any one who sat for MRCP MAY 2007 NEED TO DISCUSS?

Discussion in 'MRCP Forum' started by ana, May 16, 2007.

  1. ana

    ana Guest

    HELLO.
    ANYONE SAT FOR mrcp PART ONE NEED TO DISCUSS
  2. guest88

    guest88 Guest

  3. guest88

    guest88 Guest

    i did appeard in mrcp 1, and unfortunetly this was my fifth time, but i found the paper 1, ths most difficult paper i had so far and the paper2 was a bit easier. i will post a lot questions which i do remember
  4. guest88

    guest88 Guest

    m of action of bisphosphonate
    side effect of bisphosphonate... oesophagitis
    R Arthritis... lung complcation..... interstitial lung disease
    Gout, a post surgical patient on diuretic, devolped genrized arthritis
    CREST.... antibodies present Anti co
    A question from dermatomyositis
    Endocarditis.. ECG changes....
    drug used for cardioversion in Atrial fibrillation...flecanide
    From where the cardiac myoxoma arise... left atrium
    Two question from Carcinoid tumour
    Lyme disease
    Acanthosis nigricans.... association hypothyroidism
    shin lesion with talengectasia... diabetic libadicourm
    a pt presented with moter complication after his father deat.... conversion disorder
    there was a question from phobic disorder
    Two questions from hypoparathyrodism
    polycystic ovarian syndrome
    crohn disease.... feature
    i will try to post the remaining ones after
  5. guest88

    guest88 Guest

    A question from Lithium toxicity
    trigeminal neurologia
    pontine stroke
    pariatal lobe lesion ... viusal field changes
    a pt with pigmenation on palms and sole and genital ulcer... syphills invistagaion
    downbeat nystagmus.... Arnold chaire malformation
    cluster headach , medication for pain not responding to diclofinic.. sumatriptan
    a pt developed seizures post delivery... cortical thrombophlebitis
    drug used for chemotherapy induced nausea... odensetro
    a pt with gain cell arthritis.. treatment.. prednislone
    a pt with type 1 tubular acidosis.. complication... nephrocalcinosis
    the site of portion of nephoron where thiazide diurtic acts.. proximal convulted tubule
    wait... i will post more latter on
  6. vikes

    vikes Guest

    may 07

    some more questions

    I hope some other people will come up and try to discuss them and fill in the gaps as i cant remember lot of things clearly

    1. Which is the antibody responsible for acute hyper rejection of graft?

    igg
    igm
    iga
    ige
    igd

    ans: ?igm

    2.a patient with blood gp O POSITIVE polycystic ovaries undergoing inves for transplant. His brother is 45 year old with normal ultrasound and blood gp A positive is declared unfit for donating kidney . why?

    due to abo incompatilbilty
    due to risk of polycstic in brother
    due to ????


    ans due to abo incomp

    3. A walker has been walking somewhere and after four weeks comes with fatigue after an insect bite and exam shows a bite with a clear margin around it

    lyme disease
    leptospirosis
    malaria
    trapanosoma

    ans lyme

    4.a man comes back from india and after some time develops fatigue and lethagry with hepatomegaly butno splenomegaly

    malaria
    leptospirosis
    glandular fever

    ??

    5. contraindication of OCP in a patient with frequent migranes

    migrane on every mestruation
    ???

    6. which is the most early sign in carcinoid syndrome

    diahrea
    facial flushing
    other were not important

    ans facial flushing?

    7.a lady get dvt after surgery and started on warfarin and now a bruise on the back and her inr checked and found to be 1.2 why?

    def of factor1
    7
    9
    10
    von willebrand

    8. a olish lady with fatigue , prximal mucle weakness, lethary and bone pain and being treated for thyrorxicosis for one year with carbimazole and now bloods shw
    ESR slighly raised
    cacium normal
    PTH high
    tsh very low
    t3 and t4 high

    what is the cause

    primary hyperparathroidism
    PMR
    thyrotoxicosis

    ???


    will post more questions as remember
  7. vikes

    vikes Guest

    9 moa od goserelin in prstatic cancer

    competitive antagonism
    receptor something??
    ??
    ??
    ??
  8. vikes

    vikes Guest

    statistics questions

    10. a study is being done on geral poulations looking at their BMI, HEART RATE AND SOMETHING ELSE
    which test will be done to describe the relation ship between BMI and Heart rate?

    paired t test
    corelation
    chi sq
    ???

    11. a new test for ca colon is being compared to colonoscopy , a 2by 2 table was given
    which test defines the accuracy(efficency)of the test

    sensitiviy
    specificity
    +pred vaue
    _ pred value
  9. Guest

    Guest Guest

    i will share
    1- role of alcole in managmentof ethylen glycol ?
    2-ckd osteodystrophy which will be elevated first ? phphorus
    3-which will make mitral regurge considered as sever ? phypertention
    4-multifocl atrial tach. what is the treatment of choice?
    5-pregnant wityh cardiac disese which will make here as a very sever risk ? p htn
    6-
  10. guest uk

    guest uk Guest

    Here are all the dermatalogy mcqs
    1/ A 30 year old female, obese, has valvaty lines in the axilla and groin diagnosed to be Acanthosis nigricans...... Association..Answer is Hypothyroidism
    2/Another pt having discrete hair loss in the scalp also having hypopigmentation of the skin... Answer is Alopacia Areta
    3/Another pt came into contact with his son who got rash 8 days ago, now having the rash and pancytpania........Answer is Paro virus infection
    4/Another patient having the shin lesion with surrouing talengictasia... answer is Dipetic libedicorum
    5/Another patient with proximal myopathy and dysphagia and red erythem and papules on the extenser surface of the fingers... answer was dermatomyositis
    6/Pt with charactheristic lesion on the thigh with erythma.... lyme disease
    7/Pt with fluid filled blister over the whole body, invistagion... skin biopsy with immunofluorsence
    8/A pt with pruritic rashes on the extensor surface of hands and also on the trunk wit erythem and scaling... i answerd... Atopic eczema
    i will post unit by unit later on thanks
  11. drsj

    drsj Guest

    what's the benefit of the double blind study.
    what to give in nausea in chemotherapy.
    what to give for a pt who recieved morphine and developed nausea.
    what to give in a man with liver cirrhosis ascites and high creatini propranolo,terlipressin.
    there was a question about a woman with facial hair but no excessive hair else were what's the answer.
    was there an answer hypochondiosis.
    there was a question in haematology which i can't recall please help in which there was an option bruises.
    in a healthy man which lung function test will deteriorate.
    in old people was the answer poor compliance of peipheral arterioles.
    what's the first response to blood loss vasocontriction,raised pulse pressure or stroke volume.
    what the main respiratory stimulus for chemoreceptors hypoxia ,raised hydrogen ions or lactic acid.
    i think the answer for the low HDL is dietery control only.
    when to take simvastatin answer needed please.
    asian woman with hypocalceamia:subcutaneous synthesis failure,excessive phytate ingestion,low intake or skin pigmentation.
    a woman with amobiosis what to do was it liver ultrasound.
    HIV and bloody diarrhoea was it cryptococcus.
    i think in haematology it was factor 2 defieciency because pt and aptt were normal.
    i think in pulmonary embolism v/q scan.
    wat's the contraindication for oral contraception.
    how to follow up mitral stenosis was it meauring the pulmonary artery pressure.
    severity of aortic stensis was it inauduble aortic second heart sound.
    was there an answer SIADH in a woman with cough and distress.
    in non invasive ressucitation of a pt with COPD what's the benefit was reduced need for tracheal intubatin.
    was there an answer basilar migraine.
    what the ansewer for that pt who was told not to throw stones if your house is made of glass.
    what's the accuracy 92%.
    which test afeected by sample size was it SEM.
    which test to use i answered mann whitney test i think it's wrong though.
    what to do in a woman with leg ulcer i answered tight bandage.
    in intermeittent haemturia i answered cystoscopy because there was an answer like that in a previous exam.
    the man lost in the deseret was it aquapores.
  12. Guest

    Guest Guest

    Author Message
    aedos
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    Posted: Wed May 16, 2007 7:44 am Post subject: MRCP 1 UK may 15 exam how was it??

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

    There was a question on some drug used in prostatic carcinoma ,never heard of that what was that
    elderly person vacinated against influenza develops symptoms of influenza in some out break ---what should be done
    which compliment component deficiency predisposes to meningococal meningitis----c1,c2,c6 and properdin and some thing else
    vsd lady planning to get pregnant
    however the paper was generally much easier than january exam
    will post some more if remeber




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    guest88
    Guest






    Posted: Thu May 17, 2007 6:17 pm Post subject:

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

    the answer for question with recurrent meningitis is properdin




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    Guest







    Posted: Thu May 17, 2007 8:24 pm Post subject:

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

    no it was c6 def, because both the AH50 and CH50 were 0




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    aedos
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    Posted: Fri May 18, 2007 3:07 am Post subject:

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

    yeah some more questions
    one in which serial stool weight was given
    and another one in which they asked about lab method of checking ant ds DNA antibodies options were immunocytochemistry and ELISA




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    Guest







    Posted: Fri May 18, 2007 3:49 am Post subject:

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

    helloo gust 88
    actually this is my second tim in this exam but i get frustrated
    those ppls why they are doing this ? exam should be balanced ? any way i wolud like to forget all of this
    i dlike to ask u how did u find the exam as regard ur previous entry?




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    Dr.Hada.
    Guest






    Posted: Fri May 18, 2007 8:00 am Post subject: MRCP 1 RECALLS

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

    What is reverse transcriptinase
    Moa of clopidogrel
    Radical prostate ca, chances of sec malignayc in next 10 yrs
    Pt with hepatic pain, ca, high dose opioids given, what to give next
    Pt with OA, what to give, paracetamol
    Pt with epilepsy, with peripheral neuropathy, which drug_ phenytoin
    Case of ITP?
    Pt with Hb 18, plat 600, tlc 138, presents with hemiparesis------primary polycythemia, essential thrombocythemia
    What is the good prognostic factoring determining AML----phila chromo, acute monocytic leukemia, ?
    Rx of multifical atrial tachycardia---
    Girl with Hb 9, grnad father with colonic Ca, what to do with her? Gastrocscopy+duodenal apspira?
    Pt with weight gain, sweating….insulinoma
    Urine d/r shows protein, blood, HTN what to do,…renal biopsy
    Female with partner diagnosed as Chlamydia, she taken samples for neisseria, Chlamydia, what to give her….acyclovir + Chlamydia
    Pt with coronary angioplasty done be4, gets SOB on lying down----LVF
    ABG….was it uncompensated respiratory acidosis?
    Man 82 yrs oldwith complains of bleeding pr, 3 samples of feacle blood in stool _ve, what to do, repat in 6 months, colonoscopy
    Pt had headache 12 days back , intense, occipital, sick since 1 week, CT normal, what to do: LP, mri brain?
    Male came with topahceoius gout, alcohol abuse hHx, treated with allupurinol. Came after 1 week, gout----allupurinol induced, alcohol bimge?
    Pt transplanted kidney 1 week back, donor was CMV +ve, acute rejection, what to do?----ganciclovir, steroids?
    Female with median neuropathy?
    Which indicates CPA tumor==== loss of cornela reflex
    Female with Hx of 2nd DVT, 2 Hx of abortions, what to do---6 months warfarin, life long warfarin
    Pt with tremor, ???? was that proparnolo, what is the complete q’s?
    Male 50 yrs old, with 24 hr urinary protein 4.8? what is the cause? Membranous nephropathy, minimal change disease?
    Female from malami, with urine d/r showing rbc’s, what to do? .schistosoma serology????
    What was the q’s about the pt with migraine wanting to take OCP? Contraindications? Migraine with focal aura? Family Hx of cervical Ca, breast Ca
    Q’s about raised Trop I,,,,,I answered it pul embolism
    One q’s about fever, I answered it sub acute bacterial endocarditos
    Female pregnant taking short acting Beta agonistcomes with sob on > 4 days /week, what to add? Was It beclomethasone?????
    Pt with neck rigidity, c/s shows gram +ve bacilli, which one? Listeria
    Moa of polyethylene glycol, case was pt has chronic constipation
    Laxative abuse pt colonoscopy done, shows melanosis coli, what laxative abuse??
    What was the q’s about diagnosing ? case was with dilated intra and extra hepatic ducts/????
    Pt with 2 week Hx of leg weakness, loss of ankle and knee reflex, what immediate investigation to do?...i answered MRI spine
    What was the case of person admitted in icu, shifted to ward, developed fever in gen ward, was it empyema?
    Ptt with MI, low HDL, others normal, what to giv, I answered niacin
    Pt with left pupil small, what test to do to diagnose?...mri angio, ct head…what was the q’s?
    Case of syringomyelia---wasting of hand muscles?
    What will happen in pt with coaciane abuse-----cardiac pain(ischemia)_????
    Pt with Parkinson, on cabergoline, mild tremor, severe akinesia..what to give---co carbedopa????
    Pt tall, with sob, what change in eye will u see…case was of marfan syndrome////// ectopic lenis?/



    used in prostatic carcinoma ,never heard of that what was that ….i know the ans: it was receptor blockage
    elderly person k/c of copd, comes with mylagia and low grade fever, during influenzxa outbreak vacinated against influenza develops symptoms of influenza in some out break ---what should be done ---was it osteomalvir?????
    which compliment component deficiency predisposes to meningococal meningitis----c1,c2,c6 and properdin and some thing else …I think it was C6?????
    vsd lady planning to get pregnant…what is the most important factor for her pregnancy becoming high risk??? Pul HTN or increased gradient b/w left and right ventricle????
    m of action of bisphosphonate ---apoptosis of osteoclasts
    side effect of bisphosphonate... oesophagitis
    R Arthritis... lung complcation..... interstitial lung disease
    Gout, a post surgical patient on diuretic, devolped genrized arthriti
    CREST.... antibodies present Anti centromere
    A question from dermatomyositis
    Endocarditis.. ECG changes.... st segment elevation
    drug used for cardioversion in Atrial fibrillation...flecanide
    From where the cardiac myoxoma arise... left atrium
    Two question from Carcinoid tumour
    Lyme disease
    Acanthosis nigricans.... association hypothyroidism or was it Ca stomach? I think it was hypothyroidm since the age was around 20 yrs or so…damn it~
    shin lesion with talengectasia... diabetic libadicourm
    a pt presented with moter complication after his father deat.... conversion disorder ???
    there was a question from phobic disorder
    Two questions from hypoparathyrodism
    polycystic ovarian syndrome
    crohn disease.... feature
    A question from Lithium toxicity
    trigeminal neurologia
    pontine stroke
    pariatal lobe lesion ... viusal field changes
    a pt with pigmenation on palms and sole and genital ulcer... syphills invistagaion
    downbeat nystagmus.... Arnold chaire malformation
    cluster headach , medication for pain not responding to diclofinic.. sumatriptan
    a pt developed seizures post delivery... cortical thrombophlebitis
    drug used for chemotherapy induced nausea... odensetro
    a pt with gain cell arthritis.. treatment.. prednislone
    a pt with type 1 tubular acidosis.. complication... nephrocalcinosis
    the site of portion of nephoron where thiazide diurtic acts.. proximal convulted tubule
    wait... i will post more latter on
    hx of menorrhagia an hx of menorrhagia in her ..diagnosis von willbrand dis///
    pt. with haemocromatosis and DM how to follow up him....hb...pcv...HbA1c...ferritin...iron?
    p---+low ca++and hiPTH/......1ry hyperparathyroidism...
    1.when to get a right hb1ac reading
    2wweks, 2months ,90days ,6months

    2.which lab inv wil u find in a women returning from spain and developing a rash on bridge of nose and cheeck
    crp,anca,.......

    3.nurse's child has the chickenpox and she has a history of herpes shingles
    a she should continue to work in hospital
    b her titer should be checked
    c she should not work with immunocompermised pts4.
    -


    pt with difuse retinal hemorrhages----retinal vein thrombosis
    -pt can speak well, but u cannot undertsand him comprehension...??? temporal lobe lesion?
    -pt with lower homo quad--- parietal lobe
    - pt with left sided hemiplegia, right sided facial weakness, ---- where's the lesion....pons?
    -similar q's with pt havving ataxia, contralateral loss of temp and sensation, with facial weakness....post inf cerebellar artery
    - confirmatory diagnosis for PE----pul angio
    - pt taking warfarin, diagnosed as TB, started on ATT, inr raised...cause---isoniazid
    -conn's syndrome case----ans was renin-aldosterone ratio
    - was there a q's about Peutz jegher's.....( autosomal dominant?)
    - was there a case about celiac disease?
    - pt comes with Hx of premature cataratcs in family...how to trace ---linkage analysis???????? not sure!
    - ot with IE, given ampicillin for prophylaxis, develkops rash, what to give next timel..is it clindamycin?
    - also q's on common peronal nerve palsy..right?



    - in patient with complete heart block, what will u find----varying first heart sound???
    -pt with oral blisters, skin involved?...what to do: skin biopsy for immunofluorescence???? or something like that?
    - pt with 20 yr Hx of dust exposure, comes with sob, x ray shows bibasal fibrosis??? what is responsible?...asbestos ( i think so b/c it involves basal zone), other choices were silicosis, coalworker etc
    - what was the q's about pt with morning stiffness, shoulder and pelvic girdle weakness, esr raised, crp or cpk ( normal ), was that polymyalgia rheumatica???
    -which is indicative of pituitart tumor??? prolactin raised level one was the right option
    - q's about live vaccine in pt.....the answer was yellow fever vaccine..what was teh q's?
    -pt with watery dirrhea for long time, fasting stool osmolality given, ---vipoma
    -stats q's... answer was chi square?\...can anyone recall the q's?
    - drugs which cannot be removed by hemodialysis is due to ? i m not sure...was that due to increased protein binding or low volume of distribution?????
    -what was the q's about the one with recurrent infections, immunoglobulin levels low, was the ans: common variable immunoglobulin def??? tough q's
    -q's about female having lethargy, mother hypothyroid, pt's TSH raised, mild lid lag, choices were toxic multinodular goiter, graves etc~ whats the answer,....anyone?

    -Which is the antibody responsible for acute hyper rejection of graft?igg, igm, iga,ige,igd...i htink it was IgM
    -a patient with blood gp O POSITIVE polycystic ovaries undergoing inves for transplant. His brother is 45 year old with normal ultrasound and blood gp A positive is declared unfit for donating kidney . why?
    due to abo incompatilbilty, due to risk of polycstic in brother.....i think ans is due to abo incomp
    -A walker has been walking somewhere and after four weeks comes with fatigue after an insect bite and exam shows a bite with a clear margin around it..yes lyme disease
    a man comes back from india and after some time develops fatigue and lethagry with hepatomegaly but no splenomegaly...also was jaundiced? i think so with raised ALT levels....was it hepatitis A?
    -which is the most early sign in carcinoid syndrome....diahrea or facial flushing???.the case was a pt being haven diagnosed as a lung tumor showing carcinoid features...
    -a lady get dvt after surgery and started on warfarin and now a bruise on the back and her inr checked and found to be 1.2 why? i think def of factor 7....not sure
    -10. a study is being done on geral poulations looking at their BMI, HEART RATE AND SOMETHING ELSE
    which test will be done to describe the relation ship between BMI and Heart rate?....paired t test, corelation or chi sq...i




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    guest uk
    Guest






    Posted: Fri May 18, 2007 3:02 pm Post subject:

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

    Here are all the dermatalogy mcqs
    1/ A 30 year old female, obese, has valvaty lines in the axilla and groin diagnosed to be Acanthosis nigricans...... Association..Answer is Hypothyroidism
    2/Another pt having discrete hair loss in the scalp also having hypopigmentation of the skin... Answer is Alopacia Areta
    3/Another pt came into contact with his son who got rash 8 days ago, now having the rash and pancytpania........Answer is Paro virus infection
    4/Another patient having the shin lesion with surrouing talengictasia... answer is Dipetic libedicorum
    5/Another patient with proximal myopathy and dysphagia and red erythem and papules on the extenser surface of the fingers... answer was dermatomyositis
    6/Pt with charactheristic lesion on the thigh with erythma.... lyme disease
    7/Pt with fluid filled blister over the whole body, invistagion... skin biopsy with immunofluorsence
    8/A pt with pruritic rashes on the extensor surface of hands and also on the trunk wit erythem and scaling... i answerd... Atopic eczema
    i will post unit by unit later on thanks
  13. Guest

    Guest Guest

    guest88
    Guest






    Posted: Thu May 17, 2007 5:21 pm Post subject:

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

    m of action of bisphosphonate
    side effect of bisphosphonate... oesophagitis
    R Arthritis... lung complcation..... interstitial lung disease
    Gout, a post surgical patient on diuretic, devolped genrized arthritis
    CREST.... antibodies present Anti co
    A question from dermatomyositis
    Endocarditis.. ECG changes....
    drug used for cardioversion in Atrial fibrillation...flecanide
    From where the cardiac myoxoma arise... left atrium
    Two question from Carcinoid tumour
    Lyme disease
    Acanthosis nigricans.... association hypothyroidism
    shin lesion with talengectasia... diabetic libadicourm
    a pt presented with moter complication after his father deat.... conversion disorder
    there was a question from phobic disorder
    Two questions from hypoparathyrodism
    polycystic ovarian syndrome
    crohn disease.... feature
    i will try to post the remaining ones after




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    guest88
    Guest






    Posted: Thu May 17, 2007 4:04 pm Post subject:

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

    A question from Lithium toxicity
    trigeminal neurologia
    pontine stroke
    pariatal lobe lesion ... viusal field changes
    a pt with pigmenation on palms and sole and genital ulcer... syphills invistagaion
    downbeat nystagmus.... Arnold chaire malformation
    cluster headach , medication for pain not responding to diclofinic.. sumatriptan
    a pt developed seizures post delivery... cortical thrombophlebitis
    drug used for chemotherapy induced nausea... odensetro
    a pt with gain cell arthritis.. treatment.. prednislone
    a pt with type 1 tubular acidosis.. complication... nephrocalcinosis
    the site of portion of nephoron where thiazide diurtic acts.. proximal convulted tubule
    wait... i will post more latter on
  14. vikes

    vikes Guest

    11. a nurse just back from spain with features of sle

    canca
    crp
    lymphopenia
    neutrophilia
    eiosinphilia
  15. Kris.

    Kris. Guest

    pt having tremors after salbutamol and theophilline????

    lead poisonimg urine findings???

    one was b/w milkalkali or vitd intoxication

    a pt with azospermia andheight what test testicular biopsy,karyotype,genetic test??

    after 40 yrs in a non smoker non exposure occupation wat will decrease?? i answered vital capacity

    a question on accuracy

    another q on doble blind control test.....elimination of bias

    a question on pt having falls after laughing?/ cataplexy

    how to detect antibody// elisa, imunocytology>..............
  16. Jane.

    Jane. Guest

    old woman who had htn and b/l pedal oedema wat diuretic 2 give
    ace,amlodipine,bisoprolol,diltizem........ace as she has oedema and cablocker no no and beta also not in old???

    when 2 give iia3b in m.i pt

    actyl choline receptor question??/

    think i wrote karyotyping for the azospermia case
    - yes...milk alkali...it cannot be Vit D intoxication b/c the Phosphate level was normal...i m 100% sure of this
    -the q's was about when to give amciximab to pt with mi...choices were pt having recived thrombolysis and still having pain, pt with trop I +ve and awaiting thrombolysis..etc etc
    - i think the q's about old woman who had htn and b/l pedal oedema wat diuretic 2 give ...she was already taking a diuretic..and was asked what to add next....btw...Beta blockers are not absoultely contraindicated in old people..its just that they r less effective..
    -after 40 yrs in a non smoker non exposure occupation wat will decrease?? i answered vital capacity..yes i too answered it VC~
    -a pt having tremors after salbutamol and theophilline????....the pt was also taking digoxin...along side the other medications...then he started suffering from palpitations, tremor and nausea....there was an option of digoxin toxicity as well...cant that be the answer?
  17. Al khaja.

    Al khaja. Guest

    1-Commenest antibiotics to cause Vancomycine resisited bacteria,ans cefuroxime.

    2-how to manage warfarin over dose, a case of adult presenting with hematemesis and INR 10.

    3-case of microcytic anemia and low folate, ans coeliac disease.

    4-lady with exertional SOB, old Hx of uvitits, presentig with extensor skin lesion, ans sarcoidosis.

    5-case of HIV with P.carini, how to diagnose, ans BAL

    6-hep B serolgy which on first detected, ans HepBsAg

    7-mode of inheritance of heridatory hemorrahgic telangictasia, ans Autosomal Dominant.

    8-case of COPD suspect PE which inv, ans pulm angiography.

    9-case o chronic pancreatitis given pancreatic supplement what to give to enhance the efect,ans.....

    10-youg girl with hx of diarrohea even wakes her from her sleep which investagation

    11-how to R/O UC, Ins normal small bowel barium enema.

    12-case discribing pyoderma gang, what treatment, ans prednisolone.

    13-acute asthma, given o2,salbutamole and prednisolon, what next, ans Mg

    14-goserline in prostate cancer MOA,ans neg feed back

    -how to manage warfarin over dose, a case of adult presenting with hematemesis and INR 10...ans is FFP
    -case o chronic pancreatitis given pancreatic supplement what to give to enhance the efect,ans..... what were the choices...does anyone know about them?
    -youg girl with hx of diarrohea even wakes her from her sleep which investagation??? not sure wether we had this q's
    -how to R/O UC, Ins normal small bowel barium enema.
    12-case discribing pyoderma gang, what treatment, ans prednisolone. i m not sure wether we had this queston...can anyone give the complete case?

    1-case of anorexia nervousa would be involved in which activity, ans purging.

    2-antiphospholipid case lady with recurrent DVT and miscariage how to manage? ans life long warfarin.

    3-case of Ank.spond what to expect, global loss of movement or increase lordosis,loss of straight leg test, femoral strech test or telenderbug test.

    4-CREST syndrome what to expect, joint erosion or pulm htn,,,

    5-young pt with joint pain and rash ans still disease.

    6-cause of death in pt on haemodialysis, ans corornary heart disease.

    7-commonest presentation of myelofibrosis, ans fatigue.

    8- elderly with blood pict of leukemia, ans CLL ( I cant remeber the case properly)

    9-T-cell def predisposes to which infection, ans....

    10-case of low FEV &FVC slightly improved after nebuliser, dx? ans COPD

    11- another case of low FEV& FVC reducred KCO
    Dx, I answered emphysemia (I think i might be wrong)

    12- a man with COPD presenting with PE how to confirm it ans Pulm Angipraphy

    13-elderly with urinary sx and backache Dx pagets disease.

    14-Which one gose up when GFR falls belw 30 ans Vit D

    15-a chap foud in desert sahar dehydrated, how doses the kidney conserve body fluid, ans decrease GFR,

    16-eldery with urinary incont, falls,loss of reflexes and weak hip flexion which invx?ant remember the options.

    17-case of Brown sequard syndrome what to expect below the lesion, ans contralaetral loss of properioception

    18-pt had Hx of resected lubg tumour presenting with nephrotic syndrom Dx, ans membranous Nephropathy.

    19- young pt with buccal bleeding FBC showed myelocytes, DX, AML

    -
  18. Guest

    Guest Guest

    ans for the case of supplement for chronic panceatitis is gaviscon
  19. Guest

    Guest Guest

    1. Polycystis kidney disease is Autosomal dominat,all family members got risk of develop ADPKD.

    2. The patient who back from India with High ALT ,ALP is a case of leptospirosis.

    3. BMI, HEART RATE is related by correlation regression(The y=mx+c graph)

    4. CKD osteodystrophy is due to lack of 1,25-Vit D. Phosphate raise after that.

    5. Multifocal atrial tachy in COPD pt , the best ans could be verapamil as others are contraindicared and some has no benefit.

    6. The pt with 2/12 post MI needs a statin as the T.Chol/LDL ratio is > 4.5 and the is study regarding the benefit of statin in IHD pt.

    7. The accurary of CT -colonoscopy test is sum of both +ve and -ve predictive value(tricky q)

    8. The man lost in desert got RAA system activated, release aldosterone and increase water resorption through aquapore.

    9. The elderly pat with PR bleed with negative stool result might have piles, so he needs proctoscopy.

    10. Senna cause melanosis coli. And PEG act by irritation of bowel wall.

    11.PD pt ,sx not controlled needs to add selegine( ans from Kaira)

    12. T-cell def expose to viral and fungal ifx, so the ans is cryptococcus.

    13. The site of action of thiazide is proximal part of DCT.

    14. 2 opthal q with ans is diabetic maculopathy and ant optic neuropathy.

    15. The ans that suggest pituitary tumour is decreased ACTH, as prolactin not markedly raised. Prolactin can be raised by many other drugs and disease .The most common cause for high cortisol with low ACTH is pituitary tumour!

    16. Lead poison shows urinary porpyrin( case of PCT)

    17. Aging will increase lung compliance just like emphysema.

    18. The pt with tremor after salbutamol , lithium, diuretic and digoxin could most probably has digoxin toxicity( nausea,anorexia and tremor) 2nd to hypoK as tremor is part of sx of lithium therapy.

    19. CREST -Pulmonary HPT

    20. R/O UC with barium studies?. UC can also cause terminal ileitis.
  20. mazhar

    mazhar Guest

    simvastatin to be given when?

    As Hmg co a reductase activity is maximal at midnight,all statins are given at bedtime after food....to obtain maximal effectiveness....(reference tripathi..pharmac 5th edition..page 578)
  21. mazhar

    mazhar Guest

    warfarin treatment which factor reduced?

    after 12 hrs of warfarin tretament...clotting factor which is reduced is factor 7.......as it has shortest plasma half ife.....
  22. Guest

    Guest Guest

    1.Treatment for pyoderma gangrenosum ?
    -azathioprine/dapsone/prednisolone
    The treatment depends on severity ,start with dapsone,if not improving start steroid or immunosuppresants..so what is the best answer/

    2.The lady with sx of hyperthyroidism,mother is hypothyroid, son has IDDM, her thyroid gland has low radio I intake and the gland is tender,asymmetrical.

    The answer is either viral thyroiditis or post partum thyroiditis. All the clue suggest post partum thyroiditis but is the gland tender in post partum thyroiditis?
  23. Guest

    Guest Guest

    The question regarding hyperacute rejection of organ transplant for kidney is not logic at all. It says the the surgeon found out the hyperacute rejection immediately after he release the clamps on blood vessels. The common cause for hyperacute rejection is ABO rhesus incompatibility due to pre-formed antibody in the pt's blood against other type of blood group. Does everyone forgot this?. How can a surgeon do any organ transplant on a pt without even knowing whether there is ABO incompatibility or not. Organ transplant is a highly specialized procedure ,done only in organ transplant centres. One of the routine/compulsory blood test is for ABO compatibility. The surgeon in this case did a major procedure without this knowledge and the kidney is a waste!. Is this q logic?.A q on reactions after blood transfusion makes more sense.
  24. Guest

    Guest Guest

    1. An old lady with RA had a fall at home, presented 3 days later with hot and swollen wrist. Ans ? Septic arthritis.

    2. Diabetic pt with dyspepsia . Side effect of ?.Ans.. Metformin

    3. Medication that is contraindicated in pt with LV systolic dysfunction. Ans ..Isosorbide mononitrate?

    4. U/S HBS shows dilated intra and extrahepatic duct. What to do next?> Ans ERCP.

    5. 80+ old pt has OA with knee effusion and no hx of gastric problem.Which Rx to start. Ans .. Paracetamol.

    6. Non smoker 's lung function test as he becomes old shows?. Book says the test is similar to emphysematous changes d/t to air polutions. Ans ? Reduced VC/FEV1 and increase in TLC

    7. Test for effectiveness of venesection in pt w haemochromatosis. Ans ? serum ferritin
  25. Guest

    Guest Guest

    A lady with abd distension has raised level of tumour marker CA 125,CA 19.9 ,CEA and AFP .What is the cause? Ans ? Ca ovary

    1. Polycystis kidney disease is Autosomal dominat,all family members got risk of develop ADPKD.

    2. The patient who back from India with High ALT ,ALP is a case of leptospirosis.

    3. BMI, HEART RATE is related by correlation regression(The y=mx+c graph)

    4. CKD osteodystrophy is due to lack of 1,25-Vit D. Phosphate raise after that.

    5. Multifocal atrial tachy in COPD pt , the best ans could be verapamil as others are contraindicared and some has no benefit.

    6. The pt with 2/12 post MI needs a statin as the T.Chol/LDL ratio is > 4.5 and the is study regarding the benefit of statin in IHD pt.

    7. The accurary of CT -colonoscopy test is sum of both +ve and -ve predictive value(tricky q)

    8. The man lost in desert got RAA system activated, release aldosterone and increase water resorption through aquapore.

    9. The elderly pat with PR bleed with negative stool result might have piles, so he needs proctoscopy.

    10. Senna cause melanosis coli. And PEG act by irritation of bowel wall.

    11.PD pt ,sx not controlled needs to add selegine( ans from Kaira)

    12. T-cell def expose to viral and fungal ifx, so the ans is cryptococcus.

    13. The site of action of thiazide is proximal part of DCT.

    14. 2 opthal q with ans is diabetic maculopathy and ant optic neuropathy.

    15. The ans that suggest pituitary tumour is decreased ACTH, as prolactin not markedly raised. Prolactin can be raised by many other drugs and disease .The most common cause for high cortisol with low ACTH is pituitary tumour!

    16. Lead poison shows urinary porpyrin( case of PCT)

    17. Aging will increase lung compliance just like emphysema.

    18. The pt with tremor after salbutamol , lithium, diuretic and digoxin could most probably has digoxin toxicity( nausea,anorexia and tremor) 2nd to hypoK as tremor is part of sx of lithium therapy.

    19. CREST -Pulmonary HPT

    20. R/O UC with barium studies?. UC can also cause terminal ileitis.

    1. An old lady with RA had a fall at home, presented 3 days later with hot and swollen wrist. Ans ? Septic arthritis.

    2. Diabetic pt with dyspepsia . Side effect of ?.Ans.. Metformin

    3. Medication that is contraindicated in pt with LV systolic dysfunction. Ans ..Isosorbide mononitrate?

    4. U/S HBS shows dilated intra and extrahepatic duct. What to do next?> Ans ERCP.

    5. 80+ old pt has OA with knee effusion and no hx of gastric problem.Which Rx to start. Ans .. Paracetamol.

    6. Non smoker 's lung function test as he becomes old shows?. Book says the test is similar to emphysematous changes d/t to air polutions. Ans ? Reduced VC/FEV1 and increase in TLC

    7. Test for effectiveness of venesection in pt w haemochromatosis. Ans ? serum ferritin

    A lady with abd distension has raised level of tumour marker CA 125,CA 19.9 ,CEA and AFP .What is the cause? Ans ? Ca ovary

    A man with ? left eye ptosis and miosis. What to do ?. Ans carotid angiogram?

    Worseing renal function in a pt after kidney transplant from a CMV+VE donor.What to do ?. Ans ganciclovir


    medication contraindicated lv dysfn-dilzem
    left eye ptosis,miosis-carotid angio
    tricuspid valve endocarditis fits the picture well than staph pneumonia-becos iv drug abuse.
  26. Guest

    Guest Guest

    A man with ? left eye ptosis and miosis. What to do ?. Ans carotid angiogram?

    Worseing renal function in a pt after kidney transplant from a CMV+VE donor.What to do ?. Ans ganciclovir
  27. Guest

    Guest Guest

    Asian woman in UK with lack of vit D. The cause ? lack of sun light
  28. Guest

    Guest Guest

    Are all the MRCP Part 1 Qs the same in all the centres?.I did not remember any Q regarding the side effect of bisphosphonate / atopic eczema or the Q on VIPoma
  29. Dr.Latika

    Dr.Latika Guest

    ampicillin allergy- vancomycin [source aha guidelines]
    pinch nerve-ulnar
    chlamydia/urethritis-swab review one week [ohcm]
    lead poisoning -coproprphyrin is correct

    the tricuspid endo one....what was the Xray findings suggestive of? why not staph pneumonia...can't the iv drug abuser be a distractor?
    -i think for the HbAlc , the ans is 3 months
    - ampicillin allergy, its surely clindamycin~ repeat question..also present in onexamination
  30. Dr.plabo

    Dr.plabo Guest

    cannot remember wether we had questions like these: Diabetic pt with dyspepsia . Side effect of ?.Ans.. Metformin OR A lady with abd distension has raised level of tumour marker CA 125,CA 19.9 ,CEA and AFP .What is the cause? Ans ? Ca ovary. There are a few other q's which after so much thinking, I have been unable to recall. Yes, indeed, the ones who were giving the exam on their 2nd or more attempt had a few different questions...like my friend got the q's of the tumor marker for pancreatic carcinoma which was not in my paper..his was the 2nd attempt~ also, on another forum, i have read comments about even the paper being different at exam centres....does this all really happen? what is it all about?
  31. Dr.kash

    Dr.kash Guest

    a pt having tremors after salbutamol and theophilline????

    lead poisonimg urine findings???

    one was b/w milkalkali or vitd intoxication

    a pt with azospermia andheight what test testicular biopsy,karyotype,genetic test??

    after 40 yrs in a non smoker non exposure occupation wat will decrease?? i answered vital capacity

    a question on accuracy

    another q on doble blind control test.....elimination of bias

    a question on pt having falls after laughing?/ cataplexy

    how to detect antibody// elisa, imunocytology>..............
  32. Dr.kash

    Dr.kash Guest

    old woman who had htn and b/l pedal oedema wat diuretic 2 give
    ace,amlodipine,bisoprolol,diltizem........ace as she has oedema and cablocker no no and beta also not in old???

    when 2 give iia3b in m.i pt

    actyl choline receptor question??



    sorry having a headache due to fear of failing will post more latter
  33. DLC

    DLC Guest

    1-Commenest antibiotics to cause Vancomycine resisited bacteria,ans cefuroxime.

    2-how to manage warfarin over dose, a case of adult presenting with hematemesis and INR 10.

    3-case of microcytic anemia and low folate, ans coeliac disease.

    4-lady with exertional SOB, old Hx of uvitits, presentig with extensor skin lesion, ans sarcoidosis.

    5-case of HIV with P.carini, how to diagnose, ans BAL

    6-hep B serolgy which on first detected, ans HepBsAg

    7-mode of inheritance of heridatory hemorrahgic telangictasia, ans Autosomal Dominant.

    8-case of COPD suspect PE which inv, ans pulm angiography.

    9-case o chronic pancreatitis given pancreatic supplement what to give to enhance the efect,ans.....

    10-youg girl with hx of diarrohea even wakes her from her sleep which investagation

    11-how to R/O UC, Ins normal small bowel barium enema.

    12-case discribing pyoderma gang, what treatment, ans prednisolone.

    13-acute asthma, given o2,salbutamole and prednisolon, what next, ans Mg

    14-goserline in prostate cancer MOA,ans neg feed back
    15-how to manage warfarin over dose, a case of adult presenting with hematemesis and INR 10...ans is FFP
    16-case o chronic pancreatitis given pancreatic supplement what to give to enhance the efect,ans..... what were the choices...does anyone know about them?
    17.-youg girl with hx of diarrohea even wakes her from her sleep which investagation??? not sure wether we had this q's
    18-how to R/O UC, Ins normal small bowel barium enema.
    19-case discribing pyoderma gang, what treatment, ans prednisolone. i m not sure wether we had this queston...can anyone give the complete case?
  34. Guest

    Guest Guest

    Part I May 2007 is now over. Hope the best for all ur set for it.
  35. Guest

    Guest Guest

    not a hope

    this papaer was really tuff. i haven't come across a worse one .think out of the three diets, may is the most diffuicult
  36. Guest

    Guest Guest

    associations of acanthosis , why can't it be diabetes???

    post transplant patient with donor cmv ... gangciclovir or pred???
  37. Guest

    Guest Guest

    1)Granisetron is used for chemotherapy induced vomitting

    2)the answer for statistics questions
    one was log regression analysis ,other chi square(definitely right as there was a 2*2 contigency table) however i am not sure about the log regression analysis.

    3)Alendronate(Bisphonates) cause reflux oesophagitis.

    4)Ataxia,neuropathy,lymphadenopathy: due to phenytoin.

    5)Haemodialysis less effective if low volume of distribution .

    6)Oral contraceptive contraindicated in Migraine with focal aura...i think many wrote obesity.

    7)Zumatriptan for Migraine

    8)C6 Deficiency leads to repeated Neisseria infections( we had a option of C5-C9)

    9)Psychiatry questions: one was about conversion disorder(loss of sensory function) and one was about hypocondriasis( acne ,wasnt going out)

    10)Thiazides precipitate gout.

    Hope this were useful......:)

    We need to post more...commom evryone....
  38. Guest

    Guest Guest

    How to monitor the effectiveness of venesection in Haemochromatosis?
    Referred hematology guidelines but got no clear answer..the ans is btw transferrin or ferritin

    Pt with resting hand and head nodding.Rx...Ans Propranolol

    One question on carrier rate of an ? AR disease ( Ans 1:2)

    ABG results ? Mixed Met ans Resp Alkalosis

    Good prognostic factor in Acute Leukemia.

    Woman with sym of polymyalgia rhematica with visual problem. Ans..Ant Optic neuropathy

    Benefit of aftificial erythropoietin in chronic renal failure...Improve sym of lethargy
  39. Dr Ahmed

    Dr Ahmed Guest

    For the psychiatry question about acne, the answer is somatoform disorder, acne is a symptom. and for the migraine question in which u r saying the answer is zumatriptan, i wrote ergotamine as the question seemed to ask about prophylaxis(4 headaches in 7 months), but I'm confused. :( hope we all pass Inshallah.
  40. Guest

    Guest Guest

    Diabetic pt with visual lost ...? Maculopathy
  41. guest uk

    guest uk Guest

    The answer of Asssociation of Acanthosis nigrancans .... is Hypothyrodism, because it was given that , A young femal obese patient, and hypothyrodism does run with out being notice by young obese female,...
  42. Guest

    Guest Guest

    a)Well i still fill the answer for acne case in psy was hypochindriasis as somatisation disorders generally result in multiple somatic symptoms requiring multiple admissions....he was afraid of acne....as it was a big disease....thats why i still think it should be hypochondriasis......

    b)For migraine case... am sure it was zumatriptan..when i had read the question during the exam.....ergotamine is not given for prophylaxis(more than 2 attacks per month)....

    5ht1 agonistsfor acute atack: sumatriptan,zumatriptan,ergotamine
    5ht2 antagonists for prophylaxis: pizotifen,methyergide
  43. Guest

    Guest Guest

    reply to medsri question

    WEll medsri,the answer for diabetic patient;change in the vision...was due to osmotic changes in the lens.....this is a repeat question from onexamination ,i am 100%sure about this one....
  44. Guest

    Guest Guest

    some more!!!!

    1) Hereditary Haemorrhagic telengectasia:Autosomal dominant

    2)Trihexiphenydyl(benzehexol) for parinsonian tremor

    3)Bisphosphonates:MOA:Apoptosis of osteoclasts

    4)A case of dermato myositis with charecteristic gottron patch(erythema of knuckles) and heliotrope rash(blue purple discolouration of the upper eye lids)

    5)One CNS Case had answer of right pons affection(a repeat from on examination)
  45. Guest

    Guest Guest

    more posts needed...

    Common everyone we would rquire to post more....it will be better for others appearing new......i will pray for all inshallah we all will pass....
  46. yusari84

    yusari84 Guest

    1) Kidney hemangioblastomas The question about the kidney hemangioblastomas, the answer was Von Hippel Lindau syndrome.......
    In Tuberous sclerosis, Renal involvement is usually manifested by angiomyolipomas
    Ref: Emedicine

    2)Melanosis coli Na picosulphate

    3)GOSERLIN hormone antagonist

    4) High risk HOCM septal thickness

    5) Distal RTA Nephrocalcinosis

    6) Gr +ve bacilli meningitis LISTERIA

    7) Acromegaly sweat gland hypertrophy

    8) severe Mitral stenosis

    9) severe Aortic stenosis

    10)HBA1c measurement after blood transfusion WHEN????

    11) MIGRAINE 2nd line ttt acute attack triptans

    12) Anti RNP Mixed connective tissue disease

    13) TTT asthma in Pregnancy 2nd line Beclometasone

    14)Erythropoitien improve excerscise capacity

    15) PML T 15:17 GOOD prognosis
  47. aedos.

    aedos. Guest

    Did any one appear in the january exam?
    i think the January exam was much tougher than this exam as i appeared in both exams,the paper 2 of January was out of the world and i think if you give that paper to some consultant there are big chances even he will not make it through
    the cut off of January was 60 percent and pass percentage just 15 percent of the candidates appeared(usually it is 30 to 45 percent)
    lately the trend of cut off to be less than 60 percent is being less and less
    thats why i am not expecting the cut off to be less than 60 percent this time
    but following the discussions on the questions i am too much afraid of not getting through once again
  48. guest uk

    guest uk Guest

    i did appear in the jan exame, and sorry, i m not agree with u that the jan exame was easier than the may, i got 54.87 percent numbers in jan exame.. Actually the paper 1 of may exame was extremly difficult while the paper 2 was easy... i think that the cut off will be round about 58-59 this time..... should hope for the best
  49. guest uk

    guest uk Guest

    sorry, the jan exame was easier than the may
  50. Med sri

    Med sri Guest

    The are 2 papers with total of 200 q, how do some got marks till 54.87, are each questions got different marks ?

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