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MRCP Recall May 19
MRCP Recall May 19
SAIFEE
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1-Pregnant lady with early diastolic murmur increased on expiration? Pulmonary HTN as
there is loud S2,
3-Painful vaginal ulcers, girl not drinking anything due to painful micturition - ? Herpes
simplex virus
5-Hemophilia A , odds to fetus being effected - ? i guessed in 4 , what was the answer ? X
linked reccecive1:4
6-Old lady with uti , how to reduce risk of fall - ? Physical restraint-- I think the question
asked for treatment of her confusion.. So I think it will be haloperidol as first line of
treatment,
8-Lady with small joint arthritis of the hands with the options being anti Citrulline, anti sm
- I Chose anti CCP antibodies
9-Chances of kid being affected in a genetic condition, answers in percentage given , I put
50 percent
10-Fragile x male with few symptoms with fsmily history of the disease
His sons wud b affected how much %
A lady with ck 3000 and difficulty in raising from chair.... anti ach antibodies.. or ct chest ?
Muscle biopsy *Ck is NL in MG
pt treated for pnemonia , has LTC with suspision of uti , what do u do with the amoxicillin , -
? Change to co amox, pt have resistance to amoxicillin, so Cipro
Case of pneumonia, bibasal consolidation on cxr.. Lab shows low Na.. i did legionella
Case of otitis media with discharge then half face paralysis (bells)?... where is lesion .. trunk
of facial nerve
Female with tenderness on lat side of thigh, no problem in movement in any direction ...
tronchentor bursitis?
Case of low back pain tenderness. On upper back too .. Multiple tender points
...fibromyalgia?
Female treated with anythrcyline now developed sob ..cardioxicity? she has kaussamul sign
so malignant pericardial effusion…Cardiac tamponade.....sudden onset Kaussam. Sign
Female with thyrotoxicosis. pt has increase uptake in rt upper lobe, .propranolol given..one
nodule radio uptake .. Rx.. carbimazole.. PTU..radioiodine therapy .near total
thyroidectomy ?
Qs asking tacrolimus toxicity. Pt on fluconazole too...i did dec renal clearance nt sure
lady with upper limb symptoms and loss over sensation over the thumb and index finder -
C6
There was a q on deranged LFTs with hep A , B , C as the options , what was the answer
Qs of gastric cancer .. eradicate h.pylori , Family history as the most imp factor,
Qs about NG tube placement in Parkinson pt.. first thing to confirn.. ask to speak..auscultate
air on steth .. cxr..?
man with lung functions tests , had changed 3 jobs , - was the answer hypersensitivity
pneumonitis
pt with SVT settled with vagal massage - ?now on ECG there is preexcitation vt… reassure
and discharge
Anaemia with sidroblasts on film , splenomegaly, mom had spleen removed - Sidroblastic
anaemia
Pancytopenia with mention of teardrop cells - answer something like mylodysplasia or
myelofibrosis
CML as the anser to one of the questions , i think the pt has spleemomegaly , is this the
same question where there is raised WCC ..
80 yr old lady with painless visual derterioration from last 4 days , hypertensive, cotton
wool spots , options being hypertensive something , CRAO , CRVO - what was the answer ?
hyperthyroid patent , very low tsh , raised t4 , thyrotoxic nodule picute , iodine uptake on
scan asking for MX with the options being carbimazole, radiodine - what was the answer ?
( i put radio ioidine )
t1dm pt claiming he had ingested something , anion gap was normal - diabetic ketoacidosis
One case of electrolyte imbalance ..u gave calcium.. why .. i did membrane stability
One case of SAH ..did clipping.. now what to do initial investigation .. CT..MR brain..
venogram brain
pagets disease rx a bisphosphonate
sorethroat and multiple oral ulcers of hard palate and tongue , options being some king of
fungus , HSV, - I chose HSV
FFP given .. what’s risk . Anaphylaxis. Ascetic meningitis? Other options were too
how u transfer the stuff.. keep on ice..keep at 37c.. keep in freezer ..??
gastro question old man with micro anemia picture , asking for inv , - colonoscopy,
endoscopy with duodenal biopsy.
Female with skin rash papules on face chin around nose cheeks.. what u give
..isoterntoin..doxy ..amox.
wt loss ..rt lower quadrant palpable mass .. i thought it could b cecal tb ..?
Short girl with prob with sexual characteristics primary amenorrhea - I put turner
syndrome
Cryoglubinemia sample handing, send to lab in 10 min -- keep on ice , keep in 37.c, keep in
freezer, keep under sunshine
Medullary sponge kidney .. What will have pt in the end .. large kidneys.. HTN.. end stage
renal disease.. acute kidney injury ?, nephrolithiasis.
Most sensitive investigation for pleural tb - ? pleural biopsy with fluid something, pleural
fluid microscopy n culture,
Bone pain... taking morphine.. Now buprenorphine added .. why .. Relieve pain.. Add
anesthesia. Respiratory depression.
Young diabetic , strong family hx of diabetes = sulphonylureas, young with a positive family
hx pointing towards MODY, for which Gliclazide is first choice
Resistance to penicillins ....asking mechanism.. beta lactamase enzyme, efflux pump, influx
Guy have fast driving on narrow road.. said i cant have any accident as some angles guiding
me .. he had ecstsy taken previously too.. ? I did drug induced psychosis
lady cant concentrate , feels low , asking for diagnosis - ? generalised anxiety disorder
Patient on some parkinsons meds , cant tolerate co caroldopa , what would you add ,options
being MOA , selegeline , - amantadine, selegiline ,
Gastric bypass surgery bariatric surgery, ? most common deficiency—zinc, folate, iron
Lady with prev breast cancer , now hypercalcemia , bone scan normal , ? Next investigation
- ? Electrophoresis
pt goes flaccid , kind of falls down , options being epilepsy , cataplexy --- Cataplexy
.female having pubic hair louse ...permethrin, hair cutting cleaning option
Dissociation curve: o2 more released to tissue always to right ie, ans: raised pco2.
Recent bleed in the brain, now presents with stroke like symptoms , NEXT inv -- ? CT head
The anorexic female significant hypokalemia and hyponatremia, which drug she is using for
---more of a feature of loop and thiazide diuretics.
Post procedure CORONARY ANGIOGRAPHY. Pt developed aki and skin changes in the lower
limb--Cholesterol embolisation
A boy with non-visible hematuria + his mother has same thing = thin membrane disease
pt have some kind of cancer , causing the hemolytic anaemia = direct anticoagulation test.
Multiple joint diseases hand joints swelling and some rashes on abdomen.... all options
were there i did psoriatic arthritis
One qs about Parkinson's disease.. asking about which point favor the dx.. i did asymmetric
bradykinesia. Tremor increases with action
Young guy with pneumothorax.. Which factor most important to avoid further ... smoking..
Pleurectomy. Pleurodesis.. Exercise. Swimming.
Elder with arthritis had steroid inj followed by worsening of condition = septic arthritis*
common complication of steroid injection