Discussion in 'MRCP Forum' started by Dr. Bela, Jan 23, 2007.
No news yet. But, probably this week or next week (5th weeks). Hope for the best guys.
it ws supposed to be annonunced on monday 19th feburary ,,,,,,,,,,,,,,,,, hufffffffffffffffffffffffff ...looking fwd for all cheerful faces ...........goodluck to all awaiting for result.....
result is out
hello dear all ,, result hs been announced ............
hi all,i am passed in part 1 jan 2007.
i passed thanks to GOD..I HOPE all how appearded passed.
congratulations to all who hv passed
1. treatment of Herpes zoster, analgesic or aciclovir- analgesic
2bullae of bullous pemphigoid- which layer
3. NHL - use of CD20
4 . depression side effect of which antiepileptic
Any news about pass marks :cry:
I checked the website on Monday and had a big fail come up, but today I got a letter saying I'd passed, with 64% and a passmark of 60%. Anyone else had different results? I can't check the website again as it seems to have crashed!
Is there anyone has similar problems, different website results and actual post results, we are from oversea and we would like to know it very urgently as website results is pretty painful despite a lot of hope.
you can check the site it is warking
Is anyone else willing to state their results? I got 66% (pass mark 60%). Is this a GOOD pass or did I only JUST pass (for example, do lots of people score in the 80s etc. or are most in the 60s).
The website said I passed too, so no cruelty to me luckily. That's a horrible to happen, and a nasty few days for nothing, but I bet you're feeling better now!
I admit I'm not from India. Hope it's OK to post this question here - it looks like a good forum...
very lucky guest2 tht uv passed after the threatening news on web...congrats.....and dr maz just be thankful 2 GOD tht uv passed i guess % doesnt count alot in MCQ type xams,,,,congrats
i have passed
Dear brothers and sisters
i have passed MRCP PART 1 JAN 2007
i am happy looking now for part 2
i am from iraq if any one near wanna share questions and study together
mebrouk Dr mubina from ksa
hope all success for all MRCP doctors
long live iraq
what threatening news on the web?
a few questions from jan 2007 mrcp part 1 exam.
1- 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 38ÂºC. Blood tests reveal
Hb 9.6 g/dl
Platelets 65 * 109/l
WCC 11.1 * 109/l
Urea 23.1 mmol/l
Creatinine 366 Âµmol/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
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
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- Autosommal Dominant
b- Autosammal Ressissive
8- Pt with diagnosis of legonella pneumonia inf? Drug of choice?
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
11- Which nerve/root is affected if there is global wasting of small muscles of hand?
12- Best initial management of immune thrombocytopenia?
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?
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:
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
e- tumour necrosis factor
26- What about pt with bipolar disorder on lithium, had confusion, was started rosiglutazone came with hyponatremia? Drug causes is?
27- Pt. swimming in the pole had fit with incontenence of urine-with come jurks
28- Antibiotic Prophlaxis:
b- Isolated Secundum
d- MVP without regurgitation
29- In Physiology , whatâ€™s Troponin T & I?
a- structural protein
b- contractile protein
30- Which Pituitary hormone is in constant inhibition? (Asked twice)
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???
b - Doxycycline
35- In Statistics question, to find out senstivity, table was given?
36- Treatment of A. Fumigatus?
36- Accidental finding of CLL?
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?
40- Mechanism of Action of Selegeline?
a- Monoamine Oxidase Inhibitors
41- Somatoform Disorder
42- Rheumatoid Arthritis: related to HLA?
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
48- Side Effects of fluid overload (5 liters of Normal Saline to a post-op patient)?
a- Metabolic acidosis
b- Pulmonary edema
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- donâ€™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?
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?
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
64- Pt. received heparin for a DVT?
b- t phlebitic syndrome
65- A pt.with raynaud's phenomenon?
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.?
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?
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?
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
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?
b- Gut transit time
75- Following gastrectomy developed ulcer after recieving eradication therapy 3 years ago?
b- Failure of eradication therapy
76- How to know that the malena is due to an upper GI bleeding?
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?
79- Animal Bite? Pus containing?
a- Staph aureus
b- P. multocida
80- Patient with high creatinine? Drug of choice for diabetes?
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?
83- MOA of biphosphonates?
84- Side Effectsof valproic acid?
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?
89- A patient with dry cough and usually bothered from sleep?
a- Chronic asthma
90- For diagnosis of asthma?
91- Emphysema patient?
92- A patient of APKD? Suspected?
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?
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?
[snip]- LACTIC ACID?
99- Active transport?
a- Molecules move against
b- an electrical
c- concentration gradient
100- Erectile dysfunction was asked?
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?
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???
106- SLE with lupus arthritis? What will be management STEROIDS+???
107- Freidrich Ataxiaâ€™s case?
108- CLL or ALL?
109- Patient after an accident became sexually abusive? What part of the brain is involved?
c- Reticular activating system
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?
114- Question about Multiple myeloma?
a- Bone Marrow aspiration
115- Patient with Hypercholesterolemia? What is treatment?
a- Thyroid hormones
116- Hypercalcemia and high Phospate?
117- struvite â€œMagnesium ammonium phosphate stonesâ€?
a- Staghorn Calculi
118- Pt. with fast AF previous pre-excitation? Rx
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?
122- Infected gangrenous diabetic footâ€¦ triple therapy?
a- Metronodazole, Ofloxacin, and ???
123- Treatment for HSV?
124- Case of SEVERE Pneumonia? Regarding CURB-65â€¦.
125- Patient who had drinking history of alcohol night before and went to travel. Then He had seizure attack while on board. Diagnosis?
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
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
130- Is there any answer â€œNormal pressure hydocephalus?â€ with incontinence?
131- STATIN function?
a- High HDL
132- Drugs with has low affinity to D2 Newer drugs?
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 â€œTPA?â€
136- Common cause of death of Patient undergoing Hemodialysis?
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?
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
144- A pt with a raised JVP?
a- constrictive pericarditis
145- Sidde effect of rosiglitazone?
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?
154- Rectal Biopsy?
a- Crohnâ€™s disease
155- A pt. with severe heart burn endoscopy normal 1 year ago?
156- What's the cause of the low urea?
a- reduced liver synthesis.
157- In a jaundiced confused pt.?
158- Whatâ€™s the percentage that the children of a pregnant lady will develop cystic fibrosis?
159- Findings in cryptogenic fibrosis.
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?
164- Hypertension not responding to treatment?
165- treatment of PCP?
166- -In atopy?
a- immunoglobulin E
167- a coal miner?
a- simple pneumoconiosis
168- follow up in COPD?
169- Osteoarthritis â€œPeriarticular ospeopeniaâ€?
170- early RA periarticular osteopenia?
171- Antimyeloperoxidaseâ€¦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 Liverâ€¦. They asked about AFFINITY, SPECIFICITY?
175- Hemolytic-uremic syndrome â€¦ â€œFragmented cellsâ€¦â€
176- whispering pectoriloquy..Sign of bronchial breathing , patient with severe pneumonia?
177- A woman who received heparin for a dvt whatâ€™s answer?
a- post phlebitic syndrome
180- Patient who is not responding to antidepressive drugs?
181- Alopecia areata
i want nephrology bofs
i want nephrology bofs
if any question appears in mrcp with a facial pain and pt wakes up due to pain at the back of his eyes at night...usually indicates a cluster headache.
adrenal medulla produces epi and norepinephrine.metanephrine test is the latest to dx pheochromcytoma
initially observation is justified in ITP even platelet count is below 20000 and no event of hge
centally acting drugs are clonidine, methyldopa,guanabenz and guanfecine
pneumococcal exposure can be managed by rifampicin prophylactic, a single dose of ceftriaxone shall also do
easy to remember while immunology is often mind boggling...
TH1 secretes IFN
TH2 secretes IL4
usually itraconazole is given as Rx of Aspergillus but amphotericin is given in the resistent cases
What is Gastranoma cancer
Separate names with a comma.