Jan 23, 2007 Exam , share ur experience here.

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

  1. BOOM

    BOOM Guest

    We have the same line of thinking

    We'll I was refreshed about your POST. we'll we hope and pray we will pass this exam...

    God knows the desires of our heart.. Keep posting.

    God bless us all.
  2. D

    D Guest

    114. Osteoarthritis “Periarticular ospeopenia”

    115. Antimyeloperoxidase…”Wegeners granulomatosis”

    116. seborrheic dermatitis “ evident in the scalp.

    117. PAN… They asked about wrist drop, foot drop… That was my wild guest… Polyareteritis nodosa… is it right?

    118. Drugs that SPECIFIC to the Brain and Liver…. They asked about (AFFINITY, SPECIFICITY, etc…)

    119. do you have any SPONDYLOLISTHESIS?

    120 CONNS..I picked RENIN:Aldosterone ratio as diagnostics… is it right?

    121. Prolactenemia : HIGH PROLACTIN LEVEL:

    122. whispering pectoriloquy..Sign of bronchial breathing , patient with severe pneumonia…

    123. Best measure of Respiratory function : FEV 1

    124. Post streptococcus kidney infection…

    125. Hemolytic-uremic syndrome … “Fragmented cells…”
  3. chris

    chris Guest

    Thanks rub

    Thanks rub. Hope we can pass this exam.

    cheers :lol:
  4. dr sj

    dr sj Guest

    ok is 170 and 115 and 117 124 128 134 135 138 147 148 160 what are the answers please.
  5. Abuibrahim

    Abuibrahim Guest

    4 Questions word by word from the exam.

    1) Which of the following cytokines mediates the immune response for T helper 2 (TH2) lymphocytes:
    a) interferon gamma
    b) interleukin 2
    c) interleukin 4
    d) interleukin 7
    e) tumour necrosis factor alpha.

    2) 55 year old man presents with sever headache associated with vomiting over the last 24 hours. He has previously been well and takes no medication.
    On examination, his temperature was 37.1, his pulse was 110 beats per minute and his blood pressure was 90/55. There was mild neck stiffness and partial right third nerve palsy.

    Investigations:
    WCC 14.1
    Na 125 mmol/l (137-144 mmol/L)
    K 5 mmol/L (3.5-4.9 mmol/L)
    TSH 1.4 mU/L (0.4-5 mU/L)
    Free T4 8 pmol/L (10-22 pmol/L)
    Serum cortisol at 09:00h 170 nmol/L (200-700 nmol/L)

    What is the most likely diagnosis:
    a) brainstem stroke
    b) encephalitis
    c) meningitis
    d) pituitary apoplexy
    e) subarachnoid haemorrhage


    3) A previously healthy 75 year old man presents with 3 day history of tiredness and breathlessness. Oxygen saturation was 90%.
    Investigations:
    Bicarbonate 30
    Arterial blood gases, on air
    PO2 8
    PCO2 7.5
    PH 7.3

    What is the most likely cause:
    a) bronchial asthma
    b) left ventricular failure
    c) lobar pneumonia
    d) neuromuscular weakness
    e) pulmonary embolism

    N.B There was no mention of examination findings and there was no other investigation results.

    4) 28 year old woman presents with extensive deep vein thrombosis of her left leg. There was a family history of recurrent deep vein thrombosis and pulmonary embolism. She was started on heparin and warfarin. Within 48 hours she developed necrotic lesions in her limbs.

    Which coagulation factor is most likely to be deficient:
    a) antithrombin III
    b) factor IX
    c) factor VIII
    d) protein C
    e) von Willebrand factor



    Now try to answer them.
  6. shaheed.

    shaheed. 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.
  7. Piccadelies

    Piccadelies Guest

    No 1. The answer is Interleukin 4. Th2 secretes Interleukin 4 and 5.

    No 2. Severe headache (sudden) with vomiting, means increase ICP. Subarachnoid hemorrhage is being considered.

    no 3. Previuosly healthy old man with 3 days dyspnea, we can consider Neuromuscular weakness.

    no 4. Recurrent DVT's, we can considered anti thrombin def.
  8. Guest

    Guest Guest

    1.akpds-polycythemia
    2.long standing venous ulcer now bleeding irregular margin-sq cell carcinoma
    3.high creatinine add rosiglitazone
    4.SE of rosiglitazone-oedema
    5.SE of valproate-tremor
    6.pregnant woman give i/v insulin
    7.pt headache high bp,pheacromocytoma-24 hr urinary catecolamines
    8pt of addisons crisis-1st i/v hydrocortisone
    9.pt of hypothyroidism and hyperlipidaemia add thyroxine
    10.young athlet girl-LH
    11.bisphosphonate-inhibit osteoclast
    12.sensitivitu percentage-40%
    13.PUETZEGAR-AD
    14.haemochromatosis-AR
    15.Vit D resistance rickets-x linked recessive
    16.alpha 1 deficiency pt severity -ZZ
    17.hyokalaemia with normotension-barters syndrome
    18.myloma-bone marrow
  9. Guest

    Guest Guest

    19.insulinoma-prolonged fasting
    20.active transport energy dependent against electrical gradient
    21.continuous supress of a pituitary hormone-prolactine
    22contact of pnemococcas-nothing
    23.consipation of a 28 yr girl with 4 days after stool pass mixed with blood next inv-colonoscopy
    24.30 mr hydrocortisone-7.5 mg prednisolone
    25.solitary toxic nodule
    26.young girl tremor palpitation T3 t4 raised tsh suppressed-anti peroxidase ab
    27.a pt of headache neck rigidity all pituitary hormone level decreased-pituitary apoplexy
    28.drug causing oedema-nifedipine
    29.hypergonadotropic hypogonadism-klinfelters
    30.hypo magnasemia with ventricular arrythmia cause-diuretics
  10. Guest

    Guest Guest

    31.half life of digoxin it is 2 hrs as from 16 mg/dl to 1 mg/dl it takes 8 hrs time so calculate it is 2 hrs ...a similar sample qus was in oneexamination
    32.somatization disorder
    33.pt on unstable angina b blocker morphine oxygen given still pain.....add GTN
    34.panic disorder_relaxation may helpful for this
    35.ST elevation on 1 mm in standard lead
    36.TROPONIN-contractile protein...after binding with actin myosin it contract cardiac tissue
    37.pt while swimming for 15 mins unconscious asystolic murmur in aortic area next inv-echo(as it is AS0
    38.a old lady with diuretics pain in dip and pip x ray hand chondrocalcinosis-it is PSEUDOGOUT
    39.early feature of RA 3 months duration-periosteal osteopenia
    40FMF -amyloidosis on renal biopsy
    wait......I m COMING WITH ALL QUES AND ANS OF JAN2007 :( :shock:
  11. Guest

    Guest Guest

    41.a pt of RTI 4 days back noe renal impairment-IG A nephropathy
    42.most common cause of death in a pt of dialysis for 5 years-coronary artery dis
    43.a pt of transpalned kidney 14 days later incresed urea creatinine wbc crp and esr normal only pain on loin-ciclosporin nephrotoxicity
    44.pre excitation arrythmia-FLECAINEDE
    45.rhabdomyolysis
    46.primary hyperparathyroidism
    47.a long standing htn xray cardiomegaly ecg LVH pattern in a 34 yr old man-essential HTN
    48.asymmetrcical kidney do renal arteriography
    49.HSV zoster neuralgia-next step for pain control carbamazepine(I gave aciclovir :(
    50.common variable immunodeficiency-recurrent pneumonia
    51.a pt of recurrent angiooedema in home take adrenaline inj c3 c4 level normal-exclusion diet
    52.latex allergy-in a partyafter bloating ballon
  12. Guest

    Guest Guest

    54.warferin induced skin necrosis cause-protein c deficiency
    55.a pt of dvt now platelet reduced -change to HIRUDIN ( a qus from onexamination)
    56.gastrinoma-pepsin increased secretion
    57.splenectomy-1 month before surgery
    58.essential thrombocytosis- hydroxyurea
    59a pt of easy fatiguability myasthenia-check anti ach ab
    60post inflamatory polyneuropathy-GBS
    61prolapsed intervertebral disk-pain on back go from hip to thigh worse on banding improve with rest
    62clear cut cluster headache...those who tell trigeminal neralgia ----sorry they r wrong
    63a pt of flactuating conciousness-subdural haematoma
    64absent knee jerk plantar extensor joint position vobration impaired.sensory neuropathy.dysartria...cause? i gave sub com degeneration of cord.......but dysartria?note-family history negative mri brain normal....GOD KNOWS
  13. Guest

    Guest Guest

    - 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

    Answer B


    2- Pt with COPD having diarrhea ,,which organism is likely??

    3- PT WITH ECOLI diarrhea, to avoid resistance which ABX to add??

    4- PT WITH MULTIPLE SMALL JOINTS INVOLVEMENT AND CHONDROCALCINOSIS, anti-Sm positive
    a- polyarticular gout
    b- cpdd
    c- SLE

    5- Pt. is post renal transplat with acute rejection non tender flank region with +1 hematuria? Pt with fever after14 days with normal biochemistry Cause?
    a- Dilated Cardiomyopathy
    b- Coronary artery disease
    c- cyclosporin toxicity
    d- CMV infection
    e- acute rejection


    6- Which cathecolamine is synthesized in adrenal medulla?
    a- adrenaline
    b- noradrenaline
    c- metanephreine

    7- HEMOCHROMATOSIS??
    a- Autosommal Dominant
    b- Autosammal Ressissive

    8- Pt with diagnosis of legonella pneumonia inf? Drug of choice?
    a- Erythromyocin
    b- Clarithromyocin
    c- Ciprofloxacicni
    d- Third generation Cephalosporins


    9- When to give pneumococcal vaccine in splenectomy
    a- 1 week prior
    b- 1 week after
    c- At the time of surgery
    d- 1 month prior surgery

    10- Statins interactions with which of the following:
    a- cranberry juice
    b- apple juice
    c - grapefruit juice
    d- pinepaple
    e-orange juice

    11- Which nerve/root is affected if there is global wasting of small muscles of hand?
    a- C7
    b- T1

    12- Best initial management of immune thrombocytopenia?
    a- Steriods

    13- Which one is the centrally acting antihypertensive?
    a- MINOXIDIL (vasodilators)
    b- ACE inhibitors
    c- Calcium antagonists

    14- Dose of prednisolone equivalent to 20 hydrocortisone?

    15- Patient presented with anterior chest pain. Definite ECG indications to give thrombolysis?
    a- more than 1mm ST elevation in standard lead
    b- more than 1mm ST elevation in chest lead
    c- more than 1mm ST depression in chest lead
    d- more than 1mm ST depression in standard lead

    16- Best initial investigation in a 17 year old getting recurrent meningitis

    17- Type & site of immune deposits in pemphigus vulgaris

    18- A school teacher gets pneumococcal meningitis. what will u do for his contacts?
    a- nothing
    b- isolate
    c- rifampicin
    d- ceftriaxone

    19- Type of cancer at the margin of a chronic venous ulcer?

    20- Peutz-Jeghar Syndrome, inheritance?
    a- autosomal dominant

    21- Treatment of WPW Sydrome:
    a- Flecainide
    b- Digoxin
    c- Verapamil

    22- 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?
    a- His son who was blood group O AND RH negative
    b- NONE OF THE ABOVE

    23- 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 & lacrimation?
    a- TRIGEMINAL NEURALGIA
    b- CLUSTER HEADACHE

    24- A lady is given balloons to blow in a party, she later develop lip edema. Symptoms of angioneuritic oedema including lip swelling?
    a- C1 INHIBITOR DEFICIENCY
    b- latex allergy


    25- Which of the following cytokines are secreted by T helper 2 (TH2) CELLS
    a-IFN-GAMMA
    b-INTERLEUKIN 2
    c-IL 4
    d- IL7
    e- tumour necrosis factor


    26- What about pt with bipolar disorder on lithium, had confusion, was started rosiglutazone came with hyponatremia? Drug causes is?
    a- Lithum
    b- Rosigltazone


    27- Pt. swimming in the pole had fit with incontenence of urine-with come jurks
    a- epilepsy

    28- Antibiotic Prophlaxis:
    a- Pacemaker,
    b- Isolated Secundum
    c- ASD
    d- MVP without regurgitation

    29- In Physiology , what’s Troponin T & I?
    a- structural protein
    b- contractile protein
    c- enzyme

    30- Which Pituitary hormone is in constant inhibition? (Asked twice)
    a- prolactin
    b- TSH
    c- ACTH

    31- Blistering disorders: structure ?
    a- dermo-epidermal junctions
    b- dermis epidermis

    32- Gastric CA wid which of skin conditions?
    a- Erythema Migrans
    b- Erythema gyratum repens

    33- Action of Gastrin?
    a- Stimulus for secretion amino acids in antrum
    b- acts on G cells in antrum
    c- reduces pancreatic bicarb secretion

    34- Chlamydia with pregnant patient :Contraindication???
    a- Metronodazole?
    b - Doxycycline

    35- In Statistics question, to find out senstivity, table was given?
    a- 80%
    b- 40%
    c-93%
    d- 95%

    36- Treatment of A. Fumigatus?
    a- fluconazole
    b- amphotericin
    c- flucytosine
    d- ketoconazole
    e- itraconazole

    36- Accidental finding of CLL?
    a- Observation

    37- Patient presented with hypomagnesemia, Reason?
    a- diuretics treatment

    38- Effect of NSAIDs on Kidney?
    a- Intersitial Nephritis
    b- Papillary Necrosis

    39- Frontal Lobe Lesion?
    a- Perservation

    40- Mechanism of Action of Selegeline?
    a- Monoamine Oxidase Inhibitors

    41- Somatoform Disorder

    42- Rheumatoid Arthritis: related to HLA?
    a- DR4
    b- DR3
    c- DR2
    d- B27

    43- Typical history of Bechet's Disease?

    44- Male with gynaecomastia.History suggestive of klinefelters?

    45- MOA of Bisphosphonates?

    46- Poor prognostic sign in left ventricular dysfunction?
    a- 3 heart sound 4 hours
    b- fixed 2 hs



    47- Features of conns syn given. Qn is where is the Pathology?
    a- aff arteriole
    b- glomerulus
    c- DCT
    d- etc

    48- Side Effects of fluid overload (5 liters of Normal Saline to a post-op patient)?
    a- Metabolic acidosis
    b- Pulmonary edema
    c- hypoglycemia
    d- hypernatremia

    49- Best method to stage carcinoid syndrome?

    50- What to do with a nurse exposed to a TB patient & tuberculin positive?
    a- continue work
    b- don’t work till culture is negative
    c- Patient can go back IF the sputum is already negative"

    51- A patient with a bleeding peptic ulcer given H Pylori eradication regime. But still urease positive. Reason?
    a- Re-infection
    b- not totally eradicated H. Pylori that's why the patient still symptomatic

    52- In G6PD deficieny:
    1- Heinz bodies

    53- What was ? guar gum and acarbose?

    54- Pt. has pain in both proximal and distal joints, on diuretics ,xray showing intra articular calcification what could be the cause?
    a- heamachromatosis
    b- gout
    c- psuedo gout

    55- X-ray finding of RA?
    a- Periarticular osteopenia

    56- Pt with confusion, on examination global cognitive impairment,mainly cognitive aprexia diagnosis?
    a- Herpis encephalitis.

    57- What was the answer for determenant of prognosis in aml :t cell typr number of blasts with bcl abr?

    58- A 80 year old female with regurgitation of food & dysphagia and wt loss full in the neck?
    a- Esophageal carcinoma.

    59- Thyroid scan?
    a- Toxic solitary nodule.

    60- Young boy with weakness and normal siblings?
    a- Friedrek's ataxia
    b- Subacute combined degenration of the cord.

    61- A pt with hypokalemia and a normal blood pressure?
    a- Bartter's syndrome.

    62- What to give in a pt with with hypotension and hypoglycaemia?
    a- IV triidothyronin
    b- IV hydrocortison.

    63- A post MI patient with respiratory infection. Given broad spectrum antibiotics. After a week there was a massive effusion? What is the next appropriate or next step?
    a- Aspirate fluid
    b- Echocardiogram
    c- ECG

    64- Pt. received heparin for a DVT?
    a- Heparin
    b- t phlebitic syndrome


    65- A pt.with raynaud's phenomenon?
    a- Scleroderma

    66- Pancytopenia and high MCV?
    a- Folic acid defiency
    b- Alcohol anamia

    67- In a patient, there is reduced attentuation in CT in HIV pt.?
    a- neurosyphilis
    b- alzehiemer's disease
    c- lewy body dementia
    d- PROGRESSIVE MULTI FOCAL LEUCOENCEPHALOPATH
    68- How to diagnose von willibrand disease?
    a- Factor 8 activity of platlatet aggregation

    69- A pt. with panic attacks and taking 60 units of alcohol?
    a- anxiety depression
    b- panic attacks are releaved by alchole

    70- A woman in a nursing home developed water diarrohoe what's the causative organism?
    a- cl.difficile

    71- An old immobile man with parkinsonism developed UTI and received trimethoprim and developed penuemonia what's the organism?
    a- sterptococcus pneumnonae
    b- methicillin resistant staph.aureus.

    72- Which method for staging carcinoid tumour?
    a- Bronchoscopy
    b- CT scan thorax
    c- Abdomen mediastanoscopy

    73- Where is the site of the lesion in a pt who has developed ptosis?
    a- Brain stem
    b- Pons

    74- 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?
    a- Colonscopy
    b- Gut transit time

    75- Following gastrectomy developed ulcer after recieving eradication therapy 3 years ago?
    a- Reinfection
    b- Failure of eradication therapy

    76- How to know that the malena is due to an upper GI bleeding?
    a- Endoscopy
    b- Liver colonscopy

    77- What to do in the pt with swollen knee?
    a- Re- aspirate.
    b- arthroscopy with washout
    c- culture after joit aspirtion
    d- I/V abx
    e- MRI of knee joint

    78- Pain relief in pancoats tumour?
    a- radiotherapy

    79- Animal Bite? Pus containing?
    a- Staph aureus
    b- P. multocida


    80- Patient with high creatinine? Drug of choice for diabetes?
    a- Metformin
    b- Rosiglitazone

    81- Essential hypertension?
    a- Is it due to the size of the cuff?

    82- A patient came from africa to UK with "Shivering" and painful back (maybe site of bite). typical patient?
    a- Rabies

    83- MOA of biphosphonates?


    84- Side Effectsof valproic acid?
    a- TREMOR
    b- Ankle swelling

    85- There was a case of Myasthenia gravis?
    a- cholinesterase inhibitors

    86- A patient with hypokalemic paralysis from Asia (Chinese)? Invx?
    a- THYROID TEST..

    87- Papules with HIV?
    a- Molluscum Contagiosum
    b- KAPOSI sarcoma


    88- Sarcoidosis patient with erythema and Bilateral Lymphadopathy? Lab.Diagnosis?
    a- X-ray


    89- A patient with dry cough and usually bothered from sleep?
    a- Chronic asthma

    90- For diagnosis of asthma?
    a- PEFR>20

    91- Emphysema patient?
    a- MM

    92- A patient of APKD? Suspected?
    a- POLYCYTHEMIA

    93- A school-teacher with diagnosed Pulmonary TB?
    a- " Patient can go back IF the sputum is already negative"

    94- A presents with scrotal swelling. Likely viral infection?
    a- MUMPS (Orchitis)

    95- The kidney donation and the patient is Rh negative. Question is which relatives can donate?
    a- NONE
    b- we need to screen first the relatives before donating there own organs.

    96- Hypokalemia with normotention?
    a- Barter's syndrome

    97- Purpuric lesions and the palms were involved?
    a- SYPHILIS

    [snip]- LACTIC ACID?
    a- Glycolysis
    b- Gluconeogenesis



    99- Active transport?
    a- Molecules move against
    b- an electrical
    c- concentration gradient

    100- Erectile dysfunction was asked?
    a- SILDEFINIL

    101- Giardia lamblia?
    a- Small biopsy in distal part of duodenum (small intestine)
    b- Fecalysis, you should take atleast 3 samples for trophozoites
    c- Diagnostically speaking, BIOPSY

    102- Warfarin-antibiotics interaction?
    a- CARBAMAZEPINE


    103- Sublcavian vein?
    a- Scalene anterior muscle
    b- posterior to scalenus
    c- it joins with int jugular

    104- RCP asked about an injury in the shoulder. He weigh heavy objects. Among the elderly, biceps tendon ruptures near the shoulder are often associated with rotator cuff tears.
    a- Rotator cuff tendinitis
    b- Rupture of tendon biceps

    105- Alcohol with elevated LDH???
    a- Rhabdomyolysis

    106- SLE with lupus arthritis? What will be management STEROIDS+???
    a- Cyclophosphamide
    b- Methotrexate

    107- Freidrich Ataxia’s case?

    108- CLL or ALL?
    a- CD20


    109- Patient after an accident became sexually abusive? What part of the brain is involved?
    a- Thalamus
    b- temporal
    c- Reticular activating system
    d- Parietal

    110- Dihydrocodeine toxicity?

    111- Cholesterol embolism?

    112- In a patient, Bilateral kidney sizes became small?
    a- MRA is the diagnostic of choice Arteriography

    113- What is the appropriate INITIAL treatment with essential thrombocytosis?
    a- ASPIRIN

    114- Question about Multiple myeloma?
    a- Bone Marrow aspiration


    115- Patient with Hypercholesterolemia? What is treatment?
    a- Thyroid hormones

    116- Hypercalcemia and high Phospate?
    a- HYPERPARATHYROIDISM

    117- struvite “Magnesium ammonium phosphate stones�
    a- Staghorn Calculi

    118- Pt. with fast AF previous pre-excitation? Rx
    a- VERAPAMIL

    119- 3D structure of proteins? (Southern blot is for DNA, RNA is for Northern)
    a- Western blot

    120- Hepatitis profile? Which investigation?
    a- Hepatitis C
    b- HBV DNA

    121- Best method to stage carcinoid syndrome?
    a- Brochoscopy

    122- Infected gangrenous diabetic foot… triple therapy?
    a- Metronodazole, Ofloxacin, and ???

    123- Treatment for HSV?
    a- Acyclovir

    124- Case of SEVERE Pneumonia? Regarding CURB-65….
    a- Urea


    125- Patient who had drinking history of alcohol night before and went to travel. Then He had seizure attack while on board. Diagnosis?
    a- Vasovagal
    b- alcohol related d/o
    c- Cardiogenic syncope


    126- Which one of the following is useful in assessing the need for surgery? Patient with GORD?
    a- Oesophageal Manometry

    127- Mechanism of action of aldosterone what part of of nephron?
    a- Collecting duct
    b- proximal
    c- Distal part of Nephron

    128- Patient with stress and loss of hair?
    a- Trichotillomania (TTM)

    129- A question about INSULINOMA?
    a- glucose tolerance test after 72 hours
    b- “C-peptideâ€

    130- Is there any answer “Normal pressure hydocephalus?†with incontinence?
    a- NPH



    131- STATIN function?
    a- High HDL


    132- Drugs with has low affinity to D2 Newer drugs?
    a- Clozapine

    133- A recent treated patient with heparin then eventually had POST thrombotic syndrome?

    134- Pt. not responding to carbamezapine?
    a- Alcohol binges


    135- In cocaine induce MI, Nitrates were given?
    a- Is it right to include “TPA?â€
    b- nifidpine
    c- amlodipine

    136- Common cause of death of Patient undergoing Hemodialysis?
    a- CAD

    137- Chronic fatigue syndrome? or 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.

    138- Asymtomatic old patient with AF and heart rate of 120 what to give?
    a- flecainide
    b- warfarin
    c- warfarin
    d- sotalol


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



    140- Plasma half life was it 4

    141- Statistical test to compare between two tests?
    a- mann whitney test

    142- A pt with a red painful eye?
    a- anterior uveitis.


    143- Prophylaxis of infective endocarditis in a penicillin allergis?
    a- ceftriaxone and gentamycin
    b- vancomycin

    144- A pt with a raised JVP?
    a- constrictive pericarditis

    145- Sidde effect of rosiglitazone?
    a- edema

    146- A pt with eye pain on movement?
    a- optic neuritis

    147- Unresponsive eye?
    a- lesion is in the optic nerve

    148- Another one with cotton wool spots?
    a- hypertensive retinopathy
    b- optic artery occlusion

    149- A pt. with unresponsive pupil?
    a- argyl robertson pupil
    b- horner's syndrome

    150- rectus muscle guestion?

    151- A pt. with loss of memory poor cognition?
    a- alzhiemer's disease.


    152- wernicke's encephalopathy?



    153- A pt. with severe back pain?
    a- syringomylia.


    154- Rectal Biopsy?
    a- Crohn’s disease

    155- A pt. with severe heart burn endoscopy normal 1 year ago?
    a- reendoscopy.

    156- What's the cause of the low urea?
    a- reduced liver synthesis.


    157- In a jaundiced confused pt.?
    a- electroenchelogram

    158- What’s the percentage that the children of a pregnant lady will develop cystic fibrosis?
    a- 1/4.

    159- Findings in cryptogenic fibrosis.

    160- FMF?
    a- amyloidosis in renal biopsy.

    161- Pituatry apoplexy.


    162- an athlet woman which hormone is reduced?
    a- liutenizing hormone.

    163- cystic tumour seen in MRI?
    a- craniophargioma

    164- Hypertension not responding to treatment?
    a- phaeochromocytoma.


    165- treatment of PCP?
    a- co-trimoxazole


    166- -In atopy?
    a- immunoglobulin E


    167- a coal miner?
    a- simple pneumoconiosis

    168- follow up in COPD?
    a- FEV1


    169- Osteoarthritis “Periarticular ospeopenia�


    170- early RA periarticular osteopenia?


    171- Antimyeloperoxidase…â€Wegeners granulomatosisâ€?


    172- A pt. with skin rash proteinurea hameaturea loss of sensation? They asked about wrist drop, foot drop.
    a- polyarteritis nodosa


    173- Drugs that SPECIFIC to the Brain and Liver…. They asked about AFFINITY, SPECIFICITY?


    174- SPONDYLOLISTHESIS?


    175- Hemolytic-uremic syndrome … “Fragmented cells…â€


    176- whispering pectoriloquy..Sign of bronchial breathing , patient with severe pneumonia?

    177- A woman who received heparin for a dvt what’s answer?
    a- post phlebitic syndrome
    b- Heparin

    178- Dermatomyositis?

    179- Treatment?
    a- Hydroxyurea


    180- Patient who is not responding to antidepressive drugs?
    a- ECT

    181- Alopecia areata
  14. Piccadelies

    Piccadelies Guest

    no 1. I think its not TTP, take a look the creatinie... this is a case of HUS. with Fever... :D
  15. Piccadelies

    Piccadelies Guest

    Clinically, HUS can be very hard to distinguish from thrombotic thrombocytopenic purpura (TTP). The laboratory features are almost identical, and not every case of HUS is preceded by diarrhea. The only distinguishing feature is that in TTP, neurological symptoms occur more often, but this is not always the case.
  16. Guest

    Guest Guest

    is anti SM always deal with SLE???

    List of some autoantibodies and commonly associated diseases
    vs. double-stranded-DNA = Systemic lupus erythematosus
    vs. Ro or La = Systemic lupus erythematosus and neonatal heart block, primary Sjogren's syndrome
    vs. Sm = Systemic lupus erythematosusvs. phospholipid = Antiphospholipid syndrome
    vs. SSA or SSB = Sjogren's syndrome
    vs. neutrophil cytoplasmic (cANCA) = Wegener's granulomatosis
    vs. neutrophil perinuclear (pANCA) = Systemic vasculitides (non-specific)
    vs. IgG (Rheumatoid Factor) = Rheumatoid arthritis
    vs. neutrophil perinuclear (pANCA) = Polyarteritis nodosa
    vs. centromere = CREST syndrome
    vs. Scl70 = Systemic sclerosis
    vs. smooth muscle = chronic autoimmune hepatitis
    vs. mitochondria = primary biliary cirrhosis
    vs. nicotinic acetylcholine receptor = myasthenia gravis
    vs. voltage-gated calcium channel = Lambert-Eaton syndrome
    vs. thyroid peroxidase (microsmal) = Hashimoto's thyroiditis
    vs. TSH receptor = Graves' disease
    vs. Hu = Paraneoplastic cerebellar syndrome
    vs. voltage-gaed potassium channel (VGKC) = Limbic encephalitis
  17. Guest

    Guest Guest

    no u are not correct it mention the pt was confused , which goes with ttp (cns )
  18. cll is associated with cd 35 from one of the sitete i can not remember
  19. rub

    rub Guest

    no D for conn's syndrome the answer is 24 h urinary free cortisol level
  20. rub

    rub Guest

    for pt not responding to anti depressent the answer is to chang to another antidepresent
  21. rub

    rub Guest

    pt with cotton wool the answer is retinal vein oclusion the disk was swollen which goes with it,in retinal artey oclusion the disc will be pale.
  22. rub

    rub Guest

    it was argyl robenson syndrome,
  23. rub

    rub Guest

    hi dr sj here is some of my answers about what you asked
    115-thre was horner's syndrome ,i think as destent metastasis

    117- staging of carcinoid -- i dont remember exactly what was there but ct scan or mri of both thorax and abdomin--in carcinoid sydrome the symtomes startes when there is matastisis to liver,i dont know what examinar wanted

    124- i think it was acute glucoma,i remmember they mentionet that the aqquty will reduce in the night..as du to pupilary dilatation at night it will press on the angle..and it is painfull condition also.

    128 yes
    134 i picked up demylination of brainstem

    147- yes

    148 i can not recall
    160-yes
  24. rub

    rub Guest

    erythema gyretum repens mainly associate with bronchial ca in 32%,with pharynx and stomach 2%,8% with esophgeal ca
  25. rub

    rub Guest

    HI ABUIBRAHIM, you remwmbered the questions in detail well done
    i answered as the followind
    1-IL 4
    2-PITUITARY APOPLEXY
    3-LOBAR PNEMONIA
    4-ANTITHROMBIN III..DUE TO FAMOLY HISTORY AND THIS IS THE COMMENIST THROMBOPHELIA ,AND HEPARINE WILL NOT WORK IN THIS CASE,AS HEPARINE WORK AS ANTITHROMBIN III
    WHAT WAS YOUR ANSWERS
  26. dr sj

    dr sj Guest

    thank you very much rub,please try to remember more questions.
  27. rub

    rub Guest

    FEW MORE Q
    -PT HAD GONOCOCAL URITHRITIS BUT DID NOT IMPROVE....CHLAMYDIA TROCHOMATA.
    HIGHT UREA IN GI BLEEDING WHY...I DONT REMMEMBER
  28. Guest

    Guest Guest

    2 Qs more

    I think about 2 Qs more one related to Omeprazole and treatment of peptic ulcer.and seconde related to Kalmman syndrom :?:
  29. rub

    rub Guest

    yes you r right i remmembered one pt had peptic ulcer disease started on omeprazolwhat will be the effect i wroe it will shorten the stay in the hospital..i dont remember the rest.

    -
  30. Guest

    Guest Guest

    one Q more

    I remmembered one pat. had Wilsons disease and treatment with penicillamine, :?:
  31. dk

    dk Guest

    Where are these custom notes everyone goes on about?

    cheers
    dk
  32. Abuibrahim

    Abuibrahim Guest

    The answer to the 4th question was protein C deficinecy.

    You can read this article for further details:

    http://www.emedicine.com/med/topic1923.htm[/url]
  33. Guest

    Guest Guest

    answer

    No 1. The answer is Interleukin 4.
    No 2. pitutary apoplexy d2 low T4 ALSO LOW CORTISOL ANDsodium with increase potassum = hypopitutarism 3rd N d2 compression by expanding pitutary
    no 3. Neuromuscular weakness. D2 increase CO2

    no 4.C defficency bec its AD and cause skin eruption with warfarin
  34. Guest

    Guest Guest

    answer

    About trooonin I and T they r contractile proteins
  35. eafreen

    eafreen Guest

    good memory docs.thanxs for recalls .. when is the the result expected ,//

    ???,, and wht wuld be the passing % wuld it go up .. from the prvious attempt of sept 2007 which ws 58.4% i think ,,, its said tht january paper is usually the easiest amongst 3 ,, does any body think so .. ws it easy??? :shock: amd passing % wuld go beyond 65%
  36. Dr .Nana

    Dr .Nana Guest

    :( I think pass mark for 23 jan 2007 (59%-62%).and the exam not easy than sept.2006.....Good luck for all :idea:
  37. 60-60%

    60-60% Guest

    Hopeful

    I hope the passing rate would be 60-65%. I think there is no easy exam. The RCP will not tolerate easy exams because we paid very expensive amount.

    Hope for the best.
  38. sh

    sh Guest

    Where are these mrcp custom notes everyone goes on about?
  39. rub

    rub Guest

    any news about the result 8)
  40. Any news?

    Any news? Guest

    Whew... We are all excited about the results... Hopefully by next 2 weeks. Goodnews, the RCP I think will allow the next examinees to pay via card.. That's good, right?

    Hope for the best guys.. Hopefully all of us will shout for victory.

    God bless you,

    MRCP examinees :D
  41. rub

    rub Guest

    i know it is toooooooo early for the result.. dont you think it is tourturing to wait :cry: , it is all computarized they can get the result within few days than why this tourturing .............
  42. eafreen

    eafreen Guest

    pray pray and pray

    oh dont get tortured,,, its time for prayers ,,, inshaALLAH , all our hard works will be rewarded.... v shud be hope full ,,, and cheers :) it will be goodnews
  43. rub

    rub Guest

    yes you r right eafreen ,this is chance for us to pray to GOD for the best inshallah all who appearded in the exam will pass.
    we shall be positive.we will win, :angel
  44. drtripti

    drtripti Guest

    Jan 23,2007 results?

    hi, its realy longgg but still the results r not declared....... :!: :?:
    Can anyone hav any idea about it.......
  45. Tortured

    Tortured Guest

    Next week probably

    Well, probably next week... www.mrcpuk.org mentioned within 5 weeks after the exam date. Well, we waited for almost a month...So, I guess this coming week would be the best time to post the successful candidates. Hopefully all of us will pass the exams. God bless you all!

    Mentally tortured :oops:
  46. issam

    issam Guest

    result of 23 jan 2007 MRCP1

    result will be declered on monday 19/2/2007
  47. Tortured

    Tortured Guest

    Now im pretty scared!

    Oh my.. Now, Im scared!

    Best wishes for all of us! Thanks Dr Issam.
  48. VVV

    VVV Guest

    The results will be posted and released on 19th FEB , but guys check the results on the web at the end of the day today 17th Feb,Friday as it is usual that Fridays, the results are posted on the web.

    Good luck guys.

    start preparing for PART 2 Inshallah.
  49. VVV

    VVV Guest

    Sorry - It's 16thFeb Friday - So check the results after 2hours or 6hours from now.

    good luck guys.
  50. Guest

    Guest Guest

    any news :!:

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