MRCP2 july 2009 recall questions

[halasah]

hi every one how finished today mrcp2 July 2009,
it wasnt easy examine but i think any body who prepare him self and know how to set the examine he can easly pass it. regard me i dont know till now if i can pass or not ,put i feel i did well.
so please to all whom who set the examine let us start to remmber the questions and the answer again for the sake of us and other as i read the past test question written her from recall and i answer around ten question from them .

_________________
hi,
iam so glad to register to your site. i hope i can get the mcq for mrcp1
thank you Dr nashat A.halasah

[dr atif]

plz recall n dscuss wat we did.im confused abt my perfrmanc
e

[Salboy]

Have cardiology section from my side please feel free to add in this list and correct if wrong

CARDIOLOGY

1. Acute stent thrombosis
2. Ant MI
3. mobitz type 1 block
4. monitoring in the next question
5. One picture of pericardial effusion on CT in 3rd paper
6. Post PPM low BP???dullness on the R side of the chest?? Temponade
7. 1st quation of the first paper where Cath findings were given ..I have written increased pressure in All with Out put 2.5 L ???
8. HCM
9. AVRT
10. young 25 year old patient in ???VT???AF rate 150 which drug to give IV
11. patient with enlarged heart with SOB ???DCM??MS as double shadow of the R border of Heart
12. aortic root abcess
13. patient in AF on ECG TTE shows MS what investigation do next ???
14. CT with Coarctation of Aorta
15. what will you see in IE…low C3
16. how to warfanise some one who had aspirin and warfarin last time and had UGI bleed presenting with proxysmal AF ..warfarin
17. bifascicular block
18. which IV drug improves mortality post MI??SK??altelase??Metoprolol
19. dual chamber pace maker with normal working .I think it was option D in first paper
20. Radiation induce cardiomyopathy ….as it was apical and and partial L ventricular akinesia on ECHO
21. Peripartum cardiomyopathy
22. Hyperkalemia on ECG

[wakel2000]

there were also question on MVP associated with arrhythmia . ttt : Verapamil?

[Guest]

picture of foot pompholyx.
2nd dig AV BLOCK TYPE ONE ON ECG.
CXR OF BRONCHIACTASIS IN FEMALE PATIET.
CT CHEST SHOWING BRONCHIACTASIS
POSTERIOR MI ON ECG.
MENINGIOMA ON BRAIN CT.
TOXOPLASMOSIS ON CT HEAD.
XRAY WITH WEGNERS.
WARFARIN FOR 6/12 IN A PATIENT WITH PREVIOUS DVT POST UP.
ERCP PANVREATIC HEAD CANCER.
MAN WITH DELUSIN OF BUGS PARAPHERIA.

[halasah]

1-78 year man with ACB BY 2 got ca prostate... treatment nothing regard his age

2-painful gential ucler its for chancroid ( Haemophilus ducreyi.) as in chlamida the lymph node is the painful and the ulcer is not

3-hiv positve female cd4 180 give septrin

4-travelar diarrheo give ciprodar
5-post mi best drug i think its updated question and the answer is mg iv?

[guest Dr A]

traveller diarrhea .. i think right away we shudnt give cipro ...
it was wat will shorten the duration of his diarrhea ,, thats loperamide ??
wat u say ?

[drks]

This was my first attempt and i thought it was tough and needs a good preparation.

[duckgirl]

ciproflox shortens duration of travellers diarrh. Should never give loperamide for infective diarrhoea.

[guest Dr A]

antibiotic is recommended for bloody diarrhea ..if a person is having frequent traveller diarrhea wud he take antibiotic everytime .. n for any traveller diarrhea antibiotic is never the first line .. first try conservative methods .. only if it persist n the patient gets worse .. then go for antibiotic .. i still go with loperamide

[guest dr A]

what was the answer to that one .. tht a person has atrial fibrillation n on transthoracic eho .. pt has calcified Mitral valves ..which investigation to for next ???

[guest Dr A]

which was orf ??? the patient having pustules on the sole of the feet .. wat was it ?? eczema or pustulosis ? or wat ??
yea derma was tricky ! ... rather everything was tricky .. nuthing straightforward ..
there was a pateint ... with deranged RFT's but the urinary protein n creatinin ratio plus the Na excretion was normal .. was it pre renal failure >>

[AM]

Guys, I would not go for radiation cardiomyopathy in this patient with partial LV akinesia as radiotheraphy will give overall LV dysfunction not reginal abnormalities. I went for ischaemic one.

[Guest]

kindly check some of my ans too.

-hypocalcemia
-superimposed HDV infection
-risperidone
-DKA
-olanzapine
-cessation of smoking
-myelofibrosis
-fibromyalgia
-alteplase
-burgada
-

[Guest]

wait till dr manoj comes and give us all the questions

[halasah]

1-one slide is palmoplantar pustulosis
2-erythrovirus infection.
3-one side paget disease?
4-thoracic vertebra lesion answer to take biopsy from the vertebra?
5-one slide of the hand its osteoarthritis
6-TOXOPLASMOSIS on fundoscopy
7-one case sic euthyroid syndrom
8-postural hypotension treatment with fludracortizone
9-lady with syncope do tilt test
10-fe deficiency anemia, does not tolerate oral iron, i chose i/v iron?
11-cocaie poising dont give b blocker

_________________
hi,
iam so glad to register to your site. i hope i can get the mcq for mrcp1
thank you Dr nashat A.halasah

[dr ahmed]

hey guys lets put more questions
1 a woman with c1 esterase defiency what to avoid latex
2 hyponatremia with urinary sodioum 59 fluid restriction
3 was it pompholyx or pustulosis?
4 renal failure patint with hypercalcemia heperparathyroidism stop alfacalcidol
5 a patint with hyperbilirubinemia urinary sodium 10 prerenal
6 an immunosupressed patint with hemoptysis what to give amphotericin
7 patient with pseudomemberanous colitis continue metronidazole for 10 days
8 patient with pas stain cell from jejunal biopsy with diahreah tinidazole9 9young male patient with arthritis and lymphopenia sarcoidosis
10 mri brain viral encephalitis aciclovir
11old female patint found collapsed with temperature 35 and j wave in ecg was it hypothermia?
12 patient with history of partial gastrectomy presented by bilious vomiting with uncontrolled diabetus gastroparesis
13 a case of histoplasmosis
14 rash in atopic patient after antimalarial was it angioedema?
15 atopic patint with fever eczema gherpeticum
16a cae of macroprolactinoma first line trearment dopamine agonist
17 a case of pituitary adenoma with hypogonadism transphenoidal surgery
18 a patient with history of breast cancer presented by convulsions mri brain menengioma
19 an old patint with inoperable breast cancer knwon social alchololic after two attcks of convulsions what to gie to prevent convulsion phynetoin
20 a patient with bleeding oeophageal varices known alcoloic band ligation
21 patient presented by hypoglycemia denies hisotry of drug intake what to do measure sulphonyl urea level
22 young female patint with paracetamol toxicity spider nive acute liver injury wjhat to do refer for transplantation
23 in paracetamol toxicity the best prognostic indicator is arterial ph
24 femal patient with cystic fibrosi with heavy pseudomonas infection what to do eradicate pseudomonas then get pregnant
25 femal patints postmenoposal with history of hysterectomy taking alendronate what to give raloxifen
26female patint with t score-3 cause of fracture osteoporosis
27 a case of watery diahrea with enlarged tender liver carcinoid
28 a case of gastinoma what to do double dose of ppi and do serum gastrin
29 apatient with refeeding syndrome hypophosphatemia
30 a case of chronic demyelinating polyneuropathy
31 patint with sickle cell anemia ethmoid bone infarction
food boisoning fom meeat clostridiou birfiringence

[gust]

renal failure with anaemia & ferritin give iv iron also!

[guest2]

pt with features of methahemoglobinaemia what test to do spectrophotometer?

[Guest]

this exam is very easy exam , i think the pass score will be high , i hope any one to pass inshallah