MRCP SEP 2008 RECALLED QUESTIONS

Discussion in 'MRCP Forum' started by dr arif, Sep 10, 2008.

  1. dr arif

    dr arif Guest

    MRCP SEP 2008 RECALLED QUESTIONS
  2. muttasim

    muttasim Guest

    RECALL MRCP1 SEPTEMPER 2008 QUESTIONS

    features of poor prognosis of pneumonia :1/high BUN 2/RR >30 3/BP <90/60 4/ Age over 65
  3. muttasim

    muttasim Guest

    treatment of SVT with WPW
    treatment of trigeminal neuralgia
    features of cluster headache
    features of posterior cerebral atery aneurysm
    features of churg struss syndrome
    renovascular induced resistant hypertension
    peri-articular osteopenia features of RA
    plasma electrophoresis for multipale myloma
    plasma exchange for TTP
    autoimmunity is a cause of ITP
    iv magnesium for severe asthma resistant to bronchodilaters & 1st treatment
  4. Guest

    Guest Guest

    is it cluster headache coz there was no watering f eyes
    i wrote cavernous sinus
  5. DrAbid

    DrAbid Guest

    MRCP sep 2008

    watery diarrhoea-VIPoma
    Fasting in Ramadan:500mg metfor in the morning and 1000 in the even
    mycoplasm pneumonia:cold aggluti
    death in HOCM;wall thickness>3cm
    rituximab-CD20
    double straind DNA in which orgenel:nucleus/mitochondria?
    tic bite:lyme disease
    blister on skin and mucosa;pemphigius vulgaris
    dermatitis herpetiformis assossiation-Mycoplas
    MODY-family history
    gastrin-stimulted by peptides
    starch-amylase
    Iv drug user-tetnus-metronidazol
    extrinsic allergic alveolitis-upper zone fibroisi
    macular degenration????????cause-i ans glaucoma
    demopressin--excret VIII factor from endothil
    trelipressin-splanchnic vasocnstriction
    but it wasnt an easy exam
    wht do u think guys
    :eek:
  6. DrAbid

    DrAbid Guest

    MRCP sep 2008

    pneumonia prognosis:CRUB criteria
    hep c and HIV antibody positive?????????/
  7. satia

    satia Guest

    recall questions

    it was cluster headache
    lamorigine for valproate intolerance
    was it orbital apex or cavernous sinus
    latex allergy or cd
    post communicating aneurysm third nerve or something else
  8. satia

    satia Guest

    recall questions

    where was tick bite?
    wasnt sarcoid with facial palsy
    tricyclic with glaucome
    mycoplasma serology cold agglutinins in 50 percent only
    the exam was very tough
  9. DrAbid

    DrAbid Guest

    ans

    it wasnt latex allergy.it was angioedema c1 esteraze defficiency
  10. DrAbid

    DrAbid Guest

    i think it was sarcoidosis with facial palsy but i was confused when my friend told me that it wa typpical lyme dis
  11. Guest

    Guest Guest

    Why cant it be latex allergy?
    Also, it was sarcoid not tick bite (I think)
  12. Guest

    Guest Guest

    1.does anyone know what happens on an ECG in Myatonic dystrophy
    2.What prophylaxis is tehre for trigeminal neuralgia
    3.Was it aortic regurgitation in the one with the diferent gradients on the echo (i.e. ventricle of 200/70something)
    4.how do the kidney's prevent dehydration

    Also, how many people pass in each sitting?
    Thanks
  13. HatesRCP

    HatesRCP Guest

    1. Didn't get such a question.
    2. Tegretol.
    3. I thought it was coarctation.
    4. About 33%.
  14. mmmmmmmmmmmm

    mmmmmmmmmmmm Guest

    recall questions

    it was coarctation
    why was it angioedema
    was it predisolone or colchicine
    acute rejection kidney?prednisolone
    cavernous sinus or orbital apex?
    post communicating aneurysm
    renal vein thrombosis
    fe for 3 more months according to parveen kumar for 6 months she had 4 3 months already
    wpw in atrial fib flecainide?according to pass medicine doesnt mention adenosine in treatment
    doxorubicin?for vague chest lung dysfuntion?or was it something else
    mycoplasma serology not cold agglutinins
    low c4 sle
    aml testicular cancer
    hbaic 1 month or 3?according to books its 6 wks it asked minimum period so i chose one
    insulin in preg ith 12.5 random ogtt
  15. muttasim

    muttasim Guest

    mrcp1 sept 2008 recalls questions

    liver cirrhosis with fever ---spontaneous bacterial peritonitis
    antibiotic used in tetanus treatment -- metronidazole
    food poisoning in chinese restaurant is ---bacillus cereius
    pregnancy with proteinuria &high BP in 12wks --reflux nephropathy
  16. yosef

    yosef Guest

    MRCP sep.2008 recall questions

    Was not preeclampsia?
  17. DrAbid

    DrAbid Guest

    it was realy tough one ,i sit in jan2008 but it is realy one that make me think twice .here is some mamories
    * pt with diadetiees with diabetic retinopathy on metformen 5oo tid .need fasting in ramadan .wants to take medicine before brekfast,and after evening meal.what is the plan
    -stop metformin
    -give insuline
    -give metformine 500 mornig and 1000mg in evening-i choose this
    -start gliclezide
    -?

    *pt with wpw no previose history now hr 160 ecg showing atril fibrilation drug need for tratment
    -verapamil
    -adenosine
    -sotolol
    -flecanide- i choose (b/c AF withno sign of HFor etc)
    -?
    *treatment for trigeminal neuralgia----carbamezipen
    -chrug struss syndrom
    multiple myloma ----plasma electrophereses
    * pt came amphetamine abuser for evaluation vaccinatrd for HBV result showing , anti HBV is only 10 (<100), HBsAg neg ,test HIV+. HCV+ what is the cause of low anti HBV
    -HIV
    -HCV
    -Amphetamine i choose ( i think it is wrong )
    * double standerd DNA in Nucleuse (i choose B?C double helicle form is buty of DNA in nucleuse ) / mitochondria?
    plese give comments
    latex allergy ,after baloon inflation in party,
  18. satia

    satia Guest

    few mrcp 2008 sep topics

    it was realy tough one ,i sit in jan2008 but it is realy one that make me think twice .here is some mamories
    * pt with diadetiees with diabetic retinopathy on metformen 5oo tid .need fasting in ramadan .wants to take medicine before brekfast,and after evening meal.what is the plan
    -stop metformin
    -give insuline
    -give metformine 500 mornig and 1000mg in evening-i choose this
    -start gliclezide
    -?

    *pt with wpw no previose history now hr 160 ecg showing atril fibrilation drug need for tratment
    -verapamil
    -adenosine
    -sotolol
    -flecanide- i choose (b/c AF withno sign of HFor etc)
    -?
    *treatment for trigeminal neuralgia----carbamezipen
    -chrug struss syndrom
    multiple myloma ----plasma electrophereses
    * pt came amphetamine abuser for evaluation vaccinatrd for HBV result showing , anti HBV is only 10 (<100), HBsAg neg ,test HIV+. HCV+ what is the cause of low anti HBV
    -HIV
    -HCV
    -Amphetamine i choose ( i think it is wrong )
    * double standerd DNA in Nucleuse (i choose B?C double helicle form is buty of DNA in nucleuse ) / mitochondria?
    plese give comments
    latex allergy ,after baloon inflation in party,
  19. Guest

    Guest Guest

    assalmu alikom
    here are some question I remembered from the exam
    Generally it was very tough especially the 2nd paper!! it was very nauseating one ...
    the head questions down is linked with my own response >> it may be correct or wrong >> .. I'll apperciate any one could respond scientifically to my responses ...
    last .. the difficulty of this diet was mainly in the language used,,, some questions was not so clear !! I spend minutes to understand the language they used .. saying "what did he mean ??"
    good luck for all >>> wishing to hear best result for all
    CARD ==
    UNSTA ANGINA PRE CATH -- CLOPODOGREL
    STABLE ANG -- BET BLOCK
    CAR CATH LV 200/10 -- COARC VS AR
    RESIST HTN -- RENO VAS
    WPW NON SUS VT -- FLECAINID
    HOCM POOR PROG -- SEPTUM
    BOY E MARFAN -- FIBRILLIN
    PE IND FOR THROMBOLYSIS --- PERSIST LOW PRSSU


    BASIC ==
    PAIN FOR ARM , HAND --- CARPAL TUN
    WEAK, ANAS T--- ULNAR
    C7 ROOT ?
    DELTOID --- AXILLARY NERVE
    NNT --- 20
    RITUXIMAB -- CD 20
    TRUSTUZUMAB INDIC --- ??

    RENAL ===
    STRUVITE STONE
    REN TRANS CMV +, EP+ --- STEROID ? REJ
    PREG + PTN -- ORTHOSTATIC
    POLY CYSTE + HTN -- POLYCYTHEMIA
    MASS RT KIDNEY --- ADENO CARC
    SITE OF ACTION THIAZ --- PROX TUBU


    RESP ===
    DRY COUGH, RT VEN ++, TR -- ILD
    ASTHA NOT REPSON -- MAGNESIUM
    PT LOW FEV1 -- DORSAL KYPHOSIS
    INFECTION IN INF SEASON --- STAPH
    CHICKEN POS PNEUMONIA --- CICLOVIR
    CREYPT FIBROSI ALV --- PLEURAL INV
    EXTRINSIC ALL ALV --- UPP LOB FIBROSIS
    HILA MASS --- BRONCHIAL BRE
    LT ANKLE ARTH + ERY NOD --- CXR
    PNEUM CYSTIS -- LAVAGE
    RH + ILD -- METHOTREX

    HEMATOLOGY ==
    IRON DEF TTT --- 6 MO
    AF + ANTI COA --- 6 M
    LMWH F/U -- NOTHING
    NECK LN, CONS L LOBE CLL -- IMNUPHENO
    BACK PAIN, LYTIC LESIO IN SPINE, BREAST CAN --- PTN ELECTROP VS B-MICROGLOB
    HYPERCALC IN MM --- ACTIV OSTOCLAST
    PREG 23 WK, CONFUSION, RENAL, FRAGM RBC -- TTP --- IVIG VS PL EXCH


    RH IN NOR -- 20%
    FACIAL PALSY, ERYTHEMA -- BORREL AB
    GRAN ANULAR
    BASAL C C
    PIT VERSICOLOR
    DRUG CAUSIN EXTR PYR --- METOCHOPRAMID
    DRUG FOR MOTION SICK --- PROCHORPERAZIN
    TTT OF GOUT E WARFARIN,DIGOXIN --- PREDNISOLON
    INF END + CHANGE BOWEL HABIT --- STR BOVIS
    ACTIONN OF RESPIRDONE -- SEROTONIN
    COCAINE EFF --- K ++
    LOSS OF SENS IN SCIATIC --- DORSUM OF FOOT
    OSTE ARTH , MINI TRAUMA -- PSEUOGOUT
    SCLE DACT, RAYNADUS, SOB -- ILD
    MUSLIM NEED FASTING OMN METFORMIN --- 500 AM, 1000 PM
    GIRL + GYM , WEAKNESS, HEADCHR--- GROWTH H
    HTN, CONFUSION , CT LOW ATT CORT AND SUB CORT, HGE , FEVER, PEV SINUSITI--- THROMBOPHLEBITIS
    BUROPION CON IND -- EPILEPSY
    EPLESY INTOLE TO CARBAMAZ AND VALP --- LAMOTIGINE
    STEM CELL PROTEC AGAINST --- MUTAGENESIS
    MENOPAUSE 40 Y, OPPSED ESTROGEN CP -- OVARIAN CANC
    OSTEOPROSIS, 67 Y --- TTT ALENDORNATE
    TIMING OF ALENDRONATE --- REDUCE GI SIDE EF
    RISK FACTOR FOR DM REITNOP --- SMOKING
    RETIN, DM, NEOVASCULAR --- PHOTOCOAGULATION
    LOOD OF VISION, FUNDUS HGR RETINAL -- RETINAL VEIN THROMBOSIS
    FACIAL PAIN AWAKING FROM SLEEP, PTOSIS, MIOSIS -- CLUSTER HEADCHE
    TIGEM NEURALGIA PROPH --- CARBAMAZIOINE
    DRY MOUTH, RAYNADUS, ANTI SM +, ANTI RO+ --- IRY SJOGREN
    HY[POPIGME --- WITH PERN ANEMIA
    ITCHY LESION SHOULDER, BUTTOCK , ++ ALK --- 1RY BILIARY CIRRHOSIS
    ALCOHOLIC, ACITES, ENCEPHALOPATHY ---- BACT PERITIONITIS
    CHRON NOT RESPON TO MESALZIN ---- AZAITHIOPRIN
    ULC COLIT, ABD PAIN, ALK ++ ---- SCELOSING CHOLANGITIS
    CELULLITIS NO RESPOND TO PENC + FLUCLOXA --- GENTAMICIN
    IV RUG WITH FEVER, LOW PRES, SPASM, UNABLE TO EXTEND BACK -- VACOMYSIC
    LOWE RT WEAKNESS, + TONE + REFLEX, UPPER RT DELTOID, NORMAL SENSA --- MULT SCLOSIS
    ASTHAM ON BECLO 800 ,,NOT RESPONDING --- DOUBLIN DOSE
    ALLERGY WITH BALLON INFLIATING --- LATEX ALLERGY
    HIP PAIN,LOSS OF LIBIDO, POLYURIA -- FERRITIN
    HCV +, HIV +,,, NOT RESPON TO HBV VACCIN --- HIV +
    BCG T CELL RESPONSE --- TNF-a
    LYMPHOCYTOSI , WHAT TO TELL PURE T CELL? --- HTLV-1 ??
    LIVE ATTEN ---YELLOW FEVER
    ORGANEEL E D-STRAND CIRC DNA -- MITOCHONDRIA
    G-PTN RECEPTOR -- TRANS MEMBRANE
    PNEUMOCOCCAL VACC BEFORE SPLENECTOMY --- 1 M BEFORE
    ATOPIC ECZEMA, RASH, CRUSTED --- TOPICAL STEROID
    TUBERS SCLEROSIS --- PERI UNGUAL FIBROMA
    2 YR DIARRHEA, STOOL WT +++ --------- VIPOMA
    ALCHOLIC, STATORRHEA, ABD PAIN -------- PANCRTITIS -- ABD XR
    COMATOSED, EMPTY BOTTLE OF PHENYTOIN, NYSTAGMUS ----- RBC TRANSE KETOLASE
    PT ON SILDENAFIL,IHD , WHAT MED TO KEEP --- ACE-I
    TB PROPHYLAXIS, STAY OFF WORK -- 2 WKS
    UTI, G-VE DIPLOCOCUS --- NOT WELL IMPROVED -- CHLAMYDIA
    RA RADIOLOGYU --- PERI ARTICULAR OSTEOPENIA
    ANKYLOSING XR --- SYNDESMOPHYTE
    PT ON THYROXIN FOR FOLL CANC ,, LAB TSH 0.01, T4 ++ --- REDUCE THYROXIN
    GASTRIN --- ++ BY LUMINAL PEPTIDE
    GASTRIC ADENO CARCINOMA --- COLUMNAR EPITH
    PT DYSPHAGIA TO SOLID AND LIQUID, 2 Y GERD -- ACHALASIA
    TERLIPRESSIN ACTION IN HEPATORENAL --- SPLANCHNIC VASO CONSTRITION
    SERIOUS SIDE EF OF DRUG --- RANDOMIZED CONTROLLED
    STUDY DESING --- WILCOXON
    POSITIVE PREDICITIVE -- 60 %
    RELATIVE RISK REDUCTION ---- 50 %
    IBS.. WHAT NOT MATCHING --- ABD PAIN AWAKING HER FROM SLEEP
    PT RT 6TH, PAIN OPTH DIVISON --- ORBITAL APEX
    PAIN,PARTIAL 3RD PALSY, PUPILLARY DEFECT --- POST COM ANEURYSM
    PAT ANXIOUS WITH SWEATY PALM AND SOLE ---- ANXIETY DISORDER
    RT SIDE COMP HEMIPLEGIA, BROCA AREA --- MID CERB ART
    PT FEAR OF AVIAN FLU, PREOCUPAIED --- PHOBIC DISORDER
    PT SHOUTING, ALCHOLIC, HEAR VOICE --- MANIC SCHIZOPHRENIA
    PT WITH PANIC DISORDER
    PT INVEST FOR CANCER..FREE, PALPITATION ,, NO IHD --- HYPOCHONDRIACAL
    HYPONATREMIA, COUGH, OLD AGE ---- SIADH
    OLD AGE, NEPHROTIC, MINIMAL CHANGE ---- PRENISOLON ?? RAMIPRIL, FRUSEMIDE
    FEMALE WITH WEAKNESS, BROTHER AND SON HAVE FREDRIECH'S ATAXIA ---- 45,X KARYO
    PT SEVERE BACK PAIN,NEURO MANFIST LOWER LIMB --- PROTEIN ELECTROPHRESIS
    LOST SENSATION ANT LEG --- L4 -------------- 119 ---------
    STARCH DIGESTION --- AMYLASE
    PT WITH PICTURE OD ADDISON'S (-- BP, + K, -Na, + CA),, MOST APPROPRIATE ---- IV CORTICOSTEROID
    H.PYLORI F/U FOR SUCCESFUL ERADICATION ---- C13 UREASE TEST VS ? FECAL ANTIGEN
  20. natronboy!!!

    natronboy!!! Guest

    what a tough exam !!

    assalmu alikom
    here are some question I remembered from the exam
    Generally it was very tough especially the 2nd paper!! it was very nauseating one ...
    the head questions down is linked with my own response >> it may be correct or wrong >> .. I'll apperciate any one could respond scientifically to my responses ...
    last .. the difficulty of this diet was mainly in the language used,,, some questions was not so clear !! I spend minutes to understand the language they used .. saying "what did he mean ??"
    good luck for all >>> wishing to hear best result for all
    CARD ==
    UNSTA ANGINA PRE CATH -- CLOPODOGREL
    STABLE ANG -- BET BLOCK
    CAR CATH LV 200/10 -- COARC VS AR
    RESIST HTN -- RENO VAS
    WPW NON SUS VT -- FLECAINID
    HOCM POOR PROG -- SEPTUM
    BOY E MARFAN -- FIBRILLIN
    PE IND FOR THROMBOLYSIS --- PERSIST LOW PRSSU


    BASIC ==
    PAIN FOR ARM , HAND --- CARPAL TUN
    WEAK, ANAS T--- ULNAR
    C7 ROOT ?
    DELTOID --- AXILLARY NERVE
    NNT --- 20
    RITUXIMAB -- CD 20
    TRUSTUZUMAB INDIC --- ??

    RENAL ===
    STRUVITE STONE
    REN TRANS CMV +, EP+ --- STEROID ? REJ
    PREG + PTN -- ORTHOSTATIC
    POLY CYSTE + HTN -- POLYCYTHEMIA
    MASS RT KIDNEY --- ADENO CARC
    SITE OF ACTION THIAZ --- PROX TUBU


    RESP ===
    DRY COUGH, RT VEN ++, TR -- ILD
    ASTHA NOT REPSON -- MAGNESIUM
    PT LOW FEV1 -- DORSAL KYPHOSIS
    INFECTION IN INF SEASON --- STAPH
    CHICKEN POS PNEUMONIA --- CICLOVIR
    CREYPT FIBROSI ALV --- PLEURAL INV
    EXTRINSIC ALL ALV --- UPP LOB FIBROSIS
    HILA MASS --- BRONCHIAL BRE
    LT ANKLE ARTH + ERY NOD --- CXR
    PNEUM CYSTIS -- LAVAGE
    RH + ILD -- METHOTREX

    HEMATOLOGY ==
    IRON DEF TTT --- 6 MO
    AF + ANTI COA --- 6 M
    LMWH F/U -- NOTHING
    NECK LN, CONS L LOBE CLL -- IMNUPHENO
    BACK PAIN, LYTIC LESIO IN SPINE, BREAST CAN --- PTN ELECTROP VS B-MICROGLOB
    HYPERCALC IN MM --- ACTIV OSTOCLAST
    PREG 23 WK, CONFUSION, RENAL, FRAGM RBC -- TTP --- IVIG VS PL EXCH


    RH IN NOR -- 20%
    FACIAL PALSY, ERYTHEMA -- BORREL AB
    GRAN ANULAR
    BASAL C C
    PIT VERSICOLOR
    DRUG CAUSIN EXTR PYR --- METOCHOPRAMID
    DRUG FOR MOTION SICK --- PROCHORPERAZIN
    TTT OF GOUT E WARFARIN,DIGOXIN --- PREDNISOLON
    INF END + CHANGE BOWEL HABIT --- STR BOVIS
    ACTIONN OF RESPIRDONE -- SEROTONIN
    COCAINE EFF --- K ++
    LOSS OF SENS IN SCIATIC --- DORSUM OF FOOT
    OSTE ARTH , MINI TRAUMA -- PSEUOGOUT
    SCLE DACT, RAYNADUS, SOB -- ILD
    MUSLIM NEED FASTING OMN METFORMIN --- 500 AM, 1000 PM
    GIRL + GYM , WEAKNESS, HEADCHR--- GROWTH H
    HTN, CONFUSION , CT LOW ATT CORT AND SUB CORT, HGE , FEVER, PEV SINUSITI--- THROMBOPHLEBITIS
    BUROPION CON IND -- EPILEPSY
    EPLESY INTOLE TO CARBAMAZ AND VALP --- LAMOTIGINE
    STEM CELL PROTEC AGAINST --- MUTAGENESIS
    MENOPAUSE 40 Y, OPPSED ESTROGEN CP -- OVARIAN CANC
    OSTEOPROSIS, 67 Y --- TTT ALENDORNATE
    TIMING OF ALENDRONATE --- REDUCE GI SIDE EF
    RISK FACTOR FOR DM REITNOP --- SMOKING
    RETIN, DM, NEOVASCULAR --- PHOTOCOAGULATION
    LOOD OF VISION, FUNDUS HGR RETINAL -- RETINAL VEIN THROMBOSIS
    FACIAL PAIN AWAKING FROM SLEEP, PTOSIS, MIOSIS -- CLUSTER HEADCHE
    TIGEM NEURALGIA PROPH --- CARBAMAZIOINE
    DRY MOUTH, RAYNADUS, ANTI SM +, ANTI RO+ --- IRY SJOGREN
    HY[POPIGME --- WITH PERN ANEMIA
    ITCHY LESION SHOULDER, BUTTOCK , ++ ALK --- 1RY BILIARY CIRRHOSIS
    ALCOHOLIC, ACITES, ENCEPHALOPATHY ---- BACT PERITIONITIS
    CHRON NOT RESPON TO MESALZIN ---- AZAITHIOPRIN
    ULC COLIT, ABD PAIN, ALK ++ ---- SCELOSING CHOLANGITIS
    CELULLITIS NO RESPOND TO PENC + FLUCLOXA --- GENTAMICIN
    IV RUG WITH FEVER, LOW PRES, SPASM, UNABLE TO EXTEND BACK -- VACOMYSIC
    LOWE RT WEAKNESS, + TONE + REFLEX, UPPER RT DELTOID, NORMAL SENSA --- MULT SCLOSIS
    ASTHAM ON BECLO 800 ,,NOT RESPONDING --- DOUBLIN DOSE
    ALLERGY WITH BALLON INFLIATING --- LATEX ALLERGY
    HIP PAIN,LOSS OF LIBIDO, POLYURIA -- FERRITIN
    HCV +, HIV +,,, NOT RESPON TO HBV VACCIN --- HIV +
    BCG T CELL RESPONSE --- TNF-a
    LYMPHOCYTOSI , WHAT TO TELL PURE T CELL? --- HTLV-1 ??
    LIVE ATTEN ---YELLOW FEVER
    ORGANEEL E D-STRAND CIRC DNA -- MITOCHONDRIA
    G-PTN RECEPTOR -- TRANS MEMBRANE
    PNEUMOCOCCAL VACC BEFORE SPLENECTOMY --- 1 M BEFORE
    ATOPIC ECZEMA, RASH, CRUSTED --- TOPICAL STEROID
    TUBERS SCLEROSIS --- PERI UNGUAL FIBROMA
    2 YR DIARRHEA, STOOL WT +++ --------- VIPOMA
    ALCHOLIC, STATORRHEA, ABD PAIN -------- PANCRTITIS -- ABD XR
    COMATOSED, EMPTY BOTTLE OF PHENYTOIN, NYSTAGMUS ----- RBC TRANSE KETOLASE
    PT ON SILDENAFIL,IHD , WHAT MED TO KEEP --- ACE-I
    TB PROPHYLAXIS, STAY OFF WORK -- 2 WKS
    UTI, G-VE DIPLOCOCUS --- NOT WELL IMPROVED -- CHLAMYDIA
    RA RADIOLOGYU --- PERI ARTICULAR OSTEOPENIA
    ANKYLOSING XR --- SYNDESMOPHYTE
    PT ON THYROXIN FOR FOLL CANC ,, LAB TSH 0.01, T4 ++ --- REDUCE THYROXIN
    GASTRIN --- ++ BY LUMINAL PEPTIDE
    GASTRIC ADENO CARCINOMA --- COLUMNAR EPITH
    PT DYSPHAGIA TO SOLID AND LIQUID, 2 Y GERD -- ACHALASIA
    TERLIPRESSIN ACTION IN HEPATORENAL --- SPLANCHNIC VASO CONSTRITION
    SERIOUS SIDE EF OF DRUG --- RANDOMIZED CONTROLLED
    STUDY DESING --- WILCOXON
    POSITIVE PREDICITIVE -- 60 %
    RELATIVE RISK REDUCTION ---- 50 %
    IBS.. WHAT NOT MATCHING --- ABD PAIN AWAKING HER FROM SLEEP
    PT RT 6TH, PAIN OPTH DIVISON --- ORBITAL APEX
    PAIN,PARTIAL 3RD PALSY, PUPILLARY DEFECT --- POST COM ANEURYSM
    PAT ANXIOUS WITH SWEATY PALM AND SOLE ---- ANXIETY DISORDER
    RT SIDE COMP HEMIPLEGIA, BROCA AREA --- MID CERB ART
    PT FEAR OF AVIAN FLU, PREOCUPAIED --- PHOBIC DISORDER
    PT SHOUTING, ALCHOLIC, HEAR VOICE --- MANIC SCHIZOPHRENIA
    PT WITH PANIC DISORDER
    PT INVEST FOR CANCER..FREE, PALPITATION ,, NO IHD --- HYPOCHONDRIACAL
    HYPONATREMIA, COUGH, OLD AGE ---- SIADH
    OLD AGE, NEPHROTIC, MINIMAL CHANGE ---- PRENISOLON ?? RAMIPRIL, FRUSEMIDE
    FEMALE WITH WEAKNESS, BROTHER AND SON HAVE FREDRIECH'S ATAXIA ---- 45,X KARYO
    PT SEVERE BACK PAIN,NEURO MANFIST LOWER LIMB --- PROTEIN ELECTROPHRESIS
    LOST SENSATION ANT LEG --- L4 -------------- 119 ---------
    STARCH DIGESTION --- AMYLASE
    PT WITH PICTURE OD ADDISON'S (-- BP, + K, -Na, + CA),, MOST APPROPRIATE ---- IV CORTICOSTEROID
    H.PYLORI F/U FOR SUCCESFUL ERADICATION ---- C13 UREASE TEST VS ? FECAL ANTIGEN
  21. muttasim

    muttasim Guest

    cellulitis resistant to penicillin & fuloxacillin is ----clindamycin
    gonorrhoea resistant to cephalosporin is---chlamydia trachomatis
    nephrotic syndrome treatment of minimal change histology is---predinsolone
  22. omar elfarsi

    omar elfarsi Guest

    MRcp part1

    :( Assalam alaikom
    the exam was hard and some questions were based on issues not and will never see in real practice. here are some of the questions which I remember:

    DNA plymerase function:multiply DNA
    Rixitumab function: Anti CD20
    Cause of Torsade de point (VT with polymorphic QRS along the axis): respiridone
    Function of terlipressin: splanchnic vasoconstrictor
    management of gestational diabetes
    Cause of pneumnia: bilateral shadowing + history of influenza: Mycoplasma or Staph aureus?
    Antibdoy predominant in churg strauss: ANCA?
    investigation for mycoplasma pneumania: serology?
    patient with SLE picture, on phenothiasines and anti-Sm positive: SLE?
    Weakness of thumb abduction and numbness in hand and forarm: median nerve or T7 :numbness of forearm?
    weakness of ankle reflex and numbness on lateral side of foot: S1
    Weakness of knee flexion and weakness on medial leg: L4
    Weakness on Toe walking and tenderness behing medial malleolus: extensor digitorum longus tendon
    Cocain overdose feature: hyperthermia (eventhough hyponatraemia is also a feature secondary to polydipsia)
    2 questions on Live attenuated vaccine: yellow fever for both
    Glucokinase activity in the brain is different to that in the gut: secondary to affinity?
    Flomezenil activity: competitive inhibition


    Lots of dermatology questions but not a single ophthlamology one. Please share your experience.
  23. natronboy!!!

    natronboy!!! Guest

    latex allergy..
    pt with different LV pres 200/10, aortic 200/70... i asked cardiologist . he said AR.. I respond with Coarc.
    MODY .. ++ BMI (think wrong)
    I was hesitated with that woman IV abuser ... saying was it tetanus ??? however I've choosen "Vancomycin"
    sarcoid cause "erythema nodusom"m questio didn't mention any thing guide to it.. just erythem,clearing centre!!, also for 5 wks,, I think matching with erythema ch mig of lyme !!
    C1 estrase def .. you may got past history of idiopathic angioedema or abdominal pain or any thing pointing to past... but here it was linked to ballon inflation... this question is repeated .. there was one q similar but the senario was one went inro OR and after induction of anasthesiashe got Anaphylaxis ... the correct response was latex allergy
    kidney prevent dehydration by inc aquaporin in collecting duct .. inhancing the action of ADH ... I think!!
    HbA1c -- 4 m, this the life time of RBC
    pregnant with ptn --- orthostatic,, nothing pointing to reflux !!! why?? I think the past h of mother had had renal problem is distracting.. also I didn't remember whether she was Hyppertensive or not ... I think: not mentioned...
    precelapmsia... not before 20 wk gestation !!!!
  24. natronboy!!!

    natronboy!!! Guest

    kaposi sarcoma with HIV... what other virus causin ... Ep. Barr
  25. I would like to end the argument about ? sarcoidosis >>>> Facial palsy is complication of neurosarcoidosis & rash mentioned was erythema nodosum on leg. Hence investigation of choice will be CXR
  26. Pregnant lady - typical charecteristic of nephrotic syndrome: hpoalbuminaemia, increased 24 hr urine protein excretion & hence it is minimal change nephropathy.

    Resistant hypertension: Pheochromocytoma as renovascular hypertension will have deranged Renal function tests.

    Coarctation of Aorta as there was radiofemoral difference in BP
  27. Idiopathic hyperhydrosis>>>> Wikipedia link: Anxiety can exacerbate the situation for many sufferers. A common complaint of patients is that they get nervous because they sweat, then sweat more because they are nervous
  28. burningi_ce

    burningi_ce Guest

    MRCP sep 2008

    hi guys wt do u think abt exam
    in my opinion it was tough especially second one :shock:
    wt were the right ans only RCP knows
    we can only geus except some((((
  29. burningi_ce

    burningi_ce Guest

    HIV antibody HCV antibody -i think ch.hep C?
  30. burningi_ce

    burningi_ce Guest

    thiazide acts on distal tubule
  31. Shaan.

    Shaan. Guest

    Message
    tahseen sabzwari
    Guest






    Posted: Thu Sep 11, 2008 1:14 am Post subject: sep 2008 mrcp

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

    it was realy tough one ,i sit in jan2008 but it is realy one that make me think twice .here is some mamories
    * pt with diadetiees with diabetic retinopathy on metformen 5oo tid .need fasting in ramadan .wants to take medicine before brekfast,and after evening meal.what is the plan
    -stop metformin
    -give insuline
    -give metformine 500 mornig and 1000mg in evening-i choose this
    -start gliclezide
    -?

    *pt with wpw no previose history now hr 160 ecg showing atril fibrilation drug need for tratment
    -verapamil
    -adenosine
    -sotolol
    -flecanide- i choose (b/c AF withno sign of HFor etc)
    -?
    *treatment for trigeminal neuralgia----carbamezipen
    -chrug struss syndrom
    multiple myloma ----plasma electrophereses
    * pt came amphetamine abuser for evaluation vaccinatrd for HBV result showing , anti HBV is only 10 (<100), HBsAg neg ,test HIV+. HCV+ what is the cause of low anti HBV
    -HIV
    -HCV
    -Amphetamine i choose ( i think it is wrong )
    * double standerd DNA in Nucleuse (i choose B?C double helicle form is buty of DNA in nucleuse ) / mitochondria?
    plese give comments
    latex allergy ,after baloon inflation in party,
  32. burningi_ce

    burningi_ce Guest

    mrcp

    unable to move before asleep and before walk...it ws tricky
    i ans frontal epilepsy i dono am i right
  33. salboy

    salboy Guest

    mrcp sep 2008

    Hello Guys
    You are right the paper was difficult
    Scenarios were not clear
  34. salboy

    salboy Guest

    For the question with deranged U E in pregnancy its reflux nephropathy b/c it has heridiatery component some time (b/c of mother)
  35. salboy

    salboy Guest

    Cause of death in Dialysis pt ?? Cardiomyopathy
    Mechanism of action of metformin --- peripheral utilization of glucose
  36. salboy

    salboy Guest

    There was some kind of question with ??dose of pred equal the normal daily release of glucorticoids
  37. salboy

    salboy Guest

    Loss of dorsiflexion ?? where is the sensory loss -- ?Pos calf
    loss of kne jerk -- loss of sensation on medial leg -L4
  38. Shaan.

    Shaan. Guest

    Posted: Thu Sep 11, 2008 5:40 am Post subject:

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

    Prochlorperazine causes Torticolllis.
    Metocloperamide causes galactorrhoea
    Lots of Psych
    Young guy with hypochondriasis disorder
    Young woman afraid of birds and getting messages-acute para Schizophrenia
    Young woman asks GP for wt loss drugs and dieting ? bulimaia ? Dysmorphia
    Alcoholic feels insects crawling up skin-hallucination as it is a sensation in the absence of a stimulis

    Found it very tough- EAA/Lyme disease
    Young woman with erythema marginatum postg HSV
    Tough tough tough
  39. natronboy!!!

    natronboy!!! Guest

    cause of death in dialysis ... i think Coronary HD
    reflux is not hereditary disease in the mjority .. also the protinuria is not in nephrotic range...0.8 gm
  40. Guest

    Guest Guest

    --organism in cat scratch disease.
    --action of mannitol
    -- mode of inheritence of heriditary heamorhagic telangitaxia
    -- tear drop appearence on blood film ? dignosis
    -- AML ?? which translocation has worst prognosis
    -- Old/Middle age man with low HB and platelets WBC Ok --- cause ??? essential throbocythemia ( I am not sure if I am mixing 2 questions -- please complete if some one could recall)
    LET ME RECALL SOME MORE PLEASE ANSWER AND ALL VISITORS PLEASE HAVE YOUR DDITIONS --- MAY BE WE COULD HAVE ALL 200 QUESTIONS ON BOARD --- PAPER OUT :D
  41. muttasim

    muttasim Guest

    pancytopenia & tearsdrop RBCs shape is -----myelofibrosis
    PKD associated with polycythemia
    pt on thyroxine therapy & developed low BP ---addison crisis - hydrocortisone is the treatment of choice
    the casue of post influenza pneumonia is staph
    the post chicken pox pneumina treatment is flucoloxacillin
    diagnosis of mycoplasma is serologically
  42. muttasim

    muttasim Guest

    cat scratch bacteria is pasteurla motliceda
    manitol increase intravascular osmotic pressure
  43. ssssssss

    ssssssss Guest

    paper 1 was relatively easy but tricky.paper 2 was really mind numbing.i wish all very best of luck.may ALLAH help us out through this tough time.

    herez some contribution from my side:

    cat scratch>>>>> bartonella hansale
    q abt primary polycythemia
    tactile hallucinations
    hemodialysis>>>> drugs with good plasma protien binding
    chemo>>>>> granisetron
    TCA overdose>>>>> ecg first of all
    ANCA
    old man e backache>>>>>>protien electrophoresis
    deuchene>>>>>>>> female 45xo
    pneumonia in old man>>>>>>SIADH
    I.B.S>>>>pain awaking the pt from sleep
    Achalasia
    pt on sildenafil>>>>>>b blocker
    HTLV 1 virus
    amyotrophic lateral sclerosis
    multiple sclerosis
    hypopigmented lesions>>> pernicious anaemia
    primary sjoghren's synd
    macular angiogenesis>>>>>photocoagulation
    buproprion>>> epilepsy
    scleroderma>>>>>>malabsorbtion
    CLL>>>>immunophenotyping
    pneumocystis pneumonia>>>>BAL
    erythema nodosum>>>>> CXR
    deltoid>>>>axillary nerve
    lewy body dementia
    old agitated man>>>>>haloperidol
    cerebral mets>>> steroids
    post h.pylori eradication>>>>endoscopy n urease test
    postural hypotension in old people>>>thiazides
    cerebral thrombophlebitis

    tats all i remember rt now.hopefully we'll be able to recall the whole paper by tonight.keep up the good work. c ya.
  44. salboy

    salboy Guest

    thanks SSSS
    great work buddy for your contribution
  45. salboy

    salboy Guest

    hello Guest you contributed 130 questions approx.
    You are a genious
    Can you recall some more mate
    I think you can :)
    Cheers
  46. salboy

    salboy Guest

    pt with excessive watering and salivation ??? which drug abuse-- ??heroin ?? amphetamine
    recurrent meningococcus infection ?? which complement inh ?? -- C3
  47. Guest

    Guest Guest

    I think the Sjogren's syndrome question refers to SLE cos the anti-Sm antibody was positive which is highly specific for SLE

    Also i feel re: recurrent neiserria infections the answer is c7 cos patient with c5-c9 deficiencies are unable to prevent neiserria infections deficiency of c3 will predispose to all capsulated organsim infection not just neiseria
  48. omar elfarsi

    omar elfarsi Guest

    Assalam alaikom

    Here are some comments on previous answers, please correct me if I am wrong:

    I agree about the SLE diagnosis, tricky questions as you would be thinking about drug induced lupus in first instance (malar rush and on phenothiazines) but the presence of anti-Sm makes the diagnosis of SLE highly likely as it is usually absent in all other conditions including drug induced lupus.
    I thing the recurrent neisseria infection is due to C3 deficiency (neisseria is encapsulated bacteria) as the mac complements (c5-c9) deficiency causes neisseria septicaemia and the patients wasn't in sepsis.
    Metoclopramide causes torticollus and galactorhoea
    thiazides works on distal tubule
    Alcoholics with abdo pain, most likely chronic pancreatitis, and the fisrt choice investigation would be CT abdo as abdo xray can miss up to 40% of pancreatic calcifications (specific sign for pancreatitis)
  49. burningi_ce

    burningi_ce Guest

    MRCP sep 2008

    c5-c9 defeciency can cause recurent neserial infection and i think the ans was c7.
    withdraw of which drug can cause diarhhoea-amphetamine or heroin
  50. ssssssss

    ssssssss Guest

    that was heroine withdrawl.

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