ALMOST COMPLETE RECALL OF PART 1 MRCP 1/2011

Discussion in 'MRCP Forum' started by DR-MUSLIM, Feb 5, 2011.

  1. DR-MUSLIM

    DR-MUSLIM Guest

    ASSALAM ALIKOM
    DEAR COLLEGUES , THANK YOU FOR YOUR INTERACTION AND RECALLS FOR THIS EXAM THAT ENEBLED US TO RECALL ALMOST WHOLE EXAM SO THAT WE CAN CHECKOUR SCORES APROXIMATELY AND NEXT COLLEGUES CAN BENEFIT ALSO .SO PLEASE ANY ONE CAN ADD ANYTHIING OR INFORMATION WE ALL WILL BE APPRECIATED
    AND IF U BENIFIT THIS EFFORT PLEASE PRAY FOR ME TO PASS AND OF COURSE I WILL PRAY FOR YOU ALL TO PASS
    PLEASE REMIND AND CORRECT ME IF ANY MISTAKES AND ADD ANY RECALLS
    THANK YOU
    1*CARDIOLOGY:
    1-PT E PAROXYSMAL AF WHT TO CONTROL RHYTHM>>>>FLECANIDE
    2-PT WITH AF POST SUCCESFUL CARDIOVERSION HOW TO RESTORE>>>>AMIODARONE
    3- PULSUS ALTERNANS IN LVF
    4-PT RECEIVED ADENOSINE 6MG AFTER SVT BUT STILL PERSISTENT THEN WT TO GIVE>>>ADENOSINE 6 MG?
    5-WT CIMPLICATION AFTER CORONARY ANGIO>>>MI ANOTHER OPTION STROKE
    6-YOUNG PT WITH SEVERE CHEST PAIN INCREASED WITH BREATHING ST AND TROPONIN MILDLY ELEVATED>>>>PERICARDITIS
    7-PT POST MI WITHSIGN OF STROKE AND ABSENT PULSE (TRICKY)>>>STROKE OR AORTIC DISECTION
    8-REVERSED SPLITTING OF 2ND HEART SOUND>>>>LBBB
    9-WHT CAUSE DETERIORATION IN PREGNANT MOTHER AND ENDANGER HER LIFE>>>PULMONARY HTN
    10-WT S THE BENEFIT FROM BETA BLOKER?>>>DECREASE HEART RATE OR DECREASE OXYGEN CONSUMPTION TO HEART
    11-PANSYSTOLIC MURMUR IN LT PARASTERNUM FOR VSD
    12-SEVER CHEST PAIN WITH R AND T AND V1,V2 ELEVATION WHICH C ARTERY AFFECTED>>>CIRCUMFLEX OR 1ST SEPTAL BRANCH OF LAD?
    13- COCAINE TOXICITY>>>CORONARY ARTERY SPASM
    14-WT INDICATION OF SURGERY IN INFECTIVE ENDOCARDITIS>>>PROLONGED PR INTERVAL
    15-LONG QT SYNDROME>>>SERTRALINE
    16-QT PROLONGATION IN HYPOCALCEMIA

    2*NEPHROLOGY
    1-YOUNG PATIENT WITH RECURENT UTI AND NOT IMPROVED>>>REFLUX UROPATHY
    2-DM PATIENT WITH PTURIA AND RENAL IMPAIRMENT>>>DM NEPHROPATHY OR RENOVASCULAR DISEASE?
    3-IV DRUG ABUSER WHICH TYPE OF GN>>>FOCAL SEGMENTAL G.SCLEROSIS?
    (ONE COLLEGEUE SUGGESTED AMYLOIDOSIS?)
    4-PATIENT WITH PERSISTENT NEPHROTIC WHT TO PRESERVE RENAL FUNCTIONS>>>RAMIPRIL
    5-PT WITH THROMBOEMBOLIC EVENT AND PTURIA WHICH PICTURE IN RENAL PATHOLOGY>>>MEMBRANOUS OR MINIMAL CHANGE?
    6-PATIENT WITH HEMOLYTIC UREMIC SYNDROME WT THE CAUSE>>>E COLI
    7-PATIENT WITH MI AND RENAL IMPAIRMENT WT TO PRESERVE RENAL FUNCTION BEFORE AND AFTER CORONARY ANDIO>>>NACL IV
    8-GOODPASTURE SYNDROME DEPOSITION OF ANTI GMB
    9-YOUNG PT WITH HEMATURIA>>>IG A NEPHROPATHY
    10-PATIENT WITH NORMAL IONIC GAP AND HYPOKALEMIA AND IMPAIRED RENAL FUNCTION>>>RENAL TUBULAR ACIDOSIS 1(RTA1)?(DEBETABLE)
    11-WEGENERS GRANULOMATOSIS IN PATIEN E PULMONARY HE AND RENAL IMPAIRMENT AND C ANCA +VE
    12-ANTIMYELOPEROXIDASE IN P ANCA

    3*ENDOCRINOLOGY
    1-PT WITH DIARHEA AND HYPERKALEMIA AND HYPOTENTION>>>ADRENAL INSUFFECIENCY
    2-PT WITH HYPOGLYCEMIA DIAGNOSED AS INSOLINOMA WHICH TEST>>>72 HOURS FASTIN
    3-PT ‘E CRONS WITH LOW TSH AND FT4 BUT NORMAL FT3 >>>SICK THYROID (EUTHYROID) OR LOW IODINE INTAKE?
    4- PT ‘E PERSISTENT HIG BP(PHEOCROMOCYTOMA) AND THYROID NODULE NORMAL TFT>>>MEDULLARY CARCINOMA(MEN1)
    5-PREGNANT DM MOTHER WITH RECURENT ATTACKS OF HYPOGLYCEMIA,WHY>>>FETAL INSULIN,TIGHT INSULIN CONTROL?(DEBATABLE)
    6-MECHANISM OF ACTION OF CARBIMAZOLE>>INHIBIT IODIZATION OF THYROXIN
    7-WT TO DECREASE LIBIDO>>>DHEA DEFECIENCY
    8- WHICH HORMONE UNDER CONTINOUS INHIBITION>>>PROLACTINE
    9- TTT OF PHEOCROMOCYTOMA>>>PHENOXYLAMIN
    10-AQUAPURINE 2 PRESENT IN>>>NEPHROGENIC DIABETES INSIPIDUS
    11- PT WITH CUSHIG(HTN OBESE) HOW TO DIAGNOSE>>>OVER NIGHT DEXAMETHASONE SUPPRESION TEST
    12 ONE ANSWER WAS >>>REDUCE WEIGHT BUT I COULDN’T RECALL THE QUESTION!!

    4*HEMATOLOGY AND ONCOLOGY
    1-PT E HIGH IG M AND PULMONARY EMBOLISM(WALDENSTROMS)WHT THE COMPLICATION>>>>HYPERVISCOSITY SYNDROME
    2-PT WITH DRUG INDUCE HEMOLYTIC ANEMIA HOW TO DIAGNOSE>>>DIRECT ANIGLOBULIN TEST
    3-PT WITH BLEEDING TENDENCY HIGH PTT LOW FACTOR 8>>>VWD(SOME COLLEGUES SUGGESTES HEMOPHILIA A?)
    4-PT WITH FATIGUE, SPLENOMEGALY AND HIGH WBC>>>CLASSIC CML
    5-T WITH HIP PAIN WITH TTT OF CML >>>AVSCULAR NECROSIS OF HEAD OF FEMUR
    6-PT WITH ANAEMIA ,SKIN RASH AND HEP C>>>CRYOGLUBINEMIA
    7-PT WITH ACUTE PROMYLEOCYTIC LEUKEMIA PROGNOSIS>>>T15-17
    8-PT IMMUNOCOMPROMISED CML NEEDS BLOOD>>>IRRADIATED BLOOD
    9-WT TE USE OF IRRADIATED BLOOD>>>BEBLETE DONORS LEUKOCYTE
    10-ACTION OF DESMOPRESSIN>>EXTRACT STORED FACTOR V
    11-CANCER COLON INCREASE SUSSEPTABILITY OF >>>ENDOMETRIAL CA
    12-PT WITH THROMBOCTHYSEMIA HOW TO TREAT>>>HYDROXYURIA
    13-PT WITH ANAEMIA AND TEAR DROP IN BLOOD FILM>>>MYELOFIBROSIS
    14- WARFARIN ACT ON >>>FACTOR 7
    15-OLD PT WITH PETICHAE AND PERSISTENT PANCYTOPENIA>>>MYELODYSPLASIA
    16-5 YEARS SURVIVAL OF NON SMALL CELL BRNCHOGENIC CA IF GOOD ELLIMINATED>>>10%OR 20%
    17-DOCXCETEL>>>INHIBITON OF MICROTUBULE
    18-BREAST CA PROGNOSI BY>>>> 15:3
    19-BAD PROGNOSIS IN HODJIGINS LYMPHOMA>>>SWETTING

    5* INFECTIOUS DISEASES

    1-PT WITH PAINFUL INGUINAL L.N ,PENILE LESION AND HISTORY OF TRAVELING ABROAD AND CLAMYDIA SEROLOGY +VE>>> LYMPHO GRANULOMA VENEREUM OR CHANCROID
    2-DDROG USED IN TTT OF DOG BITE>>> CO AMOXICLAVE
    3-TTT OF GENITAL WARTS>>> PODOPHYYLINE
    4-POST SPLENECTOMY WHICH ORGANISM THE PT IS SUSSEPTIBLE FOR>>>STREPT PNEOMONAE
    5-PT CAME FROM AFRICA 6 MONTHS BEFORE WITH FEVER AND CHILLS >>>PLASMODIUM OVALE
    6-PT WITH GENERALIZED RASH ,JOINT PAIN AND POST CERVICAL LYMPHADENOPATHY>>>MEASLES,RUBELLA OR HEPATITIS A (DEBETABLE)
    7-HERPES LABIALIS ASSOCIATED WITH>>> STREPT PNEUMONAE
    8-TTT OF CLAMIDIA >>>DOXYCYCLINE
    9-PT WITH DIARHEA 2 WEEKS POST OPERATIVE >>>PSEUDOMEMBRANOUS COLITIS
    10- PT OH HEMODIALYSIS THROUGH CENTAL LINE BECAME FEVERISH WHICH ANTIBIOTIC TO USE BEFORE BLOOD C/S>>> PRACTICALY WE R USING VANCOMYCINE BUT I THINK FLUCLOXACILIIN IS THE CORRECT ANSWER??
    11-PT WITH JOINT PAINS AND H/O TRAVELLING ABROAD >>>>GONNOCOCCAL ARTHRITIS OR REACTIVE ARTHRITIS
    12- PT E BACK PAIN AND FEVER POST PACEMAKER INSERTION DUE TO>>>STAPH DISCITIS
    13-MOST CONTAGIOUS ORGANISM>>> SVARICELLA ZOSTER
    14 – TTT OF PSEUDOMONAS IN BRONCHIECTASIS>>>CIPROFLOXACIN OR CLARITHROMYCINE
    15 – IMMUNOCOMPROMISED PT WITH INFECTION(VIRAL OR FUNGAL)WT TO USE>>> AMPHOTERICIN B OR ACYCLOVIR?
    16- PT RETURNED FROM ENDONESIA WITH SEVERE MUSCLE PAINS, HYPOTENSION(DENGUE)HOW TO TREAT>>>IV FLUIDS

    6*GIT
    1-PT WITH DYSPHAGIA ,WHEIGHT LOSS , BAD MOUTH ODOUR>>>PHARYNGEAL POUCH
    2-WT CAUSE OF VIT D DEFECIENCY IN PT POST COLECTOMY AND ILLIECTOMY>>>LACK OF ABSORPTION
    3-PT ALCOHOLIC , ASCITES LIVER CIRROSIS HOW TO DIAGNOSE(POINTS TO SUB ACUTE BACTERIAL ENDOCARDITIS?)>>>ASCITC FLUID MICROSCOPY
    4-PT WITH LAXATIVE ABUSE(MELANOSIS COLI)
    5-PT DOWN SYNDROME WITH ACUTE ABOMINAL PAIN, DISTENDED ABDOMEN AND AXR SHOWS DILATED COLON>>>INTUSUCCEPTION
    6- PT WITH RECTAL BLEADIN AND SKIN LESIONS AROUND HIS LIP>>>>ANGIODYSPLASIA?\
    7-T DIAGNOSED WITH BARRET,S OESPHAGUS HOW TO MANAGE>>>ACID SUPPRESION THEN ENDOSCOPY?
    8- PT WITH H.PYLORI HOW TO FOLLOW ERADICATION>>>UREA BREATH TEST
    9-PT WITH DIARHEA AND CRYPT ABCESS>>ULERATIVE COLLITIS
    10-PROPHYLAXIS OF EOSOPHAGEAL VARICES>>>PROPLANOLOL
    11-OBSTRUCTIVE JAUNDICE AND PANCREATITIS WHERE IS THE OBSTRUCTION>>>CBD, CYSTIC DUCT, HEPATIC DUCT???
    12-T WITH RT ILLIAC FOSSAN PAIN F/H OF COLON CA HOW TO DIAGNOSE>>>CT ABDOMN AND PELVIS OR COLONOSCOPY
    13-WT IS THE MOST COMMON SITE OF ISCHEMIC COLLITIS>>>>SPLENIC FLECTURE
    14-HOW TO MONITOR PT GIVEN PROPHYLAXIS AGAINST HEP B>>>Hbs antibodies

    7*CLINICAL PHARMA AND TOXICOLOGY

    1-SIDE EFFECT OF SILDENAFIL(VIAGRA)>>>BLUISH VISION
    2-PT ATE FISH THEN DEVELOPED AND PAIN AND SKIN RASH WT IS THE CAUSE WT IS THE CAUSE>>>>>SCROMBOID TOXIN??
    3-PT TOOK MORPHINE AND DIAZEPAM THEN DEVOLOPED EXTRA PYRAMIDAL MANIFESTATIONS HOW TO TRAT>>>PYROCYCLIDINE OR NALOXONE?
    4- WHICH CAUSE HYPERKALEMIA>>>TACROLIMUS
    5-PT HAS FAST ACETYLATORS AND RECEIVING ANTI T.B DRUG WHT IS THE PT PRONE TO>>>HEPATITIS(SOME COLLEGUE SUGGESTED DRUG RESISTANCE?)
    6-WT CAUSE FACIAL SWELLING>>>AMLODIPINE OR ACE INHIBITOR
    7-PT WITH PICTURE OF ?PULMONARY FIBROSIS OR COPD
    WT IS THE CAUSE>>>NITROFURANTOIN
    8-AMYTRTRYPTALINE OVER DOSE HOW TO TREAT>>>NA BICARB
    WHICH DRUG USED FOR MANIA>>>LITHIUM
    9-PT WITH PARACETAMOL OVER DOSE HOW TO MONITOR>>>PT
    10-INTERACTION BETWEEN STATIN AND>>>GRAPE FRUIT
    11- PT WITH ABDOMINAL PAIN ,DIARHEA WHICH DRUG RESPONSILE>>>ALEDROIC ACID?
    13-WHICH ANTI HTN DRUG SAVE TO USE WITH PT TAKIN LITHIUM>>>AMLODIPINE?
    14-PT WITH G6PD AND WILL TRAVEL TO AFRICA WHICH DRUG TO AVOID>>>PRIMAQUINE
    15- PT TAKING ANTI T.B(RIPE)AND BENDROFLUROTHIAZIDE AND HAS JOINT PAIN WHICH DRUG IS RESPONSIBLE>>>PYRIZINAMIDE OR BENDROFLUROTHIAZIDE?(DEBATABLE)
    16-WHICH DRUG CAUSE MOUTH ULCER>>>>?NICORADINIL
    17 -ONE QUISTION ABOUT NA VALPROATE
    18- ONE QUISION ABOUT ECTASY
    19- ONE DRUG ACTS ON MUSCARINIC RECEPTORS
    (ACTUALLY CANT REMEMBER LAST FOUR QUISTIONS
    BUT I SAW IT IN THE POSTS)

    8*NEUROLOGY

    1*PT WITH MOTH DEVIATION AND DIFFICULTY OF SWALLOWING AND ATAXIA WHERE IS THE LESION>>>JAGULAR FORAMEN OR CEREBELLO PONTINE ANGLE?
    2-PT WITH UPPER QUADRATIC QUADRANTOPIA>>>LESION IN TEMPORAL LOBE
    3- HOW TO TREAT PT WITH NORMAL PRESSURE HYDROCEPHALUS(PT WITH
    DILATED VENTRICLE IN MRI BRAIN)>>>>LUMBAR PUNCTURE AND DRAINAGE?
    4-PT WITH PIN POINT PUPIL >>>PONTINE HE
    5-WHT IS DIAGNOSTIC IN PARKINSONS DISEASE >>>ASSYMITRICAL MOVEMENTS
    6-PT WITH SUB ARACHNOID HE WHT THE COMPLICATION>>>HYDROCEPHALUS
    7-PT WITH PROGRESSIVE MEMORY IMPAIREMENT
    AND URINATED IN FRONT OF PEOPLE WT THE DIAGNOSIS>>>FRONTO TEMPORAL DEMENTIA
    8-PT WITH PICTURE OF ENCEPHALITIS AND LESION ON TEMPORAL LESION IN CT BRAIN>>>HERPES ENCEPHALITIS
    9 – OLD PATIENT AGITATED WT TO GIVE>>> HALOPERIDOL
    10-PT IN PURPUERIUM AND HAS HEADACHE AND ……>>>CAVERNUS SINUS THROMBOSIS
    11-PT WITH PAINFULL PERIPHERAL NERVE PAIN(PERIPHERAL NEUROPATHY HOW TO MANAGE HIS PAIN>>>GABAPENTIN
    12- PT WITH BITEMPORAN HEMIANOPIA>>>LESION IN OPTIC CHIASMA
    13- HOMONYMOUS HEMIANOPIA WHERE IS THE LESION>>>OCCIPITAL LOBE
    14-PT WITH HORNER AND LOSS OF REFLEXES (LATERAL MEDDULLARY SYNDROME)
    >>>POSTERIOR INFERIOR CEREBELLAR ARTERY LESION(ONE COLLEGUE SUGGESTED BRAIN STEM LESION ACTUALLY BOTH CAN B!!)
    15- DRUG CAUSES MYSTENIA GRAVIS>>>GENTAMYCIN
    16-WT IS MOST RELIABLE SIGNE IN INCRESED INTA CRANIAL HTN?>>>BRADYCARDIA OR VOMITING?
    17- HOW TO DIAGNOSE HIV PT WHITH TOXOPLASMOSIS>>>MASS OCCUPYING LESION IN CT BRAIN
    18-ONE QUISTION I CANT REMEMBER BUT BY EXCLUSION >>>SYRINGOBULBIA!!
    19-PT WITH PARKINSONISM DISEAES AND BRADYKINESIA HOW TO MANAGE>>>BENZHEXOL OR SELEGLINE?

    9*CHEST

    1-PT WITH DYSPNEA DURING HIS WORK(PAINTING?) AND RESTRECTIVE LUNG PATTERN>>>HEPERSENSITIVITY PNEUMONITIS?

    2- PT WITH MESOTHELOMA AND PLEURAL FLUID HOW TO DIAGNOSE>>>CLOSED LUNG BIOPSY,FINE NEEDLE ASPIRATION,THORACOSCOPY?(DEBATABLE)

    3-NON SMALL CELL CLINICAL SIGNS>>>>MONOMORHIC RHONCHI?

    4-PT WITH DYSPNEA , RESP ALKALOSIS AND HYPOXIA FOR ONE MONTH>>>PULMONARY EMBOLISM?

    5-YOUNG PT WITH HEMOPTYSIS MILD SMOKER AND UPPER LUNG COLLAPSE >>>CARCINOID TUMOUR OR BRONCHIAL CARCINOMA?

    6-PT WITH DYPNEA ,CHEST PAIN AND INCREASED TLCO>>>>PULMONARY HE

    7-PT WITH SEVER DYSPNEA,RESPIATORY ALKALOSIS (COULDN’T REMEMBER THE REST OF QUISTION?)BUT WE AGREED THE ANSWER IS B ASHMA(AS PER ON EXAMINATION)

    8- PT WITH DYSPNEA , SKIN LESIONS AND BULKY MEDIASTINUM ON CXR>>> SARCOIDOSIS

    9- PT WITH PNEUMOTHORAX WHT TO AVOID>>>TRAVEL BY PL ANE FOR 3 MONTHS OR FOREVER OR AVOID DIVING FOR 3 MONTH OR FOREVER
    10-WHT IMPROVE AFTER BULLECTOMY>>>FEV1 OR VITAL CAPACITY?

    11-LONG STANDING SMOKER PT WITH OBSTRUCTIVE PATTERN AND CXR SIGNS OF>>>>EMPHYSEMA??

    12-WT TO MONITOR PT WITH EHLER DANOLOS S? ,WITH DYSPNE(AS I REMEMBER)>>>VITAL CAPACITY

    13- PT OBESE BMI 32 AND DAYTIME SOMNOLENSE AND SUDDEN LOSS OF CONSIOUSNESS IN FRONT OF TV>>THIS QUISTION IS EXTREMELY VAGUE BUT I THINK OBSTRUCTIVE SLEEP APNEA IS MORE CORRECT THAN NARCOLEPSY


    10*RHEUMATOLOGY

    1-ELDERLY ALCOHOLIC PATIENT FOUND COLLAPSED,HYPOTHERMIA (RHABDOMYOLYSIS)WT TO CHECK>>>CREATININE KINASE

    2-PT DM,WITH LIMITED MOVEMENT OF SHOULDER JOINT IN ALL DIRECTION>>>ADHESIVE CAPULITIS?

    3-PT WITH KNEE PAIN, NORMAL XRAY , BACK PAIN AND OSTEPROSIS OF LT HIP HOW TO DIAGNOSE LT KNEE PATHOLOGY>>>MRI KNEE ,PELVIC XRAY, DEXA SCAN ,OR ARTHROSCOPY?

    4-WHICH ONE HAS BAD PROGNOSIS IN RHEUMATOID ARTHRIITIS>>>PERIARTICULAR EROSIONS,MORE THAN 2HOUR MORNING STIFFNESS

    5-PT WITH JOINT PAIN ,MORNING STIFFNESS, NO MUSCLE WASTING RH +VE>>>>RHEMATOID ARHRITIS

    6-PATIENT WITH SWOLLEN KNEE ,RED AND PAINFULL >>>SEPTIC ARTHRITIS (ONE COLLEGUE SUGGESTED GOUT?)


    7-PT WITH SEVERE LOW BACK PAIN AND WHEN EXAMINED FOUND NOT ABLE TO FLEX HIP WHICH IS PRIRITIZED TO WORK UP>>>BACK PAIN OR INABILITY TO FLEX HIP(VERY STRANGE AND I COULDN’T RECALL IT PROPERLY

    8- PT WITH CREST AND ANTICENTOMERE +VE >>>1RY PSJOGREN OR LIMITED PSJOGREN?(NOT SURE ABOUT THE RECALL

    9-PT WITH KNEE PAIN AND SWELLING AND X RAY SHOWED CALCIFICATION>>>PSEUDOGOUT

    10-PATHOGENESIS OF RHEMATOID ARTHRITIS>>>TNF

    11-SLE DEFECIENY IN>>>C4

    12-IL2 AND CYCLOSPORIN

    13-PT WITH OLD T.B ,LOW BACK PAIN AND WEAKNESS OF L.L WT TO HELP DIAGNOSIS>>URINE HESITANCY(ACTUALLY CANT REMEMBER THIS BUT BROUT IT FROM ONE RECALL)

    14- PT WITH TENNIS ELBOW(RADIAL NEVRVE INTRAPEMENT)>>>LATERAL EPICONDYLITIS



    15 -PT WITH OSTEOMALICIA AND VIT D DEFECIENCY DUE TO>>>LACK OF SUN EXPOSURE,VEGITARIAN DIET


    11*DERMATOLOGY(IM NT SURE ABOUT ANY ANSWER)

    1-FIRM LESION MORE THAN 3CM>>>NODULE

    2-YELLOWISH WAXY LESION (NECROBIOSIS LIPODICA )WHICH INVESTIGATION >>>FBS

    3-PT WITH WITH WHITICH LESIN ON EXTENSOR AND ORAL MUCOSA>>>LICHEN PLANUS ??

    4-HYPERKERATOTIC PLAQUES AROUD SCALE MARGIN>>>PSORIASIS

    5- PT WITH AXILLARY LESIONS >>>>NEOROFIROMATOSIS ? OR NECROBISIS GANGRENOSUM?

    6-PT WITH SKIN LESION IN HIS FACE WAS TRESTED BY CRYOTHERAPY FOR RECURENT SOLAR KERATITIS>>>BASAL CELL CARCINOMA?

    7-STEVENS JONSON??(CANT RECALL)

    8- PT WITH ARM,BUTTOCK LESIONS NOT RESPONDED TO STEROIDS>>>DERMATITIS HERPETIFORMIS??
    9-TTT OF GENITAL WARTS>>>PODOPHYLLINE?/

    10- ONE ANSWER WAS ORAL TERBINAFINE(CANT RECALL THE QUISTION)


    11-TTT OF ACNE >>>ORRAL TETRACYCLINE??



    12*PSYCHIATRY

    1-FEMALE PT WITH EXCCESIVE HAND WASH AND AFRAID FROM MRSA
    >>>OBSSESIVE COMPULSIVE DISORDER

    2-PT WITH ANXIETY AFTER TRAUMA>>>POST TRAUMATIC STRESS DISORDER

    3-PT WITH DEPRESSION AFTER HIS WIFE DIED IN CAR ACCEDENT>>>GRIEF REACTION??

    4 -SCHIZOPHRENIC PERSONALITY(CANT RECALL)


    13*OPHTHALMOLOGY

    1- PT WITH LOSS OF VISSION, ANGIOID STREAKS>>>MACULAR HGE
    2- PT WITH ASSYMETRICAL DILATED PULLIDIL (HOLM,S ADDIE S)
    WH TO FIND ELSE>>>ABSENT PLANTAR REFLEXES


    14*CLINICAL SCIENCE
    -ANATOMY
    1- PT WITH LOSS OF REFLEXES IN OUTER THIRD OF DORSUM OF FOOT WHER S THE LESION>>>L5

    2-LESION OF ULNER NERVE AFFECTS>>>3RD AND 4TH LUMBIRICALS

    -GENETICS
    3-PEUTS JECHER>>>AUTOSOMAL DOMMINAT
    4-AUTOSOMAL RESSESIVE>>>ALPHA 1 ANTITRYPSIN
    5-AKAPTUNURIA DEFECIENCY IN>>>AMINO ACIDS
    6-CYSTIC FIBROSIS INHERITANCE>>>50%
    7- PARKONISM DEFECT IN>>>TAU PTN
    8- TRANSMITTED BY POLYGENIC INHERITANCE>>>ANKYLOSIN SPONDYLITIS

    9-IMMUNOLOGYIG A DEFECIENCY>>>1RY OR SECONDERY IMMUNODEFECIENY OR COMMON VARIABLE IMMUNODEFECIENCY?

    10-INDICATION OF IMMUNO GLOBULIN>>>ITP
    11- PT WITH MUSCLE WEAKNES AND FAMILY HISTORY>>>LIMB GIRDLE OR DUCHENE

    -PHYSIOLOGY
    12- BNP ACTION>>>RENIN ANGIOTENSIN SYSTEM INHIBIRION

    13-REFEEDIN SYNDROME WT SHOULD CHECK>>>PHOSPHATE

    -BIOCHEMISTRY
    14- REVERSE TRANSCRIPTASE>>>DNA FROM RNA
    15-WT IS ALLELE>>>PART OF CHROMOSOME,DIFFERENT TYPE OF CHROMOSOME??
    16-CODONE>>>CODES FOR AMINO ACIDS,MSNGER RNA?

    -STATISTICS
    17-POSITIVE PREDICTIVE VALUE>>TP/TP+TN
    18-METANALYSIS>>>HISTOGRAM??
    19-COMPARISON BETWEEN 2 DATA >>>UNPAIRED T TEST
    20-NNT>>50?
    21-WHICH BIAS TO USE>>>PUBLICATION OR SUBJECTIVE?
  2. geust 211

    geust 211 Guest

    EXCELLENT........
  3. Guest

    Guest Guest

    hi,


    yellow waxy lesion was bilateral and most appropriate answer is TSH,,, pretibial myxoedema???? dr;jehanzeb pak
  4. Guest

    Guest Guest

    hi,


    yellow waxy lesion was bilateral and most appropriate answer is TSH,,, pretibial myxoedema???? dr;jehanzeb pak
  5. Guest

    Guest Guest

    hi,


    yellow waxy lesion was bilateral and most appropriate answer is TSH,,, pretibial myxoedema???? dr;jehanzeb pak
  6. DR-MUSLIM

    DR-MUSLIM Guest

    THANK YOU DR GUEST
    ACUALY I ANSWERED THIS QUESTION AS U SAID (PRETIBIAL MYXOEDEMA)AND I SHOSE TFT
    BUT A SAW ALL ANSWERS IN THE FORUM SUGEESTING NECROBIOSIS LIPOIDICA THEN I CHOSE FBS ACCORDING TO MAJORITY
    THANK YOU
  7. Guest

    Guest Guest

    dear these are qoute from emed so answer again is DM/FASTING GLUCOSESkin lesions of classic necrobiosis lipoidica begin as 1- to 3-mm well-circumscribed papules or nodules that expand with an active border to become waxy, atrophic, round plaques centrally. Initially, these plaques are red-brown in color but progressively become more yellow and atrophic in appearance. Note the images below.


    Typical presentation of necrobiosis lipoidica on the lower pretibial legs.
    [ CLOSE WINDOW ]

    Typical presentation of necrobiosis lipoidica on the lower pretibial legs.






    AND NOW PRETIBIAL MYXEDEMA


    Pertinent physical findings of PTM are limited to the skin. However, physical findings consistent with Graves thyrotoxicosis are significant because they are indicative of PTM as the etiology of the skin lesions. This observation is especially true regarding the finding of proptosis because nearly all patients who develop PTM have thyroid ophthalmopathy. Ophthalmopathy usually occurs prior to dermopathy.3 Thyroid acropachy occurs in 1% of patients with Graves disease. It is clinically characterized by clubbing of the fingers and the toes, periosteal proliferation of the shafts of the phalanges and other distal long bones, and swelling of the soft tissues overlying affected bony structures. When present, acropachy usually follows dermopathy. Graves dermopathy and acropachy appear to be markers of severe ophthalmopathy.




    Bilateral erythematous infiltrative plaques in the pretibial areas.
    [ CLOSE WINDOW ]

    Bilateral erythematous infiltrative plaques in the pretibial areas.

    Primary lesion
    Early lesions are bilateral, firm, nonpitting, asymmetrical plaques or nodules.
    Hair follicles are sometimes prominent, giving a peau d'orange texture.
    Areas of nonpitting edema may develop.
    In the elephantiasic form of PTM, lesions may coalesce to give the entire extremity an enlarged, verruciform appearance.
    Overlying hyperhidrosis or hypertrichosis may be present in these cases.
    Distribution
    Lesions characteristically appear on the lateral or anterior aspect of the legs, but they may occur on the thighs,4 the shoulders, the hands, the forehead, or any other skin surface.
    Lesions often occur in areas of recent or prior trauma or skin graft donor sites.
    Color: Lesions are characteristically shiny pink to purple-brown.
  8. Guest

    Guest Guest

    well patient with absent pulse and stroke ans is thromboembolism because iut was mentioned that patient was in atrial fibrillation other wise best would have been takayasu artritis
  9. Guest

    Guest Guest

    in paroxysmal atrial fibrillation drug of choice as per nice guidelines is beta blocker only if recurrent than to use flecanide in this question only it was young patient with first attack
  10. Guest

    Guest Guest

    There are 3 more additional questions that i can recall:

    HAEMATOLOGY:
    1. A patient presented post-chemotherapy, then developed neutropenic sepsis. Has tried various IV antibiotics but pyrexia persists. What other antibiotic that can be used? >> Co-trimoxazole (?PCP)

    GASTROENTEROLOGY:
    1. Histological finding of crypt abcess >> Ulcerative collitis

    STATISTICS:
    1. What is the most appropriate test to use (the scenario sounds like a cohort prspective study)? Relative risk

    Here are some answer suggestions to the first post:

    CARDIOLOGY:

    1. A 47 year old referred to you by his GP w 3months hx of intermittent palpitation. ECG: paroxysmal AF. What medication? >> This is debatable as the age 47 is borderline, in some population, it can be considered as old. Hence, the paroxysmal AF should ideally be controlled initially with a Beta blocker, and then to be investigated the cause of it. However, in some population, 47 is a relatively young age, and hence pill-in-the-pocket strategy with Flecainide is appropriate. ( I answered Metoprolol, but i have the feeling that the correct answer is Flecainide as normally, Bisoprolol is the preferred choice, not Metoprolol)

    4. PT RECEIVED ADENOSINE 6MG AFTER SVT BUT STILL PERSISTENT THEN WT TO GIVE? 12mg Adenosine

    12. SEVERE CHEST PAIN WITH tall R waves and ST depression V1 and V2, WHICH C ARTERY AFFECTED? Left circumflex as True post MI

    ENDOCRINOLOGY:
    1.Old lady WITH DIARrHoEA AND HYPERKALEMIA AND HYPOTENTION. She was a diabetic too >>> Addison's

    GASTROENTEROLOGY:
    6- PT WITH RECTAL BLEADIN AND SKIN LESIONS AROUND HIS LIP>> Colon Ca (likely Peutz-Jagher's)

    CLINICAL PHARMACOLOGY & TOXICOLOGY:
    5. PT HAS FAST ACETYLATORS AND RECEIVING ANTI T.B DRUG WHT IS THE PT PRONE TO>>> Peripheral neuropathy (Isoniazid)

    CHEST
    2. PT WITH MESOTHELOMA AND left sided pleural fluid and thickening. How to appropriately investigate??>>> Debatable depending on clinical setting. The best answer is VATS biopsy, however this might not be the case for if your in a small district general hospital.

    3-NON SMALL CELL CLINICAL SIGNS>>>>Whispering pectoriluquay

    5-YOUNG PT WITH HEMOPTYSIS MILD SMOKER AND UPPER LUNG COLLAPSE >>>CARCINOID TUMOUR

    PSYCHIATRY:

    3-PT WITH 3/12 hx of DEPRESSION and hallucination AFTER HIS WIFE DIED IN CAR ACCiDENT>>> Pyschotic depression, normal grief is only upto 5/52.

    GENETICS:

    11. Pt with limbs muscle weakness and +ve family history >> likely Baker's dystrophy as the patient was very young at time of presentation

    STATISTICS:

    18. METANALYSIS>>> Forrest Plot
  11. skin2

    skin2 Guest

    [PT HAS FAST ACETYLATORS AND RECEIVING ANTI T.B DRUG WHT IS THE PT PRONE TO>>> Peripheral neuropathy (Isoniazid)]

    This was a controversial question. There is no doubt in the fact that it is the slow acetylators who are more prone to neuropathy. Earlier it was thought that fast acetylators are more prone to hepatitis, but the latest journals and Katzung says that this is not true. Even the hepatitis is also more common in slow acetylators. In fast acetylators drug efficacy may be affected but that too only in weekly doses format not in daily dosing or thrice weekly dosing. So drug resistance is also a less likely answer. Kalra however very clearly says that fast acetylators are more prone to hepatitis. Certainly this is not true but RCP may be looking for this answer.
  12. OKO

    OKO Guest

    Speculation that fast acetylators of isoniazid could be at increased risk of hepatotoxicity due to production of a hepatotoxic hydrazine metabolite has not been supported; in fact, slow acetylators have generally been found to have a higher risk than fast acetylators. This could reflect a reduced rate of subsequent metabolism to non-toxic compounds. In addition, concentrations of hydrazine in the blood have not been found to correlate with acetylator status.
  13. skin2

    skin2 Guest

    Why RCP puts in these kind of controversial questions....If they expect the candidates to be updated, then they should also be.....i guess this question has been previously asked too....it has been discussed in this forum last year also....
  14. Guest

    Guest Guest

    result is out check it
  15. iman kotb

    iman kotb Guest

    mrcp 2 course

    Hi all

    could anybody help me with guidance on a good course for mrcp 2 ???

    Thank you
  16. Guest

    Guest Guest

    I don't want to sound judgmental guys but i have a bit of an advice to offer to all of you ...now you may kindly accept to take it or refuse to ...either way i am ok with your choice but all what i want you to be sure about is the fact that what i am truly interested in is the best interest of each one of you :)
    So about posting the college questions on the forum ...i think this is a useless thing ..and i do understand the good urges behind doing so and i am aware of the fact that the college repeats it self in its exams ....but my major concern is this :
    most of the time .... MOST ....of the answers posted are wrong ...
    Also the method of posting the answers without putting the question clearly is mis-leading to many candidates!!!! and time consuming ,,,,this wasted time trying to memorize a very possibly wrong answer for an unknown question makes the whole process in my humble opinion ,,,not only useless but even harmful sometimes!!!
    PLEASE be aware of this fact !!! i know it is like a ritual or something these days to gather post exam and recall the college exams ...
    but unfortunately no one is benefiting from this ...
    not only that ..but some are even hurt ...if we are talking about future exam takers !!
    so you may ask what are the alternatives??
    and i suggest referring to the q Banks like on examination and pass medicine ...at least you will not only get a true answer but with an explanation!! and a recommended reference if you want any further persuasion...even if you are not ok with some answers still you can look for it in the books ,,since you will be provided with the complete question theme..
    Also this recall thing ...have pretty unpleasant effect on the examinees awaiting the result ...
    it may spread either false hopes or misery amongst them ...based on these non evidenced answers ..so again it is an invitation for an unnecessary stress!!!...
    and it is needless to remind all of the unethical aspect of doing this !!!
    wasting many candidates efforts by spotting the questions and answers...provided that one was lucky enough to stumble on the right ones...passing the exam effortlessly ...while someone else is busting his ass off over nothing !!!
    the college is actually ready to execute some extreme punishments against those who do such posting!!!! so please guys be aware of that ..and try to invest this time and effort in your studying ...instead of this cr** .......
    again i wish you all the best of luck ....
    and please consider it an advice and remember nothing is personal ...
  17. Guest

    Guest Guest

    Thanks for your contribution, keep up the good work
  18. dania

    dania Guest

    wat is TTT of pheochromocytoma? and phenoxylamine?

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