RECALLS FROM 2010/02 11MAY PART1

Discussion in 'MRCP Forum' started by PHD, May 11, 2010.

  1. PHD

    PHD Guest

    Wow...tht was some fun...
    I'm jus tryin to rememb the questions as m sure they'll fade frm memory within a week..
    So lets jus try to rememb all the questions first..
    Along the way the ones who r sure of the ans..plz keep addin ans..

    fingers crossed!!!
  2. booster28

    booster28 Guest

    may2010 part 1

    i found it tough
  3. Guest

    Guest Guest

    hii,

    It was really fun ;)


    7h/200 q giving me headache.


    the first 30 or so qx of 2nd paper were terrible.


    I hope all of u done well,

    I will try to recall/post some


    cheeeeerz
  4. booster28

    booster28 Guest

    1.dilated pupil - holmes adie
    2. 6 months of episodes of fatigue - chronic fatigue syndrome
    3.HLA antigen compatibility for kidney transplant- HLA-DR
    4. boy with head injury. lucid moment then LOC - epidural head injury

    ...will update more...mental block, need food!
  5. Immo

    Immo Guest

    RESPIRATORY

    1. mediastinal lymph node what investigation first ? ct ? mediascopy
    2. father has copd , son non smoker but reduced fev1 and looks obstrictive picture ? obliterans
    3. non smoker malignancy shadow on cxr but bronc normal ? adeno ? small cell
    4. asthma not settling with steroids 800 and prn salbutamol ? add salmeterol
    5. aplha 1 antitrypsin def ? MM
    6. pneumonia curb criteria raised urea
    7. pregnant lady blood gas showing resp alkalosis ? hyperventilation
    8. right upper zone shadow weight loss h/o of tb , aspergillus positive ? ca ? tb ? aspergilloma
    9. peripheral neuropahty causung drug patient on hiv and tb drugs
    10.inr decrease after starting tb medicine ? rifam
    11.patient spray paint worker worse at work but settled laterin week investigation ? serial peak flow
    12.siadh causing ?upper lob collapse
    13. patient suffering from pulmonary thromboemolic disease what will happen to his lung ? reduced tlco ? increased compliance etc
  6. Immo

    Immo Guest

    CARDIOLOGY

    aortic valve with anaemia ? angiodysplasia colonscopy vs angio
    pda what pulse ? collpasing
    pt collpase h/o of MI ecg showing st elevation without chest pain q waves and no reciprocal changes ? vt
    3. VT cause ? low Magnesium
    4. patient on lithium need to start HTN medication
    5. patient on bendro still having high bp had side effects of fluid retention / gum bleeding /lehtargy / with other HTN medication what next ? beta blocker
    6. pericardial effusion what will be the clinical sign ? pulses paradox ? rub ? jvp raised with inspiration ? bp raised with inspiration etc
    7. pulmonary hypertension question
    8. hocm investigation TOE or TTO
    9. which drug restore sinus ryhtym flecainide
    10.patient had acute now oliguric ? lvf ? rvf ? hypovoumia
    11.murmur organism bovis
    12.angina on ett with st depression which drug shows improve prognosis ISMN / NITARES / DILTAZEM
    13.patient on high dose of diuretics still having pedal edema cause ? cant recall the options
    14.patient having light headedness what will be significant on 24 hr tape ve , atrail ectopics , profound sleeping brady / svt / transirnt mobitz type1
    15.cocaine abuser having chest pain and htn what complication he will develops hyponatremia / hyperkalemia / hyperthermia / hypothermia etc
  7. Immo

    Immo Guest

    HAEMATOLOGY

    1 Leucoerythroblastic picture causes
    2. patient came for elective hip surgery wcc shwing 3500 ? cll ? cml
    3. delayed transfusion reaction after 1 week what investigation ? direct coombs test
    4 , most common infection via platelet transfusion Hep B / malaria / hiv/ staph line infection / treponema
    5. 15 minutes post transfusion patient sob / cxt pulm edema jvp not raised ? acute lung injury
    6. 2 question about hodgkin lymphoma
    7 thyroid swelling with lymph node enlargement
    8 soon starting chemo patient having agitation / suicidal thoughts ? steroids psychosis
    9. burkit lymphoma nmyc gene
    10. hs investigation osmotic fragility test
    11 .patient anaemic low ferritin low mcv ogd and colonscopy normal ? sideroblastic anaemia
  8. Immo

    Immo Guest

    Here are some recollections answers may be wrong ,
    add if you remember the full question or correct answer for discussion please



    1 Leucoerythroblastic picture causes

    2. patient came for elective hip surgery wcc shwing 3500 ? cll ? cml

    3. delayed transfusion reaction after 1 week what investigation ? direct coombs test

    4 , most common infection via platelet transfusion Hep B / malaria / hiv/ staph line infection / treponema

    5. 15 minutes post transfusion patient sob / cxt pulm edema jvp not raised ? acute lung injury

    6. 2 question about hodgkin lymphoma

    7 thyroid swelling with lymph node enlargement

    8 soon starting chemo patient having agitation / suicidal thoughts ? steroids psychosis

    9. burkit lymphoma nmyc gene

    10. hs investigation osmotic fragility test

    11 .patient anaemic low ferritin low mcv ogd and colonscopy normal ? sideroblastic anaemia

    12. aortic valve with anaemia ? angiodysplasia colonscopy vs angio

    13 pda what pulse ? collpasing

    14 pt collpase h/o of MI ecg showing st elevation without chest pain q waves and no reciprocal changes ? vt

    15 VT cause ? low Magnesium

    16. patient on lithium need to start HTN medication

    17. patient on bendro still having high bp had side effects of fluid
    retention / gum bleeding /lehtargy / with other HTN medication what next ? beta blocker

    18 pericardial effusion what will be the clinical sign ? pulses paradox ? rub ? jvp raised with inspiration ? bp raised with inspiration etc

    19. pulmonary hypertension question

    20. hocm investigation TOE or TTO

    21. which drug restore sinus ryhtym flecainide

    22.patient had acute now oliguric ? lvf ? rvf ? hypovoumia

    23.murmur organism bovis

    24.angina on ett with st depression which drug shows improve prognosis ISMN / NITARES / DILTAZEM

    25.patient on high dose of diuretics still having pedal edema cause ? cant recall the options

    26.patient having light headedness what will be significant on 24 hr tape ve , atrail ectopics , profound sleeping brady / svt / transirnt mobitz type1

    27.cocaine abuser having chest pain and htn what complication he will develops hyponatremia / hyperkalemia / hyperthermia / hypothermia etc

    28. mediastinal lymph node what investigation first ? ct ? mediascopy

    29. father has copd , son non smoker but reduced fev1 and looks obstrictive picture ? obliterans

    30. non smoker malignancy shadow on cxr but bronc normal ? adeno ? small cell

    31. asthma not settling with steroids 800 and prn salbutamol ? add salmeterol

    32. aplha 1 antitrypsin def ? MM

    33. pneumonia curb criteria raised urea

    34 pregnant lady blood gas showing resp alkalosis ? hyperventilation

    35. right upper zone shadow weight loss h/o of tb , aspergillus positive ?

    ca ? tb ? aspergilloma

    36. peripheral neuropahty causung drug patient on hiv and tb drugs

    37.inr decrease after starting tb medicine ? rifam

    38.patient spray paint worker worse at work but settled laterin week investigation ? serial peak flow

    39.siadh causing ?upper lob collapse

    40. patient suffering from pulmonary thromboemolic disease what will happen to his lung ? reduced tlco ? increased compliance et

    41 . 2b 3a inhibitor 2 patient with trop positive awaiting for angoi

    42. clopigogrel adp inhibitor

    43. after MI sliding scale what rate of insulin ? rate 6-8

    44 . obese lady failed sulphonylurea low gfr what next ? exenatide

    45 . high cholesterol with raised tsh what treatment ? thyroxine

    46 . od of 80 tab thyroxine 24 hr later treatment ? beta blocker

    47 . heavy smoker past asbestos exposure asympotomatic what will show cxr ? pleural plaques

    48 . life threating sign of asthma ? low Pco2 low peak flow less 35 % r/r30

    49. raised ALP back pain pagets

    50 . question about Diabetes inspidus check aldesterone and renin

    51 . question of hypokalemic hypertension

    52. insulinoma what investigation prolong fast

    53 ulcer operation symptomatic check gastrin level

    54 . terminal ileum surgery bacterial overgrowth , similar question but high mcv i thik asking for megaloblastic anaemia

    55. one small kidney what investigation MR angio / arterio

    56. venous ulcer what next ABPI

    57 . seizure after normal viaginal delivery ? cortical thrombosis

    58 . meningits picture ? listeria not sure the correct answer

    59 . acute TRANSPLANT rejection IgG

    60 . DR4 RA

    61 . HLA B27/ sacroliea xray Ankylosing spondylitis

    62 , syringomyelia question

    63. parietal lobe acalculia

    64 . temporal lobectomy ? agnosia ? aphasia ? quadrantopia

    65 . NNT - 1/ EER-CER

    66. seminoma cured after chemo asking for physiology ;-(

    67 . most common genetic disorder >? chromosomal ? mitochondrial

    68. thyroid swelling and lymphnode ? Hashimoto

    69 . dermatomyositis anti jo

    70 . anti ro crossing placenta to new born

    71 . common perineal nerve damage question

    72. cellulitis showing MRSA what should be added along with vanco

    73. cipro causing tendon damage

    74 . diarrhoea after chinese restaurant bacillius

    75 .diarrhea outbreak on a ship ? nora ? rota

    76 . prolong offensive diaarhea after returning from asia ? Giardiasis

    77. anaemic after trip to india ? hook worm

    78 .eosinophilia after trip to uganda ? shistosomia

    79 . EAA upper zone fibrosis

    80. diarrhoea with blood salmonella

    81 diarrhoea e coli

    82 . prolong bloody diarrhoea raised inflammatory marker what test ? stool microscopy ? rigid sigmoidoscopy ? colonscopy ? axr

    83 . peptic ulcer still symptomatic check gastrin level

    84 . acromegaly what investigation fasting growth harmone/ growth harmone supression / MR pitutiatry

    85 . HSP what antibodies IgA

    86 . membranous nephropathy what treatment ? prednisolone

    87 . vasculitis what treamtment along with pred ? cyclophos

    88. anticentromere antibody question

    89. recurrent renal calculi / family history as well ? cystinosis

    90 . treatment to prevent renal calculi ? diuretics

    91 . sle c4 defieciency

    92. ? ethanol for methanol poisoing

    93. recurrent lip / throat swelling beekeeper on ace inhibitor for 6 months ? c1 inhibitor ? drug induced ? herede angioedema

    94. HIV with unprotected anal intecourse now jaundice cd4 520 ? hep B ? cmv ?

    95 . HIV skin lesion ? kaposi ? molluscum contagisum

    96. HIV single ring enhancing lesion ? toxo ? TB

    97 . wilson low serum copper

    98 . tricyclic overdose treatmetn bicarbonate

    99. intention to treat

    100. sudden painful loss of vision ? glucoma

    101. right pupil large not reacting to light but on convergence become smaller then left ? Argyl robertson ? home Adie

    102. 2 questions of restless leg syndrome answers ropinorole i think

    103. splenectmoy when to give pneumococcal vaccine 1 week or 1 month before no option of 2 week

    104. aortic dissection what else may present HTN

    105. ITCHY lesion dissaperaing spontaneously treatment ? pred ? dapsone

    106. pit versicolour

    107. psoriasis investigation question

    108. chronic pancreatis ? faecal elastase ? faecal fat

    109. autonomic features with parkinson shydrager (mutisystem atrophy)

    110 . normal pressure hydroceph

    111. alzhemer short term memory loss

    112. uc deranged LFT ? PSC

    113. UC chance of having malignancy ? prolong inflammation

    114. peritoneal dialysis infection which organism ? staph epiderm

    115. HHT autosomal dominant

    116. acute liver injury prognosis ? PT / ? Bilirubin

    117 . sign of decompensated liver disease ? ascites

    118 . lady with ascites and liver mets raised all tumor markers pancreas / colon / ovary what will be primary ( I dont know who cares )

    119 . secondary amenorhea after stopping ocp doing vigorous exersize ? cause ? premature ovarian failure / ? hypothamic / ? 2to ocp

    120 . bony mets on morphine very drowsy need to cut down what to add naproxen

    121 . noisy scertion palliative patient intracerberal bleed ? transdeermal hyoscine

    122. drug ( Alcohol ) induced porphyria , lady partying now abdo pain and agitated

    123 . withdrwal symptoms give chlordiazepoxide

    124. wernicke / delerium tremens

    125. phenytoin levels not decreaing in renal failure patient why

    126. acetylar status which drug hydralazine

    127. graves disease what will be present ? myxedema

    128 . lady recieving chemo i think asking for for tumor lysis syndrome

    129 patient recieving chemo in conatact with chicken pox give not vaccinated in the past ? IVIG ?vaccine

    130 . amyloid do rectal biopsy

    131. augmentin cholestatic jaundice

    132. question about primary hyperparathyroidism

    133. patient on bendrofluthiazide having low k whats the mechanism

    134. pain in the wrist and forearm while using hammer ? lat epicon ? ulnar neuropathy ? tennis elbow

    135. paranoid schizophrenia

    136 . Insominia / weight loss / lost his family in terrorist attack still pending compensation ? Post traumatic ? depressive

    137. patient agitated / mettalic taste after stopping her pshychiatric medications

    138. swollen knee aspirated no organism given steroid relieved but reccur within a week wiith raised infalmmatory marker what next ? iv antibiotic ? / reaspirate

    139 . spontaneous pneumothrax aspirated , symptoms improved repeat cxt showing 1.5 cm ? oberve ? aspirate

    140. bitempral hemianopia --> optic chiasm

    141. after starting gout painful wrist knees and elbows ? allpourinal induced

    142. head injury no loc initially deteriotes after 2 hr lucid interval ? estradural ? subdural


    143. insulin in gestational diabetes

    144. TH2 ----------------> IL4

    145 . recurrent infection in lymphoma patient ? complent def

    146. transient global amnesia


    147.acoustic neuroma ? loss of corneal reflex

    148. HUS and and anaemia what type of cells showing in microscopy howell / target / cast etc

    149 . role of BRCA genes

    150 . achalsia ? decrease peristalsis wave
  9. mrrc

    mrrc Guest

    thanks alot for typing virtually all the questions out! :D :D
  10. Guest

    Guest Guest

    GREAT Immo
    thanx
  11. walkojalko

    walkojalko Guest

    Anybody know how many questions in average you cen get wrong and still pass?
  12. asya

    asya Guest

    hello
    hope u all will pass
    if any can remmber more Q and the choice for each
    what source did u use for the exam??was it enough?
    what about the basic Q in exam..it was difficult ,dont u think so???
    i sit for exam in ksa and they exculde Q no 85 did it ocur with some one els???how will be the score mabged???
  13. Guest

    Guest Guest

    Yes, they excluded q 85 in LONDON too.
  14. Guest

    Guest Guest

    Yes, they excluded q 85 in KUWAIT too.

    thanks alot IMMO.....

    by the way Q about post MI insulin S/C I think options were about the range of blood sugars rather than rate of infusion... what do u think?
  15. imad

    imad Guest

    qaust about skin rash valecious in flexure surfaces wat feautre else? oligo arthropathy? scabis?

    pt with recurent ita raised st segement e out ercprocal changes cerebral embolism or vt
  16. Immo

    Immo Guest

    yes right they were asking the BM rate rather then infusion , to be honest i never realising while practising how much it should be maintained most of the time i just sign the sliding scale and nurses will keep it below 10
  17. Rony_dhaka

    Rony_dhaka Guest

    Hello!
    I sat in Dhaka.
    2nd paper was so difficult for me.
    Anybody know what mark could make us pass?
    Any guess????
  18. Guest

    Guest Guest

    Pulse in PDA - Normal?
    Cocain - hyperthermia?
    Shape of crystals in gout? Needle bifringent?
  19. Nasaa

    Nasaa Guest

    Thx Immo for the great effort

    Test for proteins.....Western blot
    PCR........?
    Statistic table, which test?
    Rash on scalp,....,... & nose ......Seboroid Dermatitis
    Lady on treatment after mother death anxiety........Panic attacks?
    Retinal heamorrages,Hypertensive...,............Retinal vein thrombosis
    boy ingested something in party.......ectasy?
    Proximal myopathy, rash, nail fold infarcts>......Dermatomyositis
    Many questions on Rhaumatoid Arthritis
    % of drug metablisez by first pass after 20 hours ???
    Alfa feto protein
  20. Guest

    Guest Guest

    HOCM -TTE
  21. Nasaa

    Nasaa Guest

    -ring emhansing lesion in Aids pat>>.......Toxoplasmosis
    -duration of anti retroviral treatment after needle stick....1 or 3 mounths?
    -organism in drug abuser>>......staff aur
    -haem sat shift to the right>....increased co2 conc
    -facial palsy treatment .....prednisolon
    -organic versis psychiatric disorder??? presence of dementia or urinary incontinence?
    -q about pancriatitis
  22. Guest

    Guest Guest

    dementia+urinary incontinence+gait problems= N pressure hydrocephalus
  23. Guest

    Guest Guest

    diarrohea questions almost 20percent

    thanks very much immo for collecting so much questions i try to collect some more other than so that we will have nearly all the questions then we can discuss the answers 1.surgery for crohns done 1 yr before and now on mesalazine presenting with diarrohea -active crohns (not sure) 2.diabetic with 9 month diarrohea who have been treated many times for his ulcer with antibiotic-antibiotic related 3.miller-fischer syndrome -reduced reflexes with ophthalmologia and ataxia 4.child with dentist presenting due to an episode of collapse and regain conscious after short period-complicated syncope 6.women with livedo reticularis and misccariage -anti phospholipid syndrome 5.pt with rheumatiod arthritis presenting with kidney disease-rectal bopsy 7.halos with sudden loss of vision -closed angle glaucoma 8.71 yr old with features of papilloedema-giant cell arteritis 9.24 yr old with blurred vision and papilloedema-optic neuritis 10.parkinson disease treatment-ropinirole 11.restless leg syndrome-ropinirole 12.meninigitis with glucose 0.6 lymp 46 and neut 35 -enterovirus 13.trip to south america with diarrohea-s.mansoni(?)
  24. Guest

    Guest Guest

    14.exercise with fatique and how to improve o2 reaching more to tissues-inc glucose ? 15.ciprofloxacin-tendinopathy 16.vancomycin +rifampicin for mrsa 17.pruritic papules on flexor aspect wat other findings-mucous membrane involvement 18.ithing with erythematic plaques dissappearing after 2-3hours from 6 months-prednisole ? 19.light headedness plus 12 hour ecg normal wat is most clinic significant a.atrial premature beats b.ventricular premature beats c.svt 4.mobiltz type 1 av block etc i gave 4th dont know correct or not 20.renal stone with family h/o renal stones-custinuria 21.hereditary heamorrhagic telangiectasia-autosomal dominant 22.haemochromatosis risk to offspring-0 percent 23.factor v deficiency 24.aortic abscess plus colonoscopy-s.bovis 25.chi-squared test 26.2*2 table test analysis-paired t test i dont know? 27.nnt=20 28.npv=tn/tn+fn 29.meta analysis (some people r lost during follow up) 30.thiazide causing hypokalemia????????????////// 31.dermatomyositis -antismooth muscle since anti jo in polymyositis 32.elbow movements affected_compartment syndrome????????///// 33.acute tubular necrosis???????????????//////////////////// 34.night out agitated with bp 150/100-ectasy 35.pica???????////////////// 36.syringomyleia with c4-t1 lesion?vibration of hands 37.37year old affected with htn on discontinuing med due to adverse affects as gum bleeding and ankle sweeling now on bendroflumethiazide and still thn next treatment -perindoprill since ca channel cause gum bleeding ???????? 38.protein-western blotting 39.60 yr old with back pain and ca inc-hyperparathyroid 40.saturation kinetics-phenytoin 41.acetylator -hydralazine 42.nitrates-tlolerance 43.htn pt on lithium and antidepresant with raynauds -amlodipine since both bp and raynauds will b covered 44.renal transplant -a.hla A/B/C/D/G?????????////////////////// 45.CLL-HYPOGAMMAGLOBINAEMIA so low igs ???????? 46.valsalva manouvre-????????????????????? 47.16 weeks pregnant 2 hr ogtt 12.5 so soluble insulin 48.old man agitated man with agitation and refusing to go out and does not like his children does not visit him-agoraphobia 49.waspbee keeper-drug induced remainig so hope we all pass
  25. guest23

    guest23 Guest

    exam was hard
  26. DR_MAHMOUD

    DR_MAHMOUD Guest

    HERE ARE MY ANSWERS ALSO NOT SURE ABOUT THEM
    1 Leucoerythroblastic picture causes >>>DONT REMEMBER

    2. patient came for elective hip surgery wcc shwing 3500 ? cll ? cml >>>CML

    3. delayed transfusion reaction after 1 week what investigation ? direct coombs test >>>HOMOSIDRENURIA

    4 , most common infection via platelet transfusion Hep B / malaria / hiv/ staph line infection / treponema >>>HEP B

    5. 15 minutes post transfusion patient sob / cxt pulm edema jvp not raised ? acute lung injury >>SAME

    6. 2 question about hodgkin lymphoma

    7 thyroid swelling with lymph node enlargement >>>LYMPH NODE BIOPSY

    8 soon starting chemo patient having agitation / suicidal thoughts ? steroids psychosis >>>DEPRESSION??

    9. burkit lymphoma nmyc gene >>SAME

    10. hs investigation osmotic fragility test >>SAME

    11 .patient anaemic low ferritin low mcv ogd and colonscopy normal ? sideroblastic anaemia >>>SAME

    12. aortic valve with anaemia ? angiodysplasia colonscopy vs angio >>>COLONOSCOPY

    13 pda what pulse ? collpasing >>SAME

    14 pt collpase h/o of MI ecg showing st elevation without chest pain q waves and no reciprocal changes ? vt >>>CEREBRAL EMBLOISM

    15 VT cause ? low Magnesium >>>SAME

    16. patient on lithium need to start HTN medication >>>DOXAZOCIN??

    17. patient on bendro still having high bp had side effects of fluid
    retention / gum bleeding /lehtargy / with other HTN medication what next ? beta blocker >>>ACE??

    18 pericardial effusion what will be the clinical sign ? pulses paradox ? rub ? jvp raised with inspiration ? bp raised with inspiration etc >>CANT REMEMBER

    19. pulmonary hypertension question

    20. hocm investigation TOE or TTO >>TTE

    21. which drug restore sinus ryhtym flecainide >>>I PUT IT WRONG DIGOXIN

    22.patient had acute now oliguric ? lvf ? rvf ? hypovoumia >>>RVH

    23.murmur organism bovis >>SAME

    24.angina on ett with st depression which drug shows improve prognosis ISMN / NITARES / DILTAZEM >>>NITRATES??

    25.patient on high dose of diuretics still having pedal edema cause ? cant recall the options

    26.patient having light headedness what will be significant on 24 hr tape ve , atrail ectopics , profound sleeping brady / svt / transirnt mobitz type1 >>>SVT

    27.cocaine abuser having chest pain and htn what complication he will develops hyponatremia / hyperkalemia / hyperthermia / hypothermia etc >>>HYPERTHERMIA??

    28. mediastinal lymph node what investigation first ? ct ? mediascopy >>MEDIASTIANOSCOPY

    29. father has copd , son non smoker but reduced fev1 and looks obstrictive picture ? obliterans CANT REMEMBER

    30. non smoker malignancy shadow on cxr but bronc normal ? adeno ? small cell CANT REMEMBER

    31. asthma not settling with steroids 800 and prn salbutamol ? add salmeterol >>SAME

    32. aplha 1 antitrypsin def ? MM >>ZZ??

    33. pneumonia curb criteria raised urea >>SAME

    34 pregnant lady blood gas showing resp alkalosis ? hyperventilation

    35. right upper zone shadow weight loss h/o of tb , aspergillus positive ?

    ca ? tb ? aspergilloma >>ASPERGILLOMA??

    36. peripheral neuropahty causung drug patient on hiv and tb drugs

    37.inr decrease after starting tb medicine ? rifam >>I PUT IT WRONG INH

    38.patient spray paint worker worse at work but settled laterin week investigation ? serial peak flow >>SAME

    39.siadh causing ?upper lob collapse >>SAME

    40. patient suffering from pulmonary thromboemolic disease what will happen to his lung ? reduced tlco ? increased compliance et >>CANT REMEMBER

    41 . 2b 3a inhibitor 2 patient with trop positive awaiting for angoi >>CANT REMEMBER

    42. clopigogrel adp inhibitor >>SAME


    43. after MI sliding scale what rate of insulin ? rate 6-8 >>SAME

    44 . obese lady failed sulphonylurea low gfr what next ? exenatide >>SAME

    45 . high cholesterol with raised tsh what treatment ? thyroxine >>SAME

    46 . od of 80 tab thyroxine 24 hr later treatment ? beta blocker >>SAME

    47 . heavy smoker past asbestos exposure asympotomatic what will show cxr ? pleural plaques >>SAME

    48 . life threating sign of asthma ? low Pco2 low peak flow less 35 % r/r30>>SAME

    49. raised ALP back pain pagets >>MALIGNANT PROSTATE WITH BONE METS??

    50 . question about Diabetes inspidus check aldesterone and renin

    51 . question of hypokalemic hypertension

    52. insulinoma what investigation prolong fast >>SAME

    53 ulcer operation symptomatic check gastrin level >>SAME

    54 . terminal ileum surgery bacterial overgrowth>>>I THINK IT IS FAT DIARHEA AN I REMEMBER
    , similar question but high mcv i thik asking for megaloblastic anaemia

    55. one small kidney what investigation MR angio / arterio >>>>NOOOO IT IS RENAL BIOBPSY AS BOTH KIDNEY ARE SMALL IN SINZE NOT ON SMALL AND THE OTHER IS NORMAL AT THIS TIME WE CAN SUSPECT RENAL ARTERRY STENOSIS

    56. venous ulcer what next ABPI >>SAME

    57 . seizure after normal viaginal delivery ? cortical thrombosis >>CANT REMEMBER

    58 . meningits picture ? listeria not sure the correct answer >>SAME??

    59 . acute TRANSPLANT rejection IgG >>SAME

    60 . DR4 RA >>SAME

    61 . HLA B27/ sacroliea xray Ankylosing spondylitis >>sAME

    62 , syringomyelia question >>ANY ANSWERS PLEASE??

    63. parietal lobe acalculia >>SAME BUT FOR DISCUSSIONS

    64 . temporal lobectomy ? agnosia ? aphasia ? quadrantopia

    65 . NNT - 1/ EER-CER >>DONT ASK ME IN STATESTICS!!!!

    66. seminoma cured after chemo asking for physiology ;-(>>>ALSO:(

    67 . most common genetic disorder >? chromosomal ? mitochondrial

    68. thyroid swelling and lymphnode ? Hashimoto >>SAME

    69 . dermatomyositis anti jo >>>I THINK NO I DID ANT SMITH

    70 . anti ro crossing placenta to new born >>SAME

    71 . common perineal nerve damage question >>SAME

    72. cellulitis showing MRSA what should be added along with vanco>>RIFAMP

    73. cipro causing tendon damage >>SAME

    74 . diarrhoea after chinese restaurant bacillius >>B CERIUS

    75 .diarrhea outbreak on a ship ? nora ? rota >>ROTA

    76 . prolong offensive diaarhea after returning from asia ? Giardiasis >>SAME

    77. anaemic after trip to india ? hook worm >>SAME

    78 .eosinophilia after trip to uganda ? shistosomia >>SAME TTT PRAZIQUANTIL

    79 . EAA upper zone fibrosis >>SAME

    80. diarrhoea with blood salmonella >>SAME

    81 diarrhoea e coli >>SAME

    82 . prolong bloody diarrhoea raised inflammatory marker what test ? stool microscopy ? rigid sigmoidoscopy ? colonscopy ? axr >>ABDOMINA X RAY(DONNU Y?!

    83 . peptic ulcer still symptomatic check gastrin level >>SAME

    84 . acromegaly what investigation fasting growth harmone/ growth harmone supression / MR pitutiatry >>MR PIT

    85 . HSP what antibodies IgA >>MESANGIAL CELLULARITY??

    86 . membranous nephropathy what treatment ? prednisolone >>>ACE ??DISCUSS PLEASE

    87 . vasculitis what treamtment along with pred ? cyclophos>>SAME

    88. anticentromere antibody question

    89. recurrent renal calculi / family history as well ? cystinosis >>CYSINURIA

    90 . treatment to prevent renal calculi ? diuretics >>SAME

    91 . sle c4 defieciency >>>SAME

    92. ? ethanol for methanol poisoing >>SAME

    93. recurrent lip / throat swelling beekeeper on ace inhibitor for 6 months ? c1 inhibitor ? drug induced ? herede angioedema >>C1 INHIBITOR??

    94. HIV with unprotected anal intecourse now jaundice cd4 520 ? hep B ? cmv ? >>CNMV??

    95 . HIV skin lesion ? kaposi ? molluscum contagisum >>>KAPOSI

    96. HIV single ring enhancing lesion ? toxo ? TB >>TOXO

    97 . wilson low serum copper >>SERUM CERRULOPLASMIN??

    98 . tricyclic overdose treatmetn bicarbonate >>sAME

    99. intention to treat >>>SAME

    100. sudden painful loss of vision ? glucoma >>SAME

    101. right pupil large not reacting to light but on convergence become smaller then left ? Argyl robertson ? home Adie >>HOLME ADDIE

    102. 2 questions of restless leg syndrome answers ropinorole i think

    103. splenectmoy when to give pneumococcal vaccine 1 week or 1 month before no option of 2 week >>I MONTH

    104. aortic dissection what else may present HTN >>>JAW PAIN DISCUS PLZ

    105. ITCHY lesion dissaperaing spontaneously treatment ? pred ? dapsone >>PREDNISLONE

    106. pit versicolour >>PIT ROSACEA??

    107. psoriasis investigation question

    108. chronic pancreatis ? faecal elastase ? faecal fat >>FECAL ELEASTACE??

    109. autonomic features with parkinson shydrager (mutisystem atrophy)>>SAME MULTI SYSTEM ATROPHY

    110 . normal pressure hydroceph >>SAME

    111. alzhemer short term memory loss CANT REMEMBER

    112. uc deranged LFT ? PSC >>SAME

    113. UC chance of having malignancy ? prolong inflammation>> CANT REMEMBER

    114. peritoneal dialysis infection which organism ? staph epiderm>>STAPH AURIOUS??

    115. HHT autosomal dominant >>sAME

    116. acute liver injury prognosis ? PT / ? Bilirubin >>PT

    117 . sign of decompensated liver disease ? ascites >>CAPUT??

    118 . lady with ascites and liver mets raised all tumor markers pancreas / colon / ovary what will be primary ( I dont know who cares ) >>OVARIAN TUMOUR

    119 . secondary amenorhea after stopping ocp doing vigorous exersize ? cause ? premature ovarian failure / ? hypothamic / ? 2to ocp >>PCO

    120 . bony mets on morphine very drowsy need to cut down what to add naproxen >>SAME

    121 . noisy scertion palliative patient intracerberal bleed ? transdeermal hyoscine >>DIDNT C

    122. drug ( Alcohol ) induced porphyria , lady partying now abdo pain and agitated >> ECTASY??

    123 . withdrwal symptoms give chlordiazepoxide

    124. wernicke / delerium tremens CANT REMEMBER

    125. phenytoin levels not decreaing in renal failure patient why >>AFFECTED BY RENAL IMPAIRMENT??

    126. acetylar status which drug hydralazine >>SAME

    127. graves disease what will be present ? myxedema >>sAME

    128 . lady recieving chemo i think asking for for tumor lysis syndrome>>SAME

    129 patient recieving chemo in conatact with chicken pox give not vaccinated in the past ? IVIG ?vaccine >>VACCINE ??F DISCUSSION

    130 . amyloid do rectal biopsy CANT REMEMBER

    131. augmentin cholestatic jaundice>> CO AMOXICLAV SAME

    132. question about primary hyperparathyroidism >>SAME

    133. patient on bendrofluthiazide having low k whats the mechanism >>INCRESAED EXRETION IN DISTAL TUBULES??

    134. pain in the wrist and forearm while using hammer ? lat epicon ? ulnar neuropathy ? tennis elbow >>TENNIS ELBOW??

    135. paranoid schizophrenia >>SAME

    136 . Insominia / weight loss / lost his family in terrorist attack still pending compensation ? Post traumatic ? depressive >>DIDNT C

    137. patient agitated / mettalic taste after stopping her pshychiatric medications CANT REMEMBER
    138. swollen knee aspirated no organism given steroid relieved but reccur within a week wiith raised infalmmatory marker what next ? iv antibiotic ? / reaspirate >>REASPIRATE

    139 . spontaneous pneumothrax aspirated , symptoms improved repeat cxt showing 1.5 cm ? oberve ? aspirate >>OBSERVE

    140. bitempral hemianopia --> optic chiasm

    141. after starting gout painful wrist knees and elbows ? allpourinal induced >>SAME

    142. head injury no loc initially deteriotes after 2 hr lucid interval ? estradural ? subdural >>SUBDURAL


    143. insulin in gestational diabetes

    144. TH2 ----------------> IL4 >>I DID IT WRON TNF

    145 . recurrent infection in lymphoma patient ? complent def >>HYPO IMMUNOGLOBULIN G

    146. transient global amnesia >>SAME


    147.acoustic neuroma ? loss of corneal reflex >>SAME

    148. HUS and and anaemia what type of cells showing in microscopy howell / target / cast etc>> I THINK AS I REMEBER FRAGMENTED SOMTING LIKE THAT

    149 . role of BRCA genes>> DONNU

    150 . achalsia ? decrease peristalsis wave>>DIDNT C
  27. loser

    loser Guest

    ok ..this is my list.
    mostly the items mentioned above (omg how did u remember all that!)
    i just included the ones for which the answers i double checked ..so pretty sure about the answers... :cry: one forth of these i got wrong
    btw ...anybody knows whats a safe percentage score to pass?
    what would be a good score?


    to the list

    alfa 1 zz
    holmes adie
    nonsmoker ...adenoca
    asthna on 800 not controled... add laba
    aspergilloma
    spray paint worker worse at work but settled laterin week.... ige isocyanates
    pt collpase h/o of MI ecg showing st elevation without chest pain q waves and no reciprocal changes ? vt
    VT cause ? low Magnesium
    which drug restore sinus ryhtym flecainide
    murmur organism bovis
    light headedness what will be significant on 24 hr tape svt
    most common infection via platelet transfusion staph
    minutes post transfusion patient sob / cxt pulm edema jvp not raised ? acute lung injury
    syringomyelia ... loss of pin prick in hands
    chemo patient having agitation / suicidal thoughts ? steroids psychosis
    patient anaemic low ferritin low mcv ogd and colonscopy normal ? meckle's diverticulum
    patient on bendro still having high bp had side effects of fluid
    retention / gum bleeding /lehtargy / with other HTN medication what next ? ACEI
    clopigogrel action ....adp receptor
    acute MI goal glycemic control..... 6-8
    past asbestos exposure asympotomatic what will show cxr ? pleural plaques
    life threating sign of asthma ? low peak flow less 35 %
    pseudogout... positively birefringent, rhomboidal
    Test for proteins.....Western blot
    ring emhansing lesion in Aids pat>>.......Toxoplasmosis
    dementia+urinary incontinence+gait problems= N pressure hydrocephalus
    vancomycin +rifampicin for mrsa (was it skin/soft tissue infxn???)
    DR4 RA
    cipro causing tendon damage
    Chinese Restaurant Syndrome" is an intoxication associated with Bacillus cereus
    acromegaly Dx.... IGF-1
    membranous nephropathy Rx.... ACEI
    recurrent lip / throat swelling beekeeper on ace inhibitor for 6 months ? drug induced
    splenectmoy when to give pneumococcal vaccine .... 1 month
    agitated / mettalic taste after stopping her pshychiatric medications ......benzodiazepine withdrawal
    spontaneous pneumothrax aspirated , symptoms improved repeat cxt showing 1.5 cm what next..... O2
    acoustic neuroma ? loss of corneal reflex
    pap. thryoid
    lucid epiduraral
    pneumonia curb criteria raised urea
    inr decrease after starting tb medicine ? rifam
    pda what pulse ? collpasing
    cocaine abuser having chest pain and htn what complication he will develops ...hyperkalemia
    burkit lymphoma c-myc gene
    intoxication 80 tab thyroxine ,24 hr later asymtomatic ..treatment ?... beta blocker
    hiv proph needle stick... 4 weeks (3 or 2 drugs)
    restless leg syndrome-ropinirole
    insulinoma what investigation ...72 hr fast

    kidny tx hla-dr
  28. Guest

    Guest Guest

    equating= 521
    good luck
  29. walkojalko

    walkojalko Guest

    Anybody know how many questions in average you cen get wrong and still pass?
  30. Immo

    Immo Guest

    very difficult to say but on the safe side u need to correct 130 minimum to have any chances

    but some one may be luky to pass with less then that
  31. Guest

    Guest Guest

    skin hypopigmented sites/T. versicolor
  32. Guest

    Guest Guest

    q. lichen planus--- answer buccal mucosa ( sure im dermatologist)
  33. patient w hypothyroidism skin leion ( alopecia areata)
  34. no body can be sure of succesfull The lord (allah) only know[/b]
  35. guest12345

    guest12345 Guest

    MRCP 1 May exam

    That was really hard
    How about the statistics questions
    I don't remember the theme but it was q 100 paper 1, how did u answer that?

    And also the rest of statistics questions.
    Think there were a lot of them and infections...very confusing
    wish to pass
  36. Guest

    Guest Guest

    i had question my friends did not have any one know if this can occur
    for example i had question about what is the propability of woman will have 3 children to be all female 1/4 1/8 1/128?????????
  37. loser

    loser Guest

    ok maybe the dermatologist can confirm the answer for theses two:
    1- lesions appearing & dissaperaing spontaneously on various body parts and are itchy. what treatment should be given. among the choices was 1 cetrizine 2- dapsone 3-steroids.
    i chose cetrizine thinking it was urticaria

    2- crops of flat topped papules appearing on buttocks and other parts of HIV pt. resolving spont. and some leaving scars behind and then new crops appear.
    was this moluscum?


    ....immo where did u sit ur exam? i sat mine in dubai. coz some Q's u mentioned i can't recall at all. maybe these r the experimental questions.

    ....people come forward with more Q's or answers pls.
    ----there was one Q about test accuracy.... don't remember details...but it's TP+TN/FP+FN

    ------one q medicine with t1/2 4 hrs...what % is left after 20hrs.....3.125%

    -----one Q with acid base values..asking which one is analytical error... answer was option A... HCO3 &pco2 both show acidosis but H+ show alk. ...or the other way arround.
  38. loser

    loser Guest

    one more
    mother hemochromatosis carrier ...asking for chance of affected baby given that husband is unrelated given frequency of carrier in general population is 1 in 100 ....... 1/400

    (or was it the gene frequency that was 1/100????...can't remember...answer will be different in this case)
  39. Immo

    Immo Guest

    I sat in Leeds , there are always some different questions in different regions but at the end of the day u need along with good knowledge ,lots of luck l to clear this tough exam
  40. DR/ MRCP

    DR/ MRCP Guest

    YES IT NEEDS ALOT OF READIG ANY ONE REMEBER THE DERMATOLOGY QS??
  41. Guest

    Guest Guest

    Which drug improves prognosis in pt. with the chest pain? aspirin, nitrates?
  42. mansouooor

    mansouooor Guest

    ???

    paper 1 was so tuff for me , but paper 2 is ok.
    can you tell me more about the marking system and how exactely the process be done .


    thanks[/b]
  43. walkojalko

    walkojalko Guest

    thanks immo.U r right.
  44. Guest

    Guest Guest

    hi

    hyperkeratotic erythematous lesion description-red scaly? chronic kidney disease with erythropoitin improves renal function or improves exercise
  45. Guest

    Guest Guest

    1-loss of vision+extesive retinal hge>>>central retinal veine
    2-increased o2 to tissue>>>>>>>>>>>increased pco2
    3-global hand muscle weakness+sensory loss little finger what root>>> T1
    4-bloody diarrhea+HUS>>>>>> fragmented rbc
    5-marked increase ALP normal ca & ph back pain>>>> paget
    6-fetus of mother jogron s>>>> anti RO ssa
    7-dermatomyositis>>>>>>> anti Jo
    8-systemic sclerosis Q
    9-pseudo gout>>>>>>>>>>> +ve needle shaped
    10-alcholic after 4 day in hospital agitated & disorinted>>>>delrium??
    11- normal pr hydrocephelus Q
    12-alopecia + hypothroid+ hypopigmented area>>> alpcia areata??
    13-dermatology Q >>>>> answer>>> mucosal involvement?????
    14-itchy tens blister>>>skine biopsy immunflorescence?
    15-wide spread pruritus increased nocturnal + lesion around finger>.>>scabies?????????
    15-anaemia + worm from anus>>>>>> hook worm
    16-ileal resection for crhons then diarrhea 6 times /d>>>>>bile acids D
    17-lithium therapy + hypertension>>>> doxazocin or amlodipine????
    18-primaquine added for ttt of malaria why?>>>> hepatic forms
    19-40 years RA + protinuria>>>>> rectal biopsy
    20- 6 years of rheumatoid A. was on gold now she in remission without medication having protinuria drug induced or amyloidosis>>>> amyloid???
    21-parietal lobe lesion>>>>acalculia
    22-valsalva manouver initial response>>> i choose decrease venous return but if there was increase strok volum between answers it is the correct i do not remem
    23-loss of all foot movement + loss of ankle reflex>>>>>. my answer lumbo sacral but think it is wrong answer sciatic correct
    24-hemi anasthesia hemiplegia miosis lesion>>>>> pons
    25-post par atum woman 36 hours with 2 fits and severe prgressive headache + epidural anasthesia during delivery>>>> my answer was wrong subarachnoid hge
    26-slow acetylators>>..>>>>> hydralazine
    27-malignant pericardial effusion>>>>>>>inspiratory increase in JVP
    28-syringomeylia c4-t1>>>>>> loss of pain and temp other hand
    29-maximum dose of morphine what to add>>>>>> ?????
    30-homozygous for HEF gene posibility of her children to carry the gene>>>>> 100% (not: just carry the gene)
    31-wilsons>>>>>>decreas ceruloplasmi
    32-alpha one antitrypsin>>>>>>>>>>>>> zz
    33-R.A. >>>>>DR4
    34-ankylosing spond confirmatory>>>>> HLAB-27 or xr ??/
    35-PDA >collapsing pulse
    36-GPIIa IIIb >>>>>>>>>>>>>> before angioplasty
    37- parkinson>>>>>>>>>>>> MSA
    38-Q transient global amnesia
    39-dementia>>>>>>>>>>> loss of recent memory
    40- chines reustrant??????????? bacilus crreus
    41-Q giardiasis
    42- improvr prognosis>>>>>> asprin
    43- bloody diarrhea of 2 months>>>>>>colonoscopy?????
    44-AS anemia>>>... colonoscopy
    45- cath. with increased o2 sat pul viene and rt ventricle >>>>>>>> ASD???
    46-primary hyperpara thyroidism Q
    47-chronic thrombo emblism >>..??? decrease TLco?????
    48- restrictive lung disease non smoker his father die OPLD >>>>alpha 1 anty trpsin??????
    49-pneumonia curb>>>>>>>>>>uria =9
    50thyroid swelling and neck LN >>>>>papillary carcinoma
    52-diarrhea Q >>>>> rota virus
    53-hodgkin lymphoma Q
    54-Pulmonary HTNQ?>>>>>>>>>>>> i think increase systemic venous congeesion????/
    55-drug elemination after 20 hours>>>>> 1oo%?????/
    56- Q ecstasy
    57- coccain>>>.>>>>>>hyperthermia
    58-posibiliyt to have 3 children femal>>>>>> 1/8 ?????
    59- NNT>>>>>>>>>>>>>> 20
    60-metanol toxicty GCS 3>>>> HD
    61- MEMBRAOUS nephropathy>>>>ramipril( i am nephrologist)
    62- dermo Q >>>>> cetrisine antihistaminic
    63-Q salmonella entritis???????
    64-asthma recent guidlines sever persistant>>>mag sulphat>>???
    65-sign of sever asthma>>>>>normal pco2
    66-beta blocker>>>>> glucagon
    67- Q dibetes ispidus
    68--platlet transfusion>>>>>malaria
    68- q cath related infection in hemodialysis patient>>>staph epdermidis
    69- acut ifective endocarditis>>>>>>>>staph aureus
    70-Q st. bovis

    please any one have an answers for Q endad in ?????? for discussion
  46. imad

    imad Guest

    plez go ahead ... let us try to remember the whole exam.
  47. p 1

    p 1 Guest

    can someone compile a list of answers that is double checked
  48. drhrasheed

    drhrasheed Guest

    mrcp part1 11 may 2010

    which sugar contains Galactose & Glucose --answers were lactose,Maltose, Mannose correct is lactose.
    one question regarding Salbutamol overdose. enteric coated tablets what to do -gastric lavage,activated charcoal
  49. drqwerty

    drqwerty Guest

    thanx for compiling qns, and good luck to all.
  50. Guest

    Guest Guest

    lactose is true

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