mrcp part 2 April exam - share your experiences.

Discussion in 'MRCP Forum' started by Guest, Apr 13, 2007.

  1. Guest

    Guest Guest

    Hello my fellow doctors, can you please share your experiences with the April 11th -12th MRCP part II exam. How was it? What types of questions did you find? I would be eternally grateful for your help with this. Please share what you know!

    god bless you all.

    Amol
  2. Eswari

    Eswari Guest

    April 07 MRCP II

    All three papers had only best of five Qs and no N from many at all. I personally found paper 1 really tough, 2 & 3 reasonably tough.

    I shall post the questions as soon as possible and it would be useful if others who had taken the exam this time join the discussion actively.

    Good luck for all of you sitting for the next exam.
  3. Guest

    Guest Guest

    TIME WAS VERY SHORT ESP. N PAPER 2,MANY QUESTIONS ABOUT DIARRHEA,3 STATISTIC QUESTIONS!!!!, IT WAS GENERALLY DIFFICULT, I NEED TO SHARE QUESTIONS & ANSWERS WITH THE OTHER MEMBERS.
    2 FUNDUS FOTOS:pAPILLOEDEMA & ??BACKGROUND D.Vs CRVO,ABOUT 9 CT (BRAIN,CHEST&ABDOMEN)MANY ECGs.
  4. jehikos

    jehikos Guest

    MRCP Part 2 - Apr 2007

    From what i can remember, images from some of the papers:

    1. CXR - learning disabilities person with difficulty swallowing - Ans was achalasia
    2. CT chest - showed bronchiectasis - infection that occurs during exacerbation Ans Pseudomonas aeruginosa
    3. CT abdomen- hx - man with abdo pain and fullness - showed hypernephroma of right kidney
    4. Picture of foot - showed keratoderma blenorrhagica. Ans - Reiter's disease
    5. ECG - hx - person with collapse - Ans - Trifascicular block
    6. Fundoscopy - definitely papilloedema
    7. Hand image - gouty fingers - can't remember if the patient had renal failure or peptic ulcer disease - if they didn't answer was NSAIDs, if they did then colchicine.
    8. CT brain - 30 yr old 10 days feeling unwell then seizures. LP showed lymphocytosis with slightly high protein. Hypodense region in temporal lobe - Ans: HSV encephalitis
    9. Mouth picture showing gingivostomatitis. Ans swab ulcer and then oral aciclovir
    10. Ear - relapsing polychondritis
    11. Mouth image showing gum hypertrophy, drug most likely to cause that - Ans phenytoin
    12. Surface abdomen picture - patient with crohn's that had colectomy with colostomy. Picture showed stoma with surrounding pyoderma gangrenosum - Ans - tx with oral steroids
    13. Hand image - showed multiple warts - tx 5-FU (podophyllin was not one of the options)
    14. Foot picture - showed blue toes - trash toes following MI, thrombolysis plus stenting. Ans - cholesterol emboli
    15. Endoscopy image - bleeding duodenal ulcer. Tx - Ans - inject with adrenaline
    16. Hand image - showed rheumatoid hands with swan neck deformities. they asked for eye pathology commonly associated Ans - keratoconjunctivitis sicca
    17. Barium enema showed Ascaris lumbricoides
    18. Pathology slide showed polycystic kidney - then asked mode of inheritance - As autosomal dominant Ans - 50% of children of affected parent affected
    19. USS kidney showing hydronephrosis. Hx 19 yr old with cr 450, no symptoms Ans - posterior urethral valve disease
    20. ERCP demonstrating Ca head of pancreas
    21. Dermatology slide - showing molluscum contagiosum. Tx - Ans - curettage
    22. Dermatology slide - scalded skin syndrome
    23. Fundoscopy - macular degeneration ? not sure about this one
    24. Bone scan - showed lots of hot spots along spine and skull. Man with back pain. further investigation. Ans - Serum PSA
    25. ECG - acute lateral MI
    26. ECG - pericarditis
    27. ECG - 2nd degree heart block - Wenckebach
    28. CT head showing acute left subdural and right intracerebral haemorrhage - asked for most likely cause. Ans - coagulopathy
    29. CT abdo - showing pseudomyxoma peritonei
    30. CT chest - showing loculated effusion
    31. CT cervical spine - showing cervical epidural abscess
    32. CT brain - showing neurocysticercosis
    33. Another CT cervical spine. Hx with cerebellar signs (ataxia, nystagmus). My answer was spinocerebellar ataxia as i could not find any abnormality. However, some people have suggested Arnold-Chiari as they thought there was herniation of the cerebellar tonsils. Can't remember seeing that but i could be wrong.
    34. CXR - showing hilar calcification - i think my answer was silicosis
    35. Hand x-ray with cavity within middle - enchondroma
    36. ECG - broad complex tachycardia, pt unstable BP 80/40. Tx - DC cardioversion
    37. ECG - showing small voltage complexes. Pt had very raised JVP, periperal oedema, BP stable - Ans - pericardial effusion
    38. ECG showing LVH - African man i think who had tried a few anti-hypertensives already - can't remember which - but i think the answer was a thiazide diuretic.

    That's all i can remember for now in terms of images.

    Yes, the first 2 papers were difficult more because the general things didn't seem to appear - no echos, no cath data, no blood films. A lot of infectious diseases in the 1st 2 papers, a lot of renal medicine. Very ambiguous questions. Paper 3 was ok...the standard i had expected. Good luck to all who to took the exams.
    I am sure there were
  5. thnx bro..........agree with most of those just some difference in my humble opinion

    CXR: I went for achalasia in the learning diff......but later saw in the net it was typical cxr of retrosternal goitre

    1 foot pic was psoriasis with hx of morning stiffness........r u speaking abt the same?

    arnold chiarry....not only because of the herniation but that holy "down beat nystagmus"

    another fundus: CRVO

    pailloodedema aswell in another one

    I went for macular oedema dont know abt this

    are you sure about the treament of wrats? some ppl said cryotherapy

    hand xray: I went for oseostosis

    ear pic...I am sure it was lupus pernio of sarcoidosis i remember the Hx of the question clearly
    thnx a lot..........not trying to offend any1 just wanted to say what i felt......I have written down 176 question in total if every1 contributes we might have some fun
  6. Guest

    Guest Guest

    DEAR Dr jehikos
    THANKS FOR YOUR GREAT EFFORT, I WANT TO ADD SOME PHOTOS & QUESTIONS :
    1 FOOT: FAT EMBOLISM
    2 OTHER FOOT WITH SKIN & NAIL DSE: MAY BE TINEA???
    3 THE GOUT PHOTO QUESTION WAS WITH PEPTIC ULCER &ITHINK COLCHICINE IS THE CORRECT ANSWER
    4 DRUG NO NEED ADJUST N RENAL FAILURE: LANZOPRAZOLE
    5 MELENA PHOTO OF BLEADING ESOPHAGUS : TTT ?????
    6 SOMATIZATION
    7 C T PERICARDIAL EFFUSION
    8 MOUTH SEVER CANDIDA + DARK PIGMENTATION +HEMOPTESIS= ENDOBRONCHIAL KAPOSI SARCOA
    9 ANTI TNF TTT==== T B
    10 PROPHILAXIS WITH FLUDARABIN=CO TRIMOXAZOLE
    11 HYPERTENSION CASE WITH RT. HYPOCHONDRIAL BRUIT= ??COARCTATION
    12 PT WITH DECREASE OXYGEN WITH EXERCISE== HIV SEROLOGY
    13 TTT NON CHOLERA VIBRIO ????
    14 CASE DEQUERVAIN TENOSYNOVITIS
  7. rt hypochonfrial bruit-------------rt renovascular disease
  8. Guest

    Guest Guest

    I THINK ALSO cryotherapy
  9. rt hypochonfrial bruit-------------rt renovascular disease
  10. what abt the pic of the red shoulder?
  11. Guest

    Guest Guest

    IT WAS VGUE I WROTE IT SEPTIC
  12. I am posting some question which i discussed with some other ppl in another forum please comment on these

    By Saira on Thursday, April 12, 2007 - 06:23 pm:

    what was MRI in paper 1 ? It was a neck MRI. Apatient with rhematoid arthritis preseneted with severe pain in neck >? what were the options ?
    By Anonymous on Thursday, April 12, 2007 - 09:30 pm:

    what were the options?
    By Anonymous on Thursday, April 12, 2007 - 09:31 pm:

    ct of the man with fall,on warfarin.
    I put anticoagulation,any comments
    By Anonymous on Thursday, April 12, 2007 - 09:32 pm:

    man with resistent hypertension and brui over rt hypochndm.
    renal artery angiogram.
    By Anonymous on Thursday, April 12, 2007 - 09:33 pm:

    lady with 2 sec pause on 24hr ecg.
    ans:ppm
    By Anonymous on Thursday, April 12, 2007 - 09:35 pm:

    lady with side effects from carbimazole,I put thyroidectomy.
    By ssharma21 on Thursday, April 12, 2007 - 10:00 pm:

    Lady with 2 sec pause:-

    Did she experience dizziness or syncope?

    Did the pause occur during the day?

    Did she have AF?
    By Anonymous on Thursday, April 12, 2007 - 10:26 pm:

    THERE WAS NO QS.LIKE THAT,THANK
    By Anonymous on Thursday, April 12, 2007 - 10:58 pm:

    May be it was a test question if not everyone saw it.
    By Anonymous on Thursday, April 12, 2007 - 10:59 pm:

    ctbrain showing bilateral infarct

    post partam thyroiditis(9 months.note range is 5-12)

    cxr of achalashia........man with dysphagia and learning difficulty

    MRI of ?disc prolapse/?epidural abscess(not too convincing of any infection in the hx)

    Wenckeback ecg
    chiary malformation.....mri in paper 1 and another mcq in paper 3

    paper 3: post mi new ecg change-----urgent angioplasty

    Exostosis in hand xray

    Ciclosporin+allopurinol toxicity......NOT AZT because renal prob not bone marrow

    Gastric ulcer endoscopy-------re scope
    dudenal ulcer h pylory------ repeat breath test
    serotonin syndrom hyper pyrexia-----dantrolene
    By Anonymous on Thursday, April 12, 2007 - 11:06 pm:

    Rheumatoid MRI: atlantoaxial sublaxation
    By Anonymous on Thursday, April 12, 2007 - 11:07 pm:

    post mi angina------B blocker or ISMN-----pt had failure bp 120/70..........i went for ISMN
    By Anonymous on Thursday, April 12, 2007 - 11:09 pm:

    fever+conjuctival hmg+thrombocytopenia+headache+myalgia+rash+hepatitic picture====Dengue

    TTP in paper 3
    By Anonymous on Thursday, April 12, 2007 - 11:10 pm:

    am not sure if its the same q----but I think there was the option of angio as well which is what i opted for!
    By Anonymous on Thursday, April 12, 2007 - 11:11 pm:

    i thought it was leptospirosis!
    By Anonymous on Thursday, April 12, 2007 - 11:13 pm:

    what was that CT abdo for a man with abdo pain and fullness?
    By Anonymous on Thursday, April 12, 2007 - 11:16 pm:

    i went for right renal sided hydronephrosis........rt side was huuuugely swollen than the left kidney
    By Anonymous on Thursday, April 12, 2007 - 11:17 pm:

    VT reverted back to sinus.....paper 3 ECG
    By Anonymous on Thursday, April 12, 2007 - 11:18 pm:

    USS of young boy----------i went for polycystic kidney-----------paper1
    By Anonymous on Thursday, April 12, 2007 - 11:19 pm:

    i went for hydronephrosis as well though I dont think we were given right / left options...
    By Anonymous on Thursday, April 12, 2007 - 11:19 pm:

    ITP: do nothing(I mean no further inx)

    Gout:colcichine
    Gout in paper 3: indomethacin
    cancer pain in paper 3------renal impairment so not nsaid(crt:480) immidiate release morphine
    By Anonymous on Thursday, April 12, 2007 - 11:20 pm:

    right sided renovascular disease---asymtric kidney with htn
    By Anonymous on Thursday, April 12, 2007 - 11:21 pm:

    paper 3 VT ---I went for the last choice which was VT with some ? tachy pacing>>>
    By Anonymous on Thursday, April 12, 2007 - 11:21 pm:

    PArtial cranial Diabetes insipidus-paper 3
    By Anonymous on Thursday, April 12, 2007 - 11:25 pm:

    paper-2:man with multilple stab wounds with sensory impairment over medial side of the leg. where was the lesion?
    By Anonymous on Thursday, April 12, 2007 - 11:25 pm:

    paper 2 type 4 RTA........diabetic man

    which one more imp BP control or sugar?
    in paper 1 Albumin creatine ratio 15.4 so i went for ACEI
    paper 3 ratio less than 1.........so went for addition of metformin..........pt was obese hba1c 9.7

    hepatitis delta on b
    peginterferon+ribavarin

    I cant imagine how many questions came almost word for word.....not from the questions but from the explanations of Dr Sharma's book like those flowcharts of warfarin in af....or ogd.....or hypokalaemia

    Hypokalaemia in paper 3-------next Inx: renin:aldosterone ratio
    By Anonymous on Thursday, April 12, 2007 - 11:26 pm:

    patient developed generalised rash and mild pancytopenia with carbimazole...next step in Mx ?
    By Anonymous on Thursday, April 12, 2007 - 11:30 pm:

    femoral nerve...confirm!--------stab

    lady with tingling and wrist pain "keeps awake at nights"--------carpal tunnels

    Old man in paper 3 abdo discomfort....anaemic......LFT normal.....liver palpable..........Next InX: OGD

    CLL+MAHA

    cryo for Molluscum
    Histoplasmosis in paper 3------granuloma.....
    amphoterecin in another pneumonia which showed ground glass lesion

    recent deteioriation:exxacerbaton of copd
    paper 1 copd: NIV PCO2 was 6.2

    LTOT in another in paper 1: because according to dr sharma's book although po2 >8 he had cor pulmonale......polycythemia......
    By Anonymous on Thursday, April 12, 2007 - 11:32 pm:

    carbimazole--------I went for propyle thio uracil.......dunno if sx is the currect one

    Hypothyroid guy with tingling.....went for hypoparathyroid

    Mx in paper 3-------was it alphacalcidiol or ergocalciferol?
    By Anonymous on Thursday, April 12, 2007 - 11:32 pm:

    one more achalasia in paper 3
    By Anonymous on Thursday, April 12, 2007 - 11:33 pm:

    prophylactic Rx with Fludarabine in CLL ??
    By Anonymous on Thursday, April 12, 2007 - 11:33 pm:

    Lateral sinus thrombosis......

    Acne:eek:xytetracycline

    lung fibrosis:bleomycin
    dose not needed to be adjusted in renal failure:eek:meprazole
    dose not needed to be adjusted with age:???
    By Anonymous on Thursday, April 12, 2007 - 11:34 pm:

    50 odd year old patient with right sided hemiplegia with good recovery. Doppler shows 60% ICA stenosis on the same side? I know the cut off is 70% but my question is, in a young patient with previous corresponding stroke...is it worth referring for endarteretomy?
    By Anonymous on Thursday, April 12, 2007 - 11:34 pm:

    went for alphacalcidol!
    By Anonymous on Thursday, April 12, 2007 - 11:37 pm:

    me too

    young female......somatization in paper 1

    depression in homosexual guy in paper 2......

    cysticercosis Not MS in mri of paper 2
    By Anonymous on Thursday, April 12, 2007 - 11:38 pm:

    dose not adjusted in old age---I went for BFZ.
    By Anonymous on Thursday, April 12, 2007 - 11:38 pm:

    bad prognostic for pneumonia.....from S Sharma Urea>7
    bad prognostic for pancreatitis?????
    By Anonymous on Thursday, April 12, 2007 - 11:39 pm:

    paroxysomal AF had bleeding on aspirin....Echo showed LV impairment+ left atrial enlargement.......I went for warfarin...dunno
    By Anonymous on Thursday, April 12, 2007 - 11:39 pm:

    i put PaO2 as the answer
    By Anonymous on Thursday, April 12, 2007 - 11:40 pm:

    autonomic dysreflexia---------got wrong went for labetelol would be hydralazine bp was 220/110 urinary retention
    By Anonymous on Thursday, April 12, 2007 - 11:40 pm:

    sam e here....i opted for warfarin as well.
    By Anonymous on Thursday, April 12, 2007 - 11:41 pm:

    PET/eclamsia-------IV Mg
    asthma: IV mg
    By Anonymous on Thursday, April 12, 2007 - 11:42 pm:

    I went for Warfarin...no need to adjust dose for age over the next 10 years.

    went for Ergocalciferol.

    Pancreatitis...prognostic factor..low pO2. <8 in that particular patient. there is a full list in Oxford.
    By Anonymous on Thursday, April 12, 2007 - 11:42 pm:

    bedside test for pt with regurgitation and voice change and facial expression...........i went for fasciculation of tongue
    By Anonymous on Thursday, April 12, 2007 - 11:43 pm:

    elderly with "dont know " response , history frm daughter...........i went for depression as the answer.
    By Anonymous on Thursday, April 12, 2007 - 11:43 pm:

    why not Bendroflumethiazide? does this need adjustment?
    By Anonymous on Thursday, April 12, 2007 - 11:44 pm:

    confirmed depression

    TB meningitis with 3rd nerve involvement in paper 2
    By Anonymous on Thursday, April 12, 2007 - 11:44 pm:

    bedside test----------i put counting nos repetitively as the answer.
    By Anonymous on Thursday, April 12, 2007 - 11:45 pm:

    typical cystic fibrosis-----recurrent lrti + stool diff 2 flush

    there was a very nice Ba meal of ascariaisis even one large worm was clear........did u get it? paper 1
    By Anonymous on Thursday, April 12, 2007 - 11:46 pm:

    what was the pleural effusion today?
    By Anonymous on Thursday, April 12, 2007 - 11:47 pm:

    im sure everyone thought between BFZ and warfarin for some time before chosing one of them. And im sure the elderly brain at the college who made the question based the answer on his own personal experience which only he is familiar with. ( its one of those secrets he wil take to his grave with him) ...shhhhh!
    By Anonymous on Thursday, April 12, 2007 - 11:47 pm:

    cystic fibrosis pt advice on pregnancy.......?????

    cystic fibrosis pt what is common organism.....is it pseudomonas or haemophylus?

    ATN in ventilated pt anuric in day 6..... urinary sodium 40
    By Anonymous on Thursday, April 12, 2007 - 11:48 pm:

    man with loose stools+ low B12+ low MCV +steatorrhoea----was it coeliac disease?
    By Anonymous on Thursday, April 12, 2007 - 11:50 pm:

    acute respiratory acidosis
    I think the effusion was from Broncho CA......remember frm sharma book......pt has 60X more chance of gettin ca if asbestos(assuming just...as engineer).......+smoker.... lights criteria fluid was exudative accordin 2 LDH

    alcoholic ketoacidosis......almost word for word from sharma book......only changed name from euglycemic to alcoholic.......
    By Anonymous on Thursday, April 12, 2007 - 11:50 pm:

    why not investigate ITP further?

    I think it wasnt Cystic fibrosis. patient was already in his/her 20s and had been investigated before...hypogammaglobinemia?? anyone?
    By Anonymous on Thursday, April 12, 2007 - 11:50 pm:

    cystic fibrosos-----go ahead with pregnany.
    By Anonymous on Thursday, April 12, 2007 - 11:51 pm:

    jucy ques abt HIV positive man with Motor neuron disease in paper 1!!!!!!!!

    H ducrei in paper 2

    clamadyia......as penile discuarge was thin not purulent
    By Anonymous on Thursday, April 12, 2007 - 11:52 pm:

    pt with IGA nephropathy..........typical from the book
    By Anonymous on Thursday, April 12, 2007 - 11:52 pm:

    alcoholic ketoacidosis?? which Q?
    By Anonymous on Thursday, April 12, 2007 - 11:53 pm:

    cervical disc prolapse.......paper 1.......wi
    By Anonymous on Thursday, April 12, 2007 - 11:54 pm:

    alcoholic ketoacidosis? patient's alcohol levels in the blood were low....ethylene glycol??


    Agree wih lung ca
    By Anonymous on Thursday, April 12, 2007 - 11:54 pm:

    ketone ++ acloholic glucose only 8 ALT/AST 2 GGT 860..etc etc bicarb 8
    By Anonymous on Thursday, April 12, 2007 - 11:56 pm:

    thanks ! I now remember----i think I put methanol asthe answer.
    By Anonymous on Thursday, April 12, 2007 - 11:57 pm:

    RA common eye involvement scleritis

    CT chest of RA pt........was it RA associated fibrosis or drug induced fib?

    Was there an osteosarcoma complicating pagets?.........wasted bloody 10 min on this one!!!!!!
    By Anonymous on Thursday, April 12, 2007 - 11:58 pm:

    pt with HCC next to do......is it liver biopsy/chemo/resection?........I went for biopsy as College loves histology but then again PT was prolonged so dont know
    By Anonymous on Thursday, April 12, 2007 - 11:59 pm:

    what abt that awful shoulder picture??? was it fracture????
    By Anonymous on Friday, April 13, 2007 - 12:00 am:

    i put supportive Mx..
    By Anonymous on Friday, April 13, 2007 - 12:00 am:

    Shy drager in paper 1-----word for word frm sharma

    C1 esterase inhib

    latex allergy.....nurse with fruit salad.......juicy one!!!
    By Anonymous on Friday, April 13, 2007 - 12:00 am:

    no idea..but i put fracture as the answer
    By Anonymous on Friday, April 13, 2007 - 12:01 am:

    nice papilloedema in paper 3

    was it branch retinal vein occlusion or central retinal artery occlusion in paper 2 pic?
    By Anonymous on Friday, April 13, 2007 - 12:02 am:

    a question to the college?...who fucking hiredthe microbiologist to make half the exam question? for God sake fellows..I know the pressure is high to come up with weird new questions to keep the money flow but we dont want to open our basic sciences books again..Hope not for PACES atleast.
    By Anonymous on Friday, April 13, 2007 - 12:02 am:

    Shy drager? but there was no postural drop in BP??
    By Anonymous on Friday, April 13, 2007 - 12:02 am:

    I gave one answere for antiviral in todays picture....u know the one which looked like herpis labialis............not sure.......any idea?
    By Anonymous on Friday, April 13, 2007 - 12:03 am:

    there was dizziness........so most likely autonomic
    By Anonymous on Friday, April 13, 2007 - 12:03 am:

    totally agree with u !! felt as though it was a microbio paper completely!!
    By Anonymous on Friday, April 13, 2007 - 12:04 am:

    dizziness on standing......
    By Anonymous on Friday, April 13, 2007 - 12:04 am:

    strep bovis on culture-----colonoscopy------actually had a pt with this!!!

    propinobacterium
    By Anonymous on Friday, April 13, 2007 - 12:05 am:

    why latex allergy?..could you explain?

    patient was ill and had shoulder pain before the fall.. i thought septic joint
    By Anonymous on Friday, April 13, 2007 - 12:06 am:

    prosthetic joint dislocation.....infection......bacilli......cornybacterium.....prone 2 infect prosthetic joints

    abx for non cholera vibrio.....cipro
    By Anonymous on Friday, April 13, 2007 - 12:07 am:

    UTI in pregnancy + allergic to penicillin: was it Cef?
    By Anonymous on Friday, April 13, 2007 - 12:07 am:

    that was latex allergy actually a very big issue well discussed in dr cohen's course.....I am sure its latex which cross reacts with banana avocado..tomato and potato.......thts why they r phasin out the good gloves and putting those awful blue nitrile ones(which i cant bloody put on easily)
    By Saira on Friday, April 13, 2007 - 12:08 am:

    lady with side effects from carbimazole, Thyroidectomy is contra-indicated as still Hyperthyroidism was uncontrolles.. I put Radioactive Idodine.. she is 58 years old. Had hypersensitivity reacion with Carbimazol. Other option was Propylthioyracil...... any coments.
    By Anonymous on Friday, April 13, 2007 - 12:09 am:

    Cef has 15-20% cross reactivity with penicillin i went for erythromycin.......although dunno how many utis r sensitive 2 that!!!!
    By Saira on Friday, April 13, 2007 - 12:09 am:

    ''lady with 2 sec pause on 24hr ecg''.... there was no question like that ..I am sure
    By Anonymous on Friday, April 13, 2007 - 12:10 am:

    i went for propylethiouracil.......why go for awful radioactive iodine without tryin a nicer one 1st?
    By Anonymous on Friday, April 13, 2007 - 12:10 am:

    CT abdo - ascites paper 1

    CT renal tumor paper 3

    Ct chest mesothelioma? paper 2

    CT chest cryptogenic organizing pneumonia?

    PSC - inv. MRCP

    ERCP picture ? answer
    By Anonymous on Friday, April 13, 2007 - 12:11 am:

    did u get any wencebach?
    By Anonymous on Friday, April 13, 2007 - 12:12 am:

    mesothelioma is not that homogenous in ct chest......it was radiation induced fibrosis
    By Anonymous on Friday, April 13, 2007 - 12:12 am:

    no hx supportive of mesothelioma aswell
    By Anonymous on Friday, April 13, 2007 - 12:13 am:

    bendroflumethiazide in pt in paper 2 with recurrent stones and urinary ca of 15
    By Anonymous on Friday, April 13, 2007 - 12:13 am:

    ERCP--- i thought it was ca head of pancreas!
    By Anonymous on Friday, April 13, 2007 - 12:14 am:

    it didnt look like fibrosis...im talking about the one - which i thought - was gross all around thickeninig of pleura
    By Anonymous on Friday, April 13, 2007 - 12:15 am:

    steroid sparer in paper 3----who didnt want to be cushigoid and minimally responsing..cyclophosphamide........straight froM Dr sharma's book

    wegners...pred+cyclophosphamide
    By Anonymous on Friday, April 13, 2007 - 12:16 am:

    yes it was ca head of pancreas IMHO

    PBC in pt of UC

    pt with hyperlipidaemia in inX presents with itching I went for cholecystyramien
    By Anonymous on Friday, April 13, 2007 - 12:17 am:

    chinese guy.....autoimmune hep

    blood transfusion------reaction in anti D positive
    By Anonymous on Friday, April 13, 2007 - 12:18 am:

    ditto---cholestyramine.
    By Anonymous on Friday, April 13, 2007 - 12:19 am:

    HIV serology in todays paper any1??
    By Anonymous on Friday, April 13, 2007 - 12:19 am:

    2 questions together... diagnosis and treatment.

    ? sarcoidodis

    ? Tx

    newly diagnosed UC with 2-6 bloody stools. ative ulceration and bleeding mucosa on siggy. ? treatment.

    i went for IV sterois as opposed to oral. Although 2-6 stools moderate by definition..I thought he was pretty unwell with active disease...any thoughts??
    By Anonymous on Friday, April 13, 2007 - 12:19 am:

    allergic bronchopulm aspergillosis in todays paper with middle lobe+ eosinophilia
    By Anonymous on Friday, April 13, 2007 - 12:20 am:

    did we have a legionella pneumonia in todays paper?
    By Anonymous on Friday, April 13, 2007 - 12:21 am:

    avian flu serology anyone?

    UC with raised ALP = PSC
    By Anonymous on Friday, April 13, 2007 - 12:21 am:

    IV steroid ---------I think.......pt was too sick to be left alone for 6 weeks OP......the wording was give tapering dose of oral pred over 6 weeks......he needed in hosp steroids
    By Anonymous on Friday, April 13, 2007 - 12:22 am:

    the red ear in todays exam-----wegners granulomatosis....common D/D of chondritis of pinna
    By Anonymous on Friday, April 13, 2007 - 12:22 am:

    pic of leg with gangrene and blisters with h/o recent anticoag-----is it cholesterol emboli?
    By Anonymous on Friday, April 13, 2007 - 12:23 am:

    I dont think PSC was an option......might be wrong
    By Anonymous on Friday, April 13, 2007 - 12:23 am:

    i thought it was relapsing polychondritis..
    By Anonymous on Friday, April 13, 2007 - 12:24 am:

    it showed pamphigoid......drug induced.....pt was on quite alot cant remember now
    By Anonymous on Friday, April 13, 2007 - 12:24 am:

    the question with hepatitis serology showed HBsAg + and HBeAg + which means acute infection.
    the other answer was Hep B carrier state with delta super infection. It was not carrier state according to that serology.
    By Anonymous on Friday, April 13, 2007 - 12:24 am:

    relapsing polychondritis ear looks awful dude.......it was simply red and swollen
    By Anonymous on Friday, April 13, 2007 - 12:25 am:

    young gal.......drank quite a lot....seizure at 3 am with tongue bite.....incontenence??

    young gal with tunnel vision anxity dizziness......i went for hypo
    By Anonymous on Friday, April 13, 2007 - 12:27 am:

    nope HBsAG if more than 6 months-----chronic career it was not HBsAG AB
    By Anonymous on Friday, April 13, 2007 - 12:28 am:

    carotid art stenosis in paper 1---i went for no surgical intervension how abt u?
    By Anonymous on Friday, April 13, 2007 - 12:28 am:

    agree with hypo in acohol patient.

    tunnel vision..? inv. EEG (Hx suggestive of fits)
    By Anonymous on Friday, April 13, 2007 - 12:28 am:

    yeah..but the ear lobe was spared!
    By Anonymous on Friday, April 13, 2007 - 12:29 am:

    anyways good night friends had a nice chat hope you all will contribute thanks
    By Anonymous on Friday, April 13, 2007 - 12:30 am:

    tilt table test in todays exam
    By Anonymous on Friday, April 13, 2007 - 12:30 am:

    plasma insulin in the ques college tried too hard to pass on as a pheochromocytoma!!!(it was actually insulinoma)
    By Anonymous on Friday, April 13, 2007 - 12:31 am:

    obviously there is no cartilage in ear lobe.....!! wegners causes condritis
    By Anonymous on Friday, April 13, 2007 - 12:36 am:

    paper 1 brain mets from ca breast?
    By Anonymous on Friday, April 13, 2007 - 12:46 am:

    This 1 really bugged me couldn't decide 2nd paper THOUGHTS PLEASE:
    Question:
    Lady in her 50s,hysterectomy 2yrs ago with 4unit blood transfusion, started diclofenac for joint pains 8 weeks ago now p/w 2/52 hx of RUQ pain, malaise; AST 1032, Random Gluc 9.8, Ultrasound liver: mild fatty infiltration

    Options:
    a.diclofenac induced hepatitis
    b.alcoholic hepatitis
    c.hepatitis C
    d.NASH
    e.autoimmune hepatitis

    Note no hepatitis serology! - went for NASH after much deliberation due to USS result, age of patient and high glucose ?diabetic but then kicked myself as surely this doesnt give AST so high ? drug induced or could it really be hep C presenting so suddenly so long after the transfusion?!! or did i completely miss the point?!
    By Anonymous on Friday, April 13, 2007 - 12:50 am:

    The last Q on the last paper!!!
    Addisons, woman went to Bangladesh ? which investigation
    went for CT abdo but was it MIBG adrenals?!!!
    By Anonymous on Friday, April 13, 2007 - 12:51 am:

    am not quite sure ...but i put HEp C as the answer. Hep C often has an asymptomatic course !
    By Anonymous on Friday, April 13, 2007 - 12:53 am:

    it probably was Ct abdo...MIBG is used to look for pheo..
    By Anonymous on Friday, April 13, 2007 - 12:55 am:

    i went for mibg but unfortunately for me.......MIBG is only done 2 dx pheochromo........confirmed mistake from uptodate.com :(
    By Anonymous on Friday, April 13, 2007 - 12:57 am:

    paper 1 p vaue .8..........so not enough power in the studieds

    1st step is study design
    By Anonymous on Friday, April 13, 2007 - 12:57 am:

    You had to be an Infectious Diseases Consultant to pass the exam heehee!!!
    Stronglyloides in paper 2 - eosinophilia

    What did people give the CCF guy on warfarin and fruse for his gout?!! ? colchicine/prednisolone/NSAIDs
    By Anonymous on Friday, April 13, 2007 - 12:58 am:

    rule of the thumb ast above 1000 either paracetamol or hepatitis
    By Anonymous on Friday, April 13, 2007 - 12:59 am:

    Was there a bifascicular block ECG in paper 3 - thought i saw long PR and RBBB - but was that left axis too - but don't think there was a trifascicular block option - whats left anterior hemiblock anyway?!!
    By Anonymous on Friday, April 13, 2007 - 01:01 am:

    strongyloids..........agreed

    how abt barium of ascariasis?
    By Anonymous on Friday, April 13, 2007 - 01:02 am:

    did anyone diagnose an acute tubular necrosis for something? remember a urinary sodium of 32 in a patient with a septic type presentation
    By Saira on Friday, April 13, 2007 - 01:02 am:

    The last Q on the last paper!!!
    Addisons, woman went to Bangladesh ? which investigation
    correct answer was CT abdo
    By Anonymous on Friday, April 13, 2007 - 01:02 am:

    burn pt sweet(!!!!!) smelling green pus........sweet so not pseudo.........was it proteus???
    By Saira on Friday, April 13, 2007 - 01:03 am:

    The MIBG scan is used only to detect the presence and location of adrenal pheochromocytomas
    By Anonymous on Friday, April 13, 2007 - 01:04 am:

    pelagra in paper 1 in pt of symetrical rash and malabs
    By Anonymous on Friday, April 13, 2007 - 01:05 am:

    was that CT of the large kidney really a hypernephroma? thought it might be a trick!!!
    By Anonymous on Friday, April 13, 2007 - 01:06 am:

    tetracycline induced photosensitivity in the beach babe
    By Anonymous on Friday, April 13, 2007 - 01:07 am:

    site of ulner nerve lesion??????????
    By Anonymous on Friday, April 13, 2007 - 01:08 am:

    polycythemia in post bath itching
    By Saira on Friday, April 13, 2007 - 01:13 am:

    site of ulner nerve lesion??????????

    i put ''at Elbow''
    By Anonymous on Friday, April 13, 2007 - 01:16 am:

    cause of tetany in todays ques?
    By Anonymous on Friday, April 13, 2007 - 01:17 am:

    was the ct brain of viral encephalitis........i know i am being dumb here...............
    By Anonymous on Friday, April 13, 2007 - 01:20 am:

    yesterday paper 2 pt with hf........add spironolactone
    By Saira on Friday, April 13, 2007 - 01:48 am:

    What was the X Ray abdomen picture in pater 3 ?
    By Anonymous on Friday, April 13, 2007 - 08:48 am:

    xray abdo showed multiple dilated loops of small intestine....i gave daily xray........how abt u?
    By Anonymous on Friday, April 13, 2007 - 09:20 am:

    two questions abt aggressive man

    one in paper 1............lorazepam

    paper2.............was it haloperidol or risperidone?????????????
    By Anonymous on Friday, April 13, 2007 - 09:22 am:

    U will cause a radiation disaster-Al-Quaida
    By Anonymous on Friday, April 13, 2007 - 09:31 am:

    U will cause a radiation disaster?
    By Anonymous on Friday, April 13, 2007 - 10:07 am:

    pt with pneumonia + multiple splenic abscesses is it strept malleri
    pt with proth hip is it staph epidermedis
    pt chagas disease t cruzi
    diphteria
    venous ulcer + offensive necrotic tttt is it compression or iv antibiotic
    ttt of warts in photot
    pt went thialand fever vomiting jaundice
    high live enzyme -ve hbsag -hbsab +ve anti core
    +ve h a ig g
    By Anonymous on Friday, April 13, 2007 - 10:16 am:

    prosthetic hip is cornybacterium....caused asked which BACILI not cocci
    By Anonymous on Friday, April 13, 2007 - 10:17 am:

    what about that sweet smelling green pus?
    By Anonymous on Friday, April 13, 2007 - 12:22 pm:

    autonomic dysreflexia and high bp,I received a simmilar pt once and I was advised by the consultant to use sub lingual nifidipine though I questioned its use but I was told its the excepton and acc. to guide lines,so I went for this option,any comment from DR SHERMA PLEASE?
    By Anonymous on Friday, April 13, 2007 - 12:34 pm:

    there was a llady with symptomatic dizzy spell ecg normal but 24 hr ecg had some spells of vt plus 2 sec pause and one of the options was ppm.

    pic of foot with big blistter,but pt on anticoagulation and toeS look black and gangrenous ,I Opted for micscopic polyangitis.

    there was a pic of ear,it was lupus pernio of sarcoidosis.
    lady with shoulder problem(pic.),it was clearlly sub deltoid bursitis.
    last ecg was rbbb+LAD+^ PR SO TRI FAS BLOCK.
    YES ONE WAS MOBITS TYPE ONE AND IN OTHER PAPRE GIVEN AS 2ND DG BLOCK FOR MOBITZ 2
    By Anonymous on Friday, April 13, 2007 - 12:35 pm:

    WATER DEPN TEST,IT WAS MORE LIKE DUE TO CARBAMAZAPINE AS RESPONCE WAS GOOD TO DDVP SO NOT PARTIAL.
    By Anonymous on Friday, April 13, 2007 - 12:57 pm:

    carbamazipine causes nephrogenic DI so should not be any response to DDAVP.......it was plain and simple partial cranial.........had multiple hx of falls aswell...........
    By Anonymous on Friday, April 13, 2007 - 03:08 pm:

    cyproheptadine for serotonin syndrome

    lemierre's disease (fusobacterium) for the girl with cervical lymphadenopathy,spleen and chest involvement.
    By Saira on Friday, April 13, 2007 - 08:16 pm:

    To Anonymous on Friday, April 13, 2007 - 12:34 pm
    You wrote ''there was a llady with symptomatic dizzy spell ecg normal but 24 hr ecg had some spells of vt plus 2 sec pause''
    man there was no such question.
    By Saira on Friday, April 13, 2007 - 08:20 pm:

    it was partial cranial.. i agree
    By Anonymous on Friday, April 13, 2007 - 08:39 pm:

    what was lemierre's disease
    By Anonymous on Friday, April 13, 2007 - 08:52 pm:

    there were quite a few research questions....
    By Anonymous on Friday, April 13, 2007 - 08:57 pm:

    cyproheptadine??? i thought dantrolene for hyperpyrexia and rigidity
    By Anonymous on Friday, April 13, 2007 - 09:02 pm:

    cxr of learning diff pt with dysphagia+regurgitation..........retrosternal goitre or acalashisa??
    By Anonymous on Friday, April 13, 2007 - 09:45 pm:

    in one question they asked for an initial investigation for radicular pain.......upper limb was it xray cspine or mri brachial plexus???

    guy with paroxysmal af had bleeding on aspirin what to give........ECHO showed LV dysfunction and increased left atria size........i went for warfarin how abt u?
    By Anonymous on Saturday, April 14, 2007 - 01:07 am:

    yes there was a question about 24 hr ecg with 2 sec pause.
    By shagi on Saturday, April 14, 2007 - 01:49 am:

    1-there was no question about 24 hr ecg with 2 sec pause.
    2-question they asked for an initial investigation for radicular pain.......upper limb was it xray cspine or mri brachial plexus???
    ans:MRI
    3-guy with paroxysmal af had bleeding on aspirin what to give........ECHO showed LV dysfunction and increased left atria size. Ans:Warfarin
    By Anonymous on Saturday, April 14, 2007 - 02:00 am:

    initial investigation mri without an xray??? mann your hosp radiology must be verrrrry nice...........
    By Anonymous on Saturday, April 14, 2007 - 02:01 am:

    that pause ques was a research one some of us got it it wont count
    By Anonymous on Saturday, April 14, 2007 - 02:04 am:

    there was a question abt deranged lft and ongoing weight loss.......liver usss normal next inv to assist dx of cause of wt loss.....OGD......ca stomach with liver mets
    By Anonymous on Saturday, April 14, 2007 - 02:04 am:

    was there a picture of retrosternal goitre?
    By Anonymous on Saturday, April 14, 2007 - 02:08 am:

    statistic question in paper2

    study design 1st
    type of study retrospective


    P value high so insignificant study in another one

    another genetic question which showed incomplete penetrence in generation 2

    radiation fibrosis in ct
    arnold chiary in mri
    atlantoaxial sublaxation in mri
    simple disc prolapse......not epidural abscess in mri.........any comments?
    By Anonymous on Saturday, April 14, 2007 - 02:11 am:

    carbegoline NOT Sx for macroprolactinoma
    (although eye signs......must give carb b4 sx)

    another question in which HMg in pituitary.....Non functioning pit tumour NOT craniopharingoma( very rare above 20)

    what was that turtle lady with painless ulcer on feet
    By Anonymous on Saturday, April 14, 2007 - 02:14 am:

    percentage of mortality 40-50 option d
    By Anonymous on Saturday, April 14, 2007 - 02:17 am:

    what was the ans of parkinsons guy with daughtrer whose mmse fell.......change to memantine?????

    come on guys pls contribute
    By Anonymous on Saturday, April 14, 2007 - 04:35 am:

    come on guys pls contribute
    By Saira on Saturday, April 14, 2007 - 05:04 am:

    come on guys lets contribute
    By Anonymous on Saturday, April 14, 2007 - 05:50 am:

    lets continue
    By Anonymous on Saturday, April 14, 2007 - 05:51 am:

    all are depressed ... was very very difficult paper
    By Anonymous on Saturday, April 14, 2007 - 08:10 am:

    regarding alzheimers patient the MMSE fell on Donepezil with further worsening even after 3 months of treatment.options were stop donepezil,stop donepezil and add galantamine,stop donepezil and start rivastigmine.
    as the patient has not responded to doneezil with further deterioration,it is best to stop donepezil.only memantamine has been shown to be useful in advanced alzheimers but it was not one of the options.i guess the answer would be to stop donepezil
    By Anonymous on Saturday, April 14, 2007 - 09:59 am:

    The answer was to stop donezepil. The guidelines say if poor or no response, stop treatment and spend that money on someone else. ( "nice" guidelines) Aptly named....lol
    By Anonymous on Saturday, April 14, 2007 - 11:47 am:

    what was the answere for the question where the pt detioriated after central line insertion I mean which organism?

    was there any ans of amphotericin B?

    there was a bone scan question which showed high uptake on vertebre......question was abt first next investigation.............i thought ovarian carcinoma with spinal mets and went for ca125......any comments?
    By Anonymous on Saturday, April 14, 2007 - 11:55 am:

    one picture was there which showed ?toxic epidermal necrolysis...............or was it pamphigus ??
    By Anonymous on Saturday, April 14, 2007 - 11:58 am:

    was there a question of hypokalaemia+high urine pot

    next inv:::: i went for renin:aldosterone ratio as the pt was hypertensive..........i tried 2 follow the hypokalaemia flowchart in sharma book............any comment please???
    By Anonymous on Saturday, April 14, 2007 - 11:59 am:

    one question which had very high positive thyroid anti microsomal antibody 1:1280 what was the answere?
    By shagi on Saturday, April 14, 2007 - 09:49 pm:

    ovarian cancer with bone mets is very very rare. Only possible in undifferentialed cancer.
    By Anonymous on Saturday, April 14, 2007 - 09:51 pm:

    ''regarding alzheimers patient the MMSE fell on Donepezil with further worsening even after 3 months of treatment.options were stop donepezil,stop donepezil and add galantamine,stop donepezil and start rivastigmine''
    There was no such question.....I have not come across any way... any one else felt like that ?
    By Anonymous on Saturday, April 14, 2007 - 11:47 pm:

    Bone mets I think it is prostate cancer most likely.there was choice of urinary light chains also.But Multiple myeloma would not give rise to osteblastic response and hence no increased activity in bone scan.
    By Anonymous on Sunday, April 15, 2007 - 01:19 am:

    myeloma mets do give that picture. the patient was 62 years old if i remember correctly, a bit too young for both myeloma and prostate cancer
    By Anonymous on Sunday, April 15, 2007 - 10:48 am:

    in myeloma,due to the ctokine response,osteoblastic activity is not seen on bone scan.infact bone scans are not advocated routinely in Myeloma
    By Anonymous on Sunday, April 15, 2007 - 10:51 am:

    in multiple myeloma,due to the cytokine response,osteoblastic activiy is not seen on bone scan.infact in myeloma,bone scans are not advocated routinely.prostate cancer affects 6-7th decade anyway
    By Anonymous on Sunday, April 15, 2007 - 10:53 am:

    hey man the bone scan hx was of a lady where r u getting the prostate from!!!!!!!!!!!!!??????
    By Anonymous on Sunday, April 15, 2007 - 01:08 pm:

    there was no mention of sex.....only age was mentioned
    By Anonymous on Sunday, April 15, 2007 - 01:10 pm:

    no mention of the sex of the patient...only age was mentioned
    Add a Message

    "
  13. Dr.H

    Dr.H Guest

    WHY U STOPPED,PLEASE CONTINUE.......
  14. Eswari

    Eswari Guest

    1. A question sugestive of neuralgic amyotropy asking for investigation ??MRI,

    2. I think the ulnar nerve lesion was at the hand because interossei were affected and and flexor/abductor digiti minimi was spared.

    3. case of nasopharyngeal carcinoma with rt sided 9, 10, 12 cranial nerve palsies and rt conductive deafness.

    4. :?: BM recipient with features like AGVHD, but the donar was sister with full HLA compatibility. I went for AGVHD because of diarrhoea and hepatitis picture within 90 days.

    5. CLL man with asthma exacerbation with normal Ig G, what is the prophylactic therapy? ??lonterm antibiotics or ? immunoglobulin transfusion i went for the latter but not sure.

    6. young male with mucopurulent urethral discharge and sexual contact 10days before. ? gonococcal urethritis.

    9. H.durei infection Q, ulcer with ragged edges with lymphadenopathy.

    10. prosthetic joint infection with gram positive bacilli ? propionibacterium acne 0r c.diphtheria i think former is correct.

    11. ? a case of diphtheria infection - a young boy from india throat pain, swollen neck and adherent membrane on the tonsil.

    12. a man from bolivia with constipation and herat problem ? T.crucei infection.

    13. A data interpretation of Hep B carriage with Hep D super infection.

    14.Auto immune hepatitis data interpretation.

    15. lady with hyperthyroidism with family h/o addisons & pernicious anaemia whats the cause ?graves/toxic nodular goiter , donot remember the neck findings.

    16.treatment of aplastic anaemia anti lymphocyte serum

    17.pregnant lady with UTI ? staph. sapriphyticus.

    18. septic patient on broad spectrum antiobiotics with candida albican grown in both central and peripheral line ? add ampho B

    19. treatment of depression in an elderly lady with dementia ? fluoxetine /?TCA.
  15. Eswari

    Eswari Guest

    please do comment on the above
  16. Guest

    Guest Guest

    1.CASE OF MES.CAP. GN,ESRF PROGRESSN 5 YEARS= I THINK>60%
    2.A CASE OF HEREDITARY ANGIOEDEMA LOW C4,=C1ESTERASE INHIBITOR DEFICIENCY
    3.HOW TO TEST POSSIBILITY OF BED SORES???
    4.ANTIBIOTIC FOR POLYCYSTIC KID.=CIPROFLUXACIN
    5.THE question sugestive of neuralgic amyotropy asking for investigation ??MRI SPINE OR !!!BRACHIAL PLEXUS,I PUT MRI SPINE
    6.WHAT IS TTT OF LEG ULCERS N CASE OF PVD,FECAL FLORA N SWAB??
    7.ANEMIA NOT RESPONDING TO ORAL IRON=I V IRON
  17. OMARBASH

    OMARBASH Guest

    SHARE

    HEY.......WHERE IS THE PEOPLE WHO ENTERED THE LAST EXAM????.......PLEASE SHARE ACTIVELY
  18. saleemas

    saleemas Guest

    mrcp2 april2007

    1-CF pt adviced Sterility
    2-Non cholera vibrio--Doxycycline
    3-Acne-mild Papulopustular--16yrs,---Retinoicacid
    4-thyrotoxicosis--rx allergy--RAI
    5-cutanous leishmaniasis
    6-Paget --increased Ca2+----immobilisation
    7-Pleural effusion--lymphocytes increased--60s,smoker----Malignancy
    10-SBE---CTscan---MCA
    11-Jugular foramen S----Glomus JF Ca or Pharyngeal ca
    12-Post MI--good erection--bad maintanse---Fluoxetine
    13-Continous release morphine---or Oxycodone
    14-Texas--lung granuloma---Histiocytosis
    15-ct liver abscess--multile---Aspiration&culture
    17-PMR pt c acute loss of vision---AION
    18-Nausea-10days alcoholic,rbs-10mmol---DKA
    19-LVF---Mortality highest c EF30%,OR BP
    20-farmer--high pitched inspiratory ---EAA
    21-RED leg --TINEAS
    22-Restless leg syndrome
    23-Thyroid cold scan----Pappillary ca
    24-APS--Lateral sinus thromb
    25-MRSA--70s ---Vancomycin or rifamicin
    26-inr 6--stop$ check after 2days
    27-Bipolar--lithium not effective--add carbamazepine
    28-MS or Behcet
    29-CRF--low ca2+----Alphacalcidol
    30-MG--bed side test----counting
    31-COPD---PH---SOB----Thromembolism[my choise] or Biventricular
    32-Drug not redced c age--thiazide
  19. saleemas

    saleemas Guest

    Posted: Wed Apr 18, 2007 3:06 pm Post subject: SHARE

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

    HEY.......WHERE IS THE PEOPLE WHO ENTERED THE LAST EXAM????.......PLEASE SHARE ACTIVELY




    Back to top



    saleemas
    Guest






    Posted: Wed Apr 18, 2007 4:07 pm Post subject: mrcp2 april2007

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

    1-CF pt adviced Sterility
    2-Non cholera vibrio--Doxycycline
    3-Acne-mild Papulopustular--16yrs,---Retinoicacid
    4-thyrotoxicosis--rx allergy--RAI
    5-cutanous leishmaniasis
    6-Paget --increased Ca2+----immobilisation
    7-Pleural effusion--lymphocytes increased--60s,smoker----Malignancy
    10-SBE---CTscan---MCA
    11-Jugular foramen S----Glomus JF Ca or Pharyngeal ca
    12-Post MI--good erection--bad maintanse---Fluoxetine
    13-Continous release morphine---or Oxycodone
    14-Texas--lung granuloma---Histiocytosis
    15-ct liver abscess--multile---Aspiration&culture
    17-PMR pt c acute loss of vision---AION
    18-Nausea-10days alcoholic,rbs-10mmol---DKA
    19-LVF---Mortality highest c EF30%,OR BP
    20-farmer--high pitched inspiratory ---EAA
    21-RED leg --TINEAS
    22-Restless leg syndrome
    23-Thyroid cold scan----Pappillary ca
    24-APS--Lateral sinus thromb
    25-MRSA--70s ---Vancomycin or rifamicin
    26-inr 6--stop$ check after 2days
    27-Bipolar--lithium not effective--add carbamazepine
    28-MS or Behcet
    29-CRF--low ca2+----Alphacalcidol
    30-MG--bed side test----counting
    31-COPD---PH---SOB----Thromembolism[my choise] or Biventricular
    32-Drug not redced c age--thiazide
  20. saleemas

    saleemas Guest

    AIPPG.comâ„¢ PLAB section IELTS Tips MRCP mocks
    All India preparation tips, add yours as well
    mrcp part 2 April exam - share your experiences.
    Goto page Previous 1, 2

    Forum Home » MRCP Forum

    Author Message
    OMARBASH
    Guest






    Posted: Wed Apr 18, 2007 3:06 pm Post subject: SHARE

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    Back to top



    saleemas
    Guest






    Posted: Wed Apr 18, 2007 4:07 pm Post subject: mrcp2 april2007

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

    1-CF pt adviced Sterility
    2-Non cholera vibrio--Doxycycline
    3-Acne-mild Papulopustular--16yrs,---Retinoicacid
    4-thyrotoxicosis--rx allergy--RAI
    5-cutanous leishmaniasis
    6-Paget --increased Ca2+----immobilisation
    7-Pleural effusion--lymphocytes increased--60s,smoker----Malignancy
    10-SBE---CTscan---MCA
    11-Jugular foramen S----Glomus JF Ca or Pharyngeal ca
    12-Post MI--good erection--bad maintanse---Fluoxetine
    13-Continous release morphine---or Oxycodone
    14-Texas--lung granuloma---Histiocytosis
    15-ct liver abscess--multile---Aspiration&culture
    17-PMR pt c acute loss of vision---AION
    18-Nausea-10days alcoholic,rbs-10mmol---DKA
    19-LVF---Mortality highest c EF30%,OR BP
    20-farmer--high pitched inspiratory ---EAA
    21-RED leg --TINEAS
    22-Restless leg syndrome
    23-Thyroid cold scan----Pappillary ca
    24-APS--Lateral sinus thromb
    25-MRSA--70s ---Vancomycin or rifamicin
    26-inr 6--stop$ check after 2days
    27-Bipolar--lithium not effective--add carbamazepine
    28-MS or Behcet
    29-CRF--low ca2+----Alphacalcidol
    30-MG--bed side test----counting
    31-COPD---PH---SOB----Thromembolism[my choise] or Biventricular
    32-Drug not redced c age--thiazide




    Back to top

    saleemas
    Guest






    Posted: Wed Apr 18, 2007 4:12 pm Post subject:

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

    Posted: Wed Apr 18, 2007 3:06 pm Post subject: SHARE

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

    HEY.......WHERE IS THE PEOPLE WHO ENTERED THE LAST EXAM????.......PLEASE SHARE ACTIVELY




    Back to top



    saleemas
    Guest






    Posted: Wed Apr 18, 2007 4:07 pm Post subject: mrcp2 april2007

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

    1-CF pt adviced Sterility
    2-Non cholera vibrio--Doxycycline
    3-Acne-mild Papulopustular--16yrs,---Retinoicacid
    4-thyrotoxicosis--rx allergy--RAI
    5-cutanous leishmaniasis
    6-Paget --increased Ca2+----immobilisation
    7-Pleural effusion--lymphocytes increased--60s,smoker----Malignancy
    10-SBE---CTscan---MCA
    11-Jugular foramen S----Glomus JF Ca or Pharyngeal ca
    12-Post MI--good erection--bad maintanse---Fluoxetine
    13-Continous release morphine---or Oxycodone
    14-Texas--lung granuloma---Histiocytosis
    15-ct liver abscess--multile---Aspiration&culture
    17-PMR pt c acute loss of vision---AION
    18-Nausea-10days alcoholic,rbs-10mmol---DKA
    19-LVF---Mortality highest c EF30%,OR BP
    20-farmer--high pitched inspiratory ---EAA
    21-RED leg --TINEAS
    22-Restless leg syndrome
    23-Thyroid cold scan----Pappillary ca
    24-APS--Lateral sinus thromb
    25-MRSA--70s ---Vancomycin or rifamicin
    26-inr 6--stop$ check after 2days
    27-Bipolar--lithium not effective--add carbamazepine
    28-MS or Behcet
    29-CRF--low ca2+----Alphacalcidol
    30-MG--bed side test----counting
    31-COPD---PH---SOB----Thromembolism[my choise] or Biventricular
    32-Drug not redced c age--thiazide
  21. rub

    rub Guest

    hi suicidal_angels
    :D i was reading your answers and you mention that u checked the xray on net...pls can you tell me how i will be appearing july and iam very bad in rariology,if any one of you people will tell me how to preaper for CT ,X RAY DOPLAR,MRI AND ECG.. I WILL BE TOOOOOOOOO GREATFUL, AND INSHAALLAH ALL OF PEOPLE HOW APPERED IN EXAM WILL PASS
  22. Guest

    Guest Guest

    BUY 2 IMPORTANT BOOKS;RADIOLOGY FOR MRCP,COLOR ATLAS&TEXT OF INTERNAL MEDICINE,SEE PHOTOS OF ONEXAMINATION,THEN SEARCH NET FOR THE IMPORTANT PHOTOS WHIICH U FIND DIFFICULT.GOD HELP U ,DON'T WORRY 2 MONTHS R ENOUGH IF U CONCENTRATE.
    WHERE IS THE PEOPLE TO SUPPLY US WITH APRIL QUESTIONS?!!!
  23. Guest

    Guest Guest

    hi,every body
  24. people r just too lazy to post....look at the umber of views compared 2 the number of posts...........come on guys help each other out post some thing...........i started postin initially but when i saw noone is contributing i dont feel like it anymore
  25. Guest

    Guest Guest

    PLEASE EVERY BODY SHOULD CONTRIBUTE.......
  26. Guest

    Guest Guest

    ther was q about target of epo in crf i gave hb 11 mg/dl 2 another qs on pleural effusion one exudate i gave methothelioma the second was transudate i gave rt hf (it was unilatral eff.?? :cry: )[/b]
  27. of pleural effusions one was exudative...............pt smoker+engineer +wt loss-------------I went for lung cancer not mesothelioma as its more common and 60x chance of Br ca in smoker with asbestos exposure

    the second one was transudative i went for heart failure as that was the only one which was transudative
  28. GUEST II

    GUEST II Guest

    OK LET WE DISCUSS SOME PHOTOS:

    *KERATOACANTHOMA, TTT WITH CRYOTHERAPY

    *KIDNEY ULTRASOUND? PKD VS REFLUX NEPHROPATHY VS POST. URETHRA( DIFFICULT).

    *ECG, TRIFASCICULAR BLOCK.

    *ECG, LATERAL MI

    *ECG POLYMORPHIC VT WITH OVERRIDING PACING.

    *ECG WITH LOW VOLTAGE, I THINK WAS AMYLOIDOSIS

    *CT CHEST, MESOTHELIOMA

    * CXR, I THINK ACHALASIA

    *RELAPSING POLYCHONDRITIS.

    *SHOULDER BURSITIS

    *CT CHIARI MALFORMATION
  29. GUEST II

    GUEST II Guest

    THE PROBLEM THIS EXAM. IS SO TOUGH & I ANSWERED THE QS VERY QUICKLY BEC. THE TIME IS DISASTER, SO I CAN REMEMBER VERY SMALL NO. OF QS. & EVEN I CAN'T REMEMBER MY ANSWERS IN MANY QS.
  30. the ecg was not polymorphic vt it was simple vt reverted back to sinus by pacemaker spike

    keratoachanthoma Rx is curretage/excision
  31. OMARBASHA

    OMARBASHA Guest

    ECG

    YES,I THINK IT WAS VENT. TACH. WITH ANTITACHYCARDIA PACEMAKER
    MOST OF US DIDN'T READ ALL THE QUESTIONS AND MOST OF THE CORRECT ANSWERS R NOT KNOWN.
  32. Guest

    Guest Guest

    This is some answers as i remember:

    *IN PVR: INCREASED RED CELL MASS.

    *PT. WITH SQUAMOUS CELL CARCINOMA SPREADING TO THE PLEURA, WHAT PRECLUDE THE SURGERY: I WROTE PLEURAL EFFUSION.

    *R/ OF PT. WITH MACULOPAPULAR ACNE: ISOTRETINOIN

    *BAD PROGNOSIS FOR PNEUMONIA: INCREASED UREA

    *R/ OF PT. WITH NASH: WT. LOSS.

    *PREGNANT LADY SENSITIVE TO PENICILLIN: ERYTHROMYCIN

    *LEPTOSPIROSIS.

    *BOTULISM.

    *TILT TABLE TEST.

    *THE VACCINE CONTRAINDICATED IN PREGNANCY :?: ??
  33. GUEST II

    GUEST II Guest

    This is some answers as i remember:

    *IN PVR: INCREASED RED CELL MASS.

    *PT. WITH SQUAMOUS CELL CARCINOMA SPREADING TO THE PLEURA, WHAT PRECLUDE THE SURGERY: I WROTE PLEURAL EFFUSION.

    *R/ OF PT. WITH MACULOPAPULAR ACNE: ISOTRETINOIN

    *BAD PROGNOSIS FOR PNEUMONIA: INCREASED UREA

    *R/ OF PT. WITH NASH: WT. LOSS.

    *PREGNANT LADY SENSITIVE TO PENICILLIN: ERYTHROMYCIN

    *LEPTOSPIROSIS.

    *BOTULISM.

    *TILT TABLE TEST.

    *THE VACCINE CONTRAINDICATED IN PREGNANCY :?: ??
  34. khk

    khk Guest

    that was yellow fever vaccine
  35. rub

    rub Guest

    THAK YOU VERY MUCH HUSSAMDEEB FOR THE VALUABLE ADVICE ,THANK YOU AGAIN :D
  36. Guest

    Guest Guest

    i do agree withe ur answers except lung function as a factor of unoperability -----vaccine not to use during pregnancy was yellow fever(live vaccine)............best wishes :p
  37. heyyy wake up guys wht happened we have only discussed 50% come on............if some1 posts 15 questions i will post my 43 new ones.......please help each other

    when is the result approx due? is it 4 weeks or 5 weeks?
  38. Guest

    Guest Guest

    QS.
    1-MRI BRAIN---CYSTECERCOSIS
    2-DECREASE CA.---CH PANCREATITIS
    3-PAPER -3-WOMAN 76--AF 136,BP 60/40
    A-DC CARDIOVERSION
    B-I/V FLUIDS
    C-AMOIDARONE
    D-DIGOXIN
    E-INTUBATE/ICU
    I PUT THIS QS. TO ALOT OF ALS INSTRUCTURES---THEY ALL SAY---EITHER CARDIOVERSION OR ICU/INTUBATE

    I HAVE GIVEN THRE U NOW GIVE 8---AND I WILL GIVE MORE ON UR RESPONSE---
  39. these r all old ones post something new pls
  40. suzan

    suzan Guest

    locked in syndrome pls suicidal angel send your 43 questionssss
  41. eswari

    eswari Guest

    1. Young male Hypertensive developed oedema with Nifedipine and angioedema with ACEI. what is the drug of choice ??AII receptor blocker.

    2. Young female with Congenital heart disease underwent surgery in childhood now presents with fatigue and ECG show CCB. Choice of pace maker. ?DDD or VVI, i went for DDD.
  42. Guest

    Guest Guest

    BOTH ARE RIGHT
  43. suzan

    suzan Guest

    Young male Hypertensive developed oedema with Nifedipine and angioedema with ACEI. what is the drug of choice ??AII receptor blocker
    dear doc what was other choices for that question i could not remember
  44. suzan

    suzan Guest

    where r u siicidal angels?

    where r u siicidal angels? u promised us to send your 43 questions pls reply
  45. Guest

    Guest Guest

    NO I AM NOT

    1-LOSARTAN
    2-AMLODIPINE
    3-DO NOTHING
    4-DOXAZOCIN
    5-HYDRALAZINE
  46. suzan

    suzan Guest

    i do not know why doctors this diet very lazy no body wants to shre the questions i remeberd last exam i entered we almost revised more than 70 % of the whole exam
  47. me

    me Guest

    this time result is coming early.....week commencing 7th may to be dispatched so probably will be online on friday 4th.........check on college website"!!...............best of luck to all
  48. Guest

    Guest Guest

    QS-----

    VENTRICULAR ISOTPOE SCAN
    I STILL REMEMBER MORE---ONLY IF U PEOPLE WILL ADD
  49. Guest

    Guest Guest

    QS-------2 MORE,IF NO BODY ADDS,I WILL QUIT

    1-HEROIN ADDICT PAINS----METHADONE
    2-42 YEARS OLD MAN ARM WEAKNESS,SLIGHT IMPROVEMENT----COGNITIVE BEHAVIOUR THERAPY


    STILL MORE,I REMEMBER-----WILL SEE THE RESPONSE

    ------THE LAST TIME I CRY----
  50. suzan

    suzan Guest

    3- Exostosis in hand xray
    4- hepatitis delta on b
    5- peginterferon+ribavarin
    6- Hypokalaemia in paper 3-------next Inx: renin:aldosterone ratio
    7- LTOT in another in paper 1: because according to dr sharma's book
    although po2 >8 he had cor pulmonale......polycythemia
    8- Hypothyroid guy with tingling.....went for hypoparathyroid
    9- prophylactic Rx with Fludarabine in CLL
    10- transverse sinus thrombosis......
    11- fever+conjuctival hmg+thrombocytopenia+headache+myalgia+rash+hepatitic picture====Dengue
    12- TTP in paper 3
    13- leptospirosis!

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