MRCP 1 sep 05 ques by rsukhon/csngiu,pl. furthur post here

Discussion in 'MRCP Forum' started by Guest, Sep 21, 2005.

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  1. Guest

    Guest Guest

    diabetic pt. Gangrene in his big toe. Next investigation

    1. Normal XRay
    2.CT scan
    3. MRI
    4. Isotope scan
    Endocarditis in a patient with prosthetic valve. The possible micro organism is
    1. strept viridians

    2. Staph epidemidis
    3. candida
    4. staph aureus
    coeliac disease positive test 40 negative test 10
    Non celiac disease positive test 60 negative test 840

    need sensitivity?

    40%
    80%
    :
    Scaly patches on the scalp in a 16 year old boy with non scarring allopecia

    1. Discoid lupus
    2. Psoriasis
    Profuse watery diarrheoa even in fasting state

    1 VIPOMA


    following questions were posted by csngiu

    girl ate in chinese restaurant, presented with V ANd D, what is the organism...B. cereus, E coli, (old question)

    unkempt guy, came to a school claiming to save children from ill of the world, dia ...
    40s lady presented with some sort of rash over extensor surface, buttock, what investigation u wish to order: viral swap from skin

    lady 30-40, presented with proximal myopathy, rash over body. inve ...
    . Mother presented with a few days history of rash over the body and arthralgia. Also have similar history among her children days/weeks ago, diagnosis: rubella, IM.......

    40s lady presented with some sort of rash over extensor surface, buttock, what investigation u wish to order: viral swap from skin

    lady 30-40, presented with proximal myopathy, rash over body. investigation noted raised CPK: SLE, dermatomyositis, RA........

    features most suggestive of adult onset still's disease: marked raised ESR

    eldery lady in nursing home with genital discharge, vaginal swap noted N. gonorrhea, and was treated, what you want to proceed: contact tracing, inform family, non-official inquiry.............

    HIV positive with 2 months of cough, fever weight loss, which organism if grow from sputum suggestive of AIDS: TB...............

    Known IVDU on methadone for post-hepatitis immunization workupg, noted + HBsAg, - HBsIG, + HCV. what is the cause of failed immunization: HIV +, chronic hepatitis C, Methadone interaction...........

    Man came from form summer holiday in Jerman, presented with CN lesions: cuases: Lyme ds..............
  2. Guest

    Guest Guest

    mrcp 1 sept eaxm contd by csngiu

    . Mother presented with a few days history of rash over the body and arthralgia. Also have similar history among her children days/weeks ago, diagnosis: rubella, IM.......
    2. RNA splising occurred at : nucleus, peroxisome, golgi, ribosom
    3. Sporotic ca colon, the mutation occurred............ can't remember
    4. Eldery lady known presented with right diabetic foot, with right 1st metatarsal amputation done, presented now for 2 weeks history of right foot pain and rash. O?E tender, inflammed looding. what ix you wish to order: right foot x-ray, ct, mri, white cell radioisotop, ?bone scan
    5. none-scarring alopecia............
  3. Guest

    Guest Guest

    by enroute

    Here are a few:
    1. Cause of monooclar Blindness in AIDS patient:
    CMV/Toxoplasmosis/Mycobacterium

    2. Most important side effect of Amiodarone:
    Phototoxicity/QT Interval prolongation/Hypothyroidism/Corneal deposits/
    NO lung fibrosis in the choice.

    3. 22 yr old male come with h/o rashes on his face and hands last 2 years. He claims there is one ointment that that cure his problem but he has not been able to find any proprietary medication that worked. Examination is normal. What is the diagnosis:
    delusional disorder/somatoform disorder/hypochondriasis/obsessive compulsive disorder

    Second paper was tougher than the first. Will post more questions when I get time.
  4. Guest

    Guest Guest

    Posted: Wed Sep 21, 2005 1:01 pm by Rex24 Some MCQs

    ByRex 24
    1- Hypokalemia with acidosis, Low HC03, Nephrocalcinosis - TYPE 1 RTA.

    2 - Splicing of RNA - Nucleus/ Ribosome/ peroxisome/ lysosome/ golgi

    3) Postural Hypotension with ataxia with parkinsonism features, recurrent falls -- Multisystem atrophy/

    4) Number needed to treat.

    5) Sensitivity

    6) Postive predictive value

    7) asymptomatic with Essential thrombocytosis - platelet count > 800 - Treatment - Aspirin/ hydroxurea/ Platelet pheresis/ radioactive substance/ observation

    Prosthetic valve a month ago - MCC of IE - Stap epidermidis

    9) % of DM type 1 developing diabetic nephropathy -

    10) Marfan disorder - fibrillin

    11) anticipation

    12) BIH

    13) GBS - Enmg finding

    14) Rifampicin and OCPs

    15) action of N acetyl cystiene

    16) and many more i will type latter
    Bye

    BEST Way to prepare for exam -
    ON EXAM atleast twice and KALRA and most important commonsense.
    Good LUCK
    will type in detail latter.
    _________________
    Good Luck guys and gals
  5. Guest

    Guest Guest

    Posted: Wed Sep 21, 05 12:28 am Post subject: mcqs dr_osle

    dr_osler
    Guest





    Posted: Wed Sep 21, 2005 12:28 am Post subject: mcqs in sep 2005


    Could any one who has appeared in the exam today post any mcqs
    i will try to send some
    - the specific antibody in SLE : anti Sm(there was no antiDs)
    - thyrotoxic A.F,immediate management : I.V amiodarone(100),cardioversion,anticoagulation
    -Inf MI,bradycardia,hypotension,cvp 4 : temp pacing,dobutamine,I.V fluids
  6. Cliff

    Cliff Guest

    1. ? ABO incompatibility
    2. dark color urine after antibiotic
  7. Guest

    Guest Guest

    Pregnant lady 14 wks found HTN, ECG lt vent. hypertrophy

    1. Eclampsia
    2. Pre eclampsia
    3. essential Hypertension
  8. Guest

    Guest Guest

    Patient with facial reddness and itching. Nothing found by doctor

    1. Somatoform
    2. Hypochondriasis
  9. Guest

    Guest Guest

    H/O Chest infection, took clarythromycin, Lt Supraventricular LN. Cold haemaglutinin

    1. NHL (non hodgkin lymphoma??)
  10. Guest

    Guest Guest

    Asthmatic on intermittent high prednisolone, c/o of hip pain 4 or 8 wks
    can't tolerate weight bearing

    1. avascular necrosis
    2. osteoporosis with fracture
  11. Guest

    Guest Guest

    Patient with heart failure and diabetes
    Drug C/I

    1. Rosiglitazone
  12. Guest

    Guest Guest

    Mechanism of action of Amiodarone

    1. Potassium chanel blocker
    2. Sodium Chanel blocker
    3.
  13. Guest

    Guest Guest

    How can diagnose Empyema in a fast way

    1. Aspirate culture
    2. Ph of aspirate
  14. Guest

    Guest Guest

    Mutaion, there was P53 and P27
  15. Guest

    Guest Guest

    Follow up colon carcinoma

    CA 125
    CEA
  16. Guest

    Guest Guest

    Left PHRENIC NERVE PALSY

    1. lt hemidiaphragm paradocical movement
    2. Rt. hemidiaphragm paradocical movement
  17. Guest

    Guest Guest

    Violaceous color and itching in the left arm (linear) and flexors

    1. Similar lesions in the oral mucosa??? Lichen planus
    2. Scabies???
  18. Guest

    Guest Guest

    Marfan -----> fibrillin
  19. Guest

    Guest Guest

    CEA is correct (checked)
  20. Guest

    Guest Guest

    CEA confirmed (checked)
  21. Guest

    Guest Guest

    Pancreatitis. The most sensitive test for pancreatic exocrine
    1. lipase
    2. amylase
  22. Guest

    Guest Guest

    Agitated and confused lady after a party

    1.Alcohol
    2. Ecstasy
  23. Guest

    Guest Guest

    Diabetic with frozen shoulder -----> adhesive capulitis
  24. Guest

    Guest Guest

    ECG deta wave asymptomatic treatment

    1.B blocker
    2. observation
  25. Guest

    Guest Guest

    Parasthesia and LN enlarged in axilla and neck is a side effect of:
    1 Phenytoin
    2. lamotrigine
  26. Guest

    Guest Guest

    NASH associated with:

    Insulin resistant
  27. Guest

    Guest Guest

    O2% goes down during a nebuliser. Why?

    1.
  28. Guest

    Guest Guest

    Normal Alveoli seen in

    1. Asthma
  29. Guest

    Guest Guest

    How to monitor SBE

    1. CRP
    2. bacterial Activity
  30. Guest

    Guest Guest

    19 year old 1.8 meter, small testes, low FSH, LH, Testestenor

    1. Kalmman
    2. Klinfilter
  31. Guest

    Guest Guest

    Pt with dyspepsia, +ve H. Pylori and mild ?? lymphoma of the stomach??

    Treatment?

    1. Eradication of H. Pylori
    2. Surgical
  32. Guest

    Guest Guest

    wellll... it is nice to see someone posting the examination questions...but please ...put them in organized manner and if possible in specialty order.
  33. Guest

    Guest Guest

    Diagnosis of Insulinoma??
    72 hr fastig
  34. Guest

    Guest Guest

    Nephropathy, mildly elevated creatinine, protienuria >3.8 gm

    Treatment?

    1.ACE
  35. Guest

    Guest Guest

    Glomerulonephritis treatment??

    1. Prednisolone + cyclophosphamide
  36. Guest

    Guest Guest

    again please ... it is nice to see someone posting the examination questions...but please ...put them in organized manner and if possible in specialty order.
  37. Cliff

    Cliff Guest

    :)
    Clinical Pharmacology
    1. Amiodarone Class III agent -> K channel blocker
    2. Cuases of lymphadenopathy -> Phenytoin
    3. which term best describe the affinity of drug for its receptor -> ? Selectivity ? potency

    Cardiac
    1. sinus bradycardia with hypotension -> ? transvenous pacing
    2. Criteria for thrombolysis in AMI
    3. Case with AMI and malignant hypertension -> ? primary PTCA
  38. mac

    mac Guest

    my experience of sept part 1 exam

    Hi ,
    I just wanted to share my impression from the exam and some useful tips for future candidates.
    1. Philip Kalra should be known from cover to cover. Every single sentence brings a lot of information.
    2. OHCM is very good in some topics.
    3. There is no point to do as many questions as possible, because they always make new questions. The proportion of repeated questions is only 20% - some from onexamination, some from pastest.
    4. It is more sensible to know as much theory as possible because you have the base to manipulate with the information.
    5. True/false format is complete waste of time.

    Here is some of the stuff:
    1. Where does the RNA splicing take place - nucleus.
    2. Test to confirm adult Still's disease - not ANA, not RF, but ESR.
    3. Diagnosis of DH in patient without diarrhoea - IF of paralesional skin. Small intestine biopsy was an option.
    4. Mechanism of action of Ondansetron - 5-HT3 inhibitor.
    5. Which drug is an ion channel opener - Nicorandil (K channel opener)
    6. Mechanism of action of Amiodarone - K channel blocker.
    7. A case of sporadic colonic carcinoma, mechanism in tumorogenesis - p27 deletion. The other four options were impossible because they showed either tumour supressor gene up-regulation or protoncogene down-regulation. A killer question!
    8. Which enzyme is high in Gaucher's disease - Acid phosphatase.
    9. A lady post CS, given 3 U of blood, 30 min later shock - ABO incompatibility.
    10. A man bitten by a dog, infection, causative organism - Pasteurella multocida.
    11. Cat scratch disease with lymphadenitis, cause - Bartonella henselae.
    12. Cocaine induced MI - Rx PTCA, not thrombolysis; the mechanism here is vasoconstriction rather than clot formation.
    13. Food poisoning after tuna and wine, vomiting + facial flushing, cause - scombrotoxin.
    14. What is the lifetime risk for nephropathy in Type 1 DM in a 27 year-old man- between 20-39%. Kalra actually says 30% risk over 40 years in Type 1 DM.
    15. Man with IgA nephropathy, doubled Cr for a year, outcome - CRF without ESRD.
    16. A case of osteomyelitis, after 2 weeks, most useful test - X-ray.
    17. A case of Bartter's syndrome with high urine potassium.
    18. A case of delayed puberty with low FSH, low LH, low testosterone - Kallman's syndrome. Nothing mentioned about anosmia but remember Kallman= hypogonadotrophic hypogonadism= low FSH, low LH, low testosterone, whereas Kleinfelter- hypergonadotrophic hypogonadism= high FSH, high LH, low testosterone.
    19. A lady with fever, arthropathy, kids with rash a week ago - Parvovirus B19.
    20. Typical feature of PBC - peripheral neuropathy (because of lipid infiltration).
    21. Antibody used in follicular B-NHL - anti CD 20.
    22. A case for NNT, PPV and RRR.
    23. First sign in CPA tumour - loss of corneal reflex.
    24. Acute retention of urine, hypovolaemic - 0.9% saline before catheterisation.
    25. Criteria for thrombolysis - >1 mm ST elevation in two or more limb leads.
    26. Refeeding syndrome, cause - low phoshpate.
    27. Asymptomatic 75 year old with high Ca, low PO4, no evidence for MM -primary hyperparathyroidism.

    A lot of basic stuff, especially pharmacology.

    I hope this will help you in your preparation for the exam,

    The past is like the Atlantic Ocean, but the decisions I make - that's my mirror. And I have to live them alone. And I can't erase it, no one can erase it.
  39. Hajmi

    Hajmi Guest

    HI FRIENDS,
    PAPERS WERE FAIRLY MADE. TOPICS THAT I CUD REMEMBERED SPLICING OCCUR AT
    COELIAC DISEASE
    CROHNS DIS
    BULIMIA NERVOSA
    IRRITABLE BOWL SYNDROME
    ULCERATIVE COLITIS
    SLE
    SJOGREN
    ALZ DISEASE
    TUNA FISH TOXIN
    INTERNAL CAPSULE INFARCTS
    CARBAMAZ POISONING
    LITH POISONING
    PARACETAMOL POISONING
    SOMATOFORM
    MANIA
    HYPOMANIA
    PANIC
    ANXIOLYTIC DRUGS
    SVT
    FLECANIDE MECHANISM
    N ACETYLCYSTINE MECHANISM
    BULIMIA NERVOSA
    CONDYLOMATA
    PRIMRARY BILIARY CIRRH
  40. Guest

    Guest Guest

    very nice ,Cliff,Mac and Hajmi....i hope that all of u did very well there and i hpoe also that u will pass the part I examination with god's help.
  41. Guest

    Guest Guest

    Posted: Thu Sep 22, 2005 11:03 pm byDR GMATH,rsukhon

    HERE ARE SOME QS FM SEP 20.FOR DR OA AND OTHERS

    1.PT ALLERGIC TO PENICILLIN : DONT GIVE : CEPHRADINE <CROSS ALLERGY>
    2.ASSOCIATION WITH SYSTEMIC SCLEROSIS: PUL HTN
    3.ABS IN CREST : ANTI CENTROMERE ABS
    4..MOST LIKELY ASSOC OF PBC:VITILIGO
    5.CAUSE OF CHB AFTER MI: RT CORONARY ARTEY OCCLUSION
    6TREATMENT FOR POLYCYTHEMIA: HYDROXYUREA
    7.MOST COMMON CAUSE OD DEATH IN ACROMEGALY: LVF
    8.P20 PROTEIN IS IMP B/C : CAUSES EXPULSION OF CYTOTOXIC DRUGS
    9.MOST IMP SIGN OF IDIO PARKINSONISM: ASSYMET REST TREMOR
    10.NONSUSTAINED VT TREATMENT: MG+ I/V
    11.PT WITH CCF AND A LARGE BOUT OF P/R BLEEDING.UPPER GI ENDOSC NORMAL DX ANGIODYSPLASIA
    12.MAN WITH MEDIASTINAL LN ENLAGEMENT HAS STRIDOR ANND LN OBST BRONCH WAT TO DO MEDIASTINOSCOPY.
    13MALT RT ERADICATION THERAPY
    14 EPO IMPROVES : EXERCISE TOLERANCE
    15.FEMALE WITH BULKY STOOLS AND BLOATING IBS
    16 ENDOCARDITIS MONITORING : BLOOD CULTURES
    17.PT WITH HEART VALVE RX AND SMALL VEG ON ECHO DX:STAPH EPIDERMIDIS
    18> FEMALE WITH HYPOGLYCEMIC EPISODE: STOP DRIVING FOR 3 MNTHS..I HOPE
    19>ISOLATED SENSORY LOSS IN A PT>LACUNAR INFARCT
    20.DETERIORATING CONSC IN A FEMALE WITH AD:SUBDURAL HEAMATOMA
    21CHILD UNDERGOING TOOTH EXTRACTON SUFFERS UNCONSC,JERKS AND INCONT OF URINE: DX TONIC CLONIC SEIZURES
    22 O2 GIVEN TO A PT AND HIIS SAT FALLS FOR SOME TIME WHY? B/C OF PUL ARTEY RELAXATION CAUSING MISMATCH B/W PERFUSION AND VENT
    23 INC KCO CAUSE ALV HMG
    24PT WITH PRGO SOB CAUSE :pUL THROMBIEMBOLISM
    25 Q OS PIT APOPLEXY
    26 MANY OPTH QS
    1.AC GLAUCOMA PAIN SUDDEN 6/60 VA
    2.RA PT WITH SEVERE PAIN NORMAL VA: ANT UVEITIS
    27 SCHIZOPHRENIC REFUSES INTUB WAT TO DO..CONSENT FM KITH AND KIN
    28 WAT TO DO IN A PT WITH SSRI RESISTANCE NOT RESPONDING TO IT:LITHIUM ADDITION
    29Q OF MESENTERIC ISCHEMIA
    30.PT OF HYPOMANIA PRESSURIZZED SPEECH
    31.PT OF SCHIZOPHRENIA
    32STATS SENSITIVITY WAS 60
    33STATS RANDOMIZATION AWFUL ONE
    34 STATS PAIRED COMPARSON WITH MEDIAN AS REF/? CHI SQ?
    35STATS POSITIVE PREDICTIVE VALUE AWFUL
    36DERMA SCARRING ALOPECIA DLE
    37DERM INCOGNITO
    38 RENAL BARTER SYNDROME HYPOKALEMIA WITHOUT HTN Q
    39 TYPE 1 RTA NEPHROCALCINOSIS AND ETC
    40 PT OF HYPERVENTILATION SYNDROME WAT WAS UT THEY ASKED?
    41 METABOLIC ACIDISIS FINDINGS IN A Q
    42 RELAXATON RT FOR A PT OF PANIC ATTACK RIGHT?
    43 PHARMA NICORANDIL OPENS ANN ION CHANNEL
    44.CLIPPING OF NAIL FUNFGAL INFECTION DX
    45 SOB WITH NORMAL KCO ASTHMA'
    46SINGLE CAVITATING LESION PNEUMONIA : KLEBSIELLA
    47.CF ORGANISM: PEUDOMONAS
    48.FEMALE WITH GIANT CELL ARTERITIS
    40FTN OF FEMORAL N : ADDUCTOR
    50ULNAR ENTRAPMENT
    51.BOORHAVE DISEASE
    52.TENSION HEADACHE
    53.KLINEFELTER SYNDROME
    54.AIDS PT ORG BURHOLDERIA
    55PT OF AIDS WITH BRAIN ATROPHY?AIDS ENCEPHALOPATHY AS ALL OTHERS CAUSED LESIONS AND NO LESION IN THIS CASE
    56 UNILAT VISUAL LOSS IN AIDS PT TOXOCARA
    57 PROPHLAXIS OF SPLENECTOMY INFLUENZAE ..ONLY VIRAL ORG
    58.SIADH
    59.CRANIAL DI
    60 POOR PXIC FACTOR I ALL 9:22
    61 SAME IN AML?
    62.BULIMIA NERVOSA
    63 LITHIUM TOXICITY
    64 MANTOUX TEST
    65SCDSC
    66.OSTEOSCLERTIC LESION
    67 CAUDA EQUIA SYNDROME
    68.MAEMOCHROMATOSIS
    69S/E OF ROSIGLTAZONE
    70ANTICIPATIO
    71 CAT SCRATCH DISEASE
    72 VARICELLA ZOSTER
    73SCROMBOTOXIN
    774 CEA FOR COLRECTAL CA
    75 PS3 UPREG COLON CA SPORADIC
    76 N ACETYLCYSTEINE?DEC GLUTATHIONE REDUCTSAE?
    BACILLUS CEREUS TOXICTY
    77RENAL BIOPSY
    78LICHEN PLANUS
    79 CRITERIA OF MI
    SOMATIZATION SYNDROME
    80 MEDIAN NERVE
    81AIP
    82 ODANSETRON
    83DERMATOMYOSTIS
    84 REFEEDING SYNDROME

    BYE FOR NOE PRAY 4 ME
    I THTINK MRCP

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    pinkfeets
    Guest





    Posted: Fri Sep 23, 2005 11:42 am Post subject: Re: SOME THEMES OF SEP EXAM

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

    I disagree with some of the answers you have put down.... open for discussion!

    ENDOCARDITIS MONITORING : BLOOD CULTURES (I believe CRP is the answer)


    MAN WITH MEDIASTINAL LN ENLAGEMENT HAS STRIDOR ANND LN OBST BRONCH WAT TO DO MEDIASTINOSCOPY (I believe predinisolone is the answer)


    FEMALE WITH HYPOGLYCEMIC EPISODE: STOP DRIVING FOR 3 MNTHS (I believe that sending her for diabetic education is the answer, am not sure about admitting her for 72 hours)


    21CHILD UNDERGOING TOOTH EXTRACTON SUFFERS UNCONSC,JERKS AND INCONT OF URINE: DX TONIC CLONIC SEIZURES (no, this is a classic case for vasovagal syncope! and he is suffering from perhaps a complex symcope)


    O2 GIVEN TO A PT AND HIIS SAT FALLS FOR SOME TIME WHY? B/C OF PUL ARTEY RELAXATION CAUSING MISMATCH B/W PERFUSION AND VENT
    (I disagree, i think it is because when you administer nebulisers you usually do not administer oxygen at the same time...that is why your p02 falls)


    RA PT WITH SEVERE PAIN NORMAL VA ANT UVEITIS (epscleritis)


    SCHIZOPHRENIC REFUSES INTUB WAT TO DO..CONSENT FM KITH AND KIN (there is no such thing in england as taking consent from next of kin in england...plus by the time they take consent the patient would have died, so i think the answer was acting on behalf of the patient's best interests)


    28 WAT TO DO IN A PT WITH SSRI RESISTANCE NOT RESPONDING TO IT:LITHIUM ADDITION (personally i think addition of lithium is not an easy thing because it is a dangerous drug that requires monitoring and he does not suffer from bipolar disorder to require it so i think giving him a trial on an alternative class like TCA would be the choice - i am not sure if this is the right answer )


    PROPHLAXIS OF SPLENECTOMY (encapsulated organisms like strep pneumonia)


    anyway, i hope some of my answers have been helpful, i am open for discussion!

    pinkfeets!



    1.PT ALLERGIC TO PENICILLIN : DONT GIVE : CEPHRADINE <CROSS ALLERGY>
    2.ASSOCIATION WITH SYSTEMIC SCLEROSIS: PUL HTN
    3.ABS IN CREST : ANTI CENTROMERE ABS
    4..MOST LIKELY ASSOC OF PBC:VITILIGO
    5.CAUSE OF CHB AFTER MI: RT CORONARY ARTEY OCCLUSION
    6TREATMENT FOR POLYCYTHEMIA: HYDROXYUREA
    7.MOST COMMON CAUSE OD DEATH IN ACROMEGALY: LVF
    8.P20 PROTEIN IS IMP B/C : CAUSES EXPULSION OF CYTOTOXIC DRUGS
    9.MOST IMP SIGN OF IDIO PARKINSONISM: ASSYMET REST TREMOR
    10.NONSUSTAINED VT TREATMENT: MG+ I/V
    11.PT WITH CCF AND A LARGE BOUT OF P/R BLEEDING.UPPER GI ENDOSC NORMAL DX ANGIODYSPLASIA
    12.MAN WITH MEDIASTINAL LN ENLAGEMENT HAS STRIDOR ANND LN OBST BRONCH WAT TO DO MEDIASTINOSCOPY. (
    13MALT RT ERADICATION THERAPY
    14 EPO IMPROVES : EXERCISE TOLERANCE
    15.FEMALE WITH BULKY STOOLS AND BLOATING IBS
    16 ENDOCARDITIS MONITORING : BLOOD CULTURES
    17.PT WITH HEART VALVE RX AND SMALL VEG ON ECHO DX:STAPH EPIDERMIDIS
    18> FEMALE WITH HYPOGLYCEMIC EPISODE: STOP DRIVING FOR 3 MNTHS..I HOPE
    19>ISOLATED SENSORY LOSS IN A PT>LACUNAR INFARCT
    20.DETERIORATING CONSC IN A FEMALE WITH AD:SUBDURAL HEAMATOMA
    21CHILD UNDERGOING TOOTH EXTRACTON SUFFERS UNCONSC,JERKS AND INCONT OF URINE: DX TONIC CLONIC SEIZURES
    22 O2 GIVEN TO A PT AND HIIS SAT FALLS FOR SOME TIME WHY? B/C OF PUL ARTEY RELAXATION CAUSING MISMATCH B/W PERFUSION AND VENT
    23 INC KCO CAUSE ALV HMG
    24PT WITH PRGO SOB CAUSE :pUL THROMBIEMBOLISM
    25 Q OS PIT APOPLEXY
    26 MANY OPTH QS
    1.AC GLAUCOMA PAIN SUDDEN 6/60 VA
    2.RA PT WITH SEVERE PAIN NORMAL VA: ANT UVEITIS
    27 SCHIZOPHRENIC REFUSES INTUB WAT TO DO..CONSENT FM KITH AND KIN
    28 WAT TO DO IN A PT WITH SSRI RESISTANCE NOT RESPONDING TO IT:LITHIUM ADDITION
    29Q OF MESENTERIC ISCHEMIA
    30.PT OF HYPOMANIA PRESSURIZZED SPEECH
    31.PT OF SCHIZOPHRENIA
    32STATS SENSITIVITY WAS 60
    33STATS RANDOMIZATION AWFUL ONE
    34 STATS PAIRED COMPARSON WITH MEDIAN AS REF/? CHI SQ?
    35STATS POSITIVE PREDICTIVE VALUE AWFUL
    36DERMA SCARRING ALOPECIA DLE
    37DERM INCOGNITO
    38 RENAL BARTER SYNDROME HYPOKALEMIA WITHOUT HTN Q
    39 TYPE 1 RTA NEPHROCALCINOSIS AND ETC
    40 PT OF HYPERVENTILATION SYNDROME WAT WAS UT THEY ASKED?
    41 METABOLIC ACIDISIS FINDINGS IN A Q
    42 RELAXATON RT FOR A PT OF PANIC ATTACK RIGHT?
    43 PHARMA NICORANDIL OPENS ANN ION CHANNEL
    44.CLIPPING OF NAIL FUNFGAL INFECTION DX
    45 SOB WITH NORMAL KCO ASTHMA'
    46SINGLE CAVITATING LESION PNEUMONIA : KLEBSIELLA
    47.CF ORGANISM: PEUDOMONAS
    48.FEMALE WITH GIANT CELL ARTERITIS
    40FTN OF FEMORAL N : ADDUCTOR
    50ULNAR ENTRAPMENT
    51.BOORHAVE DISEASE
    52.TENSION HEADACHE
    53.KLINEFELTER SYNDROME
    54.AIDS PT ORG BURHOLDERIA
    55PT OF AIDS WITH BRAIN ATROPHY?AIDS ENCEPHALOPATHY AS ALL OTHERS CAUSED LESIONS AND NO LESION IN THIS CASE
    56 UNILAT VISUAL LOSS IN AIDS PT TOXOCARA
    57 PROPHLAXIS OF SPLENECTOMY INFLUENZAE ..ONLY VIRAL ORG
    58.SIADH
    59.CRANIAL DI
    60 POOR PXIC FACTOR I ALL 9:22
    61 SAME IN AML?
    62.BULIMIA NERVOSA
    63 LITHIUM TOXICITY
    64 MANTOUX TEST
    65SCDSC
    66.OSTEOSCLERTIC LESION
    67 CAUDA EQUIA SYNDROME
    68.MAEMOCHROMATOSIS
    69S/E OF ROSIGLTAZONE
    70ANTICIPATIO
    71 CAT SCRATCH DISEASE
    72 VARICELLA ZOSTER
    73SCROMBOTOXIN
    774 CEA FOR COLRECTAL CA
    75 PS3 UPREG COLON CA SPORADIC
    76 N ACETYLCYSTEINE?DEC GLUTATHIONE REDUCTSAE?
    BACILLUS CEREUS TOXICTY
    77RENAL BIOPSY
    78LICHEN PLANUS
    79 CRITERIA OF MI
    SOMATIZATION SYNDROME
    80 MEDIAN NERVE
    81AIP
    82 ODANSETRON
    83DERMATOMYOSTIS
    84 REFEEDING SYNDROME

    BYE FOR NOW PRAY 4 ME
    I THTINK MRCP[/quote]





    Posted: Fri Sep 23, 2005 11:56 am Post subject:


    Regarding Endocarditis my answer was CRP but when I checked it in Harrison's, it is Blood culture




    rsukhon
    AIPPG Senior Member


    Joined: 05 Feb 2005
    Posts: 53

    Posted: Fri Sep 23, 2005 12:00 pm Post subject:


    Thanks Pinkfeets for your comment, I totally agree with the you answers
  42. pinkfeets

    pinkfeets Guest

    answer is eradication of h pylori


  43. Guest

    Guest Guest

    I checked it, its H. Pylori eradication
  44. G-MATH1

    G-MATH1 Guest

    HELLO
    IST OF ALL I WOULD LIKE TO COMPLAINT GLAD WHY MY NAME WAS REMOVED FRM THE POST OF THESE 87 THEMES WHICH WERE ORIGINALLY WRITTEN BY ME.
    SECONDLY I WILL REDISCUSS PINKFEET ANSWERS AND CORRECT HIM
    IN NEXTPOST
  45. pinkfeets

    pinkfeets Guest

    G math am very interested to see why you think my answers are wrong... anyhow, i think it would be best if those who posted questions to try and explain the reasons behind the answers they chose to the 'tough' not straightforward answer questions...
  46. Guest

    Guest Guest

    Question No. 4

    A 28 year old man who had had tuberculosis of the mediastinal lymph nodes diagnosed two weeks previously and who had been started on chemotherapy with rifampicin, isoniazid and pyrazinamide was admitted because of the increasing dyspnoea and stridor.
    Chest X-ray showed compression of both main bronchi by carinal lymph node enlargement.
    What is the next step in management?

    1. Start prednisolone
    2. Mediastinoscopy and biopsy
    3. Refer for stent insertion/tracheostomy
    4. Refer for urgent CT scan of the mediastinum
    5. The addition of ethambutol


    Answer

    Start prednisolone - (No. 1)

    Comments:
    The treatment of TB mediatinal lymphadenitis is the same as pulmonary TB. The nodes may enlarge during or after treatment as a result of hypersensitivity. Corticosteroids is effective in reducing the enlargement and hence will help the stridor and breathlessness.

    (From Onexamination)
  47. Guest

    Guest Guest

    Related to Harrison's Chapter 77. Gastrointestinal Tract Cancer; Chapter 135. Helicobacter pylori Infections;

    Excerpt: "Gastric mucosa-associated lymphoid tissue (MALT) lymphoma arises from mucosal lymphoid tissue that is acquired usually as a reaction to Helicobacter pylori infection. Eradication of H. pylori leads to complete regression of gastric MALT lymphoma in 75% of cases. However, prolonged follow-up is necessary to determine whether a lymphoma responds to therapy. Clinical staging has been extensively examined with the help of endoscopic ultrasonography, which has allowed the assessment of the extent of tumor invasion to the gastric wall and to regional lymph nodes. In general, lymphomas of stage IIE or above, in which gastric lymph nodes and adjacent or remote organs are involved, do not respond to H. pylori eradication. In stage IE cases, in which tumors are confined to the gastric wall, staging has limited value in predicting a response, although tumors that involve the muscularis propria or serosa (stage IE2) have a higher failure rate than those of IE1. At the time of diagnosis, most gastric MALT lymphomas are stage IE, so alternative prognostic markers are needed...."
    muscle is effected-?iliopsoas
  48. DR G-MATH12

    DR G-MATH12 Guest

    HERE ARE SOME QS FM SEP 20.FOR DR OA AND OTHERS

    1.PT ALLERGIC TO PENICILLIN : DONT GIVE : CEPHRADINE <CROSS ALLERGY>
    2.ASSOCIATION WITH SYSTEMIC SCLEROSIS: PUL HTN
    3.ABS IN CREST : ANTI CENTROMERE ABS
    4..MOST LIKELY ASSOC OF PBC:VITILIGO
    5.CAUSE OF CHB AFTER MI: RT CORONARY ARTEY OCCLUSION
    6TREATMENT FOR POLYCYTHEMIA: HYDROXYUREA
    7.MOST COMMON CAUSE OD DEATH IN ACROMEGALY: LVF
    8.P20 PROTEIN IS IMP B/C : CAUSES EXPULSION OF CYTOTOXIC DRUGS
    9.MOST IMP SIGN OF IDIO PARKINSONISM: ASSYMET REST TREMOR
    10.NONSUSTAINED VT TREATMENT: MG+ I/V
    11.PT WITH CCF AND A LARGE BOUT OF P/R BLEEDING.UPPER GI ENDOSC NORMAL DX ANGIODYSPLASIA
    12.MAN WITH MEDIASTINAL LN ENLAGEMENT HAS STRIDOR ANND LN OBST BRONCH WAT TO DO MEDIASTINOSCOPY.
    13MALT RT ERADICATION THERAPY
    14 EPO IMPROVES : EXERCISE TOLERANCE
    15.FEMALE WITH BULKY STOOLS AND BLOATING IBS
    16 ENDOCARDITIS MONITORING : BLOOD CULTURES
    17.PT WITH HEART VALVE RX AND SMALL VEG ON ECHO DX:STAPH EPIDERMIDIS
    18> FEMALE WITH HYPOGLYCEMIC EPISODE: STOP DRIVING FOR 3 MNTHS..I HOPE
    19>ISOLATED SENSORY LOSS IN A PT>LACUNAR INFARCT
    20.DETERIORATING CONSC IN A FEMALE WITH AD:SUBDURAL HEAMATOMA
    21CHILD UNDERGOING TOOTH EXTRACTON SUFFERS UNCONSC,JERKS AND INCONT OF URINE: DX TONIC CLONIC SEIZURES
    22 O2 GIVEN TO A PT AND HIIS SAT FALLS FOR SOME TIME WHY? B/C OF PUL ARTEY RELAXATION CAUSING MISMATCH B/W PERFUSION AND VENT
    23 INC KCO CAUSE ALV HMG
    24PT WITH PRGO SOB CAUSE :pUL THROMBIEMBOLISM
    25 Q OS PIT APOPLEXY
    26 MANY OPTH QS
    1.AC GLAUCOMA PAIN SUDDEN 6/60 VA
    2.RA PT WITH SEVERE PAIN NORMAL VA: ANT UVEITIS
    27 SCHIZOPHRENIC REFUSES INTUB WAT TO DO..CONSENT FM KITH AND KIN
    28 WAT TO DO IN A PT WITH SSRI RESISTANCE NOT RESPONDING TO IT:LITHIUM ADDITION
    29Q OF MESENTERIC ISCHEMIA
    30.PT OF HYPOMANIA PRESSURIZZED SPEECH
    31.PT OF SCHIZOPHRENIA
    32STATS SENSITIVITY WAS 60
    33STATS RANDOMIZATION AWFUL ONE
    34 STATS PAIRED COMPARSON WITH MEDIAN AS REF/? CHI SQ?
    35STATS POSITIVE PREDICTIVE VALUE AWFUL
    36DERMA SCARRING ALOPECIA DLE
    37DERM INCOGNITO
    38 RENAL BARTER SYNDROME HYPOKALEMIA WITHOUT HTN Q
    39 TYPE 1 RTA NEPHROCALCINOSIS AND ETC
    40 PT OF HYPERVENTILATION SYNDROME WAT WAS UT THEY ASKED?
    41 METABOLIC ACIDISIS FINDINGS IN A Q
    42 RELAXATON RT FOR A PT OF PANIC ATTACK RIGHT?
    43 PHARMA NICORANDIL OPENS ANN ION CHANNEL
    44.CLIPPING OF NAIL FUNFGAL INFECTION DX
    45 SOB WITH NORMAL KCO ASTHMA'
    46SINGLE CAVITATING LESION PNEUMONIA : KLEBSIELLA
    47.CF ORGANISM: PEUDOMONAS
    48.FEMALE WITH GIANT CELL ARTERITIS
    40FTN OF FEMORAL N : ADDUCTOR
    50ULNAR ENTRAPMENT
    51.BOORHAVE DISEASE
    52.TENSION HEADACHE
    53.KLINEFELTER SYNDROME
    54.AIDS PT ORG BURHOLDERIA
    55PT OF AIDS WITH BRAIN ATROPHY?AIDS ENCEPHALOPATHY AS ALL OTHERS CAUSED LESIONS AND NO LESION IN THIS CASE
    56 UNILAT VISUAL LOSS IN AIDS PT TOXOCARA
    57 PROPHLAXIS OF SPLENECTOMY INFLUENZAE ..ONLY VIRAL ORG
    58.SIADH
    59.CRANIAL DI
    60 POOR PXIC FACTOR I ALL 9:22
    61 SAME IN AML?
    62.BULIMIA NERVOSA
    63 LITHIUM TOXICITY
    64 MANTOUX TEST
    65SCDSC
    66.OSTEOSCLERTIC LESION
    67 CAUDA EQUIA SYNDROME
    68.MAEMOCHROMATOSIS
    69S/E OF ROSIGLTAZONE
    70ANTICIPATIO
    71 CAT SCRATCH DISEASE
    72 VARICELLA ZOSTER
    73SCROMBOTOXIN
    774 CEA FOR COLRECTAL CA
    75 PS3 UPREG COLON CA SPORADIC
    76 N ACETYLCYSTEINE?DEC GLUTATHIONE REDUCTSAE?
    BACILLUS CEREUS TOXICTY
    77RENAL BIOPSY
    78LICHEN PLANUS
    79 CRITERIA OF MI
    SOMATIZATION SYNDROME
    80 MEDIAN NERVE
    81AIP
    82 ODANSETRON
    83DERMATOMYOSTIS
    84 REFEEDING SYNDROME
    THE ABOVE POST WAS BY ME ORIGINALLY.
    PLZ DISCUSS ANWSERS WITH ME
    REGARDS DR GMATH.DR OA PLZ GIVE UR OPINION AS WELL
  49. DR GMATH 12

    DR GMATH 12 Guest

    disagree with some of the answers you have put down.... open for discussion!

    ENDOCARDITIS MONITORING : BLOOD CULTURES (I believe CRP is the answer)


    MAN WITH MEDIASTINAL LN ENLAGEMENT HAS STRIDOR ANND LN OBST BRONCH WAT TO DO MEDIASTINOSCOPY (I believe predinisolone is the answer)


    FEMALE WITH HYPOGLYCEMIC EPISODE: STOP DRIVING FOR 3 MNTHS (I believe that sending her for diabetic education is the answer, am not sure about admitting her for 72 hours)


    21CHILD UNDERGOING TOOTH EXTRACTON SUFFERS UNCONSC,JERKS AND INCONT OF URINE: DX TONIC CLONIC SEIZURES (no, this is a classic case for vasovagal syncope! and he is suffering from perhaps a complex symcope)


    O2 GIVEN TO A PT AND HIIS SAT FALLS FOR SOME TIME WHY? B/C OF PUL ARTEY RELAXATION CAUSING MISMATCH B/W PERFUSION AND VENT
    (I disagree, i think it is because when you administer nebulisers you usually do not administer oxygen at the same time...that is why your p02 falls)


    RA PT WITH SEVERE PAIN NORMAL VA ANT UVEITIS (epscleritis)


    SCHIZOPHRENIC REFUSES INTUB WAT TO DO..CONSENT FM KITH AND KIN (there is no such thing in england as taking consent from next of kin in england...plus by the time they take consent the patient would have died, so i think the answer was acting on behalf of the patient's best interests)


    28 WAT TO DO IN A PT WITH SSRI RESISTANCE NOT RESPONDING TO IT:LITHIUM ADDITION (personally i think addition of lithium is not an easy thing because it is a dangerous drug that requires monitoring and he does not suffer from bipolar disorder to require it so i think giving him a trial on an alternative class like TCA would be the choice - i am not sure if this is the right answer )


    PROPHLAXIS OF SPLENECTOMY (encapsulated organisms like strep pneumonia)


    anyway, i hope some of my answers have been helpful, i am open for discussion!

    pinkfeets!
    HI PINKFEETS
    I WASNT TARGETTING/INSULTING U .JUST WANNA DISCUSS. OK
    THE Q OF SPLENECTOMY ASKED ABOUT VIRAL VACCINE PROPHYLAXIS AND AS U KNOW ONLY H INF HAS HIB VACCINE SOO THAT WAS WHY I WROTE IT AS CORRECT IN MY 82 Q RECALL WHICH I GAVE .REST OF OPSII ORG STREP ETC ARE BACTERIA AND Q ON 2ND READ I FOUND WAS ASKING OF VCIINE .

    REGARDING UR COMMENT ON EPISCLERITIS.I AM SURE THERE WAS OPTION OF SCLERITIS: PAINLESS, GLAUCOMA:VISION LOSS OCCURS.THEY ASKED ABOUT REDNESS,NORMAL VA AND PAIN RADIATING TO FOREHEAD ..THERE WAS NO OPTION OF EPISCLERITIS:pAINFUL SO AS ANT UVEITIS HAS ALL FEATURES AF THE GIVEN PATHO

    REGARDING LITHIUM.IT IS GIVEN IN RESISTANT CASES REF TO KALRA

    REGARDING O2 : O2 WAS GIVEN CONTINUOSLY TO PT IN THAT CASE ,U KNOW DILATORS CAUSE INC DILAT OF ALVEOLI SO PUL ART PRESSURE /RESISTANCE FALLS SO RELATIVE DEF OF O2 WRT SURFACE AREA WILL BE SEEN

    VASO VAGAL SYNCOPE DOESNT CASUE INCONTINENCE OF URINE.U CAN SEE IN ANY BIG MED TXTBOOK THAT ICONTINENT OF URINE IS EXCLUSSIVE TO GRAND MAL/TC EPILEPSY

    IE BLOOD CULTURES U CAN C IN ANY BIG TXTBOOK
    REGARDING PREDNISOLONE U R RIGHT
    FEMALE WITH ONE HYPOGLYCEMIC EPISODE BAN FRM DRIVING. FOR 3 MNTHS TO ALLOW BTR CTRL AND MONITORING.IF THERE HAD BEEN NO OPTION OF DRIVING U WILL SAY EDU BUT IT IS IMP THAT PT REMAINS/ABSTAINS FRM DRIVING BUT I AM NOT SURE OF THIS Q B/C I DONT KNOW IF IT IS BAN FOR 1 YR.IN THAT CASE I AM WRONG

    THANNKS .I WISH U AND I AND ALL WHO TOOK EXAM PASS.NO HARD FEELINGS OK'
    ONCE AGAIN DR OA COMMENTS PLZ
  50. Guest

    Guest Guest

    sep quest

    what are cardiac troponin
    ans:strutrural proteins

    zinc def

    multiple sclerosis

    asymptomatic wpw synd-rx of choise
    ans-resurance
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