Recalls drom MRCP 1 Jan 2010

Discussion in 'MRCP Forum' started by drrajib, Jan 19, 2010.

  1. drrajib

    drrajib Guest

    Lets start memorizing questions and discuss them....
  2. Guest

    Guest Guest

    just came back, paper 1 was hard as hell
    one qiuz about difference between 5FU and Capecitabine unfortunaitly i answered wrong the difference was it is used orally

    sorry very tired i'll re post later
  3. giroop2003

    giroop2003 Guest

    thnks for starting, I answered orally, Thanks god
  4. Guest

    Guest Guest

    one hardddd paper 1 and 2m why so many endocrine qs?
  5. drrajib

    drrajib Guest

    1. Skin lesion and lt ankle sweling..prognosis??
    2. Cause of death in a renal pt receiving HD for 5 yrs??
    3. Causative organism for infected peritoneal dialysis patient??
    4. Ant ST seg elevation MI following GI surgery..Rx option besides anti platelets??
    5. What to do in a patient receiving clopidogrel prior to abd surgery??
    6. Empyema inv.??USG/CT?
    7. Primary pneumo with rim of air <2 cm??
    8. Anti TB with decreased visual acity??
    9.
  6. saadi10

    saadi10 Guest

    mrcp jan2010

    1 suspected pe findings on cxr
    2 person has hematuria father and brother had same
    3 herpetic virus 8 virus causes
    4 type amylodosis al /aa in person with myeloma
    5speceked pattern with tight skin ?scl 70
    6baby lupus ? ro antibodies
    7investigation for pulmonary hypertension
    8 restrictive lung function with raised KCO ?pul heamorraghe
    9obstructive fev/fvc ratio with reduced kco emphysema
    10dna probe to identify rna

    l
  7. drrajib

    drrajib Guest

    1. Resp Pathogen for CF pt?
    2. HOCM poor prognostic criteria on Echo?
    3. Footballer with sudden cardiac arrest?
    4. Inf MI ECG?
    5. Cons pericarditis ECG??
    6. Poor outcome in a VSD pt with pg??
    7. Her angio neurotic oedema cause of plasma leakage?
    8. CxR of PE?
    9. Dx of PE?
    10.
  8. drrajib

    drrajib Guest

    1.APCKD pt brother refused for kidney donation?
  9. MRCPaspirant

    MRCPaspirant Guest

    * seizures, hypomelanotic patches, multiple renal cysts, periungua fibromas -TUBEROUS SCLEROSIS
  10. Guest

    Guest Guest

    psychogenic aphonia or mustism in the woman whom here son disobey here

    ATN OR AIN OR minimal change nephropathy In diclofenac in woman aged 60

    traces of canaboid ??? canboid abuse or psychotic depression

    HCM ?? lft vent out flow more than 30 mmhg or septum thickness more than 3 cm

    burgada or rt vent hypoplasia or HCM in young age collapse after football match

    ANKYLOSING SPONDYLIS WHAT TO SEE IN X RAY OF LUMBO SACRAL

    XRAY IN PUL . EMBOLISM ???

    CLOPIDOGREL STOP TO AVOID BLEEDING AFTER 24H OR STOP AND USE LMWH

    ODD RATIO ?? QUESTION

    PLEURAL EFFUSION DIDNT GET ASPIRATED ?? I ANSWER LAT CHEST XRAY

    ANATOMY: SCIATICA AND LONG THORACIC NERVE AND ABDUCTOR POLLICES PREVIS

    DISSOCIATED SENSORY LOSS ?? CENRAL CANAL !
  11. Guest

    Guest Guest

    1. Subacute IE. treatment? Benpen + gent
    2. litium toxicity. precipitant. ?ramipril
    3. chronic CML, (?not candodate for imintab). ? a-interferon or ?hydroxycarbamide
    4. Discoid lupus on steroids. ?next treatment. ? hydroxychloroquine.
    5. Young pt had appendicectomy then went into shock (?sepsis - abscess). investigations ?clotting screen ?DIC
    6. Pt with face swelling (on ACEi, Statins ..) ? precipitant
    7. Macrocytic aneamia with antibodies to parietal cells. ?biopsy (?gastric wall)
    8. chikenpox developed pneumonia ?treatment
    9. ?mediator in anaphylaxis
    10. ?test to confirm transfusion haemolytic reaction
    11. A student's girlfriend kicked his ass after he came back from USA. He thought he's the Dean (?delusional syndrome or ? schizophrenia !!!!!!!)
    12. Lady with abdo pain and all Ix NAD --> ?factious disorder
    13. Pt thinks he's got cancer --? hypochondria disorder
    14. intermittent painful defecation with fresh blood in young lad (?polyp ? haemorrhoids ?anal fissure)
    15. Jaundiced pt with deranged LFTs (AST 1453) and tender hepatomegaly recently come back from holiday abroad (?Hep A)
  12. Guest

    Guest Guest

    EGYPT?? SALMONELA OR SHIGELLA

    ANKLE SWELLING----CA CH BLOCKER

    BLUE VISION----SILDENFIL

    CONTROL HT RATE IN AF ---BISOPROLOL

    AF ---HAEMODYNAMIC LOW----DC

    BELLS PALSY---- LACRIMATION OR SALIVATION OR HYPERACUSIS OR HYPERATHESIA

    CSF WITH HIGH LYMPOCYTE AND PROTEIN AND GLUCOSE 3.3 ---GUILLAN BARRE OR POLIO
  13. saadi10

    saadi10 Guest

    mrcp jan 2010

    1 signs of anterior spinal artery occlusion with flaccid paralysis and loss of pain and temp
    2symptoms of unwell diarrohea post terminal illeum removal ? bile salt irritation
    3 lower quadrant visual symptoms what next investigation
    4 dilated pupil slowly reacting to light irregular ?adie pupil
    5 raised cholestrol ,ldl,triglycerides tx atrorva /simvas
    6 hypokalemia ecg shows U waves
    8 smalll ca with siadh
    9jaw stiffness with multiple injected sites with discharging sinus tx? metronidazole /vac
    10 presenting with bleeding pr and abdominal pain post recent surgery ?mesenteric artery occlusion
  14. Salaam all

    Paper one was average, but 2 was a bit tough. Alhamdullilah I have done better than before. Following are the remembered questions, please note that these are my answers and can be wrong, so please discuss to make them right. Thanks

    1.JAK 2 mutation --- PRV
    2.Mother upset by her son's disobedience, presented mute but movement ok-- Depression ???
    3.HOCM risk -- septal wall thickness 3.3 cm
    4. ITP 2 questions
    5. Tuberous Sclerosis (periungual fibroma)
    6. Pt seeing Dog lying in next bed--Alcohol withdrawal
    7. Pt claiming to be dean of medical faculty, after his girl friend left him--Mania
    8. Boy behaving schezophrenic, Urine shows mild canabiniod--Dont remember the answer exactly but i marked something related to schizophrenia.
    9. Lady with hip pain but all movements normal--Osteoarthritis
    10. Positive predicted value---I screwed that up
    11. Standard deviation
    12. Lady with hypertension, hursutism and weight gain---PCOS or CAH ?
    13. Lyme
    14. HIV seroconversion in African boy
    15. Carbamazepine autoinduction
    16. Respiratory depression in an overdose--Diazepam ??
    17.Ring Enhacing Lesion-Toxoplasmosis
    18.Pneumocystis Jiroveci treatment--Co-trimoxazole
    19. Glucose Tolerance test with Plasma growth hormone measurement
    20. Man from india with jaunced picture--Hep A
    21. Bloating, pain, long standing diarrhoea--Giardiasis
    22. Typpical picture of Multiple Myeloma with unmeasured extra Immunoglobulins in blood + Bence John's Protein
    23. Central Scotoma----Optic Neuritis
    24. Anti-Ro ----Heart block
    25. Cyclosporin--Nephrotoxicity
    26. FEV1/FVC low -- Emphysema
    27. ABGs given -- Mixed Metabolic acidosis and respiratory acidosis
    28. Alopecia--Phenytoin
    29. Difference between 5FU and new drug Capecitabine---Used Orally
    30. Inflamatory infiltrates in lamina propria+Granuloma --- Crohn's
    31. Asymptomatic with low Hb but more markedly low MCV and Raised HbA2 --- Beta Thalasaemia Trait
    32. Mild haematuria, father and brother also had haematuria---Exercise related haematuria (I tried to figure out if it can be hereditary but the option given was Alport's synd which is X-Linked dominant so no male to male transfer)
    33.Widespread ST elevation in anterior leads -- Constrictive Pericarditis
    34.Another question with constrictive pericarditis picture and asked what else is found --- widespread ST elevation
    35. Rate control in AF in a heart failure patient already on Digoxin---Amiodarone (other options were beta blocker but cant be used in heart failure)
    36.Thyroid Nodule in a totally asymptomatic patient---Fine Needle Biopsy ??
    37. Minimial Change disease
    38. Henoch Schonlien Purpura
    39. Lorry driver with chest x-ray having calcification--TB
    40.Hypokalaemia, what else is found----U wave on ECG
    41.Pleural effusion patient---Do bronchoscopy (It was the 1st question in paper 1 I think)
    42. Pt with history of influenza, now pneumonic picture-- Organism responsible ---Staph Aureus ??
    43.Cholesterol Embolisation with Levido Reticularis, what else is found -- Eosinophilia
    44. Hypertension in Pregnancy -- Methyldopa
    45. Pt with low BP, Hickman Line insterted presents with various electrolyte abnormalities, what else can be expected -- Hypophosphataemia
    46. Pt with low BP and AF -- DC cardioversion
    47. Footballer suddenly collapsed while playing and died on way to hospital -- HOCM
    48. Latex Allergy -- IgE mediated hypersensitivity ??
    49.Hyperventilation due to panic, what will be immediate blood abnormality -- answer was either low HCO3 or low H+ ion....?? I marked H+ because HCO3 takes time.
    50.Short Synacthen test
    51. Pt on haemodialysis for 5 years 3 times per week. Cause of death -- Dilated cardiomyopathy ???
    52.Beta Blocker Toxicity with very low blood sugar and bradycardia non-responsive to atropine -- Give Glucagon
    53. Pt took cocaine, what else can be found -- Ischaemic Cardiac pain
    54. Coronary Vasospam--give Calcium Channel Blocker
    55.Drug in the marketr for 2 years and now a study claimed to have found a serious side effect, what test will be used to check--- i wrote Case Control study (Because Rand Cont Trial cannot be used for side effect measuremenst, but I can totally wrong, please discuss)
    56. Pt with typical DLE -- give HydroxyCholoquine
    57. Pt seemed to have Seborrhoea or Dandruff (Not sure) -- But I marked Ketoconazol cream, other options were totally irrelevent except Metronidazole cream.....so i was in doubt and marked Keto.
    58.Pt with alcohol abuse presents with ataxia. Wats the reason? Options were various but I marked Vit E Deficiency....Please correct me.
    59. Lady after a fall, pain in neck with weakness but joint position sense and vibration sense and light touch preserved--- Anterior spinal compression/Syndrone...???
    60. Patient presents with functional symptoms but he also had a history of thinking he had a cancer 1 year ago, but now presents with some functional symptoms--Somatoform disroder and not Hypochondriac disorder.
    60.Lady with persistent diarrhoea for 2 years without any cause, some other functional symptoms were also given -- Somatoform disroder
    61. Patient with SIADH -- Fluoxetine
    62. Prophylaxis for Trigeminal Neuralgia-- I just marked Phenytoin. Please correct me.
    63.Lithium toxicity ---Concomittant use of ACE-Inhibitor
    64. Rheumatooid Arthritis patient alread on Diclofenac Sodium,what should be started next-- Methotrexate

    This is all I can recall by now.
    Please share more to make a complete list. Thanks and good luck to all.
    May Allah pass us all...Ameen
  15. saadi10

    saadi10 Guest

    ammeen

    alopecia is casued by valproate
    treatment of neuralgia is carbamazepine
    pt on digoxin /warfarin still af uncontrolled i wrote bioprolol ??
    pt on dialysis i wrote ischeamic heart disease something related
    alcoholic patient with ataxia had blurring of vision 2 years ago therefore i wrote MS
    respiratory depression i wrote codiene as its a morphine derivative and can cause resp depression and low gcs
    thyroid nodule i agree it can only be FNA
    lady with previous hx of investigation for cancer i wrote hypochondriasis as it was major illness for which she got investigated for dont know could be wrong
    atn sec to 10 day use of diclofenac
  16. Guest

    Guest Guest

    Salam 3aleekom

    i agree with most of ur choices , those i recall

    1-28 y with DM why type 1 age, bicarb, acetone i chose age

    2-Melanoma Depth

    3-18 y f eczema and recent small pustule at face and UL topical steroid
    4- single nucleotide polymorphism i chose predict protein
    5-Huntington chance of sun to be carrier 50%???




    however, let us discus these

    7. Pt claiming to be dean of medical faculty, after his girl friend left him--Mania i thinnk its paranoid schizophrania

    9. Lady with hip pain but all movements normal--Osteoarthritis i think bursitis arthritis would have limitation of active move

    10. Positive predicted value---I screwed that up---------50%

    11. Standard deviation----------------SEM


    12. Lady with hypertension, hursutism and weight gain---PCOS or CAH ? -------PCO there was high LH:FSH ratio

    14. HIV seroconversion in African boy--- glandular fever atypical lymphocytes

    16. Respiratory depression in an overdose--Diazepam ?? ------i chose dihydrocodien PLS discus

    36.Thyroid Nodule in a totally asymptomatic patient---Fine Needle Biopsy ?? i chose scan discus

    37. Minimial Change disease--- MGN sicus

    41.Pleural effusion patient---Do bronchoscopy (It was the 1st question in paper 1 I think) ---------thoracoscopy pleural biopsy


    51. Pt on haemodialysis for 5 years 3 times per week. Cause of death -- Dilated cardiomyopathy ??? -----------septicaemia

    55.Drug in the marketr for 2 years and now a study claimed to have found a serious side effect, what test will be used to check--- i wrote Case Control study (Because Rand Cont Trial cannot be used for side effect measuremenst, but I can totally wrong, please discuss) - I agree


    57. Pt seemed to have Seborrhoea or Dandruff (Not sure) -- But I marked Ketoconazol cream, other options were totally irrelevent except Metronidazole cream.....so i was in doubt and marked Keto.---------metronidazol pls discus

    59. Lady after a fall, pain in neck with weakness but joint position sense and vibration sense and light touch preserved--- Anterior spinal compression/Syndrone...??? ---------------SYRNX dissociated sens loss


    62. Prophylaxis for Trigeminal Neuralgia-- I just marked Phenytoin. Please correct me. - carbamazepine

    63.Lithium toxicity ---Concomittant use of ACE-Inhibitor ----------Ca channel ??//increas toxicity
  17. dr.wesam

    dr.wesam Guest

    1. Heart block after inferior MI. ?RCA occlusion
    2. Guillain-Barre ?monitor respiratory function ?FVC
    3. 13y after valve replacement. anaemic ? haemolysis
    4. PCP treatment. ?Co-trimoxazole
    5. Haemochromatosis screening: transferrin saturation
    6. Lady with excessive hair --> SE of: ciclosporin
    7. Acoustic neuroma --? absent corneal reflex
    8. Betablocker overdose with bradycardia not respond to atropine. Next managment --> glucagon (repeat question Jan 2006)
    9. Hypopigmentated areas round the eyes in pt with thyrotoxcitosis ? vititligo
    10. Male with severe pain behind eye worse in the morning --? ?trigeminal neuralagia
    11. Unwell young pt with lymphoadenopathy --> grandular fever (EBV)
    12. JAK2 mutation --> Polycythaemia ruba vera
    13. Idiopathic parkinson --> ?tremor
    14. Tear-drop poikilocytes --> myelofibrosis
    15. Pt with polyarthritis and anti-CCP --> ?RA
    16. Northern blotting to detect RNA
    17. Weight loss for obstructive sleep apnoea
    18. Prophylaxis in trigeminal pain --> carbamezipine
    19. New AF in compromised pt --> DC shock
    20. AF with CCF not respond to digoxin --> give bisoprolol as per NICE
    21. Lady with tenderness + pain lateral R hip --> I wrote bruisitis
    22. A question on sensitivity
    23. Positive predicted value TP/FP+TP
    24. Respiratory depression due to overdose --> dihydrocodeine
    25. Ring enhancing lesion --> Toxoplasmosis
    26. Obese lady with deranged LFTs and USS prognostic --> Nonalcoholic steatahepatits
    27. Hypokalemia --> flattened P wave
    28. Refeeding syndrome --> low phosphate
    29. Risk Sudden death in HOCM --> ?enlarged L atrium
    30. Serious SE (fluminant hepatitis) of a new drug as per a journal article. Best course of action is to do metaanalysis of related clinical trials as this would give the strongest evidence.
    31. DLE --> hydroxychloroquine
    32. Dandruf --> ketoconazole
    33. Fall and loss of pain and temperature and joint sensation preserved --> ?cervical disc prolapse
  18. saadi10

    saadi10 Guest

    few more that i can barely remember
    plz help give answers
    testicular feminization ? male with female gentalia
    mitochondrial disease shows ?optic atrophy
    polypeptide degradation occurs in ?? endoplasmic reticulum
    nurse presents with a rash she has palmar rash and papules 0.4cm around gentalia
    renal failure /loss of left knee and right ankle reflex with loss of power /urine positive for hematuria ? PAN/ SLE
    cause of pnuemonia in a 50 year old ?mycoplasm/h influenza
    a patients cxr showing 2-5mm calcified lesion ???
    recent colonic operation now severe chest pain management ? nitrates
    dx with cholecystitis 6months ago had stent insertion on aspirin and clopidogrel tx ?? delay for 6 months plz tell
    patient tx for meningitis but after 4 days again confused and restless ? investigation ?urea/elec or MR scan brain
    dx of parkinsonism i wrote repeated falls ( signifies ridigidty )
    recently had chemotherapy now has neuropathy ? cause cyclophosphamide /vincristine
    shin lesion with ankle swelling ?resolves
    cause of raised urinary sodium
    treatment of immune thrombocytopenia
  19. CT 1

    CT 1 Guest

    Hi all of you
    Just back from exam Happy after paper 1 , devastated after paper 2
    I think same topics but with variety of questions may be I need more practice
    Here are some questions which i remember , answers might be wrong but please discuss and add if remember more



    1 . Alcoholic , weight loss , chest signs and symptoms , CXR shows pleural effusion aspiration attmepted but failed whats the NEXT investigation
    its clearly mention next not best investigation

    bronch
    ct chest
    us chest
    thoraco


    2. carbamazemine autoinduction


    3. valporate hair loss

    4. cyclosporin excessive hair

    5.patient suffered peripheral neuropathy , had chemo whic medication to stop ? vincristine

    6. mismatch blood transfusion what test to confirm ? direct coombs test

    7. Ring enhancing lesion on CT aids patient ( toxo )

    8. 10 days after chemo patient neutrophil 1.2 ( Neutropenic sepsis )? prophylactic cipro

    9. patient with variety of symptoms and sign anaemia . renal failure . neuropathy ? Polyarteritis nodosa

    10. Mild headache in elderly which investigation ? ESR

    11. Patient having unequal pupil and Ptosis ( Horner) which investigation to confirm ? cxr

    12. CSF showing 100 lympho plus high protien ? TB

    13. Ankylosing spondylosis what will present in Lumbar xray ? sclerosis / osteophyste / sydem/ wedge shape

    14. patient with hip pain and lateral tenderness ? Osteoarthritis

    15. 2/52 renal transplant dont remember the exact question but indicating cyclosporin toxicity

    16 . patient on cyclosporin LFT become derange what investigation next to find the cause renal ultrasound / urea creatinine / cyclosporin levels

    17. Alcoholic with deranged LFT pointing towards NASH

    18. Contraindication to liver biopsy PT / obesity / platelets / ultrasound appearance of intra dilation of biliary tree

    19 . patient on 5 HTN medications develops ankle edema amlodipine/ doxazocin / monoxidine

    20 . Preg HTN methyldopa

    21. 19 yr old patient having heavy protien urea but no heamturia most common cause membranous / minimal /FG / Ig A

    22. routine medcial check showing iron deficiency with basophilic stripling , patient asymptomatic lead poisonng / sideroblastic dont remember other options

    23. elderly feeling lethatgic investigation showing Iron defeciency but no altered bowel symptoms which investigation first ( gaasto / colonoscopy )

    24. patient having blood diarrhoea / recent antibiotics for chest infection history of MI / diabetes ( c .diff / ischaemic colitis / diverticulits )

    25. patient having blood diarrhoea not respond to 5 days of metro ? campylo

    26. IV drug abuser sign and symtoms of tetanus which antibiotcs ? metro ? doxy

    27 . Endocarditis blood culture alpha hemolytic which combination ? ben + rifa / benpen + genta

    28 . GB syndrome patient asking for Vital capacity i think

    29 . 37 yr old patient with Upper and lower motor sign father had similar problem at 78 yr of age ? amyotrophic lat sclerosis

    30 . Bronchiectasis whic organism common ? Kleb / Moraxella / H influenza

    31. Pulmonary HTN best investigation ? Echo / ctpa / vq scan

    32 . caviating lesion with RF ? Wegners

    33. weight loss / hemoptysis / hyponatremia which lung ca ? small cell

    34 . patient heavy smoker and asbestos exposure diagnose lung cancer which account more i think smoking mainly

    35 . testicular feminisation how will patient look like male with female genitals / male with inguinal testis / femal with clitromegaly etc

    36 . Type 2 dm obese which medication first metformin

    37. thyroid mass with normal TFT which investigation next ? FNAC ? radioisotope scan

    38 . Man 30s pain behind eye and problem with colours examination showis central scotoma ? optic neutris

    39 . question asking about absent ciliary reflex

    40 . cocaine abuser ischaemic chest pain

    41 . elder with fast AF but unstable hypotensive sys less then 80 ? cardiovert ? iv amiodarone / iv betablocker

    42 . VSD want to become pregant which will be make it difficult ? Pulmonary HTN / aortic regurg cant remember all

    43 . patient why playing dead HOCM

    44. RTA which will be present renal stones

    45 . Cushing meatbolic alkalosis

    46 . Patient investigated for palpitation all normal last yr think he had cancer ? Hypochondriasis

    47 . Mother stressed with disobeyed child suddenly unable to speak ? akinetic mutism ? dpreseeion


    48 . pastient with left hemiplegia and h/o of CABG 15 yrs , unable to find right brachial and radial pulse . having head neck and back pain
    ? brachia site stenosis / dissection / GCA

    49 . Nurse from southern india experiencing wight loss and diarrhea facal elastase less then normal ? tropical sprue ? coeliac

    50 . lady with linear erythema and exfoliative margins on the shoulder prv h/o of overdose ? factitious / psoraisis

    51 . lady taking carbimazole develops hypopig around eyes ? vitiligo

    52 . Discoid lupus not responding to normal treatment what next

    53 . MMSE 18 medication donezepil

    54 . qusetion about drug induced Diabetes inspidus

    55 . idiopathic PD ? symmetrical bradykinesia

    56 . Acromegaly invest OGGT and growth harmone

    57 . copd with PE which invetigation ? CTPA ? V/Q scan

    58 . patient blood gas showing mixed metabolic and resp acidosis

    59 . patient blood gas showing type 2 resp failure diagnosis copd / Asthma

    60 . RA anti ccp positve

    61 . RA treatment metho / pred

    62 . patient ABPA admitted with exacerbation what to give first ? steroids ? itraconazole / neb saline / neb steroids


    63 . patient with Hypokalemia what will ECG shows

    64 . patient with Pericardial rub What will ECG shows ? small complex

    65 . Ramipiril most common side effect cough

    66 . pateint with facial edema ? which medication ramipirl

    67 . Patient on lithium HTN medication made levels high ? ACE

    68 . Cholestrol emboli what will in the blood ? eosinophilia ? thrombopcytopia


    69 Patient with features of DIC what investigation ? coagultion ? d dimers

    70. ITP treatment prednisolone

    71.another question with neutropnia what to give GCFactor

    72 . question about reactive arthirtis affectiong knees ankle and sole rash

    73 . 2 questions of Herpes patient ? iv acyclovir

    74 . myxoma where left atra / right atria / ventricles

    75 . clusture headache question

    76 , Perxisome straight forward question

    77 . Hypercalcemia patient recieving fluids 4 hrs qhat next pamidranate

    78 . Hypercalemia but low PO which is increasing ca reabsorbtion ? PTH / 1 , 25 / Hypophostemia

    79 . 2 questions of Primary Hyperparathyroid

    80 . Question about prolactinoma

    81 . patient with renal failure and high total protien ? Multiple myeloma

    82. Recent major surgery now 3 days later major MI after aspirin and clopidogrel what next ? primary angio / thrmobolysis / LMWH / unfrac heaprin

    83 . patient on clopidogrel and aspirin awaiting surgery ? stop clopi and start LMWH

    84 . SLE want to ask about developing neonatal Lupus which antibody present ? Anti Double Ds ? Anti Ro ? Anti sm

    85 . question about PBC

    86 question of Autoimmune Hepatis

    87 cystic fibosis what chance of sister being carrier or effected cant remember the exact qyuestion ? 1:4 ? 2:3

    88 . tubeorus scleosis two question asking association polycystic kidney

    89 . diabetic patient with B/L small kidneys and protienuria and mild renal derangement ? Amylodosis ? diabetic nehropathy ? renavascular both kidneys

    90 . ALL poor prognosis Ph chromosome

    91 . CML treatment Imatinib

    92 . question of grave disease

    93 . megaobastic anaemia ileal resection

    94 . another question with high MCV cause ? b12 def ? folate def

    95 . parietal lobe infarction patient unable to read ? agraphia

    96. patient with glucose in urine fasting and 2 hr normal feeling tired and lethargic ? Renal glucosuria

    97 . medical student think he is dean of the university

    98 . hemibalissmus wher is lesion ? subthalamic ? substania nigra ? caudate nucleus

    99 . separate RNA from DNA ? northern blotting ? hybri

    100 . whome to isolate patient with MRSA septicaemia / pneumonia and MRSA in sputum / perotenal TB 1 day treatment / pulm TB 16 day treatment


    These are some , if some one has good memory fill the rest of the parts
    Thanks
  20. aladdin80

    aladdin80 Guest

    Stridor, dysphagia (Flow volume loop)
  21. Guest

    Guest Guest

    alot of stastitcs ...MANN whitney U or chie sequard ??
  22. Guest

    Guest Guest

    hey guys the question about the infective endocardits in prothetic valve we should give vancomycin+gentamicin+rifampcin
  23. drrajib

    drrajib Guest

    Ring Enhacing Lesion-Toxoplasmosis
    I thought the question said single Ring Enhacing Lesion, which should be CNS lymphoma
  24. Fed up

    Fed up Guest

    -Site of action of bendrofluthiazide
    - low hb . low MCV ? cause ? ascaris and others
    -Alcohol withdrawl with seeing dog next to bed
    -X-ray changes in AS
    -pregnant lady with raised amylase
    -Duch Ms Dystrophy with grand children inheritance
    -girl with FH of 2 brothers with ?> weakness . mum negative..mode of inheritance?
    - SE of drug being compared on both sides of face, best statistical rest ?
  25. Fed up

    Fed up Guest

    which patient can be left in multibed area - Legionell, Varicella etc etc
  26. MRCPaspirant

    MRCPaspirant Guest

    The following are most likely TEST questions,(cos I don’t recollect seen them in the exam); so don’t worry if you’ve got them wrong
    1.Which patient can be left in multi-bed area
    2.Pregnant lady with raised amylase
    3.Causative organism for infected peritoneal dialysis patient
    4.Intermittent painful defecation with fresh blood in young lad
    5.Blue vision is seen in?
    6.Huntington chance of son to be carrier
    7.Whom to isolate patient with MRSA septicaemia / pneumonia and MRSA in sputum / peritoneal TB 1 day treatment / pulm TB 16 day treatment
    8.Hemiballismus where is lesion ?
  27. MRCPaspirant

    MRCPaspirant Guest

    Also, thought I’ll give my explanations for some questions with controversial answers
    •Site of polypeptide degradation – Proteosome /wwwproteasomescom/
    • Man with Back ache, multiple joint pains (father – vague joint pain history) RF negative, Anti CCP positive – Answer should be Psoriatic arthritis - Explanation is “Anti-CCP positivity was a frequent finding in PsA and associated with symmetrical polyarthritis†/wwwspringerlinkcom/content/m24q5784428h2m3n/
    • Neutropenia on Post-chemo day 10 – I think needs only careful monitoring – Reason because the period of maximum cytopenia is over(day8) and the cytopenias can only improve from now on.
  28. Guest

    Guest Guest

    Hello friends!

    Thanks for posting all these questions.
    I forgot to answer a few questions as I wanted to go back to them at the end to think better but later had no time as latter questions in Part 2 were lengthier and tougher. I don't remeber seeing many of the questions posted here. I gave the exam from Thiruvanathapuram, India. Please tell me, is it possible that the College asks different questions in different regions? If I have missed so many questions, it will be a disaster for me. Please help.

    Johny
  29. Johny

    Johny Guest

    1. Causative organism for infected peritoneal dialysis patient??

    2. Anti TB with decreased visual acity??

    3. person has hematuria father and brother had same

    4. Cons pericarditis ECG??

    5. ANATOMY: SCIATICA AND LONG THORACIC NERVE AND ABDUCTOR POLLICES PREVIS

    6. intermittent painful defecation with fresh blood in young lad (?polyp ? haemorrhoids ?anal fissure)

    7. BLUE VISION----SILDENFIL

    8. Mild haematuria, father and brother also had haematuria---Exercise related haematuria (I tried to figure out if it can be hereditary but the option given was Alport's synd which is X-Linked dominant so no male to male transfer)

    9. Another question with constrictive pericarditis picture and asked what else is found --- widespread ST elevation

    10. Lorry driver with chest x-ray having calcification—TB

    11. Huntington chance of sun to be carrier 50%???

    12. Male with severe pain behind eye worse in the morning --? ?trigeminal neuralagia

    13. Weight loss for obstructive sleep apnoea

    14. a patients cxr showing 2-5mm calcified lesion ???

    15. patient tx for meningitis but after 4 days again confused and restless ? investigation ?urea/elec or MR scan brain

    16. renal transplant dont remember the exact question but indicating cyclosporin toxicity

    17. patient on cyclosporin LFT become derange what investigation next to find the cause renal ultrasound / urea creatinine / cyclosporin levels

    18. caviating lesion with RF ? Wegners

    19. question asking about absent ciliary reflex

    20. Ramipiril most common side effect cough

    21. pateint with facial edema ? which medication ramipirl

    22. another question with neutropnia what to give GCFactor

    23. clusture headache question

    24. Perxisome straight forward question

    25. Hypercalcemia patient recieving fluids 4 hrs qhat next pamidranate

    26. Hypercalemia but low PO which is increasing ca reabsorbtion ? PTH / 1 , 25 / Hypophostemia

    27. hemibalissmus wher is lesion ? subthalamic ? substania nigra ? caudate nucleus

    28. whome to isolate patient with MRSA septicaemia / pneumonia and MRSA in sputum / perotenal TB 1 day treatment / pulm TB 16 day treatment

    29. MANN whitney U or chie sequard ??


    30. Duch Ms Dystrophy with grand children inheritance

    31. girl with FH of 2 brothers with ?> weakness . mum negative..mode of inheritance?
    - SE of drug being compared on both sides of face, best statistical rest ?


    32. which patient can be left in multibed area - Legionell, Varicella etc etc

    33. Pregnant lady with raised amylase


    I definitely did not see these questions in the papers. Are you sure they were there? Could anyone who gave the exam from India verify?
  30. MRCPaspirant

    MRCPaspirant Guest

    * Mediator for Hereditary angioedema - Bradykinin
    REF - Clinical Immunology,Volume 114, Issue 1, January 2005, Pages 3-9

    Posted: Wed Jan 20, 2010 6:06 pm Post subject: More Indian questions

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

    1. Diarrhoea, jaundice etc. in post-bone marrow transplant patient. Investigation? CMV PCR
    2. Which patient to isolate-sputum positive tuberculosis, sputum cultured tubuerculosis, CSF cultured tuberculosis. Sputum positive tuberculosis.
    3. Post-trnasplant patient with skin lesion, diarrhea etc. What is the diagnosis? GVHD
  31. MRCPaspirant

    MRCPaspirant Guest

    Hi johnny...
    I gave the exam in INDIA....i have listed the questions not seen in the indian MRCP paper in a previous post!!
    The papers are uniform in one centre...but not sure if they are uniform over countries or not!!
  32. saadi10

    saadi10 Guest

    mrcp

    suspected active TB which needs isolation how to diagnose ? spitting acid fast bacilli in sputum
  33. aldosteron99

    aldosteron99 Guest

    MRCPaspirant,

    Man with Back ache, multiple joint pains (father – vague joint pain history) RF negative, Anti CCP positive

    Answer is rheumatoid arthritis

    can check at google search Anti-citrullinated protein antibody
  34. MRCPaspirant

    MRCPaspirant Guest

    To aldosteron99,

    I am aware that in the diagnosis of RhA, anti-CCP is preferred now as it is more specific.

    However, its unlikely for a young 'male' with "backache" and symmetrical arthritis,with ?positive family history to have RhA, more over anti-CCP can be falsely positive in PsA
    (ref: quoted earlier) /wwwspringerlinkcom/content/m24q5784428h2m3n/.

    I feel the anti-CCP was mentioned to misguide us(at least when i gave the exam). Anyway I could be wrong.
  35. relaxed

    relaxed Guest

    mrcp part one

    this forum had been very helpful for giving part one , so i am back to post the questions.
    the ones that are not mentioned are-
    1 . earliest sign of acoustic neuroma- absent corneal reflex.
    2. cystic fibrosis : it was a patient with disease. what is the chance that his 17 year old sister is a carrier.? 2:3
    3. in a population males and females bp were compared ,which test used to comparebp in both groups
    4. mesothioloma related question accurate statement- prob biopsy would cause involvement of tract
    5.case of hameturia in pt, his borother and father- Ig A nephropathy
    6. clopidigrel question was that pt had cabg 6 months backon aspirin and clopidogrel. diagnosed as cholelithiasis. surgeon worried about bleeding-
    stop clop
    stop clop and start lmwh
    stop clop and increase asprin
    delay surgery by 6 months
    7. seborrheic dermatitis - treatment ?ketoconazole
    :)
  36. relaxed

    relaxed Guest

    more

    8. 25 year old with hematuria- normal usg, creat- investigation ? cystoscopy
    9. 19 year old with edema and massive proteinuria: ? minimal change ? membranous
    10. drug induced diabetes insipidus was fluoxetine
    11. young girl with tooth erosion and decreased na, K , ca, ? bullemia nervosa
    12. pneumothorax in prev healthy young < 1cm in x ray. stable-
    discharge and advise follow up
    13.decreased tlco, fev1, increased tlc-
    emphysema
    14. decreased tlco and kco 150% of predicted? in pt of systemic sclerosis with prog breathlessness : ? effusion or diaphgrammatic weakness
    15. tubercular pt who needs isolation- one who is sputum positive
    16. bloody diarrhea not responded to metro 5 days
    amoebic
    balantidim coli
    campylobatercryptosporidium
    17. elderly with inferior quadrantonopia swelling in disc at upper pole with 3 week h/o headaches- first invegn
    ESR
    18. young pt with 8 days fever, 2 red spots at junc of soft and hard palate, splenomegaly, gen lymphadenpathy
    ps atypical cells
    ALL,or infectious mononucleosis
    19. test to confirm anaphylaxis- serum tryptase level
    20.alcoholic with ataxia and opthalmoplegia comes with hypoglycemia -fist drug: thiamine
  37. Guest

    Guest Guest

    can anyone say dm type 1 diagnosis best by age or ketone bodies
  38. relaxed

    relaxed Guest

    more

    21. poisoning with loss of vision after 24 hrs- ? methanol
    22. pt with chest pain ,hemoptysis- PE like pcitre commonest x ray finding-
    normal xray or wedge shaped infarct
    23. ds caused by hhv 8 -kaposi sarcoma
    24. b/l basal cylindircal bronciectasis - likely organism ? staphy
    25. operated 2 days back for colorectal ca, develos AMI- after apsirin clop, best t/t
    : primary angioplasty
    26. chest pain suggested of pericarditis
    ecg finding-
    diifuse st elevation
    27.acromegaly- invgn-
    glucose tolerance with gh measurement
    28. young lady with hypogly- what to measure next- insulin and c peptide or sulphonylurea level




    will get back with more as i recollect.
    but my sure advise to all those appearing is PASSMEDICINE is must.....
  39. relaxed

    relaxed Guest

    dear friend
    i think type 1 is best by ketosis, as MODY can occur at young age
  40. Guest

    Guest Guest

    thanx relaxed i did it ketosis too

    about PULMONARY EMBOLISM NORMAL CHEST X RAY IT IS WRITTEN AND IN MANY SITES THAT WE ARE NOT DEPEND ON CHEST X RAY AS IT IS OFTEN NORMAL

    INSULIN AND C PEPTIDE SURE

    PRIMANRY ANGIOPLASTY SURE IT IS SUPERIOR TO THROMBLYTICS WHENEVER AVAILABLE WE SHOULD DO IT
  41. Guest

    Guest Guest

    BRONCHIECTASIS---H INFLUNZA SEARCH FOR IT BESIDE THE COMMONEST IN COPD IS H INFLUNZA TOO
  42. guest1972

    guest1972 Guest

    the question about ??insulinoma was quite tricky. As far as I remember the question was: there was h/O dizziness and once her rbs was 2 mmols and if this pt came back with complains of dizziness what would be appropriate first investigation? and the answer is blood glucose. because you are dealing with a patient who comes symptomatic with a previous history of hypoglycemia. why to wait for a patient to come back dizzy for insulin and c peptide level?
  43. CT 1

    CT 1 Guest

    For unexplained Hypoglydemia you do prolong fasting 72 hrs under supervision check BM ever hr and as soon you record hypo take insulin and c peptide to confirm the diagnosis
  44. u1320918

    u1320918 Guest

    paper 2 was really tough
    site of action of acetazolamide
    many pharmacology questions....
  45. u1320918

    u1320918 Guest

    treatment of the lady with multiple ST infections isolated candida, gonococci and vaginosis?
  46. Guest

    Guest Guest

    crp and insulin testing whilst having symptoms to differentiate from endogenous source or if she was mis-using insulin so do it whilst having symptoms.
  47. winner2010

    winner2010 Guest

    hi

    man with history of acute MI
    gilbenclamide
    metformin
    1v insulin
    s/c insulin

    in standard deviation which value doesnt come under 2sd???

    2
    5.30
    10
    95
    97.5

    ECG changes in Hypokalaemia

    prominent U wave

    Test to diagnose Pulmonary hypertension
    ECHo

    commonet site for Myxoma??/
    RA/Rv

    Not able to abduct arm Nerve involved??
    axillary N

    Man with slight rise in Urinary proten 2+???

    minimal change
    glomerular nephritis


    testicular feminisation??
  48. Guest

    Guest Guest

    Does anyone remember the liver biopsy question ? I answered obesity as contraindication, any other ideas ?

    Those are the contraindications from emedicine :

    Uncooperative patient5
    Inability to identify a suitable biopsy site by either percussion or ultrasonographic guidance
    Prolonged (>1.5) international normalized ratio (INR)6
    Decreased platelet count (<60,000/mm3)
    Bleeding diathesis (eg, hemophilia)
    Recent use (within the last 7 days) of aspirin or nonsteroidal anti-inflammatory drugs (NSAID) or antiplatelet class of medications
    Unavailability of blood products for transfusion
    Morbid obesity of patient
    Ascites
    No backup support available from surgery or interventional radiology in case of a complication
    Suspected hemangioma or hepatic echinococcal cysts
    Abdominal wall infection over the identified biopsy site
    Infection in the right pleural cavity or below the right hemidiaphragm
    Bowel overlying biopsy site (on ultrasound or other abdominal imaging)
  49. It was Obesity.
  50. dr.wesam

    dr.wesam Guest

    Liver biopsy is contraindicated when bile duct obstruction is suspected (hence dilated), so from options given bile ducts dilatation is the more convincing answer ..

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