Jan 23, 2007 Exam , share ur experience here.

Discussion in 'MRCP Forum' started by Dr. Bela, Jan 23, 2007.

  1. Dr. Bela

    Dr. Bela Guest

    Jan 23, 2007
    Hi.

    I hope u all had a good paper. Will u all plz spare some time for us and post what u remember of the paper here !

    God bless u all
  2. Guest

    Guest Guest

    -moa of biphosphonat
    -hypomagnisemia associate with
    antacid -diuratics-hyperphosph
    -post opp pt recived 4 l .9 n/s what can happen
    pul odeama-hypernatreamia-hypoglycemia-m acidosiss
    -s-e na valproate
    wt loss-gynecomastia-tremer
    -moa of siligren in parkinsonisum -mao inhibiter
    -putz jeger inherated AD -AS
    -VIT D
  3. Guest

    Guest Guest

    1-POST SPLENECTOMY PNEMOCOCAL VACCINE GIVEN AT
    1 W BEFOR
    1M BEFOR
    1M AFTER
    2-SENARIO OF COON SYNDROME PATHOLOGY AT
    COLLECTING DUCT
    GLUMETULIA
    DCT
    ARTERIOLE
    3-GASTRENOMA DIAGNOSIS BY ----- 72 HR FAST
    4-CLL ASSOCIATE WITH ---------CD 38,CD53,CD
    5- RA " " -----------------DR 2,DR 3,DR 4
    6-ON WARFERENE HIGHT INR ------------- CIRO,GRAPFRUTE
    7-FEMALE POST PSRTY ,DEVELOPED RASH,URTICARIA,HAD TO BLLOW BALLONS--------- PEANUT ALLERGY,LATEX ALLERGY,C1 EASTRASE INHIBITOR.
    8-CARCINOIDE SYNDROME WHAT TO DO FOR STAGING------ USS OF ABDOME,MRI OF THORAX AND ABD,BRONCOSCOPY
    9- PT COMLANING OF MULTIPLE SYMTOMES, FATHER DIED 1YR BACK--------- SOMATOFORM,DELAYED BRIFMENAT REACTION
    10- ROSIGLATAZONE SIDE EFFECT----- ODEAMA
    11- PT WITH GYNECOMASTIA---KLINFELTER SYNDROME
  4. Guest

    Guest Guest

    thank you its good to see some help - i'm glad that you have posted questions! lets join together and work this for May 2007 exam!

    inshalah

    Amol
  5. welly2222

    welly2222 Guest

    MRCP 1

    relations of the subclavian artery
    - 54year old man loses consiousness after 15 minutes swimming what investigation you will order (24 hour ECG, Echocardiography, EEG,)
    - HIV patient with papules on the thighs that heal with scarring ( herpes, kaposi, shingles, molluscom)
    - cytokine involved in RA ?
    - lupus nephritis what to give in addition to prednisolone?
    - asymtomatic old patient with AF and heart rate of 120 what to give?( flecainide and warfarin or warfarin and sotalol )
  6. Guest

    Guest Guest

    1-rhadomyolysis
    2-nurse in contact with tb pt with tuberculin test positive,on isonisside what to do next--continue to work,resume after 2w,resume after 1m
    3-pt with h pylori + recived iradication therapy with amoxacilin, clarithromycin,lansoprasol , came with bleding ,urease test +,why--- false +,blood in stomach,recived recently ppi,not proper rx
    4-nasid what can give--intesticial nephritis,papillary necrosis
  7. saddy

    saddy Guest

    mrcp-1 of jan23

    hello people..
    well to talk abt the exam its hard to comment becoz i dint have much time to prepare working as an sho in a busy hospital with hardly any study leave ....but from wot i answered i defintely feel that the first paper was a lot more tough than the second one ...and whether i am going to pass ..i dont know ..i think for people who were well prepared the exam shud have been an easy one with 20% tricky questions
    i feel onexamination revision of 3 or more times and questions from REES were repeated on many occasions ..also the 100 useful facts that i got as a link from the aippg website came very handy and is a must read be4 u enter the hall.
    i m eager to know wot everybody else felt abt the exam..
    i feel very low at the moment...so please tell me guys of all of u felt abt this exam .
    best wishes .
    gud luck to myself for the next exam in may and to all of u who r doing exam in may 07.


    1
  8. saddy

    saddy Guest

    1.protein structure? western blot?
    2.drug interaction with statin? cranberry/grape fruit
    3.thyroidectomy, hypercholestrol ....mx thyroxine
    4.addison, hypothyroid ..... rx steroid
    5.centrally acting antihypertensive
    .6.when to give pneumococcal vaccine in splenectomy
    7.which nerve/root is affected if there is global wasting of small muscles of hand
    8.Best initial management of immune thrombocytopenia
    9.which one is the centrally acting antihypertensive
    10.dose of prednisolone equivalent to 20 hydrocortisone
    11..type n site of immune deposits in pemphigus vulgaris
    12.definite ecg indications to give thrombolysis
    13..best initial investigation in a 17 year old gettin recurrent meningitis
    14..a school teacher gets pneumococcal meningitis.wat will u do for his 15..contacts?(nothin/isolate/rifampicin/ceftriaxone)
    16.type of cancer at the margin of a chronic venous ulcer?
    17.side effect of sodium valproate(i think the answer was ankle swelling)
    18.a qn abt subclavian vein(which statement is true:1.its posterior to scalenus ant 2.it joins with int jugular etc...)
    19.trigeminal neuralgia
    20.statin-grapefruit juice interaction
    21.warfarin-antibiotics interaction
  9. Guest

    Guest Guest

    one of my friends appeared in jan exam. he thinks that it is not so difficult but the time was not that enough, and doing emrcp.com was the best step to do. reading P Kal added some benefit, 123doc was good, and some questions appeared from neurology4mrcp.
    don not feel very low...it happens to every one.
  10. Guest

    Guest Guest

    parkison rx with dopamine got upper resp tract infection .....antibotic ....
    ????
    panic attack with heavy alcohol drinking ... correct statement
    ra with eye pain.... scleritis
  11. Guest

    Guest Guest

    posts by medicinemanx AIPPG Senior Member

    Author Message
    medicinemanx
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    Posted: Thu Jan 25, 2007 12:58 am Post subject: MRCP PART 1 JANUARY 2007

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

    A question similar to this appeared in the exam (repeated from jan 2005)

    A 64-year-old female is brought to A&E by her family, who are concerned about her increasing confusion over the past 2 days. On examination she is found to be pyrexial at 38ºC. Blood tests reveal
    Hb 9.6 g/dl
    Platelets 65 * 109/l
    WCC 11.1 * 109/l
    Urea 23.1 mmol/l
    Creatinine 366 µmol/l

    What is the most likely diagnosis?
    A. Wegener's granulomatosis
    B. Thrombotic thrombocytopenic purpura
    C. Haemolytic uraemic syndrome
    D. Idiopathic thrombocytopenic purpura
    E. Rapidly progressive glomerulonephritis



    the correct answer B
    The combination of neurological features, renal failure, pyrexia and thrombocytopaenia point towards a diagnosis of thrombotic thrombocytopenic purpura

    Thrombotic thrombocytopenic purpura

    Pathogenesis of thrombotic thrombocytopenic purpura (TTP)


    -abnormally large and sticky multimers of von Willebrand's factor cause platelets to clump within vessels

    -in TTP there is a deficiency of caspase which breakdowns large multimers of von Willebrand's factor

    -overlaps with haemolytic uraemic syndrome (HUS)

    Features

    -rare, typically adult females

    -fever

    -fluctuating neuro signs (microemboli)

    -microangiopathic haemolytic anaemia

    -thrombocytopenia

    -renal failure

    Causes

    -post-infection e.g. urinary, gastrointestinal

    -pregnancy

    -drugs: ciclosporin, oral contraceptive pill, penicillin, clopidogrel, aciclovir

    -tumours

    -SLE

    -HIV




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:07 am Post subject:

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

    there was another question regarding statins interactions

    choices
    a- cranberry juice
    b- apple juice
    c - grapefruit juice
    d- pinepaple
    e-orange juice

    of course the correct answer was grapeftuit




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:10 am Post subject:

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

    two question about mode of inheritence

    peutz-jeghars the correct answer was autosomal dominant

    vitamin d rickets the correct answer was x linked dominant




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:17 am Post subject:

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

    Another question about a man with polycystic kidney disease was considered for renal transplant his blood type A and rh negative which was one of his family was the most suitable donor

    the most tempting and logical answer was his son who was blood group O AND RH negative but since PKD is autosomal dominant inheritance the most correct answer was NONE OF THE ABOVE




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:32 am Post subject:

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

    THERE WAS ANOTHE QUESTION REGARDING A PATIENT WHO CAME WITH SEVERE RT SIDE FACIAL PAIN WHICH AWAKEN THE PATIENT FROM THE SLEEP THE PATIENT FELT THE PAIN IN THE BACK OF HIS EYE

    THE CHOICES WERE AMONG OTHERS TRIGEMINAL NEURALGIA AND CLUSTER HEADACHE




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:38 am Post subject:

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

    Anothe question regarding a patient with symptoms of angioneuritic oedema including lip swelling the answer was C1 INHIBITOR DEFICIENCY




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    medicinemanx
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    Posted: Thu Jan 25, 2007 1:49 am Post subject:

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

    Another question from basic science or immunology

    which of the following cytokines are secreted by T helper 2 (TH2) CELLS

    CHOICES

    A-IFN-GAMMA
    B-INTERLEUKIN 2
    C-IL 4
    D- IL7
    E- tumour necrosis factor

    the correct answer c IL 4
  12. Guest

    Guest Guest

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    rub
    Guest






    Posted: Thu Jan 25, 2007 9:20 am Post subject:

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

    i dont agree with ur ansqer for c1 estrase as the coplement lever where normal, the histry mentionded that she had to blow ballons in the party,so the correct answer i think was latex allergy




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    rub
    Guest






    Posted: Thu Jan 25, 2007 9:22 am Post subject:

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

    for headeach i think cluster headeach,pt use to have headeach earlu morning on dealy basis ,which goes with cluster headeach




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    medicinemanx
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    Posted: Thu Jan 25, 2007 3:27 pm Post subject:

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

    Regarding the question about a patient with lip swelling and balloon blowing in the party you could be right (anything is possible in this exam

    Rgarding the facial pain i put cluster headache, i asked a consultant neurologist and he agreed with me




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    rub
    Guest






    Posted: Thu Jan 25, 2007 3:48 pm Post subject:

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

    what about pt with bipolar disorder on lithium,had confusion was started rosiglutazone came with hyponatremia was it lithum or rosiglutazone.i put lithum.
    -pt was on prednisolon 20 and 10 mg to convert to hydroco----- 7.5
    -pt swweming in the pole had fit with incontenence of urine-with come jurks---epilepsy
  13. Guest

    Guest Guest

    yes you r right first papper was little tought, than the second,but over all i think the exam was easy
  14. Guest

    Guest Guest

    pancoast's tumour what's the correct answer

    metabolic alkalosis and high pco2 what's the was the answer i answered neuromuscular disorder.

    poor prognostic sign in left ventricular dysfunction

    was there an answer about biceps tendon

    what's the prophylaxsis for infective endocardititis

    what's the answer for a question about guar gum and acarbose

    can you recall if there was a question about post phlebitic syndrome.
  15. Guest

    Guest Guest

    some more :lol:
    -pt has pain in both proximal and dipj,on diuretics ,xray showiing intra articular calcification what could be the cause
    heamachromatosis,gout ,psudo gout,
    -xray finding of RA ----periarticular osteopenia
    -pt with confusion,on examination global cognitive impairment,mainly cognitive aprexia diagnosis------ herpis encephalitis.
    -to calculate sensitivity table 40 10
    60 380
    40% ,80%,93%,95%,975
    -typical discreption of lichen planus
  16. Guest

    Guest Guest

    i think there was bicep tendon rupture.
    i did not do well in respiratory so iam not sure,but i thind the answer was copd ,with compansotory alkalosis ,i put ch.asthma
  17. Guest

    Guest Guest

    poor prognostic sigh s3----
    prophylactic for ASD secondum
  18. rub

    rub Guest

    what was the answer for determenant of prognosis in aml :t cell typr number of blasts with bcl abr.

    a woman with dysphagia and wt loss full in the neck was it esophageal carcinoma.

    in the question about thyroid scan was it toxic solitary nodule.

    the young boy with weakness and normal siblings was it friedrek's ataxia or subacute combined degenration of the cord.

    a pt with hypokalemia and a normal blood pressur was it bartter's syndrome.

    what to give in a pt with with hypotension and hypoglycaemia iv triidothyronin
    or iv hydrocortison.

    the pt givan 4 litters of normal saline post operatively hypernatraemia acidosis or pulmonary oedema

    what's the best investigation for a pt who was admitted with left sided consolidation and then readmitted with pleural effusion aspirate fuid echocardiogram

    a woman who received heparin for a dvt what was the answer heparin or post phlebitic syndrome

    pancytopenia and high MCV was it folic acid defiency or alchole anamia

    reduced attentuation in CT was it neurosyphilis

    was there an answer lewy body dementia and alzehiemer's disease

    how to diagnose von willibrand disease factor 8 activity of platlate aggregation

    a pt with raynaud's phenomenon was it scleroderma

    a pt with panic attacks and taking 60 units of alchole was it anxiety depression or the panic attacks are releaved by alchole

    a woman in a nursing home developed water diarrohoe what's the causative organism was it cl.difficile

    an old immobile man with parkinsonism developed UTI and received trimethoprim and developed penuemonia what's the organism
    sterptococcus pneumnonae or methicillin resistant staph.aureus.

    method for staging carcinoid tumour CT sca thorax and abdomen mediastanoscopy bronchoscopy

    pt following gastrectomy developed ulcer after recieving eradication therapy 3 years ago reinfection of failure of eradication therapy

    how to know that the malena is due to an upper GI bleeding endoscopy us liver colonscopy

    a pt with constipation for 4 days notice blood in the toilet and has flatulence and bloating and a history of anxity what's the investigation colonscopy or gut transit time

    a woman who has blown ballons developed lip swelling is it latex allergy

    how to study the diamensions of a protein structure

    where is the site of the lesion in a pt who has developed ptosis in the brain stem or pons

    a pt with severe pain in the cheek in the morning with lacrimation was it trigeminal neuralgia or cluster headache

    what to do in the pt with swollen knee re- aspirate i think.
    hay guys plz guys come forword the discus the questions.
  19. Guest

    Guest Guest

    was there an answer with cytomegalovirus

    was there an answer electroencephlogram

    what's the answer in the question regarding von willibrand disease

    was there an answer atherosclerotic renal disease
    also was there hypertensive retinopathy
    was there chronic fatigue syndrome
    what's the pass score for this exam any idea
  20. Guest

    Guest Guest

    can anyone recall the psychatry questions

    what's the answer in the most hormone secreted by the adrenal medulla

    what's the cause of the meningitis in the pt with discharge urethritis

    what's the poor prognostic sign in left ventricular dysfunctin 3 heart sound 4 hs fixed 2 hs

    was there toxic assay of stool

    was there an answer of fresh stool examination

    was there wernicke's encephalopathy

    plasma half life was it 4

    can you please recall the 2 questions about the dermis and the dermoepidermal junction
  21. Guest

    Guest Guest

    was there simple pneumoconiosis

    what's the answer for aspergillus fumigatus 2 questions skin prick and was it amphotericin

    was there bartter's syndrome

    what's the follow up of survival for copd

    what's the answer for raynaud's phenomenon was it scleroderma

    was there borderline personality
    was there alchole induced epilepsy

    can anyone recall the question about deoxycyclin
    was there constrictive pericarditis
  22. Guest

    Guest Guest

    -yes there was CMV ,post transplant pt with fever after14 days with normal biochemwstry
    -yes there was EEG
    -yes threr was renovascular D ,hyperensive pt not responding to rx
    -yes there wae E .hypertention
    -no i did not but ch fatigue syndrome,i chose dysthemia.
    -passing mark will be above 65%
    -mums meningitis,pt had pain in testies (orchitis most propably
    -yrs there was toxic assy of stoo-this Qi dont remeber correctly,if the Q ASKED WHAT IS NEXT TO DO THAN FREESH SAMLE OF STOOL WILL BE THE CORRECT ANSWER,BUT IF THEY ASKED TO CONFORM THE DIADNOSIS THAT DUDINAL BIOPSY WILL BE THE ANSWER,I CHOSE FRESH SAMPLE-
    YES PLASMA HALF LIFE 4 HRS
    IT WAS ASKING ABOUT THE PATHOLOGY OF PIMPHEGOID IGG IN DERMOEPIDERMAL JUNCTION I THINK BUT IAM NOR SURE
  23. Guest

    Guest Guest

    here are some more questions., In cocain induced MI along with nitres what else is given,,,, nifidpine, amlodipine, tpa, etc..
  24. drbahmed

    drbahmed Guest

    jan 2007

    paper 1 was tough but 2 was much easier

    advice for candidates

    do 1,500 emrcp.com questions

    read up from kalra

    do answers from emrcp you got wrong

    print out custom revision notes night before

    you will pass!

    Dr B. Ahmed
  25. Guest

    Guest Guest

    was there answers such as:
    1-subacute combined degenration of the cord
    2-what was the plasma half life
    3-for pancoasts tumour was it radiotherapy
    4-chlesterol embolization
    5-pituatary apolplexy
    6-slindafil
    7-re-aspirate
    8-dermatomyositis
    9-hepatitis b DNA
    10-electroencephalogram
    11-al-zahiemer
    12-colonscopy
    13-pons
    14-action of statin
    15-poor prognostic sign in left ventricular dysfunction
    16-carbapenem
  26. Guest

    Guest Guest

    can you please recall the psychatry questions?

    was there answers such as:
    1-triidothyronin
    2-atherosclerotic renal disease
    3-bartter's syndrome
    4-phaeochromocytoma
    5-FEV1
    6-squamous cell carcinoma
    7-chronic fatique syndrome
    8-simple pneumoconiosis
    9-polyarteritis nodosa
    10-alchole induced epilepsy
    11-reduced synthetic function of the live
    12-borderline personalty disorder
    13-scleroderma
    14-stool toxis assay
    15-fresh stool examination
    16-underlying depression
    17-neurosyphilis
    18-post phelibitic syndrome
    19-optic neuritis
    20-hypertensive retinopathy
    21-optic nerve
    22-hydroxyurea
    23-factoe 8 activity
    24-colonscopy in a woman who has a history of anxiety and constipation and bleeding per rectum
    25-wernicke's encephalopathy 2 times
    26-cytomegalovirus 2 times
    27-what's the answer for the best investigation for a pt who was admitted with left sided consolidation and then developed pleural effusion.
    28-alopecia areata
    29-esophageal adenocarcinoma
    30-bcl-abr
    31-biceps tendon rupture
    32-ulnar nerve
    33-guar gum
    34-pulmonary oedema for the pt who has recieved 4 litters of normal saline.
    35-methicillin resistant
    36-neisseria gonorrheo.
    37-dilated cardiomegaly
    38-the question of two men fighting and pus draining from the wound site was it staph.aureus
  27. Guest

    Guest Guest

    1- inheritance of vitD resistance rickets ar ad x linked dom xl-recessive
    2-structure of protien southern test western test electrophresis
    3-wasting of small muscles of hand what nerve
    4 side effect of sodium valporate
    5-pt with fast AF previous pre-excitation what medicine
    6-grave,s disease with AF what treatment
    7-haemochromatosis what type of heritance
    8-mechanism of action of aldosterone what part of of nephron
    9- pt with human bite with lot of pus gram +org ? org
    10- RA what HLA
    11- pt diagnosed with aspergilloma what treatment
  28. eafreen

    eafreen Guest

    23 jan

    qs from jan 23 2007

    1-pt with copd having diarrhea ,,whch organism??

    2-pt post renal transplat with acute rejection non tender flank region with +1 hematuria,, causes
    a-cyclosporin toxicity b CMV inf c- acute rejction d- ... etc

    3-pt post renal transplant ,wht is common cause of death

    a-dil.cardiomypothy b- corory artery diz c- ;;;;;

    4- which cathecolamine is synth in adrenal medulla
    a- adrenaline b- noradrenaline c- metanephreine


    5-pt with legoneilla pneumophila inf ,,, DOC

    6- PT WITH ECOLI diarrhea ,, to avoid resistence which ABX to add??

    7-mode of inheretence H.HEMOCHROMATOSIS??

    8-PT WITH MULTIPLE SMALL JOINTS INVOLVEMENT AND CHONDROCALCINOSIS

    a- polyarticular gout b- cpdd c- sle

    pt with previous hx of joint effusion ,, aspiration shows non pusy dishcharge .. now again came with swollen joint and temp 38.7 c

    next step wuld be

    culture after joit aspirtion
    I/V abx
    MRI of knee joint




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  29. Guest

    Guest Guest

    what was the answer for determenant of prognosis in aml :t cell typr number of blasts with bcl abr.

    a woman with dysphagia and wt loss full in the neck was it esophageal carcinoma.

    in the question about thyroid scan was it toxic solitary nodule.

    the young boy with weakness and normal siblings was it friedrek's ataxia or subacute combined degenration of the cord.

    a pt with hypokalemia and a normal blood pressur was it bartter's syndrome.

    what to give in a pt with with hypotension and hypoglycaemia iv triidothyronin
    or iv hydrocortison.

    the pt givan 4 litters of normal saline post operatively hypernatraemia acidosis or pulmonary oedema

    what's the best investigation for a pt who was admitted with left sided consolidation and then readmitted with pleural effusion aspirate fuid echocardiogram

    a woman who received heparin for a dvt what was the answer heparin or post phlebitic syndrome

    pancytopenia and high MCV was it folic acid defiency or alchole anamia

    reduced attentuation in CT was it neurosyphilis

    was there an answer lewy body dementia and alzehiemer's disease

    how to diagnose von willibrand disease factor 8 activity of platlate aggregation

    a pt with raynaud's phenomenon was it scleroderma

    a pt with panic attacks and taking 60 units of alchole was it anxiety depression or the panic attacks are releaved by alchole

    a woman in a nursing home developed water diarrohoe what's the causative organism was it cl.difficile

    an old immobile man with parkinsonism developed UTI and received trimethoprim and developed penuemonia what's the organism
    sterptococcus pneumnonae or methicillin resistant staph.aureus.

    method for staging carcinoid tumour CT sca thorax and abdomen mediastanoscopy bronchoscopy

    pt following gastrectomy developed ulcer after recieving eradication therapy 3 years ago reinfection of failure of eradication therapy

    how to know that the malena is due to an upper GI bleeding endoscopy us liver colonscopy

    a pt with constipation for 4 days notice bllod in the toilet and has flatulence and bloating and a history of anxity what's the investigation colonscopy or gut transit time

    a woman who has blown ballons developed lip swelling is it latex allergy

    how to study the diamensions of a protein structure

    where is the site of the lesion in a pt who has developed ptosis in the brain stem or pons

    a pt with severe pain in the cheek in the morning with lacrimation was it trigeminal neuralgia or cluster headache

    what to do in the pt with swollen knee re- aspirate i think.
  30. Guest

    Guest Guest

    what's the answer for the pt with high urate on diuretics and developed symmetical small joint involment and has osteophytes in joint x ray is it polyarticular gout or pyrophosphate arthrits.

    a pt with depression who hasn't responded to treatment what to give him.
  31. Guest

    Guest Guest

    what's the answer for the cause of global muscle wasting of the hand was it ulnar nerve or T1 root.
  32. rub

    rub Guest

    for knee swelling ,i think is arthroscopy with washout, pt was febril by this it will wash out the bacteria
  33. rub

    rub Guest

    pt with depression not responding we will give another type of antidepressent
  34. rub

    rub Guest

    for global weakness i put c7
  35. Guest

    Guest Guest

    WHAT ABOUT PT WITH METABOLIC ALKALOSIS AND low po2 was it COPD or chronic bronchial asthma or neuro muscular disorder.

    also for the solitary nodule in the lung what is the auscultatory finding

    for global weakness i put ulnar nerve
  36. rub

    rub Guest

    1. Antibiotic Prophlaxis:
    Options: Pacemaker, Isolated Secundum ASD, MVP widout regurgitation

    2. Treatment of WPW Sydrome:
    Options: Flecainide, Digoxin, Verapamil

    3. Indication for Thrombolysis, patient presented wid ant chest pain:
    Options: more dan 1mm ST elevation in standard lead
    more dan 1mm ST elevation in chest lead
    more dan 1mm ST depression in chest lead
    more dan 1mm ST depression in standard lead

    4. In Physiology , wats Troponin T & I:
    Options: structural protein, contractile protein, enzyme

    5. Which Pituitary hormone is in constant inhibition:
    Options: prolactin, TSH, ACTH, etc

    6. Peutz Jeugher's Syndrome:
    Options: Autosomal Dominant

    7. Haemochromotosis:
    Options: Autosomal Reccessive

    8. Vitamin D resistant rickets
    Options: X linked dominant wid incomplete peneteration

    9. Blistering disorrders: structure
    Options: dermo-epidermal junctions, dermis epidermis

    10. Gastric CA wid which of skin conditions:
    Options: Erythema Migrans, Erythema gyratum repens etc

    11. Action of Gastrin:
    Options: Stimulus for secretion amino acids in antrum
    acts on G cells in antrum
    reduces pancreatic bicarb secretion

    12. Treatment of chylamdia
    Options: Doxycycline

    13. 1 Statistics question, to find out senstivity, table was given
    Options: 80%

    14. Treatment of A. Fumigatus:
    Options: fluconazole, amphotericin, flucytosine, ketoconazole, itraconazole

    15. Accidental finding of CLL,
    Options:: Observation

    16. Patient presented wid hypomagnesemia, Reason:
    Options: diuretics treatment

    17. Catecholamine secreted only from adrenal medulla:
    Options: Adrenaline, noradrenaline, dopamine, metadrenaline

    18. Effect of NSAIDs on Kidney
    Options: Intersitial Nephritis, Papillary Necrosis

    19. Frontal Lobe Lesion:
    Options: Perservation

    20. MOA of Selegeline:
    Options: Monoamine Oxidase Inhibitors

    21. 1 Question abt Somatoform Disorder

    22. Rheumatoid Arthritis: related to HLA
    Options: DR4, DR3, DR2, B27

    23. Typical history of Bechet's Disease

    16. Antibiotic Prophlaxis:
    Options: Pacemaker, Isolated Secundum ASD, MVP widout regurgitation

    17. Treatment of WPW Sydrome:
    Options: Flecainide, Digoxin, Verapamil

    18. Indication for Thrombolysis, patient presented wid ant chest pain:
    Options: more dan 1mm ST elevation in standard lead
    more dan 1mm ST elevation in chest lead
    more dan 1mm ST depression in chest lead
    more dan 1mm ST depression in standard lead

    19. In Physiology , wats Troponin T & I:
    Options: structural protein, contractile protein, enzyme

    20. Which Pituitary hormone is in constant inhibition:
    Options: prolactin, TSH, ACTH, etc

    21. Peutz Jeugher's Syndrome:
    Options: Autosomal Dominant

    22. Haemochromotosis:
    Options: Autosomal Reccessive

    23. Vitamin D resistant rickets
    Options: X linked dominant wid incomplete peneteration

    24. Blistering disorrders: structure
    Options: dermo-epidermal junctions, dermis epidermis

    25. Gastric CA wid which of skin conditions:
    Options: Erythema Migrans, Erythema gyratum repens etc

    26. Action of Gastrin:
    Options: Stimulus for secretion amino acids in antrum
    acts on G cells in antrum
    reduces pancreatic bicarb secretion

    27. Treatment of chylamdia
    Options: Doxycycline

    28. 1 Statistics question, to find out senstivity, table was given
    Options: 80%

    29. Treatment of A. Fumigatus:
    Options: fluconazole, amphotericin, flucytosine, ketoconazole, itraconazole

    30. Accidental finding of CLL,
    Options:: Observation

    31. Patient presented wid hypomagnesemia, Reason:
    Options: diuretics treatment

    32. Catecholamine secreted only from adrenal medulla:
    Options: Adrenaline, noradrenaline, dopamine, metadrenaline

    33. Effect of NSAIDs on Kidney
    Options: Intersitial Nephritis, Papillary Necrosis

    34. Frontal Lobe Lesion:
    Options: Perservation

    35. MOA of Selegeline:
    Options: Monoamine Oxidase Inhibitors

    36. 1 Question abt Somatoform Disorder

    37. Rheumatoid Arthritis: related to HLA
    Options: DR4, DR3, DR2, B27

    38. Typical history of Bechet's Disease

    39.Male with gynaecomastia.History suggestive of klinefelters.
    40.Features of conns syn given.Qn is where is the Pathology
    (aff arteriole/glom/DCT/etc)
    41.MOA of Bisphosphonates.
    42.SE of fluid overlosd(arnd 5 lit of NS to a post-op patient)?
    (met acidosis/pulm edema/hypoglycemia/hypernatremia)
    43.Best method to stage carcinoid syndrome
    44.what to do with a nurse exposed to a TB patient & tuberculin positive ?
    (continue work/dont work till culture is negative/etc....)
    45.A patient with a bleedin peptic ulcer given H Pylori eradication regime.But still urease positive.Reason?
  37. Guest

    Guest Guest

    1-triidothyronin
    2-atherosclerotic renal disease
    3-bartter's syndrome
    4-phaeochromocytoma
    5-FEV1
    6-squamous cell carcinoma
    7-chronic fatique syndrome
    8-simple pneumoconiosis
    9-polyarteritis nodosa
    10-alchole induced epilepsy
    11-reduced synthetic function of the live
    12-borderline personalty disorder
    13-scleroderma
    14-stool toxis assay
    15-fresh stool examination
    16-underlying depression
    17-neurosyphilis
    18-post phelibitic syndrome
    19-optic neuritis
    20-hypertensive retinopathy
    21-optic nerve
    22-hydroxyurea
    23-factoe 8 activity
    24-colonscopy in a woman who has a history of anxiety and constipation and bleeding per rectum
    25-wernicke's encephalopathy 2 times
    26-cytomegalovirus 2 times
    27-what's the answer for the best investigation for a pt who was admitted with left sided consolidation and then developed pleural effusion.
    28-alopecia areata
    29-esophageal adenocarcinoma
    30-bcl-abr
    31-biceps tendon rupture
    32-ulnar nerve
    33-guar gum
    34-pulmonary oedema for the pt who has recieved 4 litters of normal saline.
    35-methicillin resistant
    36-neisseria gonorrheo.
    37-dilated cardiomegaly
    38-the question of two men fighting and pus draining from the wound site was it staph.aureus
  38. Guest

    Guest Guest

    can u please answer the questions i put in about met alk and auscultatory findings.

    what's the answer for the protein str and was there post phlebitic syndrome latex agglutination

    what's the commonest cause for death in renal transplant

    was there an answer about wernicke's encephalopathy
  39. Guest

    Guest Guest

    what's the answer for the low attenuation was it neurosyphilis. was there an answer alchole induced epilepsy.in the carbamezapine question was it alchole binge.
  40. Guest

    Guest Guest

    what was the answer for determenant of prognosis in aml :t cell typr number of blasts with bcl abr.

    a woman with dysphagia and wt loss full in the neck was it esophageal carcinoma.

    in the question about thyroid scan was it toxic solitary nodule.

    the young boy with weakness and normal siblings was it friedrek's ataxia or subacute combined degenration of the cord.

    a pt with hypokalemia and a normal blood pressur was it bartter's syndrome.

    what to give in a pt with with hypotension and hypoglycaemia iv triidothyronin
    or iv hydrocortison.

    the pt givan 4 litters of normal saline post operatively hypernatraemia acidosis or pulmonary oedema

    what's the best investigation for a pt who was admitted with left sided consolidation and then readmitted with pleural effusion aspirate fuid echocardiogram

    a woman who received heparin for a dvt what was the answer heparin or post phlebitic syndrome

    pancytopenia and high MCV was it folic acid defiency or alchole anamia

    reduced attentuation in CT was it neurosyphilis

    was there an answer lewy body dementia and alzehiemer's disease

    how to diagnose von willibrand disease factor 8 activity of platlate aggregation

    a pt with raynaud's phenomenon was it scleroderma

    a pt with panic attacks and taking 60 units of alchole was it anxiety depression or the panic attacks are releaved by alchole

    a woman in a nursing home developed water diarrohoe what's the causative organism was it cl.difficile

    an old immobile man with parkinsonism developed UTI and received trimethoprim and developed penuemonia what's the organism
    sterptococcus pneumnonae or methicillin resistant staph.aureus.

    method for staging carcinoid tumour CT sca thorax and abdomen mediastanoscopy bronchoscopy

    pt following gastrectomy developed ulcer after recieving eradication therapy 3 years ago reinfection of failure of eradication therapy

    how to know that the malena is due to an upper GI bleeding endoscopy us liver colonscopy

    a pt with constipation for 4 days notice blood in the toilet and has flatulence and bloating and a history of anxity what's the investigation colonscopy or gut transit time

    a woman who has blown ballons developed lip swelling is it latex allergy

    how to study the diamensions of a protein structure

    where is the site of the lesion in a pt who has developed ptosis in the brain stem or pons

    a pt with severe pain in the cheek in the morning with lacrimation was it trigeminal neuralgia or cluster headache

    what to do in the pt with swollen knee re- aspirate i think.
  41. eafreen

    eafreen Guest

    paper2

    hey guys ,, y cant ne body recall the qs from paper 2 ... especially most of them with SLE ,, DERMATOMYOSITIS AND PSYCHI ...

    I HAD A TOUGH TIME WITH PAPER 2 ,, SO JUST WANNA c how i did with it,, does ne body feel time ws very short ,,, lond qs with lots of investigations given

    when is result expected?????

    hope all of us who appeared in jan 23 culd pass ...ameen
  42. EAFREEN

    EAFREEN Guest

    PAPER2

    i guess the low attenuation area in pt with HIV ws PROGRESSIVE MULTI FOCAL LEUCOENCEPHALOPATHY?????????????
  43. Guest

    Guest Guest

    same experience

    The questions are too long. We have short and limited time. But, I hope we will pass the exam.
  44. Guest

    Guest Guest

    Please feel free to correct and add my share in this forum

    CHECK THIS OUT
    1. Prolactin : continous inhibition (asked twice) Part 1 and Part 2 papers. Same question regarding "CONTINOUS inhibition".
    2. Bite : I picked P. multocida. Staph aureus??? hmmm...Pus containing? I know it's Staph aureus...
    3. Patient with high creatinine : choices Metformin and Rosiglitazone: I picked Rosiglitazone... Some picked gum guar...
    4. Chlamydia with pregnant patient :Contraindication??? Doxycycline is tetracycline.. Metronodazole? well, i don't know the answer so I picked DOXY
    5. Peutz jegers : A. dominant
    6. Hemochromatosis : A. recessive
    7. Rickets : x linked/ x dominant
    8. Essential hypertension : is it due to the size of the cuff? etc
    9. There was I think Dysthimia.... Psych question.. dysthymic disorder is a form of the mood disorder of depression characterized by a lack of enjoyment/pleasure in life that continues for at least two years. It differs from clinical depression in the severity of the symptoms. Dysthymia can, though not always, prevent a person from functioning, affecting sleep pattern and daily activities. Is it Borderline personality disorder?
    10. Chronic fatigue syndrome is obvious. The patient has no interest at all…
    11. Frontal lobe infarct: Perseveration
    12. Bullous Pemphigoid : IgG intradermal-dermis junction
    13. SLE was my answer when I saw the anti-Sm positive
    14. I answered "Rabies" when one patient came from africa to UK with "Shivering" and painful back (maybe site of bite). typical patient but again, I dunno the right answer.
    15. There was a patient with hypokalemic paralysis from Asia (Chinese) I chose THYROID TEST.. Check it out. Most of the patient from Hypokalemis Paralysis are THYROID in origin
    16. there was a case of Myasthenia gravis..I picked cholinesterase inhib....
    17. MOA of biphosphonates (inhibit Osteoclastic activity)
    18. S/E of valproic acid i think is TREMOR.. If ankle swelling (probbaly because of peripheral edema)... But I saw patient with TREMORS..
    19. Treatment for ASpergillosis, I picked amphotericin B
    20. Papules with HIV, I picked molluscum contagiosum rather than KAPOSI sarcoma, because of the "papules"... Scar formation is evident in Molluscom
    21. Sarcoidosis patient.. with erythema and Bil LAD : X-RAY is my lab diagnosis
    22. I picked MM for emphysema patient (Majority I think is MM) check it please.
    23. There was a patient with dry cough and usually bothered from sleep. I picked Chronic asthma
    24. I picked PEFR>20 for diagnosis of asthma
    25. there was a APKD patient.. I expect POLYCYTHEMIA
    26. GASTRIC CA : I Picked erythema Gyratum pyrens... I think that is the Best answer... Others are related to autoimmune dse.
    27. Teacher with PTB : I picked " Patient can go back IF the sputum is already negative".. I think some of our patients are free of symptoms if they are negative mycotb in sputum
    28. Patient with meningitis (pneumococcal).. I thought about this. Is it contagious? I think only Isolate the exposed individuals. No need to give rifampicin. This is not a case of meningococcemia.
    29. 80 year old female with regurgitation of food... I chose esophageal CA (barrets probably)
    30. There was one silly question, with viral infection. It was I think scrotal swelling, so I picked MUMPS (Orchitis) is it right?
    31. They asked about the kidney donation and the patient is Rh negative... they asked about relatives it they can donate... Well, I picked NONE, we need to screen first the relatives before donating there own organs. They might be the next victim.
    32. Solitary nodule again was asked... I visited the onexamination.com once and I encountered that question
    33. They asked again Hypokalemia with normotention : Barter's syndrome
    34. they asked about purpuric lesions and the palms were involved, so I picked SYPHILIS
    35. There was a question about Behcet's syndrome (oral ulcers...)
    36. Well, I was really upset about the LACTIC ACID (It is Gluconeogenesis or Glycolysis)...I check, it was GLYCOLYSIS.
    37. They asked about Active transport... well after the exam I checked that transport mechanism... I think I get it right! molecules move against either an electrical or concentration gradient
    38. what else????? hmm... about Helicobacter Pylori... there was a patient who took medicine BUT I think it's not RE-Infection.. I Picked, not totally eradicated H. Pylori that's why the patient still symptomatic
    39... About Giardia lamblia... I was looking for "String test" So I picked Small biopsy in distal part of duodenum (small intestine). Fecalysis, you should take atleast 3 samples for trophozoites.. Diagnostically speaking, BIOPSY
    40. There was again SOMATIZATION disorders... Well watch out because the patient is complaining lots of SYMPTOMS.

    42. Erectile dysfunction was asked.. I picked SILDEFINIL

    43. Centrally acting drugs .. Grrrr.. Im looking for "clonidine" or Methyldopa... But I answered MINOXIDIL (vasodilators)... thats my instinct... Because I saw 2 drugs ACE inhib and the other is Calcium antag...
    44. There was a post MI patient with respiratory infection. They gave him antibiotics. After a week there was a massive effusion... WHat is the next appropriate or next step.. "Pleural tap or ecg?" well, I guess, I have to repeat the ecg, i might have "Re infarction with massive sequelae".. is it right decision or should I immediately do thoracentesis? The patient had broad spectrum antibiotics....

    45.when to give pneumococcal vaccine in splenectomy ( 1 month prior to surgery)
    46. which nerve/root is affected if there is global wasting of small muscles of hand
    (Is it Median N?, Radial? or Ulnar?) I picked Median nerve... Yiikes!!! Median nerve has many innervations... Well... again, I dunno if it is right.

    47. Best initial management of immune thrombocytopenia , I picked STEROIDs ( I have a patient who responded in STEROIDS)... I dunno if the RCP will consider that

    48. dose of prednisolone equivalent to 20 hydrocortisone am and 10mg pm = is it 7.5? 1:4 right?

    49. statin-grapefruit juice interaction

    50. warfarin-antibiotics interaction : I think CARBAMAZEPINE.. I was reading the USMLE about liver inducers and etc... Is it right?

    51. about sublcavian vein... I picked Scalene anterior muscle...

    52. Indication for Thrombolysis, patient presented with ant chest pain:
    more than 1mm ST elevation in standard lead

    53. Troponin T & I: "Structural proteins"

    54. Patient presented wid hypomagnesemia: Diuretics induced

    55. Catecholamine secreted only from adrenal medulla: Epi or adrenaline

    56. Effect of NSAIDs on Kidney : Papillary necrosis

    57. Selegeline : MAO inhibitors

    58. Rheumatoid Arthritis: related to HLA DR4

    59. Von willebrand syndrome : Factor VIII Activity assay

    60. RCP asked about an injury in the shoulder. I read this question 3x.. He weigh heavy objects.. I picked rotator cuff tendinitis.. but others picked rupture of tendon biceps... Yikes... that hurts! Among the elderly, biceps tendon ruptures near the shoulder are often associated with rotator cuff tears.
    so, which comes first?

    61. ABout the patient POST op with good renal function... Is it Hyperntaremia or pul mo edema? well, I had so many cases with HYPERNATREMIA... is it Pulmonary congestion or edema? what do you think?

    62. SLE with lupus arthritis ,, STEROID + (cyclophosphamide or Methotrexate) I picked Methotrexate

    63. Alcohol with elevated LDH… Rhabdomyolysis

    64. CLL … CD20, CD 19 CD.... I don't know....

    65. Friedrich’s Ataxia case

    66. Patient after an accident became sexually abusive… what part of the brain?
    RETIcular activating system, Thalamus, temporal, parietal

    67. dihydrocodeine toxicity

    68. Cholesterol embolism

    69. question about Peanut allergy

    70. Maintenance with HOA…. C1 esterase inhibitors

    71. question about HYPERPARATHYROIDISM.. Hypercalcemia and high Phospate

    72. Staghorn Calculi .. struvite “Magnesium ammonium phosphate stonesâ€

    73. Bilateral kidney sizes became small… MRA is the diagnostic of choice Arteriography

    74. Hospital acquired pneumonia? Strep pneumoniae? Hemophiluz?

    75. Mycoplasma pneumoniae case.... Other friends they have the same illness...

    76. What is the appropriate INITIAL treatment with essential thrombocytosis “ is it ASPIRIN?â€

    77. question about Multiple myeloma…. “Bone Marrow aspirationâ€

    78. Statistics.. 80% is the answer

    79. Question about sensitivity, specificity, Positive predictive value…. IS IT SENSITIVITY?

    80. Patient with Hypercholesterolemia… Txt: Thyroid hormones

    81. question about Hepatitis profile…. I picked Hepatitis C, it’s part of the routine blood screening program... I was considering Hep B DNA, but HBs AG was already positive...

    82. 3D structure of proteins.. I picked Western blot… RNA is for Northern, Southern blot is for DNA.

    83. pt with fast AF previous pre-excitation what medicine is it VERAPAMIL?

    84. mechanism of action of aldosterone what part of of nephron: choices: Collecting duct/proximal/Distal part of Nephron
    • at distal tubule: Acting on mineralocorticoid receptors (MR) on principal cells in the distal tubule of the kidney nephron, it increases the permeability of their apical (luminal) membrane to potassium and sodium and activates their basolateral Na+/K+ pumps, stimulating ATP hydrolysis, reabsorbing sodium (Na+) ions and water into the blood, and excreting potassium (K+) ions into the urine.
    • at collecting duct: Aldosterone also stimulates H+ secretion by α-intercalated cells in the collecting duct, regulating plasma bicarbonate (HCO3−) levels and its acid/base balance.[1]

    85. infected gangrenous diabetic foot… triple therapy? Metronodazole, Ofloxacin, and the other drug.. I forgot..

    86. Best method to stage carcinoid syndrome: Brochoscopy?

    87. Male with gynaecomastia.History suggestive of klinefelters.

    88. treatment for HSV: Acyclovir

    89. Action of Gastrin:

    90. Which is related about Rheumatoid Arthritis: I picked TNF-a (It is being use as a drug (infliximab which is TNF a inhibitors)

    91. There was given situation and discuss about Heberdens node and Bouchards.. I forgot the others… but because of my impulsiveness I answered Rheumatoid Arthritis… But I don’t think it’s RA… It is very TRICKY question.

    92. They asked about SEVERE Pneumonia and I picked UREA as part of prognostication (CURB).

    93. Antibiotic Prophlaxis:
    Options: Pacemaker, Isolated Secundum ASD, MVP widout regurgitation

    94. Patient who had drinking history of alcohol night before and went to travel. Then He had seizure attack while on board ( Vasovagal, alcohol related d/o. Cardiogenic syncope, and the other 2 choices…)

    95. Which one of the following is useful in assessing the need for surgery? Patient with GORD? Is it Oesophageal Manometry ?

    96. There was a question about Addison’s disease… Hypo K and body weakness and HYPO Glycemia… please help me to recall about it…

    97. Patient with stress and loss of hair… I picked Trichotillomania (TTM) or "trich" is an impulse control disorder characterized by the repeated urge to pull out scalp hair, eyelashes, beard hair, nose hair, pubic hair, eyebrows or other body hair. It may be distantly related to obsessive-compulsive disorder, with which it shares some similarities.
    Trichotillomania has been mentioned as a disorder in very early historical records. Onset generally occurs at puberty. There is a strong stress-related component, that is, in low-stress environments some stop pulling altogether. Pulling resumes when one leaves this environment.
    65% of those afflicted are female
    It has a STRESSOR. Alopecia areata is autoimmune disease.
    Alopecia areata is thought to be an autoimmune disease in which the body mistakenly treats its hair follicles as foreign tissue and suppresses or stops hair growth. It is not contagious but may be hereditary—there are a few recorded cases of babies being born with congenital alopecia areata. Stress has not been proven to be a crucial factor, although this is still disputed.

    98. A question about INSULINOMA.. I Picked glucose tolerance test after 72 hours positive test….. I was trying to console myself if im right. Because there is already “C-peptide†given… Is it tricky?

    99. There was a question about G6PD… is it Heinz bodies??? Or is it about Sickle cell? Well.. Please try to remember…

    100. Another question about Aspergillus…. Is it precipitin test?

    101. Trigeminal Neuralgia was also given,. I picked that one because of the involvement of the ophthalmic branch, maxillary branch…etc.. Is it right? I was thinking of cluster headache..But it involves other parts of the head....

    102. Is there any answer “Normal pressure hydocephalus?†with incontinence? I answered NPH… What is your recall?

    103. STATIn function….I picked High HDL… which is wrong… I think..

    104. Drugs with has low affinity to D2 (Clozapine) Newer drugs.. is it right?

    105. They asked about a recent treated patient with heparin then eventually had POST thrombotic syndrome.

    106. There was pseudomembranous colitis…. I answered “plain abdominal xray†simple as that.

    107. swollen Knee… Re-Aspirate again and submit for culture and sensitivity

    108. the pt not responding to carbamezapine was it alcohol binge… I think it is/

    109. There was CMV ,post transplant pt with fever after14 days with normal biochemistry

    110. In cocaine induce MI.. Nitrates were given. Is it right to include “TPA?â€

    111. Common cause of death of Patient undergoing Hemodialysis: CAD right?

    112. Th2 secreted = IL 4

    113. Patient who is not responding to antidepressive drugs... USE ECT...

    i have to sleep again.. see you tomorrow guys!
  45. Guest

    Guest Guest

    thank you very much doctor i have posted over 7 replies asking people to try and revise or recall and you are the first who did.i have recalled 176 questions so far and i will post them soon.
  46. rub

    rub Guest

    well done,great job,v impresive, most of my answer like yours except for few differences
    1- psodomembrenous colitis is diagnosed by toic assay in stool
    2- knee swollen need arthroscopy to wash
    3- pt not responding to antidepressent, need to change to some new antidepresent
    4- in cocaine induce mi tpa is not used ,i chose diazepam
    5 i chse cluster headeach as it is early in the morning on daily basis
    6-g6pd hinz body correct
    7-aspergillus diagnosed by ppt test
    8-
  47. rub

    rub Guest

    8- NSAID I THINK IT CASES INTERTITIAL NEPHRITIS MORE THAN PAPILARY NECROSIS..WHAT EXAMINOR WANTS GOD KNOWS
    9-FOR PT WITH HYPOKALEMIC PARALYSIS I COSE SAME THING RELATED TO MUSLE I CAN NOT RECALL
    9- PT ON BORD THERE WAS GENERLISED EPILEPSY..WHICH WAS MY ASNSWER I THINK IT IS WRONG..MYBE CORRECT ASSWER IS ALCHOL INDUCED
    10 -RX OF E THRO PT HAD EPISTAXIS SO I WENT FOR HYDROXYUREA
    11- STAGHORNE YOU ARE RIGHT
    12- I THINK THAT IS NOT PEANUT ALLERGY BUT LATEX ALLERGY THEY MENTIONDE HXO BLOWING BALLON IN THE BARTY I REMEMBER VERY WELL
    13-
  48. rub

    rub Guest

    THE ABOVE 45 Q I DID NOT POST THEM PLZ FIND OUT THE CORRECI AUARTH.THANKS
  49. dr sj

    dr sj Guest

    114-pain relief in pancoats tumour i chose radiotherapy

    115-contraindications to surgery in lung cancer i picked lung function but it is wrong FEV1 should be less than 1.5 not 1.7

    116-auscultatory findings in a solitary nodule

    117-staging of carnoid tumour in the lung

    118-pt who was swimming then collapse whish investigation.

    119-plasma half life was it 4

    120-a pt with tender skin rash if we took a skin biopsy where is the lesion i picked deep dermis

    121-a pt taking lithium for bipolar disorder took rosiglitazone i can't recall exactly.i put rosiglitazone.
    122-a pt in a nursing home developed watery diarrhoea what org i chose cl.difficile.
    123-statistical test to compare between two tests i chose the mann whitney test i think it is wrong.
    124-a pt with a red painful eye i chose anterior uveitis.

    125-causes of gynecomastia

    126-a diabetic pregnant woman i chose insulin

    127-prophylaxis of infective endocarditis in a penicillin allergis i chose ceftriaxone and gentamycin i think it is vancomycin
    128-a pt with a raised JVP i chose constrictive pericarditis

    129-side effect of rosiglitazone i chose oedema

    130-a pt with eye pain on movement i chose optic neuritis
    131-un responsive eye i can't recall i put the lesion is in the optic nerve

    132-another one with cotton wool i chose hypertensive retinopathy but i think it is optic artery occlusion
    133-also a pt with unresponsive pupil there was horner's syndrome and argyl robertson pupil

    134-another one which i can't recall asking about the iste of the lesion in the brain stem or pons i picked the pons

    135-low attenuation in MRI i chose neurosyphilis.

    136-rectus muscle guestion
    137-a pt with loss of memory poor cognition i chose alzhiemer's disease.

    138-was there an answe wernicke's encephalopathy

    140-also a pt with severe back pain i chose syringomylia.
    141-venous ulcer which tumour.
    142-alopecia areata
    143-solitary lesion then generalized rosea
    144-watery diarrhoea sensory disturbance i chose botulism.
    145-pancytopenia i chose folic acid defiency.
    146-fragmented red cells i chose TTP
    147-prognosis for AML i chose bcl-abr.

    148-a pt with severe heart burn endoscopy normal 1 year ago i chose reendoscopy.
    149-rectal biopsy i chose crohn's disease.
    150-a pt with constipation and noticed blood in the toilet i put colonscopy.
    151-how to know that the malena is due to an upper GI bleeding i put endoscopy.
    152-coelic disease was an answer in pt with ANA postive at and negative at....
    153-what's the cause of the low urea i put reduced liver synthesis.

    154-multiple myeloma question i chose bone marrow aspiration.
    155-electroenchelogram in a jaundiced confused pt.
    156-what is the percentage that the children of a pregnant lady will develop cystic fibrosis i chose 1/4.
    157-polycystic kidney associated with polycythaemia.

    158-hepatitis c cryoglobulinaemia

    159-FMF the answer is amyloidosis in renal biopsy.
    160-was there a pituatry apoplexy.

    161-an athlet woman which hormone is reduced i picked liutenizing hormone.
    162-cystic tumour seen in MRI i chose craniophargioma.
    163-hypertension not responding to treatment i chose phaeochromocytoma.

    164-was there an answer 24 hour cortisol level.
  50. dr sj

    dr sj Guest

    165-a pt with drowsiness and diarrhoea i chose legionairre's disease.

    166-treatment of PCP i chose co-trimoxazole.

    167-in atopy i chose immunoglobulin E

    168-findings in cryptogenic fibrosis.

    169-for the follow up in COPD i chose FEV1
    170-a coal miner i chose simple pneumoconiosis

    171-was there an answer pcr for xytomegalovirus in a transplant pt.

    172-pt with lung hg anf gln antipyeloproxidase.

    173-early RA periarticular osteopenia.

    174-a pt with skin rash proteinurea hameaturea loss of sensation i chose polyarteritis nodosa.
    175-was there a question about raynaud's phenomenon i chose scleroderma.
    176-panic attaks in an alcholic i chose an underlying depression.

    please try to complete the list and revise what is the pass mark.

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