e there papular rash on her face and nazal pridge
    invest
    ANA weekly +ve 1/20
    After dilution ?? 1/20
    Urine + protein
    Calcium 3.2 what u will do for her
    1- CX ray
    2- Ds DNA
    I put x-ray

    4—pt c/o galactorhea known case of gasteritis on treatment what of the following ttt will cause galagtorrhea
    a- meticulopromide
    b- omeprazole
    c- spirinolactone
    d- -
    I think meticulopromide

    5—circular douple strand DNA will be found in
    a- mitoconderia
    b- nucleus
    c- riposome
    d- golgi apparatus
    isit mitoconderia?? But I know it is single strand any help??

    6—pt . known case of contact dermatitis what test you will do
    a—prick test
    b- patch test
    I put patch test
    7—pt e medial epocondile trauma what action will not able to do
    a—flexion of forearm
    b- pronation

    8—pt unable to abduct his arm against resistant what m affected :
    a—infra spinatous
    b—supra spinatus
    c—teres minor
    d—teres major .

    9—pt e st segment elevation in lead II & III ,avF, what vesel ocluded
    a—rt coronary artery

    10—old women with recurrent falls with out any precipitating cause and not preceded by any symptoms whats the most common cause
    a—parkinsonism
    b—drop attacks
    c—TIA
    d—


    11—old man admited to ER e severe agitation known on ttt of antidepressant what ttt u will give to him
    a—oral halopiridol
    b—I v diazepam
    c—iv chlorpromazine
    d—oral diazepam
    all they select haloiridol but pt severly agitated and u r in ER how u will give oral halopiridol I think its not correct!!??
  47. Guest

    Guest Guest

    155-painless jaundice in a diabetic pt which drug is the likely cause -SULPHONYLUREAS
    156-an obese lady with type 2 diabetes and deranged liver enzymes :NASH
    157-DIABETIC with albuminurea 90 mg/24 hour what to do next :ADD ACE INHIBITORS
    158-syringomyelia qs
  48. Guest

    Guest Guest

    Thanks to all doctors who contribute BOF's of May 2006 MRCP1

    I would like to congratulate and appreciate on the same time for their effort to give on-lne questions of mrcp 1 exam.

    Thanks to their ever-freen endeavours.

    Keep striving for the best.

    Dr. Jawad
    Lahore.
  49. Guest

    Guest Guest

    I'm glad to be of some help, but i would like to generate some discusseion, can anybody contirbute, esp. Dr O.A

    regards
  50. Evangelos

    Evangelos Guest

    nocturnal cough and asthma/GERD??

    Hi guys

    Here what I found from the Amercan Journal of Gastroenterology:

    "...Compared to nonasthmatics, asthmatics have significantly more frequent and more severe day and night GER symptoms and significantly more of the pulmonary symptoms (nocturnal suffocation, cough, or wheezing) so often attributed to GER. The habit of eating before bedtime appears in asthmatics to have serious and life-threatening consequences."

    Also
    Other papers have also shown a prevalence of 40% of GERD with nocturnal cough as well as the aetiology of nocturnal cough in asthmatics being GERD!!!

    I put GERD in the relevant question of the exam, I hope I am right.
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