MRCP 1 >>9 SEP. 2014 EXAM RECALL DISCUSSION

Discussion in 'MRCP Forum' started by samuel, Sep 13, 2014.

  1. samuel

    samuel New Member

    anti ccp-RA
    NHL-anti cd-20
    pemphigus vulgaris
    bullous pemhigoid
    von willebrand disease
    marfan-fibrillin
    gentamicin-acute tubular necrosis
    CRF- secondary hyperparathyroidism
    wernicke-korsakoff- IV thiamine
    addisonian crisis- iv hydrocort
    ITP-prednisolone
    pulseless VT- non synchronised DC shock
    wernicke-korsakoff- nystagmus
    crest- anti centromere
    abduction of thumb pain- carpal tunnel
    retrosternal chest pain- reflux esophagitis
    pre angio drug to stop- metformin
    lithium toxicity- HD
    pseudogout with heptomegaly- hemochromatosis
    acute knee pain with ligament clcification- pseudogout
    cat scratch- bartonella henslae
    pseudomembranous colitis- metronidazole
    return from eastern europe with dysphagia- diphteria
    before start anti TB- check LFT
    cardiogenic syncope- do ECHO
    latex allergy- skin patch
    angiodedema n anaphylaxis- im adrenaline
    lung ca and GN- membranous GN
    headache and gram pos bacilli- listeria meningitis
    epididimoorchitis-parenteral ceftriaxone n doxycyline
    wilson-autosomal recessive
    irradiated blood- to prevent transfusion assoc GVHD
    tricuspid regurg with flushing n wheeze- carcinoid syndrome
    reverse split s2- LBBB
    s3( gallop rhythm)- poor prognosis in LVH
    LVH in pregnant 14 weeker- essential HPT
  2. samuel

    samuel New Member

    Question on RCA territory
    Question on anti Cd 20= Lymphoma
    Part of kidney impermeable to water - Distal collecting duct
    Bibasilar crepts and 4 months h/o breathlessness and no relief after salbutamol= pulmonary fibrosis
    Person not getting relief after 200 mg of beclomethasone, next step = add Salmeterol
    Question on whipple's disease
    Posterior duodenal cap beeding = Gastroduodenal artery
    A 16 yr old boy with proteinuria and had similar episode at the age of 7 years= minimal change disease
    Breast carcinoma nd cerebellar symptoms = anti-Yo antibody
    Esophageal varices = azygous vein
    Termonal ileum resection afrter crohns disease and diarrhoea = bacterial overgrowth
    Chronic voluminous diarrhoea = pancreatic insufficiency
  3. samuel

    samuel New Member

    Confirmatory for cardiac tamponade = Pulsus paradoxus
    TIA and AF = Warfarin
    WPW and Af = Flecainide
    Chromatin separation = Telophase
    Pure red cell aplasia = Erythrovirus 19
    A question on Lyme's disease
    A elderly male with recurrent jerks = creutzfeldt Jacob disease
    Person becoming drowsy 6 hours after confusion and headache = Herniation
    A question on pituitary apoplexy
    A hypertensive and CAD pt taking too many medicines, presented with nephrotoxicity= Aspirin induced
    Question on cervical myelopathy
  4. samuel

    samuel New Member

    Postitve predictive value
    False negative rate
    Wilcoxon sign rank question
    Some dot=blot forest type stupid question
    Wilson's = autosomal recessive
    Becker's disease - X linked recessive
    Huntigton's disease = incomplete penetrance
    A person with haemochromatosis disease heterozygous, and population of Haemochromatosis in UK is 1 in 100. What is the chances f their son being affected, 1 in 200
  5. samuel

    samuel New Member

    primary pulmonary hypertesion
    jus returned frm cambodia rx for malaria n resolved- hepatitis b
    jus returned frm thailand- dengue
    HIV pt taking vaccination can cause clinical- rubella
    post chemo spiking temp- cmv
    ix for invasive aspergillosis- galactomannan
    pons-basillar artery
    pulmonary fibrosis
    post traumatic syringomyelia
    phenytoin- zero order kinetics
    lateral hip pain- trochanteric bursitis
    to prevent VTE- LMWH
    bartters syndrome- hypoK
    amiodarone- K channel blocker
    painless hematuria- bladder tumour
    acromegaly- GH and OGTT
    obese woman with nerve palsy n headache- BIH
    nephrocalcinosis next step- urine pH
    complicated effusion ph 7.04- put chest tube
    peritonitis- high neutrophil count
    APS- anticardiolipin
    anti yo- paraneoplastic cerebellar
    lithium n polydipisa- nephrogenic DI
    bloody diarrhea- e coli 0157
    hypokalemia and adrenal mass- conn syndrome
    pituitary apoplexy
    hypochondriasis
    somatoform disorder
    OSA- polysomnography
    minimal change disease
    pancreatic insufficiency - bulky stools
    CHADSVASc >2- warfarin
    carotid artery stenosis right 100%- carotid endarterectomy
    inherited kidney disease n mother died of ICB- ADPKD
    CK high, vasculitic lesion and ANA pos- dermatomyositis
    drug-drug interaction cause fits- aminophylline n clarythromycin
    melanoma- depth of lesion
    dilated pupils- adie tonic
    ascending weakness n arreflexia- GBS
    T1DM girl investigated for ?seizures with hypoK- insulin overdose
    cystinuria
    IgM paraproteinemia- hyperviscosity
    highest calorie food- red meat
    LUQ pain- ?splenic infarct
    post duodenal artery bleed
    NAFLD- fatty infiltration
    MDMA overdose- hypoNa
    DM shin lesion- necrobiosis lipoidica
    Infective exarcebation COPD with deranged TFT- sick euthyroid
    Man frm Zambia with chronic diarrhea n confused- cryptococcus neoformans
    strongyloides- screen for HIV
  6. samuel

    samuel New Member

    huntingtons- autso: dominant
    alcohol + diazepam overdose- rhabdomyolysis
    terlipression - mode of action.
    nesseria meningitis- c1/c2/?? (c5-c9)
    clost: diff:- oral vancomycin
    Pons arterial supply
    Young woman, mute, one hand over head other behind back
    Man outside school says he can protect children
    Young boy paranoid about teacher
    Cardiogenic syncope
    AS - echo

    Unsure about answers-
    Rt to left shunt ?aa gradient
    Bleomycin, lymph node ?fibrosis
    Rasburicase ?action
    Pneumothorax second presentation ?...
    Man with IECOPD cannot tolerate NIV, only abx, unconscious, ?continue abx only
    Pleural plaques ?no further investigation
    Man with birds, most consistent finding ?upper zone fibrosis
    Respiratory presentation ?do spirometry
    Pain control scenarios ?...
    Psoriasis, aggravated by drugs ?ARB/ beta blocker/ diuretic
    Papule over thigh, epidermal dysplasia with no invasion ?radiotherapy/5FU/steroid/...
  7. samuel

    samuel New Member

    Pleural calcification- next investigation
    Foot drop and decrease sensation on outer foot border- level
    Calories-sugar/ cheese
    Kyphoscoliosos- fvc/spirometery
    Klinefelters- infertility
    Hyper acute rejection - abo
    Psiriasis- beta blockers
    Ruq pain, ct scan bile stone, hypokalaemia, hypertension- cushings

    BNP_ VENTRICLES.
    PERNICIOUS ANEMIA(ANTIPARITAL CELL ANTIBDY)- VITILGO
    ANDROGENINSENSIVITY-KARYOTYPING
    naproxen - arthritis(prevous peptic ulce)
    opposite side of sternocledomastoid
    discitis- post op
    g protein coupled receptors
    mast cell - release
    daily potassium req-60
    scenrio of catatonia
    lithium toxicity-hemodylisis
    post op- early mobilisation
    mafloqune side effect-( hallucination, night mares etc
    arteriovenous dysplasia
    tender hepatomegaly cause- falciparum??
    vent: tech- carotid message
    MEN-1 pheo+meddul ca(inc: calcium)
  8. samuel

    samuel New Member

    psychogenic polydipsia scenario.
    vit B21 def: -hyperseg neutrophil+megaloblast
    tumerlysis syndrome- chemotherapy related
    TICAGRELOR- ADP receptor inhibitor
    L5/S1 - scenerio
    L5 Vs Peroneal nerve diff ???
    CREST -anticentromere
    RASBURiCASE mech: of action in tumerlysis syndrome
    scenario of sensory and motor neuropathy
    ST elevation V1-V4, with resiprocal- RCA involved
    Parkinsons scenerio
    lupus anticoagulant-2nd time abortion
    Neurofibromatosis -50% chance(autos: dominant)
  9. samuel

    samuel New Member

    1.monoclonal antibodies used for non-hodgkin's lymphoma --CD20
    2. gram positive bacilli-- LISTERIA
    3.ulcer on dueodenal cap-- GASTRODUDONEAL ARTERY
    4. hepatic vein drain into --- AZYGOUS VEIN???
    5.behcet disease-- HLA B
    6. scenario on PITUITARY APOPLEXY
    7. recurrent first trimester miscarriage --- ANTIPHOPHOLIPID SYNDROME
    8. syncope on swimming-- ECHO
    9. scenario of CARDIOGENIC SYNCOPE
    10. wilson's disease-- AUTOSOMAL RECESSIVE
    11.some scenario on genetics of cystic fibrosis
    12.pathophysiology of emphysema--DYNAMIC COMPRESSION OF AIRWAY
    13.highest calorie value food--CHEESE
    14.ECG Findings of LAD OBSTRUCTION
    15.patient faking symptoms for morphine-- FACTITIOUS
    16.depression-- EARLY MORNING WAKENING
    17. tamponade--PULSUS PARADOXUS
    18.LBBB-- REVERSE SPLITTING OF S2
    19.16 weeks pregnant lady with hypertension, ECG showing LVH-- ESSENTIAL HYPERTION
    20.marfans--FIBRILLIN
    21. scenario of ethics-- CONTINUE WITH ANTIBIOTICS
    22.scenario of SOMATIZATION
    23. peripheral neuropathy--NITROFURANTOIN
    24.cisplatin-- SENSORY NEUROPATHY
    25. scenario on asthma treatment--ADD SALMETEROL
    26. 4days of treatment with broad spectrum antibiotics for neutropenia has failed what is the next step-- CHECK FOR CANDIDA
    27.ecstasy--HUPONATREMIA
    28. scenario of NEPHROGENIC DIABETES INSIPIDUS
    29. which drug to stop before angioplasty--METFORMIN
    30. findings of extrinsic allergic alveolitis -- UPPER LOBE FIBROSIS
    31.DM patient with tender erythematous leisons on shin--ERYTHEMA NODOSUM
    32. scenario of BULLOUS PEMPHIGUS
    33. hypertension with hypokalemia--LIDDLE SYNDROME
    34. RTA findings--HYPOKALEMIA
    35. amiodarone mechanism of action-- CALCIUM CHANNEL BLOCKER
    36. psoraisis exacerbation-- BETA BLOCKER
    37.scenario of HOLME ADIE'S
    38.formula of POSITIVE PREDICTIVE VALUE
    39. SENSITIVITY
    40.Lithium posioning-- hemodylasis
    41.patient presented with unknown substance posioning with confusion and eye symptoms--METHANOL
    42. role of terlipressin in hepatorenal syndrome-- VASOCONSTRICTION OF SPLANCHIC CIRCULATION
    43. IgE is produced by-- PLASMA CELLS
    44. blood test prior to renal transplant--MHC II
    45. vaccination in HIV patient that will cause active disease-- BCG
    46. treatment of epididmytis-- IV CEFTRIAXONE, DOXYCYCLIN
    47. source of BNP secretion-- CARDIAC VENTRICLES
    50. bloody diarrhea on 3rd day-- SALMONELLA ENTERIDIS
    51.prognositic factor for melanoma--DEPTH OF MELANOMA
    52. sleep apnea diagnostic test
    53. egg shell calcification-- SILICOSIS
    54.pulse of PDA- BOUNDING PULSE
    55. separation of chromatins occur--TELOPHASE
    56. TR, wheezing, flushing-- CARCINOID SYNDROME
    57. episodic diarrhea not relived by fasting-- VIPOMA
    58.latex allergy-- SKIN PATCH TEST
    59. vitiligo and acidity history-- ANTIPARITAL ANTIBODIES
    60. pleural effusion analysis showed PH 7.2-- CHEST TUBE
    61. patient with injury to posterior chest is clinicaly stable and chest xray showed calcified pleural plaque what is next step in management-- CT CHEST???
    62. young guy with penumothorax developed 2nd time required chest tube. after infaltion of lungs chest tube is removed now whats appropriate management-- CT CHEST??
    63.HUNGTINTON ---ANTICIPATION
    64. test to do prior to prescribing ATT-- LFTs
    65. G Protien is present on-- CELL MEMBRANE
    66.WPW syndrome with atrial fibrilation- FLECANIDE
    67. Stroke with atrial fibrillation-- WARFARIN??
    68. surgical contraindication-- SVC obstruction
    69. polymyositis
    70. scenario of renal involvement + mononeuritis mutiplex-- POLYANGITIS NODOSA
    71. exudate on tonsils + cervical lymphadenpathy-- GLANDULAR FEVER
    72. one scenario seems BARTONELLA HENSALE???
    73. CREST syndrome-- ANTTI-CENTROMERE ANTIBODIES
    74. scenario of ITP- PREDNISOLONE
    75. C.Difficle---METRONIDAZOLE
    76. Scenario of MENS2
    77. scenario of APKD
    78. immediate treatment of neutropenia-- ANTIBIOTIC PROPHYLAXIS
    79.anti-CCP - RA
    80. prophylaxis for dental extraction-- none
    81. test for ascitic fluid which leads tpo diagnosis-- NEUTROPHIL COUNT
    82. VT -- unsynchronized DC
    83. DM,Knee joint arthritis -- HEMACHROMATOSIS
    84. malignancy- MEMBRANOUS GN
    85. irradiated blood--- TO AVOID TRANSFUSION RELATED GVH REACTION
    85. rectal bleeding with clonoscopy, gastroscopy and barium normal-- ANGIODYSPLASIA
    86. protinuria in young male-- MINIMAL CHANGE DISEASE
    87. biopsy showed PAS postive macrophages n villous atrophy--- WHIPPLE
    88. scenario of creudzfelt syndrome
    89. scenario of idiopathic intracarnial hypertension
    90. CSF Analysis- enterovirus
    91. blood supply of pons-- BASILAR ARTERY
  10. samuel

    samuel New Member

    1-patient with anorexia nervousa ,what feature ?low LH
    2-patient with pain in eye movement and decreased color vission?optic neuritis .
    3-urgent referral to opthalmolegist ?macular exudate
    4-homosexual man with recal bleeding ?gonococcal proctitis
  11. samuel

    samuel New Member

    Benign intracranial htn
    viral meningitis
    rt sternomastoid
    no carotid intervention
    jugular foramen
    oral diclofenac
    unipaternal isodisomy
    achalasia
    subdural hematoma
    avascular necrosis
    de quverian tenodosynovitis
    Optic neuratis
    adesive capsulitis
    sec hyperparathroidism
  12. samuel

    samuel New Member

    Cetrizine
    oral 5 fluro
    dermatitis herptiformis
    bullois pemphigoid
    BB
    steven jonnson
    somatization
    adjustment
    mancausen
    paranoid shizophrenia
    salmonella

    TB and HIV
    strongyloid and HIV
  13. samuel

    samuel New Member

    Dengue
    diphteria
    progressive supra nuclear
    staph discitis
    diazepam withdrawl
    lithium hemiodialysis
    L5
    ANTicipation
    carcinoid
    marfan fibrillin
    abx prophylax
    craniopharyngioma
    skin patch
    cisplastin neuropathy
    catatonia
    bartonella
    herpes
    B thalasemia
    anaplastic thyroid
    viral meningitis
    sick euthroid
    LBBB
    flecanidie
    low lean body mass
    MDMa hyponatremia
    S3 heart failure
    testosterone
    colchinine pericarditis
    BNP ventricles
    plysomnography
    heamatochromatsis
    psudogout
    dermatomyositis
    giant cell artritis
    rheumatoid ccp
    anti centromere
    apoplexy
    herniation
    bladder Ca
  14. samuel

    samuel New Member

    to diagnose depression LOW MOOD is a MUST!
    and not early morning awakening.. only.

    Diagnostic and Statistical Manual Fourth Edition (DSM-IV) classification.[3] To diagnose major depression, this requires at least one of the core symptoms:

    -Persistent sadness or low mood nearly every day.
    -Loss of interests or pleasure in most activities.
  15. samuel

    samuel New Member

    MAQ901 sept.2014 marcp 1
    1.Cftr mutation only in paternal gene y?
    2.Newly d.m nw joint pain liver enlrge..hemocgromotosis
    3.cystinuria...recurent stones
    4.marfan ..fibrillin
    5.muchensn ...wants morphine recurent er admissions
    6.depred on fluixetine outside school claiming special powrs...mania
    7.anti ccp....R.A
    8.epididmytis...ceftri +doxy
    9.cisplatin...hypocalcemia
    10.rasburicase...M.o.a
    11.acute renal failure...aspirin
    12.penicillin induced nephritis
    13.thiophyline n clarithro reaction
    14.tertiary hyperparathroidim with hypercalcemia n hyperphosp. N raised pth
    15.primary hyperpara sceniro also
    16.pain walking n lyng in dat side...trochentric brusitis
    17.painless hematuria...bladder
    18.ecg sinus tachy with lbbb....reversed s2 split
    19.wpw with af...flecanide
    20.amiodarone ...k chnl blkr
    21.svt...first step carotid massage
    22.tender calf ankle sweling ...celulitis
    23.l5 radiculopathy...loss inversion
    24.ca prostate with mets showng gagabsnt.tongue that side paralysd n numbnesd....mets to forman ovale
    25.post trauma syrinx
    26.dengue rash n fever low plt inc Alt
    27.strongloude what else… chk HIV ?
    28.erythema nodosum
    29.somatization sceniro
    30.male sex with male nw ulcer in anal area ..gonococal proctitis
    31.ticagrel m..o.a....ADP inhibtors
    32.cardiogenic syncopy
    33.echo in colapse for runing for bus
    34.v.t...synchronizd shock
    35.central cynosis n clubbing....Pulmonry stenosis
    36.wilson...auto recesve
    37.17 yrs old type 1 dm nw abgs low hco3 low k .hyprventilatng....Dka
    38.paired t test
    39.scater graph for data scenario
    40.unpaird t test
    41.false negative rate 495/500
    42.ppv formula
    43.scenioro of acromgly test OGTT WITH GRWTH MESURE
    44.barter most specific hypokalemia
    45.50.50 mixing stdy i mrkd hemoph A
    46.itp..prednisolone
    47.recurent T.i.a....warfarin
    48.pas +ve...whipple
    49.coeliac scenrio test anti ttg
    50.antipareital atibx for pernicious
    51.cystic fibrosis chnce of nxt child scenrio.. to effect 1 in 4
    52n 53.also two othr on this topic for wilson n hemophilia tranmision to child
    54.Cjd ...jrks
    55.gbs
    56.cervical cored compression nt sure
    57.dermatitis herpit.
    58.posiriasis worsng..bisoprolol
    59.anticipation
    60.whn to refer to opthalmolgy .... blot hemorhages seen
    61.painfull eye mov n dec visual acuity....optic neuritis
    62.d quravian tenosynovitis
    63.recurent pericarditis...prednisolone
    64.primry pneumothorax aspiratd n dischrge wt to do nxt ...nothng
    65.anaphlatic shck...i.m adrenaline
    66.pitutry apoplxy gv hydrocortisone
    67.MEN scenario
    68.thtroid area sweling bt labs norml mostly no sym...pregnancy induced
    69.hogkin lymphoma treatd c.t chest 2 l.nodes small....normal
    70.raisd alt creatanine acutly in alcohlic n diazepam overdose with low body temp...i mrkd hepatoreanal
    71.A.spondy...HLA B
    72.klinefeltr scanario wich most ...valvular hrt dis
    73..male with osteoprosis...chk testostrone
    74.male pt with dec pubic n all 2ndry sexual charatr all testo lh fsh tsh low height 162cm....constituational delayd pubrty
    75.14 wk pregnat high bp....essential htn
    76.painful penile ulcer hx of sex n recurnce...herpes
    77.clostridum dificle +ve...metronidazole
    78.anticardio anbodies in scanario of recurnt miscarges 3 of thm i think
    79.alpha thalasemia trait scanario
    80.iridated blood y....i markd to lower cmv transmission
    81.scanario with abx treat worseng of fever...glandular fever
    82.wt to gv to lower k frm 7....i.v dextrose with insulin
    83.copd with exb n deranged lfts....dont rembr wt i mark
    84.terminal ileum removed now persistant diarhea...i markd biliary reason
    85.excessive watery diarhea...VIPOMA
    86.painless pr bleed family hx of ca colon n pigmntation at lips...colorectal ca
    87.varicose vein drainage i marked hepatic
    88.supply to pons ...basilar or mCa?
    89.scenario of catatonia i gues bt i thought dystonia
    90.neck dystonia to left..RT sternocladomastod
    91.homes adie scanario
    92.anto yo/purkajie antobodies
    93.gymnast preparong for competition hormone supresd....i mrkd prolactin
    94.scanario of withdrwal of benzodiazipne
    95.carcinoid with epidosic diarhea sweating wheeze n rt heart involmnt
    96.pleural plaque calcification noted incidntly wt to do next i markd observe as thy r always benign n almst never become malignant
    97.pseudogout case
    98.hx of rash whnever gloves used it was long hx ...skin patch test
    99.on daily basis red itch patch formed thn dispaear in 30 min wt to gv...cetrizine
    100.legs tense itch blisters....bulous pamphigoid
  16. samuel

    samuel New Member

    101.meningitis cultur gram pos. Bacilius....listeria
    102.mengitis pic in HIV pt...crptococus
    103.invasive aspergilosis..test igE precipitant
    104.menungococus mengigits .. complemnt out of 5 to 9 only 7 was gvn so i pickd 7
    105.daily k requirmnt it was in mmol ..60
    106.paget scanario
    107.for pcr ....known nucleotide sequnce if to develop diagnostic test
    108.scanario whr pt was counsld he may die aftr he rfused NIV N INTUBATION gvn informd consent n thn deteriorated wt to do….continue with already gvn treat.
    109. Person becoming drowsy 6 hours after confusion and headache vomiting episodes…cerebral edema
    110.man with fever his son had fever n facial rash…erythrovirus b19
    111.chromatids started to move opposite ends…anaphase
    112. Confirmatory for cardiac tamponade = Pulsus paradoxus
    113. A 16 yr old boy with proteinuria and had similar episode at the age of 7 years was treatd= minimal change disease
    114. . Posterior duodenal cap beeding = Gastroduodenal artery
    115. Person not getting relief after 200 mg of beclomethasone, next step = add Salmeterol
    116. . Part of kidney impermeable to water – Desending loop of henele?? Correct one is ascending loop
    117. Question on anti Cd 20= Lymphoma
    118. s3( gallop rhythm)- poor prognosis in LVH
    119. .ST elevation in V1-V4,ST depression in inferior leads - ?Complete Occlusion LAD
    120. lung ca and GN- membranous GN

    121. before start anti TB- check LFT
    122. cat scratch- bartonella henslae
    123. pre angio drug to stop- metformin
    124. retrosternal chest pain- reflux esophagitis
    125. crest- anti centromere
    126. wernicke-korsakoff- nystagmus
    127. wernicke-korsakoff- IV thiamine
    128. lithium toxicity-hemodylisis
    129. Pleural effusion on the left,INC amylase,Left upper quadrant pain auscultation RUB heard n tenderness on left upper abd…..SPLENIC RUPTURE
    130. . invasion of surrounding structures - Anaplastic thyroid ca
    131. .contraindication to surgery of lung ca - ?superior vena caval obstruction
    132. Lung function testing in kyphoscoliosis
    …check Kco reduced
    133. Flat effect,auditory hallucination - schizophrenia
    134.scanario on PAN
    135.pt. with sob and dec oxy sat…CTPA
    136.reason y pt no improving on oxygen with hx of cardiac defect……hypoxemia result of blood mixing
    137. Bipolar disorder RX -Lithium
    138. Pheochromocytoma - MEN
    139. Bacterial peritonitis - Neutrophil count
    140. Terlipressin in hepatorenal syndrome - Splanchnic vasoconstriction

    141. .Previously treated for Plasmodium falciparum and now c/o right upper qudrant pain - ?recurrence of malaria,?HBV

    142. Extrinsic allergic alveolitis which will sugest ….presence of igE to allergen
    143. Emphysema Pathophysiology - ?Dynamic airflow obstruction
    144. Q on Mechanism of MODY …GLUCOKINASE
    145. PDA; type of pulse -?Collapsing
    146. DVT,Thrombus in arteries if leg - LMWH
    147. Vaccine contraindicated in HIV pt - ?BCG
    148. Fever,sore throat after using amoxycillin - ?EB virus
    149. unable to abduct arm(painful and limited) - ?rotator cuff syndrome
    150. Alcoholic ,ultrasound of liver hyper echogenecity - Fatty filtration
    151. Bloody diarrhea in a child who been to a farm 3 times….ECOLI 0157
    152. Obese female with b/l papilledema - BIH
    153. Cells responsible for producing IgE - Plasma cells
    154. Ig M ,Waldenstrom's - Hyperviscosity
    155. Egg shell calcification hilar nodes - ?Silicosis
    156. G proteins located at - Plasma membrane
    157. 80 year old, why to reduce digoxin loading dose - ?decreased body mass
    158.female with hirsute n obese family hx of mother death due to intracranial bleed…APKD
    159.pt of r.a controlled on paracetamol now week hx of exb of asthma stoped paracetamol wt to do….restart at same dose
    160.pt treated for malignancy with chemo 4 days fever neutrophils 0.5 wt to do…st antibiotic prophylaxis
    161.pleural effusion ph 7.02 ….chest drain
    162. sleep apnea diagnostic test ….polysmnography
    163. prognositic factor for melanoma--DEPTH OF MELANOMA
    164. source of BNP secretion-- CARDIAC VENTRICLES
    165. blood test prior to renal transplant that can cause rejection …..ABO Incompatibility
    166. patient presented with unknown substance posioning with confusion and eye symptoms--METHANOL
    167. scenario of NEPHROGENIC DIABETES INSIPIDUS result of lithium pt taking 10 yrs
    168. ecstasy--HUPONATREMIA
    169. peripheral neuropathy--NITROFURANTOIN
    170. depression-- EARLY MORNING WAKENING
    171. .highest calorie value food—CHEESE
    172. vit B21 def: -hyperseg neutrophil+megaloblast
    173. discitis- post op pacemaker insertion severe backache and l.m but I marked closd. Difficle though due to antibiotics.
  17. samuel

    samuel New Member

    Fluid therapy

    The prescription of intravenous fluids is one of the most common tasks that junior doctors need to do. The typical daily requirement is:

    • 1.5 ml/kg/hr fluid - for a 80kg man around 2-3 litres/day
    • 70-150mmol sodium
    • 40-70mmol potassium

    This is why the typical regime prescribed for patients is

    • 1 litre 5% dextrose with 20mmol potassium over 8 hours
    • 1 litre 0.9% normal saline with 20mmol potassium over 8 hours
    • 1 litre 5% dextrose with 20mmol potassium over 8 hours

    The amount of fluid patients require obviously varies according to their recent and past medical history.
  18. samuel

    samuel New Member

    MRCP PART 1 (9TH sept.2014) RECALL WITH CORRECTIONS
    1.Cftr PATIENT ONLY 1 MUTATION FOUND WHY—UNIDENTIFIED MUTATION ON CFTR GENE as there are more than 1500 mutations on cftr GENE
    2.Newly d.m nw joint pain liver enlrge..hemocHromAtosis
    3.cystinuria...recurent stones
    4.marfan ..fibrillin
    5.HYPOCHONDRIASIS ...wants morphine recurent er admissions THINKS HAS PANCRETIC CANCER LIKE HIS FATHER WHO DIED BECAUSE OF IT
    6.deprSSed on fluOxetine outside school claiming special powrs..ACUTE SUBSTANCE ABUSE
    7.anti ccp....R.A
    8.epididmytis...ceftri +doxy
    9.cisplatin...PERIPHERAL NEUROPATHY
    10.rasburicase...FORMS ALLANTOIN
    11.acute renal failure...aspirin
    12.penicillin induced nephritis
    13.MACROLIDES DECREASE THE THRESHOLD FOR SEIZURES--CLARITHROMYCIN
    14.tertiary hyperparathroidim with hypercalcemia n hyperphosp. N raised pth
    15.primary hyperparaTHYROID
    16.pain walking n lyng in dat side...trochentric brusitis
    17.painless hematuria...bladder
    18.ecg sinus tachy with lbbb....reversed s2 split
    19.wpw with af...flecanide
    20.amiodarone ...k chnl blkr
    21.svt...first step carotid massage
    22.tender calf ankle swelling AFTER SWELLING IN KNEE ONE WEEK BACK ... RUPTURE OF POPLITEAL CYSTS
    23.l5-S1...loss inversion AND ANKLE REFLEX ABSENT
    24.ca prostate with mets showng gag absnt.tongue that side paralysd n numbnesd....JUGULAR FORMAEN—LOSS OF GAG REFLEX—9,10,11CN
    25.post trauma syrinx
    26.dengue rash n fever low plt inc Alt
    27.strongyloide what else… CHECK HIV AS IT PREDISPOSES TO OPPORTUNISTIC INFECTIONS
    28.erythema nodosum IN TYPE 1 DM TAKING OCP
    29.somatization
    30.male sex with male nw ulcer in anal area ..gonococal proctitis
    31.ticagrel m..o.a....ADP inhibtors
    32.cardiogenic syncopy IN PT. WITH A FAMILY HISTORY OF HOCM
    33.echo in colapse for runing for bus IN A PERSON WITH AS
    34.v.t...synchronizd shock
    35.central cynosis n clubbing....Pulmonry stenosis
    36.wilson...auto recesve
    37.17 yrs old type 1 dm nw abgs low hco3 low k .hyprventilatng....INSULIN OVERDOSE
    38.paired t test
    39.scater graph for data scenario
    40.unpaird t test
    41.false negative rate CALCULATION
    42.ppv formula
    43.scenioro of acromgly test OGTT WITH GRWTH MESURE
    44.barter most specific FINDING-- hypokalemia
    45. SLIGHTLY LOW FACTOR 8..VON WILEBRANDS
    46.itp..prednisolone
    47.recurent T.i.a....warfarin
    48.pas +ve...whipple
    49.coeliac scenrio test anti ttg
    50.antipareital atibx for pernicious
    51.cystic fibrosis chnce of nxt child scenrio.. NO CHANGE AS IT IS AUTOSOMAL RECESSIVE
    52n 53.also two othr on this topic for Wilson(AR) n haemophilia(XR) to child
    54.Cjd ...jrks
    55.gb SYNDROME
    56.cervical cord compression
    57.EXTENSOR SURFACE RASH UNRESPONSIVE TO STEROIDS--dermatitis herpit.
    58.posiriasis worsng..bisoprolol
    59.anticipation
    60.whn to refer IN DIABETIC NEUROPATHY .... CHANGES IN THE MACULA
    61.painfull eye mov n dec visual acuity....optic neuritis
    62.d quravian tenosynovitis
    63.recurent pericarditis...COLCHICINE
    64. RECURRENT primAry pneumothorax aspiratd n dischrge AND xraY AFTER 2WEEKS AS ITS RECURRENT
    65.anaphlatic shck...i.m adrenaline
    66.pitutry apoplxy gv hydrocortisone
    67.MEN 2 scenario
    68.thYroid area swelling bt labs normal mostly no sym...pregnancy induced
    69.hogkin lymphoma treatd (WITH BLEOMYCIN) c.t chest 2 l.nodes small....FIBROSIS OF THE NODES
    70.raisd alt creatanine acutly in alcohlic n diazepam overdose with low body temp...RHABDOMYOLYSIS
    71.A.spondy...HLA B
    72.klinefeltr scanario wich most ...valvular hrt dis
    73..male with osteoprosis...chk testostrone
    74.male pt with dec pubic n all 2ndry sexual charatr all testo lh fsh tsh low height 162cm....CRANIOPHARYNGIOMA
    75.14 wk pregnat high bp....essential htn
    76.painful penile ulcer hx of sex n recurnce...herpes
    77.clostridum dificle +ve...metronidazole
    78.recurnt miscarges 3 IN FIRST TRIMESTER--ANTICARDIOLIPIN
    79.LOW HBA2 AND ANEMIA- BETA THALASSEMIA TRAIT
    80.iridated blood y....TO PREVENT HOST vs GRAFT DX
    81.scanario with abx treat worseng of fever...glandular fever
    82.wt to gv to lower k frm 7....i.v dextrose with insulin
    83.copd with exb n deranged lfts....dont rembr wt i mark
    84.terminal ileum removed now persistant diarhea...i markd biliary reason
    85.excessive watery diarhea...VIPOMA
    86.painless pr bleed family hx of ca colon AND BROWN MACULES ON lips...colorectal ca(PEUZ JEGHER)
    87.varicose vein drainage AZYGOUS
    88.supply to pons ...BASILAR
    89.CATATONIA
    90.neck dystonia to left..RT sternocladomastod
    91.homes adie scanario
    92.anto yo/purkajie antobodies
    93.gymnast preparong for competition hormone supresd....i mrkd prolactin
    94.scanario of withdrwal of benzodiazipne
    95.carcinoid with epidosic diarhea sweating wheeze n rt heart involmnt
    96.pleural plaque calcification noted incidntly wt to do next i markd observe as thy r always benign n almst never become malignant- YES DO NOTHING FOR CALCIFIED PLAQUES
    97.pseudogout case
    98.hx of rash whnever gloves used it was long hx ...skin patch test
    99.on daily basis red itch patch formed thn dispaear in 30 min wt to gv...cetrizine
    100.legs tense itch blisters....bulous pamphigoid
  19. samuel

    samuel New Member

    101.meningitis cultur gram pos. Bacilius....listeria
    102.mengitis pic in HIV pt...crptococcus MENINGITIS
    103.invasive aspergilosis..GALACTOAMANNAN
    104.menungococus mengigits .. MANNOSE BINDING LECTIN
    105.TPN daily k requirmnt it was in mmol ..60
    106.paget scanario
    107.for pcr ....A THERMOSTABLE DNA POLYMERASE IS REQUIRED
    108.scanario whr pt was counsld he may die aftr he rfused NIV gvn informd consent n thn deteriorated wt to do….IN THE BEST INTEREST OF THE PATIENT INTUBATE as he is confused and cannot decide for himself….read GMC best practice to clear doubts
    109. Person becoming drowsy 6 hours after confusion and headache vomiting episodes…cerebral edema
    110.man with fever his son had fever n facial rash…erythrovirus b19
    111.chromatids started to move opposite ends…anaphase
    112. Confirmatory for cardiac tamponade = Pulsus paradoxus
    113. A 16 yr old boy with proteinuria and had similar episode at the age of 7 years was treatd= minimal change disease
    114. . Posterior duodenal cap beeding = Gastroduodenal artery
    115. Person not getting relief after 200 mg of beclomethasone, next step = add Salmeterol
    116. . Part of kidney impermeable to water – ascending loop
    117. Question on anti Cd 20= Lymphoma
    118. s3( gallop rhythm)- poor prognosis in LVH
    119. .ST elevation in V1-V4,ST depression in inferior leads -Occlusion LAD
    120. lung ca and GN- membranous GN

    121. before start anti TB- check LFT
    122. cat scratch- bartonella henslae
    123. pre angio drug to stop- metformin
    124. retrosternal chest pain- reflux esophagitis
    125. crest- anti centromere
    126. wernicke-korsakoff- nystagmus
    127. wernicke-korsakoff- IV thiamine
    128. lithium toxicity-hemodylisis
    129. Pleural effusion on the left,INC amylase,Left upper quadrant pain auscultation RUB heard n tenderness on left upper abd…..SPLENIC RUPTURE
    130. . invasion of surrounding structures - Anaplastic thyroid ca
    131. .contraindication to surgery of lung ca - superior vena caval obstruction
    132. Lung function testing in SEVERE kyphoscoliosis
    …reduced vital capacity
    133. Flat effect,auditory hallucination – paranoid schizophrenia
    134. scanario on PAN
    135. pt. with sob and dec oxy sat…CTPA
    136. reason y pt no improving on oxygen with hx of cardiac defect……hypoxemia result of blood mixing
    137. Acute episode of mania -haloperidol
    138. Pheochromocytoma - MEN 2
    139. Bacterial peritonitis - Neutrophil count
    140. Terlipressin in hepatorenal syndrome - Splanchnic vasoconstriction

    141. Previously treated for Plasmodium falciparum and now c/o right upper qudrant pain - HBV

    142. Extrinsic allergic alveolitis which will suGgest ….upper lobe fibrosis
    143. Emphysema Pathophysiology - ?Dynamic airflow obstruction
    144. Q on Mechanism of MODY …GLUCOKINASE (HNF1APHA WAS NOT GIVEN)
    145. PDA; type of pulse -Collapsing
    146. DVT,Thrombus in arteries if leg - LMWH
    147. Vaccine contraindicated in HIV pt - BCG
    148. Fever,sore throat after using amoxycillin - EB virus
    149. unable to abduct arm(painful and limited) – adhesive capsulitis
    150. Alcoholic ,ultrasound of liver hyper echogenecity - Fatty filtration
    151. Bloody diarrhea in a child who been to a farm 3 times….ECOLI 0157
    152. Obese female with b/l papilledema - BIH
    153. Cells responsible for producing IgE - Plasma cells
    154. Ig M ,Waldenstrom's - Hyperviscosity
    155. Egg shell calcification hilar nodes - Silicosis
    156. G proteins located at - Plasma membrane
    157. 80 year old, why to reduce digoxin loading dose – reduced creatine clearance
    158.female with hirsute n obese family hx of mother death due to intracranial bleed…APKD
    159.pt of r.a controlled on paracetamol now week hx of exb of asthma stoped paracetamol wt to do….restart at same dose
    160.pt treated for malignancy with chemo 4 days fever neutrophils 0.5 wt to do…st antibiotic prophylaxis
    161.pleural effusion ph 7.02 ….chest drain
    162. sleep apnea diagnostic test ….polysmnography
    163. prognositic factor for melanoma--DEPTH OF MELANOMA
    164. source of BNP secretion-- CARDIAC VENTRICLES
    165. blood test prior to renal transplant that can cause rejection …..MHC CLASS 2
    166. patient presented with unknown substance posioning with confusion and eye symptoms--METHANOL
    167. scenario of NEPHROGENIC DIABETES INSIPIDUS result of lithium pt taking 10 yrs
    168. ecstasy--HYPONATREMIA
    169. peripheral neuropathy--NITROFURANTOIN
    170. depression-- EARLY MORNING WAKENING
    171. .highest calorie value food—CHEESE
    172. vit B21 def: -hyperseg neutrophil+megaloblast
    173. post op pacemaker insertion severe backache it was PANCREATITIS
  20. samuel

    samuel New Member

    1-Corticobasa; syndrome
    2-Which part of nephron remains impermeable to water in dehydration.
    3-Patient taking multiple drugs(aspirin, amlodipine, ramipril) , having dehydration, dry oral mucosa . Serum creatinine raised to 180 mg and pre renal picture. Which drug caused increase in creatinine ?
    ANS _RAMIPRIL.
    4-H/O -LITHIUM intake and different osmolarities given , not mentioned DDVP trial. Scenario was of PSYCHOGENIC POLYDIPSIA , because serum osmolarity was 269 mmol/l.
  21. samuel

    samuel New Member

    FEV1 2.1 (2.6) FVC 4.5 (4.6) Rco normal Post bronchodilator FEV1 2.6 CXR and echo normal a Emphysema B chronic bronchitis c heart failure d obstructive sleep apnoea e astham


    174-Pregnant women with Hx of tonsillitis ,normal thyroid function ,with non tender thyroid goiter ? answer iodine deficiency
  22. samuel

    samuel New Member

    Wernicke's encephalopathy
    WE is characterized by the presence of a triad of symptoms;[4]

    1-Ocular disturbances (ophthalmoplegia).
    2-Changes in mental state (dementia).
    3-Unsteady stance and gait (ataxia).
  23. samuel

    samuel New Member

    Thoracotomy is opening of thorax. First, the question was not about recurrent pneumothorax as recurrence by guidelines means third episode.
    Second, even if it was recurrent, you would not go for thoracotomy. Instead you would go for either Tube thoracotomy and pleurodesis or VATS
  24. samuel

    samuel New Member

    What was the answer of
    1) elderly lady with hip arthritis choosing pain killers after paracetamol
    2) asthmatic pt on NSAIDs to continue or stop
    3) clubbed cynosed pt systolic murmur ? Ps or vsd


    1.codeine
    2.celecoxib relatively safer than ibuprofen.
    3.pul HTN due to central cyanosis,murmur and clubbing.
  25. samuel

    samuel New Member

    confusing case scenarios
    PAIN CASES
    1.RA patient on taking pcm develop AEBA. wat is the next thing you do?
    a,stop all NSAIDS b. give celecoxib
    2.post AML therapy develop hip pain due to
    a. avascular necrosis b. gout
    3. pain on walking and lying on that side. x ray hip =narrow joint space.
    a.trochantric bursitis b. OA
    4.RA Pt on MTX develop pain in calf with low grade fever .ankle edema. one week before he had knee joint pain.
    a.septic athritis b. om
    5.pt on PCM pain not controlled OA
    6.chemo//?RA?OA patient codiene pain not controlled with active peptic ulcer.
    7.immediate release of pain for crf pts ? a. MR morphine b.oral tramadol
    8.qn on dihydromorphine?///
  26. samuel

    samuel New Member

    MRCP SEPT 2014 DIET RECALLS
    1.Anti CCP- RA
    2.NHL- cd20
    3.Cystinuria
    4.Marfan-fibrillin
    5.Family h/o pancreatic Ca, recurrent admissions to ED- hypochondriasis
    6.Stands in front of school and speaks to students- Mania
    7.Epidydimoorchitis- IV ceftraixone and doxycycline
    8.Cisplatin- peripheral neuropathy
    9. Gentamicin- Acute tubular necrosis
    10.Drug-drug interaction- clarythromycin and theophylline
    11.CRF-secondary hyperparathyroidism
    12.Scenario on primary hyperparathyroidism
    13.Mildly narrowed joint space and pain on lying on that side-trochanteric bursitis
    14.Painless hematuria- bladder ca
    15.LBBB- reversed split s2
    16.Amiodarone-K channel blocker
    17.SVT stable- carotid sinus massage
    18.Knee pain then lower limb edema with low grade temp- ruptured bakers cyst
    19.Lateral spinothalamic tract symptoms post RTA-Post traumatic syringomyelia
    20.Pt frm Thailand, fever with thrombocytopenia mildly elevated ALT- Dengue
    21.Strongyloides stercralis- also screen for HIV
    22.Scenario on somatisation disorder
    23.cardiogenic syncope- family h/o of HOCM
    24.Syncope during swimming o/e systolic murmur to carotids- do ECHO
    25.Pulseless VT , next step?-unsynchronized DC shock
    26.Wilson disease- autosomal recessive
    27.Paired t-test
    28. Formula for PPV- TP/TP+FP
    29.Scenario of acromegaly, hw to Ix- OGTT and GH
    30.Bartters syndrome electrolyte abn- hypoK
    31.Bleeding post op, slightly low Factor 8, elevated APTT, mixing test normal- von Willebrand disease
    32.Thrombocytopenia plt:12, ITP, Rx?- Prednisolone
    33.AF, CHADSVASc>2- warfarin
    34.Abd discomfort, PAS granules positive- Whipples disease
    35.Pernicious anemia, next Ix- anti parietal cell antibodies
    36.X-linked recessive – Beckers muscular dystrophy
    37.Recurrent myoclonic jerks- Creutzfelt-Jakob disease
    38.Ascending motor and sensory neuropathy with arreflexia- GBS
    39.Cervical myelopathy
    40.Rash at scalp, buttocks, extensor surface- dermatitis herpertiformis
    41.Huntingtons choreo, age of which son get compared to father- Anticipation
    42.DM retinopathy when to refer opthlmologist?- macular exudates
    43.Anyphylactic reaction with angioedema- IM adrenalne
    44.Scenario of pituitary apoplexy
    45.Addisonian crisis what to do next?- IV hydrocortisone
    46.Parathyroid , medullary thyroid ca, phaeochromocytoma- MEN2
    47.TFT deranged in pregnancy- Pregnancy induced
    48.ARF with hematuria and hypothermia- rhabdomyolysis
    49.Ankylosing spondylistis- HLA B
    50.Young osteoporosis in male – check se testosterone
    51. Hypertensive pregnant lady < 20 weeks with ECG having LVH- essential HPT
    52.Painful genital ulcers and painful lymphadenopathy- Herpes
    53.Pseudomembranous colitis- oral metronidazole
    54.Recurrent miscarriage with DVT- Anti cardiolipin ab
    55.Anemic pregnant , microcytic with raised HbA2- beta thalassemia trait
    56.Why irradiate blood?- Prevent Transfusion assoc GVHD
    57.Exudative pharyngitis with lymphadenopathy and h/o travel Eastern Europe- diphtheria
    58. Immidiate rx for hyperkalemia- IV insulin
    59.Bloating and diarrhea post terminal ileum resection- bile acid diarrhea
    60.Recurrent iron deficiency anemia and h/o colon ca in lady- colonoscopy
    61.Fresh painless PR bleed- angiodysplasia
    62.abnormal posturing young girl- catatonia
    63.Bllod supply of pons- basilar artery
    64.dilated pupil- Adie Holmes pupil
    65.Paraneoplastic cerebellar syndrome- anti Yo
    66. Scenario on benzodiazepine withdrawal
    67. Wheeze and flushing with pulsatile liver and tricuspid regurg- carcinoid syndrome
    68.Pleural plaque in normal patient- do nothing
    69.Acute painful knee with calcified ligament- pseudogout
    70.Family h/o recurrent stones with hypercalcemia- familial hypocalciuria hypercalcemia
    71.Contact dermatitis- skin patch
    72.Allergic reaction 1st line drug-cetrizine
    73.Bullous pemphigoid
    74. Gram pos bacilli meningitis- Listeria meningitis
    75.Man frm Zambia with headache and CN palsy with neck stiffness- Cryptococcus meningitis
    76. High protein , normal glucose meningitis- viral meningitis
    77.Invasive aspergillosis investigation- galactomannan
    78.Recurrent neisseria infection- C7 deficency
    79.Vomitting and headache with papiledema- cerebral herniation
    80. Child having rash contact having fever and red cell apalsia- Parvovirus B19
    81.Cardiac tamponade-Pulsus paradoxus
    82.Recurrent nephritic syndrome once in child once in adult- Minimal change disease
    83.Blood supply duodenal cap- Gastroduodenal artery
    84.Poor prognosis LVH- S3 ( gallop rhythm)
    85.ST elevation V1-V3 with reciprocal changes – complete occlusion LAD artery
    86. h/o Lung Ca develop GN- membranous GN
    87.Ix prior to starting anti TB- LFT
    88.Cat scratch diasese-Bartonella henslae
    89.retrosternal chest discomfort while swallowing- reflux esophagitis
    90.Drug to stop pre angio- metformin
    91.CREST scleroderma- anti centromere ab
    92. Wernicke encephalopathy signs- nystagmus
    93. Wernicke encephalopathy rx- iv thiamine
    94.Lithium toxicity- HD
    95. LUQ pain with rub- splenic infarct
    96. Thyroid mass causing obstruction- anaplastic thyroid ca
    97.Contra indication to lung surgery- SVC obstruction
    98.Scenario on paranoid schizophrenia
    99.Polyarteritis nodosa
    100. Peritonitis impt ix- ascitic fluid neutrophil count
    101.Fx of terlipressin- splanchnic vasoconstriction
    102.Hx of travel to Cambodia now jaundiced with tender hepatomegaly- Hep B
    103.EAA- upper lobe fibrosis
    104.MODY- HNF gene mutation
    105. PDA- collapsing pulse
    106.Prophylaxis for DVT in man with calf swelling- LMWH
    107.Rash after amoxicillin for sore throat- EBV
    108.NAFLD- fatty liver
    109.bloody diarrhea fater visiting farm- Ecoli 0157
    110.post EBV- NK cells
    111.Waldernstorm macroglobulinemia- Hyperviscosity
    112.G protein receptor- plasma membrane
    113.Digoxin- rediced creat clearance
    114.Phenytoin- zero order kinetics
    115.complicated parapneumonic effusion- put chest tube
    116.OSA- polysomnography
    117.Melanoma- depth of lesion
    118. Vomitting and headache with eye signs- Methanol poisoning
    119.DI after Lithium ingestion- Nephrogenic DI
    120.MDMA – hyponatremia
    121.Nitrofurantoin- peripheral neuropathy
    122.post pacemaker insertion backpain- Staph discitis
    123.Pulmonary fibrosis
    124.AML post rx got hip pain- AVN hip
    125.tumor lysis syndrome
    126.Parkinsonism with vertical eye movement restricted- PSP
    127.Amyloid neuropathy
    128.Valvular HD prior dental procedure- nothing
    129.Cardiac failure aim of treatment- reduce preload
    130. Renal disease and mother died of ICB- ADPKD
    131.BNP- ventricles
    132.Dermatomyositis
    133.obese lady with headache and papiloedema- BIH
    134.CFTR- paternal homozygosity chromosome 7
    135. Case scenario transient global amnesia
  27. samuel

    samuel New Member

    CVS
    1 central cyanosis,clubing,systolic murmur (vsd,pah,pulmonary stenosis,coarctation of aorta)
    2 prosthtic valve involment go dental extraction(ceftrixone1gm,amoxillin 3gm)
    3 WPW +afib (flecanide,adenosine,verampil,adenosin)
    4 M.I -ST ELEVATION V1-V4) LAD COMPLETE occlusion)
    5 B-ANP( Ventricles, atria)
    6 SVT chest clear chest clear( adenosin carotid masssage)
    7 after swimming ,collapse systolic murmur aortic area radiate to neck (echo,eeg, ecg)
    8 periphera neuropathy due to nitrofurantoin
    9 Ticagrel adp receptor inhibitor
    10 clarithromycin and simvastatin avoided
    11 PDA collapse pulse
    12H.failure 3rd heart sound
    13 long arm,chromo 47xxy most commn abnormality(infertlity,aortic root dillation)
    14 shortness breth ,tachypnea ,tachycardia(ctpa,chest xray,spiromtry)
    15 AMAIDRONE( K OPNER)
    16 MARFAN SYNDROME due to fribllin protein
    17 pulsless vt unsynchronised shock
    18 cardiac tamponade (pulsus paradoxus,
    19 recurnt syncope attacks father died at 38 yr cardiogenic syncope
    20 LBBB-reverse spillting

    INFECTIOUS DISEASE
    1 after pacemaker insertion ,diarhea due to staphy discites
    2 lymph node swelling due to bartonlla Hensle
    3 Bcg not given in hiv patient
    4painful penile swelling ,painful lympadenopathy (l.venerm, syphills hsv,g.ingunale)
    5 diarhea 5 for weeks shingle contact shows neck stifness fever hepe encephlits,TBM,Cryptocal mengitis
    6 chalmydia single dose azithromycin
    7 lymphadenopthy +membrane at pharyngtis due to pharyngits
    8 meningits gram +baciili is lymph.monocstogens
    9 cambodia patient went to uk after few month fevr lymphadenopathy due to HIV
    10 fevr for 1wek faint rash lft derangd due to dengu fever
    11 increase calore in cheeze
    12 TO treat pulm tb in uk patient what do ist hiv, lft,uce
    13 sore throat fever lymph due to EBV
    14 AFTR amoxicillin rash prominent EBV

    GIT
    1 Large amount of diarhea due to vipoma
    2 diarhea wheeze lft derangd ,TR IS CARCINOID synd
    3 perioral pigmentation ,bleeding due to ca colan
    4 abd pain and distention ,fevr wl do neut count
    5variceal bleeding due to gastrodudnal artery
    6 clost dificle ist line oral metronidazle
    7 obesity,ggt in biopsy fat cells
    8 after iliostomy diarhea due to short bowel syndrom,bile salts in colon
    9 pas +lymphad is whipples disease
    10 bloody diarhea after 2 days of visiting farm area due to e.coli
    11 aftr h.pylori eredica increas gastrin +ulcr (endoscpy,urea breath test)
    12Ecstasy pois hyponatrmia
    13 k neded daily for adult is 60mmole
    14terlipresin splanic vasocostiction
    15mothr hav ca colan at agr of 55yr daughtr hav iron dif anemia do colonoscopy
    16 contact dermatits skin prick test
    17dm+ocp tendr leison at shin E.nodosm
    18 dysphagia aftr age of 60 yr do endoscopy

    RHEUMATOLOGY
    1 anky spondilits hla B
    2 hodgkin lym cd 20
    3painful red knee is septic arthrits
    4linear calcificaton due to pseudogout
    5 DM+knee pain due to Haemochromatosis
    6R.A anti ccp
    7joint pain increse ALP Pagets disease
    8fevr arthrits mononurts multiplex due to PAN
    9Dermatomysts rash on shuldrs and proxmal myopathy
    10 osteoarthits k/c peptic ulcer giv lanso+nsaids
    11anticentromere in sclerderma
    12 osteoprosis due to testrosterone
    13rasburicase convrt uric acid to alantoin
    14 IGM ,headache other common symptm hyperviscosity
    15 weak abd of thumb due to carpel tunnel syndrom
    16 painfl abd of shldr for 2 to 6month (frozn sholdr,deltoid injury)

    CNS
    1 Headach,6th nerve palsy,palliodema is IIH
    2 Obesty+ocp headache .papliodema is BIH
    3 TIA,afib give warfarin
    4 oldage confusion due to SDH,EDH
    5 ALL limb weakns+hypotnsion due to GBS
    6OPTIC NEURITS painful eye movmnt,blurred vision
    7 lft carotid 100%and ryt carotd 30% no intervention
    8 vertical gaze parkinsonism due to PSP
    9 PROGRSIV MEMORY LOSS due to CJD
    10 AFTR truma few wekd latr toch ,temp loss is syringomylia
    11 upr limb weakness sensory intact one ll weaknes(multifocal radiculopathy, CIDP,HSNM,cervical neuropathy)
    12 home aide pupil one pupil larger than other
    13 decrease na,cortisole,hypotnsion is pitutary apopexy
    14 foot drop evrsion loss ,inversion loss
    15 pontine bleed due to basilary artery
    16 upper motor sign in lower limb and extensor plantor do( MRI,EMG,NCV)

Share This Page