Discussion in 'MRCP Forum' started by OREOLUWA, Jul 26, 2006.
PLS.KINDLY FURNISH US WITH SOME INFO. AS REGARDS THE RECENTLY TAKEN MRCP PART II,THANKS
Nice from you and hope all who did have the exam start posting the questions so we can answer them and for the future ....
I have friend who had the exam and I will discuss all the questions with him and shared it with u ..... I will give him time to rest today :lol: :lol: :lol: :lol:
The exam was very tricky and had a lot of lengthy qs.
Some were as follows:
1.Patient with RH Arthritis,was started on infliximab,developed s.o.b. pl.effusions,cough.
2.Patient with abd pain,CT was given,diagnosisancreatic pseudocyst.
3.A young female student with o2 sat 100%,confused in room,Dx:CO pooisoning.
4.Female found uncons on hills,hypothermic and raised urea,CPR done and adrenaline given,core temp 26, treatment:
Hemodialysis(rhabdomyolysis is dx,othr options were:rewarming etc)
5.Astma pt,not improving on steroids or bronchdilators,treat: Magnesium.
6.OSA pt with pauses in sleep at night: nocturnal CPAP.
7.Young pt drinker with raised B.P,treat: Stop drinking
Will post others soon
pray for my success :idea:
1.pt with hyponatremia,cough dry,myalgias: Legionella
2.pt with trauma to head now has eye lesions and headaches:carotid artery dissection.
3.sudden loss of visionphthalmology slide:central retinal artery occlusion.
4.pt with abnormal TFTs:erratic thyroid compliance.
5.pt with ECG of hyperkalemia,what to do:CaCl2
6.OA pt on NSAIDS has renal impairment:Interstitial nephritis.
7.Pt of painless heamturia: c.a bladdr.
8.hemoptysis in a pt with lung c.aMx:artery embolization.
9.SLE pt,renal lesion:membranous G.N.
10.Stills disease:young female pt with arthropathy and facial lesions.
11.Pt with diabetes,erratic control:reduce night insulin dose.
12.Asthma in a pt,worst outcome indicator: H.R>120.
13.pt with ascitesaracentesis.
15.Restrictive lung disease:lung fibrosis.
18.Karyotyping:a pt with leukemia.
19.ECG:complete heart block.
20.Catoprilt with S.S and high B.P
21.Nitroprussidet with HTN encephalopathy.
22.CRF pt,ACEI was commenced,RFTs declined,what to do? Stop ACEI.
23.Of best px in MI:Alteplase.
25.Young pt with loss of vision LHON.
26.Pt with thickened colon,also had c.a else where??
Pseudomembranous colitis/Tumor progression.
28.Pt with raised KCOul HTN.
30.GH deft with impotence and weakness.
31.female with SLE:Minocycline.
32.Pt with epilepsy,clubbing,vertical gaze ,nystagmus? Phenytoin toxicity.
33.Mgt with VF.
34.Mx of Carpal tunnel syndrome in a pt not willing for surgry?steroids.
36.Pt with severe Crohn"s dsease:TPN.
37.Pt with renal stones and associated disease,Invst:serum urate.
38.Female with bone problem:Raloxifine?.
39.Invst in a male homosexual with anal lesions:HIV test?
40.pt with candidiasis,otherwise well:?HIV Test.
41Needle Stick injury with a pt HCV +ve:?Peg Interferon and ribavirin.
42.MAI: a pt with advanced HIV.
43Somatoform conversion dsordr.
45.LUPUS anticoagulantt with thromobosis,normal PT,Aptt.
47.How to reduce visual loss in a pt with diabetic retinpathy:Sugar ctrl
Thanks a lot Dr Gill,wishing you good success.i will be writing the Dec.exams.
1 treatment of acute psychosis in mania ?olanzapine/lithium/clozapine
2 Thought there was a question on cerebral malaria.
3 Pt with elevated level of mid-night cortisol.What is the next step?
24 hr.urinary cortisol measurement of Low dose dexamethasone suppression test.(oxford texbook recommends either of them.So which is the rt. answer?)
4 Thought that there were 3 questions on antiphospholipid syndrome.
5 Pt returns from Mt.Kiliminjaro.C/O of tiredness,weakness,fatigue.
Has chest pain and exertional breathlessness.RVH present on echo.
What is the diagnosis.I chose pul. embolus.
6.ECG was it hyperkalemia or early evolving anterior wall MI.Pt had a strong history of IHD.Also choices that were given were of calcium resonium which cannot be given in acute hyperkalemia.
Separate names with a comma.