After the exam.(MRCP MAY 06 RECALLS)

[sma]

Finally, I'm a free person again, at least for some time...both the papers were tough especially paper 2, lots of intermingling choices...will post them later after a good nights sleep. For the first question about which drug inhibits purine synthesis...I put methotrexate, is that correct? then there was one with the girl with Turners who had HTNa nd equal BP in both arms so I selected renal artery aplasia, what else can I remember now...2 questions about hyperventilation and 2 about cluster headache....which is what I am about to get now so I better go and get some rest...bye

[Guest]

paradoxical embolus____>transthoracic or transoesophagal echo???
Inferior MI____>Rt coronary artery
MOA of cisplatin______???
OA pt with swelling of wrist jt____>OM? Gout? RA?
realative risk____>???

I will post more from my memory.
cu

[Zhivago]

I am not quite sure what my performance was.. but I guess I'll wait for next month... Don't rely on for the answers:

1. Contraindication to Surgery for Lung cancer: Pleural effusion

2. Lung functions shows FEV1/FVC 40% in RA patient: Bronchiltis Obiterans

3. Cisplatin action

4. How to confirm diagnosis of Leigionerre... Urinary antigen?!?!

5. How to confirm Meningococaemia: PCR?!?!

6. erectile dysfunction: Anxiety??

7. Sildenfil and nicorandil

8. Ciclosporin side effect

9. ABG: Respiratory Alkalosis: PE

10. Paroxitene and unstable angina...

11. UC flare up. next step: possibly azathioprine

12. Knee joint question

13. Cervical spondilysis

14. Two question about RA... psoriatic arthropathy

15. A possibly osteomyelitis!!!

16. metformin and the B12 anaemia

17. metformin and renal impairment?!?!?

18. Sarcoidosis: CXR

19. Overdose of paracetamol and anorexia nervose

20. Overdose of Diazepam and Disulopin: ECG??? there was tachycardia of 140

21. Lateral condyle (tennis elbow) pronation of arm

22. Sensitivity

23. positive Predictive value

24. NNT what does it mean!

25. phase I.. what happens in it?

26. two question about choosing the right test in statistics

27. Lung functions COPD

28. MI then thrombolysed then got red dusky coloration of feet anf eosinophilia.. I just though it could be cholestrol embolism

29. Warfarin and factor VII

30. thalassaemia a.. both parents were traits!

31. APTT prolonged... some 50:50 mix up.. which factor??

32. patient with some history of back pain: non-specific back pain

33. common peroneal nerve and dorsiflexion of ankle

34. intermittent loss of consciousness.. you know who I am talking about!

35. Benign intracranial hypertension

36. optic neuritis or giant cell arteritis??? swollen pale disc + monoocular visual loss!

37. partial left homonymous hametonpia: which lobe??

38. cortical thrombophlebitis?!?!? it was complicated question but the CT was very suggestive

39. I guess there was Dengue fever

40. Which malaria..??? It was 6 month period!

41. hypocalcaemia and LOng QT

42. pregnancy and amiodarone for AF

43. HOCM and amiodarone.. there was VT on the treadmill

44. statins caused myalgia.. what not to use with?/ Fibrates

45. Rx for myclonus epilepsy: Valpraote???

46. There was partial third palsy and six nerve and the ophthalmo section of the fifth.. orbit apex???

47. What ABG to expect in hyperventilation??

48. question about P(A-a) O2..

49. what contains double stranded circular DNA

50. G6PD and trimethoprim for UTI

51. two questions about autoimmune haemolytic anaemia: one of them was about dirst antiglobulin test

52. IgA nephropathy

53. E coli HUS.. question

54. Rhabdomylasis and low dose dopamine???

55. thiazide action???

56. ADH action.. where??

57. patient with past hx of alcohol presents with topheous gout.. he got Alluporinol two days later he got pain in wrist, hands and knees.. one of the option was alcohol binge.. I liked it!

58. question about tuberous sclerosis

59. there was two question I choose colonscopy for.. I can remember them at all

60. HIV and odynophagia!

the rest is on the way!

[glad]

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tarekdeema
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Posted: Wed May 17, 2006 6:12 pm Post subject: A funny question from may 2006

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there was a question about a group of elderly who travelled togethere to some place and some of them developed pneumonia ,they where moving around all the time togethere but they where allocated to different hotel ,the people who developed pneumonia where staying in the same hotel what is the most likely causative organism:
1-steptococcus
2-staph
3-legionella
4-influenza
5-mycoplasma

a nice one::::::




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_________________
Help others to help yourself, in the end faith only matters

[glad]

hanoo
Guest






Posted: Wed May 17, 2006 5:05 pm Post subject: MRCP 1 16 MAY

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

Hi everyone,
exam was very tough esp. second part.
thyroid,diabetes,rhumatology and skin i think that topics were too much in exam.

1. melanoma----- change of colour
size of tumor
i did change of color i eas not not sure.

2. painless liver enlargment and jaundice.

3. treatment of gonnorhea

4. yratment of cholera.

_________________
Help others to help yourself, in the end faith only matters

[Guest]

hi everyone the exam was tough but hoping against hope to pass.
some questions i remembered.

1.mech.of action aciclovir--dna polymerase inhibition.
2.IgA Nephropathy

3.Antidote for cyanide poisoning-colbat edetate

4.a question about melanoma and carvenous sinus involvement.

5.cluster headcahe

6.villous adenoma--colonoscopy

7.T3 toxicosis

8.Carbimazole 30mg and persistence T4 elevation--propilthyuracil.

9.a case of PE

10.A case of behcet dx -venous thrombosis.

11.Sidenafil and nicorandil

12.sideroblastic anaemia

13.Gullain-barre and vital capacity

14.myotonic dystrophy with cataract and weakness

15.cANCA and wegener granulomatocic

16.APKD and polycystin

17.NNT AND reciprocal of ARR.

18.VIT.K and factor VII

19.OSteomalacia and low calcium and low phosphate but high ALP.

20.CONFUSED and aggressive man --Haloperidol.

21.Prolonged QT and hypocalcemia

22.lithium and drug induced DI

23.CHronic pancreatitis in pregnant lady with loose stool and malabsorptive picture

24CI to surgery lung ca. SVC obstruction

25.Generalized anxiety disorder and IMPOTENCE

26.Major depression and relatives death

27.Scabies and pruritus rash sparing the face

28.Polymorphic light eruption in sun exposed areas.

30.Hep.D super infection

31.Thyroid malignancy common in autoimmune thyroiditis--Lyphoma

32.A case of PCOS

33.A case of BIH

34.A CASE OF WERNICKES ENCEPHALOPATHY.

35.OESOHAGEAL HSV IN HIV

36.A case of cholera -rx--Doxycycline

37.Dog bite infection and FLUCLOX.AND BENZYLPEN.

MORE TO COME

THANKS

OREOLUWA

[Guest]

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afsheensalman
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Posted: Thu May 18, 2006 1:07 pm Post subject: may 2006 part1

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erectile dysfunction was another recurrent topic ... sildenafil contra indications- nifedipine or nicordil?
differential dagnosis for ED- perfomance anxiety or an organic cause (clue=normal early morning erections)




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[Guest]

lump in nose+lump in neck+lung infiltrate
1-lymphoma
2-histocitosis x
3-sarcodosis
4-wegners

[kenglad]

its svco thats contraindicated in ca lung
not pleural effussion cuz it can be reactive unless the choice was malignant pleural effusion

and its nicorandil

[rahba sept]

hello am first time for part 1 when i see the questions i thought it easy but then i was surprised all of it is basic pharmacology and anatomy and investigation and antibiotic treatment and diabet thyroid frequent questions i,ll post first remembering ones:

1-lateral condylo pain which will increse it -thumb -open fingers....

2-leg loss reflex what the cause diabetic coronary...neurolog

3-posterior comunicate artery-anterior comunicate artery

4-a trait thalasemia -

5-tirdness weakness synaktin short test

6-diabetus insibidus drug indused ..lethium..

7-erythema on shin ..rash polyuria ..sle..sarcoidosis..

8-idiopathic parkinson ..assemetry tremor

9-ondansterion for nausia was taking metochlopromide

10-acute loss of vision ..venous thrombosis..

11-dry eye ..ulcers mouth genital ...sjogren...behcet..

12-smoking ..coal miner....bladder carcinoma..

13-methadon ..

14-lethium toxisity ....thiazide or nomal saline...


this is for now i,ll continue when i remember more

thank u

[kenglad]

paradoxical embolus definitely for transesophageal echo as u can visualise better

oh urinary antigen definitely for legionnaire's

and it has to be cholesterol embolus as bld eosinophil is high

i opted for giant cell arteritis as the patient very old and giant cell common is old age

intermittent loss of concious=ness with quick recovery and no residual neurological defect - definitely vasovagal so answer is postural hypotension - its in harrison's

6 months indicate ovale malaria as they have a hypnozoite phase

myoclonus best treated with ethosuximide

adh acts on collecting duct to increase permeability

rosacea best treated with oxytetracycline

nicorandil cannot be given with sildenafil
too much dilatation
too much is not always good hehehe

melanoma definitely size look it up in kumar and clarke

ca lung c/i is svc obstruction

[glad]

SMK Al rifae'ei
Guest






Posted: Thu May 18, 2006 7:48 pm Post subject: 16 may

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

i will sening the questions ,try to anser it as we go on:

dog bite...antibiotic
complement ,,,SLE
WHICH TENDON
PREDICTIVE VALUE
MEDIAN STUDY
PSEUDOMEMBRANEOUS COLITIS ANTIBIOTIC
ASSESS OPERATION RISK-MI
?MYOTONIA DYSTROPHICA
ESOPHAGEAL ULCER ALEDRONATE
MARFAN FIBRILLIN
TURNERS-- BP
PREGNANT WITH SVT
IG HYPERACUTE REACTION
ciclosporine mechnism
acyclovir mechanism
rhabdomylysis mange
repeat ?urine for protein
cluster headache?/?
?reactive arthritis
?prevent calcium stones

_________________
Help others to help yourself, in the end faith only matters

[emran]

A young diagnosed spastic angina best mangement.
-fecanide
-betablocker
-asprine
--Asprine is correct.

[emran]

A 17 year old boy with hypertrohpic cardiomyopathy tratment with best prognosis.
1-betablocker.
2-Alcholc aplation of septum.
3-implantable defibrilator automatic.
4-Another antiarthysmic.
implantable defibrilator is correct.

[SMK Al rifae'ei]

igm-hyperviscosity
behget dvt
WHAT WAS THE OLD LADY WITH WRIST SWELLING-

[AC]

a patient with tinnitus, 0.9 cm swelling in pituitary, with no hormones elevated- how do you proceed....
observation??

[AC]

best indicator for tonsillar abscess - trismus, .....

[rahba sept]

another choisis for best indicator for tonsilitis abscess is continious fever

i,ll cotinue questions

1-foramen ovale

2-prick test ...ige .

3- scabis...

4-e coli

5-cholangio carcinoma ..

6-ulcerative cholitis...

7-mody ..

8-liver biopsy...us guided ..mrcp ...ercp..

9-paroxetin...hypertension..

10-spinal ..foot depression..

11-frontal lobe syndrome..parital lesion ..

12-knee replacement ...

13-noctornal dysphasia

14-tachicardia ..diarrhia....anticholinergic...tox..

15-crticosteroid injection ..joint ..

16-c4..c5..c6..c7....{c4}

17-vertebral prolapse....

18-3..6...trigemeni........pons

19-aspirin coronary spasm ...metoprolol...propranolol..

20-genetic...mother brother...father brother..............mother brother...link ressesive

21-hematuria thrombocytopenia..anemia...imunoglobulin..iga..

22-hemophelia..

23- 1/2......1/4....1/6...1/8

24-graves disease ....t3...t4...

25-hematuria....hypervescosity..syndrome


26-chronic subdural hematoma


27-eozinophilia....nephrology....


thanks

[rahba sept]

i think choisis was bone tumor ...

[kenny]

its nothing for microadenoma.the effect is nil if size does not increase
so do nothing

this is for emran what in the whole wide world is spastic angina?
are u sure you took the mrcp part 1 may paper dude?

oh yeah wot about the chap with the allergy to seafood and his bp was 170/100
tachy at 110
spo2 98 on air

options were
iv adrenaline
sc adrenalin
im adrenaline
close observation