MRCP Part. 1 May 2013 Questions Docx

7/28/2019 MRCP Part. 1 May 2013 Questions Docx

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From: [email protected]

To: [email protected]

Date: Wed, 15 May 2013 11:27:36 +0100

Subject: RE: Your mail dated 15th May, 2013

Dear Doctor,

That is great to hear you would like to take a Speciality Certificate (SCE) with the Royal College of Physicians. Wecurrently run 12 speciality examinations. There are no prerequisites to take the Neurology SCE so you can apply to take

this when you feel you would like to. The Neurology SCE is run once a year and the next date will be 21 May 2014. The

SCEs are run through our booking partner Pearson VUE and you are able to take the examination where it is convenient

to you. We ask candidates to choose a city that is close to them when making an application, and we then try and

accommodate this. We do not have set centres for the SCEs.

If you would like further information about our examinations please do get in contact.

Kind regards,

Shona Lindsay | Exams Administrator

Exams Candidate Office | MRCP(UK) Central Office

MRCP(UK), 11 St Andrews Place | Regents Park | London NW1 4LE

Direct line +44 (0)20 3075 1515 |www.mrcpuk.org|[email protected]|facebook|twitter|linkedin

From: mak khan [mailto:[email protected]]

Sent: 15 May 2013 11:08

To: PART1


Thanks Ms Shona Lindsay for confirming my eligibility for MRCP Part 1,2 & PACES.

and also for Speciality Exam . I will like to go for Neorology speciality .

I have a Fellowship in Neurology , Resident House physicianship in Psychiatry and Masters Degree in Counseling andPsychotherapy too

plus the clinical practice for over 24 years.

Hope I shall be able to take up the Speciality in Neurology once I clear MRCP .

DO WE HAVE THIS 'NEUROLOGY SPECIALITY' EXAM AVAILABLE IN INDIA ?

Regards

DR MATIN

JAMSHEDPUR

JHARKHAND

INDIA

Phone 91 9431184120



Date: Wed, 15 May 2013 10:26:52 +0100


Dear Doctor,
http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://twitter.com/#%21/RCPLondonhttp://www.facebook.com/RoyalCollegeofPhysiciansmailto:[email protected]://www.mrcpuk.org/


2/73

Thank you for your email, and for detailing your history. I can confirm that you will be eligible to take all of the

MRCP(UK) examinations. I can also confirm that you can also take our Speciality Certificate Examinations if you wish, and

we do have one in Infectious Diseases.

Unfortunately I cannot give an indication of how many questions are needed to pass as each examination changes and

this is where the equating of each question would differ. The composition of the examination is as follows, and this will

be spread across the two papers.

Specialty Number ofquestions*

Cardiology 15

Clinical pharmacology, therapeutics and toxicology 20

Clinical sciences** 25

Dermatology 8

Endocrinology 15

Gastroenterology 15

Haemotology and oncology 15

Neurology 15

Ophthalmology 4

Psychiatry 8

Renal medicine 15

Respiratory medicine 15

Rheumatology 15

Tropical medicine, infectious and sexually transmitted

diseases15

200

* This should be taken as an indication of the likely number of questions - the actual number may vary slightly.

I hope that this helps, and please do not hesitate to get in contact if I can be of assistance.

Kind regards,






Sent: 14 May 2013 20:14

To: PART1


Dear Ms Shona Lindsay

Greetings!

Thanks for your kind mail.. At least there is no age bar as I am almost 53 now. I could not think of MRCP earlier because

of some very severe financial and geographical constraints, but since now we can take up MRCP in India , so a new hope

has emerged that I can complete my dream.

Here are few of my observations : .As far as eligibility is concerned , I suppose I posses it

Still I am writing to you so that you can confirm my eligibility

1.I am a MBBS from Ranchi University(Jharkhand, India) passing it in 1987 and after completing Compulsory Rotating

INTERNSHIP for a year have completed RESIDENT HOUSE PHYSICIANSHIP (Residencies) extending upto 18 months
http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://twitter.com/#%21/RCPLondonhttp://www.facebook.com/RoyalCollegeofPhysiciansmailto:[email protected]://www.mrcpuk.org/


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(6x3=18 --6 months each ) in the Depts of Int MEDICINE. PEDIATRICS and PSYCHIATRY, which included mandatory

Emergency duties and critical care. finishing them till late 1990.

2 In Nov, I990 I have joined Bihar/Jharkhand State Health Services as MEDICAL OFFICER (which involves

OPD/ER/Indoor) and continued till 2004.

3. In between I worked in Saudi Arabia under MOH as MEDICAL OFFICER in 1999 for one year and passed DMRD

(RADIOLOGY) in 1993 from Ranchi University.

4.Since 2005 I am working as Tutor in the Dept of Biochemistry in MGM MEDICAL COLLEGE & HOSPITAL , JAMSHEDPUR

teaching MBBS students.(under Govt of Jharkhand Health services) which involves Hospital duty too.

5. In between in 2003 I have passed PG Diploma in Family Medicine from Post Graduate Institute of Medicine , ColomboUniversity of Colombo

and Fellowship in HIV Medicine from School of Tropical Medicine KOLKATA.

6.I have passed 'American Academy of HIV Medicine Specialist(AAHIVS) Exam thrice (2008, 2010, 2012 to keep the

certification valid for 2 years) from American Academy of HIV Medicine , Washington , USA.

7. I am in active clinical practice since 24 years and published 4 papers in International Medical Journals , plus

presented many papers in National International Fora

8. and so I gather, I am eligible for not only Part 1 , but Part 2 and PACES as well should I pass Part 1 MRCP

9. The cut off marks is 521,, but may I know as to how many questions out of 200 questions , one has to correct to

secure 521 ? Any guess or idea?

10. What is the division of topics for paper 1 and 2 or the two papers contain mixed sort of ALL the TOPICS., given in

the syllabus?

Expect to hear from you pretty soon.

Regards

DR MATIN

JAMSHEDPUR

From:[email protected]

To:[email protected];[email protected]

Date: Tue, 14 May 2013 12:35:17 +0100

Subject: RE: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is

521/999 (by equating method) ?how much percentage approximately does this score equate to? Is it around 60-65%?Dear Doctor,

Thank you for your email. The MRCP(UK) Part 1 examination is marked using an equating system. The current passing

scaled score is 521, and this has been the passing scaled score since the 2008/03 diet.

There is no age bar to sit the MRCP(UK) examinations, but candidates do need to meet the eligibility criteria which is as

follows:

Candidates may apply to sit the MRCP(UK) Part 1 Examination provided they graduated at least 12 months in advance of

the examination date. All doctors must have had at least 12 months' experience in medical employment, i.e. have

completed Foundation Year 1 or equivalent. This 12 months experience is calculated up to the date of the MRCP(UK)

Part 1 Examination and not the application closing date. The relevant experience may be gained from any hospital in theworld.

The weight of each question is determined using an equating method. The equating system takes into consideration the

difficulty of each question, so each weighting would vary. This is conducted by special statistical software. Further

details can be found at this link:http://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdf

As the scores are equated, no percentage is given overall. The passing scaled score for the 2013 MRCP(UK) Part 1

examinations is 521.

If you have any questions please do not hesitate to get in contact.
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfmailto:[email protected]:[email protected]:[email protected]


4/73

Kind regards,





From: mak khan[mailto:[email protected]]

Sent: 14 May 2013 10:41

To: PART1; Sandra Ross

Subject: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is

521/999 (by equating method) ?how much percentage approximately does this score equate to? Is it around 60-65%?

Dear Sir/Madam

Greetings !

I have few queries reg MRCP UK Part 1 , Will you pl reply those ?

1.

What is the average cuttoff /pass marks in MRCP UK ?2. Is there an age bar to sit in this examinations as I am 53 now ?3. Is the passing score for MRCP part 1 is 521/999 (by equating method) ?4. If we have 200 questions in 2 papers then how much marks does a single question carry ?5. If equating is done then how ?6. How much percentage approximately does this score equate to?7. Is it around 60-65%?8. What is cut off in May 2013 MRCP Part 1 Exam ?Expect to hear from you pretty soon.

DR MATIN A KHAN

MGM MEDICAL COLLEGE , JAMSHEDPUR, JHARKHAND

INDIAPhone =

91 9431184120

--

Date: Tue, 14 May 2013 10:21:31 +0100

From:[email protected]

To:[email protected]

Subject: Re: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is


Dear Dr Khan

Please refer to the Regulations, FAQ section and general information on the websitewww.mrcpuk.org

If you still have further queries after reading all the information available please direct any questions you feel are not

answered to the Part 1 Written Office of any of the Colleges. You can find details on the contact page of the website. I

work on the PACES Examination and not the Written.

Regards
http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physiciansmailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[mailto:[email protected]]mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[mailto:[email protected]]http://www.linkedin.com/company/royal-college-of-physicianshttp://twitter.com/#%21/RCPLondonhttp://www.facebook.com/RoyalCollegeofPhysiciansmailto:[email protected]://www.mrcpuk.org/


5/73

Jo Gibson

Examinations Department

Royal College of Physicians of Edinburgh

(A charity registered in Scotland, no. SC009465)

9 - 11 Queen Street

Edinburgh

EH2 1JQ

Telephone: 0131-225-7324e-mail: [email protected]

Website:http://www.rcpe.ac.uk

This email and any files transmitted with it are intended soley for the use of the individual or entity to whom they are

addressed

On 10/05/2013 at 19:38, mak khan wrote:

Dear Mr Jo Gibson

Greetings !


1. What is the average cuttoff /pass marks in MRCP UK ?2.

Is there an age bar to sit in this examinations as I am 53 now ?3. Is the passing score for MRCP part 1 is 521/999 (by equating method) ?

4. If we have 200 questions in 2 papers then how much marks does a single question carry ?5. If equating is done then how ?6. How much percentage approximately does this score equate to?7. Is it around 60-65%?8. What is cut off in May 2013 MRCP Part 1 Exam ?Expect to hear from you pretty soon.

DR MATIN A KHAN


INDIA

Phone =91 9431184120

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To: [email protected]; [email protected]: Tue, 14 May 2013 12:35:17 +0100

Subject: RE: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is


Dear Doctor,

Thank you for your email. The MRCP(UK) Part 1 examination is marked using an equating system. The current passing

scaled score is 521, and this has been the passing scaled score since the 2008/03 diet.

There is no age bar to sit the MRCP(UK) examinations, but candidates do need to meet the eligibility criteria which is as

follows:

Candidates may apply to sit the MRCP(UK) Part 1 Examination provided they graduated at least 12 months in advance of

the examination date. All doctors must have had at least 12 months' experience in medical employment, i.e. have

completed Foundation Year 1 or equivalent. This 12 months experience is calculated up to the date of the MRCP(UK)

Part 1 Examination and not the application closing date. The relevant experience may be gained from any hospital in the

world.

The weight of each question is determined using an equating method. The equating system takes into consideration the

difficulty of each question, so each weighting would vary. This is conducted by special statistical software. Further

details can be found at this link:http://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdf

As the scores are equated, no percentage is given overall. The passing scaled score for the 2013 MRCP(UK) Part 1examinations is 521.

If you have any questions please do not hesitate to get in contact.

Kind regards,






Sent: 14 May 2013 10:41

To: PART1; Sandra Ross

Subject: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is


Dear Sir/Madam

Greetings !

http://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdfhttp://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://www.facebook.com/RoyalCollegeofPhysicianshttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://twitter.com/#%21/RCPLondonhttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://www.linkedin.com/company/royal-college-of-physicianshttp://twitter.com/#%21/RCPLondonhttp://www.facebook.com/RoyalCollegeofPhysiciansmailto:[email protected]://www.mrcpuk.org/http://www.mrcpuk.org/SiteCollectionDocuments/MRCPUK_Part1_Equating.pdf


7/73

1. What is the average cuttoff /pass marks in MRCP UK ?2. Is there an age bar to sit in this examinations as I am 53 now ?3. Is the passing score for MRCP part 1 is 521/999 (by equating method) ?4. If we have 200 questions in 2 papers then how much marks does a single question carry ?5. If equating is done then how ?6. How much percentage approximately does this score equate to?7. Is it around 60-65%?8. What is cut off in May 2013 MRCP Part 1 Exam ?Expect to hear from you pretty soon.

DR MATIN A KHAN


INDIA

Phone =

91 9431184120

--

Date: Tue, 14 May 2013 10:21:31 +0100From:[email protected]

To:[email protected]

Subject: Re: What is the cuttoff /pass marks in MRCP UK ? Is there an age bar ? Is the passing score for MRCP part 1 is


Dear Dr Khan

Please refer to the Regulations, FAQ section and general information on the websitewww.mrcpuk.org

If you still have further queries after reading all the information available please direct any questions you feel are not

answered to the Part 1 Written Office of any of the Colleges. You can find details on the contact page of the website. I

work on the PACES Examination and not the Written.

Regards

Jo Gibson

Examinations Department

Royal College of Physicians of Edinburgh

(A charity registered in Scotland, no. SC009465)

9 - 11 Queen Street

Edinburgh

EH2 1JQTelephone: 0131-225-7324

e-mail: [email protected]

Website:http://www.rcpe.ac.uk

This email and any files transmitted with it are intended soley for the use of the individual or entity to whom they are

addressed

On 10/05/2013 at 19:38, mak khan wrote:

Dear Mr Jo Gibson

Greetings !

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/mailto:[email protected]:[email protected]:[email protected]://www.rcpe.ac.uk/http://www.rcpe.ac.uk/http://www.rcpe.ac.uk/mailto:[email protected]:[email protected]:[email protected]://www.rcpe.ac.uk/mailto:[email protected]://www.mrcpuk.org/mailto:[email protected]:[email protected]


8/73

1. What is the average cuttoff /pass marks in MRCP UK ?2. Is there an age bar to sit in this examinations as I am 53 now ?3. Is the passing score for MRCP part 1 is 521/999 (by equating method) ?4. If we have 200 questions in 2 papers then how much marks does a single question carry ?5. If equating is done then how ?6. How much percentage approximately does this score equate to?7. Is it around 60-65%?8. What is cut off in May 2013 MRCP Part 1 Exam ?Expect to hear from you pretty soon.

DR MATIN A KHAN


INDIA

Phone =

91 9431184120

--

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Date: Mon, 27 Aug 2012 14:11:06 +0100



Subject: Re: Books published by Royal College and MRCP Neuro !

Dear Dr Khan

MRCP(UK) used to have sample question books published but they have not done this for sometime now as they are out

of date so quickly.

Any information that is produced about the MRCP exams (including the Specialty Exams) can be found on the MRCP(UK)

website atwww.mrcpuk.org

Hope this helps

Yours sincerelyLindy Tedford

Mrs Lindy Tedford

Head of Examinations

Royal College of Physicians of Edinburgh (A charity registered in Scotland, no. SC009465)

9 - 11 Queen Street

Edinburgh

EH2 1JQ

Telephone: 0131-225-7324

Fax: 0131-225-2053
http://www.astaro.com/http://www.astaro.com/http://www.astaro.com/http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.astaro.com/


9/73


Website: http://www.rcpe.ac.uk

This email and any files transmitted with it are intended only for the use of the individual or entity to whom they are

addressed

>>> mak khan 27/08/2012 13:30 >>>

Dear Mrs Lindy Tedford


Thanks for your information.Now at least I know that my eligibility stands for all parts of MRCP UK including PACES .

1.I have come to know that there used be 3 books published by ROYAL COLLEGE , which used to contain 'actual

questions asked in Part 1 & 2 .

Are these still available ?

2.Is MRCP Neuro available in India ?

Regards

DR MA KHAN

Jamshedpur

INDIA

Date: Mon, 2 Jul 2012 16:46:07 +0100



Subject: Re: My eligibility for MRCP PACES ? pl reply .

Dear Dr Khan

Thank you for your e-mail. Please refer to the MRCP(UK) websitewww.mrcpuk.org.

The following is an extract from the regulations:-

5.2 MRCP(UK) Part 2 Written Examination and Clinical Examination (PACES)

Candidates for the MRCP(UK) Part 2 Written Examination and Clinical Examination (PACES) must have passed the

MRCP(UK) Part 1 Examination within the preceding seven years.

It is advised that trainees are unlikely to be able to apply their clinical knowledge or demonstrate their clinical skills

across the broad range of clinical cases, and thus be successful in the MRCP(UK) PACES examination, before a total of

two years experience, including at least four months in medical specialties or medical sub-specialties, following the

award of their primary medical degree. We therefore recommend that candidates will normally have completed a two-

year Foundation programme and started Core Medical Training (or an equivalent period of training) before attempting

the MRCP(UK) PACES examination. Within these two years, not less than four months should be spent in posts involving

the continuing care of emergency medical patients. This experience in the UK should as a minimum be at Foundation

Year 1 and 2 level (or equivalent) and in Core Medical Training (or equivalent), but may be gained in any hospitalthroughout the world.

There is no reason why you should not be able to sit MRCP(UK) Part 1.

As far as I can see from your e-mail there is no reason why you should not be allowed to sit PACES and MRCP(UK) Part 2.

I hope this helps!

Yours sincerely
http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/http://www.mrcpuk.org/


10/73

Lindy Tedford

Mrs Lindy Tedford


Royal College of Physicians of Edinburgh (A charity registered in Scotland, no. SC009465)

9 - 11 Queen Street

Edinburgh

EH2 1JQ

Telephone: 0131-225-7324Fax: 0131-225-2053


Website: http://www.rcpe.ac.uk

This email and any files transmitted with it are intended only for the use of the individual or entity to whom they are

addressed

>>> mak khan 02/07/2012 12:06 >>>

Dear Ms Lindy Tedford

Greetings from Dr M A Khan from Jamshedpur, Jharkhand India.

This is to enquire about the 'eligibility for PACES in my case.

I could not plan MRCP earlier in my life , because of geographical barriers and some serious financial constraints , but

now since MRCP is available in India, so will you please let me know whether I will be eligible to take PACES if I pass

MRCP -Part I , which I plan to take in May 2013.

My profile reads as follows :

1.I am aged 52 years and have passed my MBBS in 1988 from Patliputra Medical College , Dhanbad , Jharkhand affiliated

with Ranchi University, Ranchi, Jharkhand in 1988. Now it is affiliated with Vinba Bhave University , Hazaribagh ,

Jharkhand , India .

2. I have completed my mandatory 1 year core training (called ' Rotating Internship ' over here)in 1988-89.

3. After that I have completed ' RESIDENT HOUSE PHYSICIAN SHIPS in the specialties ofIntMedicine , Pediatrics and Psychiatry --6 months each (total 18 months) which included Emergency care /OPD/Indoor

treatment( during all 18 months )- from 1989 March-1990 October.

4. Then I qualified for Bihar State Govt Health services in Nov, 1990 and have served in Primary Health Centres ( a 6

bedded hospital ) which included OPD, Indoor care and Emergency care till March 2005.--Total 14 years 5 months .

5. I have passed PG Diploma in Radio diagnosis (DMRD )from Rajendra Medical College .

Ranchi Jharkhand during May 1992--- June 1993 , affiliated with Ranchi University , Ranchi , Jharkhand with

working as Medical officer which included Emergency care/Indoor/OPD care .( 1 year )

6.In between I have one year International Experience too having worked in Kingdom of Saudi Arabia under

Govt (Ministry of Health -MOH) from Jan 1999-Jan 2000(1 year )

7.Since 2005 March till date , my employer has posted me in the Deptt of Biochemistry , MGM Medical College ,

Jamshedpur , Jharkhand .8..In between I have completed PG Diploma in Family Health( 2003) from Post Graduate Institute of Medicine

(Colombo) affiliated with Colombo University , Colombo , Srilanka and Fellowship in HIV Medicine (1 year --2006-

07) from School of Tropical Medicine & Medical College , Kolkata , India.

9. I have presented papers on HIV topics in International Conferences and my 4 papers on HIV topics have

been published in Indexed International Journals .

10..I have been in active clinical practice all through since I finished my Residency -->22 years

With this much of credentials pl let me know whether I am eligible for MRCP PACES or not.

Expecting to hear from you pretty soon.


11/73

Regards

DR M A KHAN

MGM MEDICAL COLLEGE , JAMSHEDPUR

JHARKHAND

INDIA

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100 Commonly Tested Facts for MRCP Part 1 Exam

Author:sujitvasanth,Posted on Wednesday, November 23 @ 19:10:08 IST byRxPG

Add to My Pages Printer Friendly Email Story Download Story MRCP Part 1 alerts

Here is a list of commonly tested facts in hte MRCP Part 1 exam. They are listed in order of importance - highest first.

1. Acromegaly Diagnosis: OGTT followed by GH conc.

2. Cushings Diagnosis: 24hr urinary free cortisol. Addisons --> short synacthen.

3. Rash on buttocks Dermatitis herpetiformis (coeliac dx).

4. AF with TIA --> Warfarin. Just TIA's with no AF --> Aspirin

5. Herpes encephalitis --> temporal lobe calicification OR temporoparietal attentuation subacute onset i.e. Several

days.

6. Obese woman, papilloedema/headache --> Benign Intercanial Hypertention.

7. Drug induced pneumonitis --> methotrexate or amiodarone.

8. chest discomfort and dysphagia --> achalasia.

9. foreign travel, macpap rash/flu like illnes --> HIV acute.

10. cause of gout --> dec urinary excretion.

11. bullae on hands and fragule SKIN torn by minor trauma --> porphyria cutanea tarda.
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12. Splenectomy --> need pneumococcal vaccine AT LEAST 2 weeks pre-op and for life.

13. primary hrperparathyroidism --> high Ca, normal/low PO4, normal/high PTH (in elderly).

14. middle aged man with KNEE arthritis --> gonococcal sepsis (older people -> Staph).

15. sarcoidosis, erythema nodosum, arthropathy --> Loffgrens syndrome benign, no Rx needed.

16. TREMOR postural,slow progression,titubation, relieved by OH->benign essential TREMOR AutDom. (MS titbation,

PD no titubation)

17. electrolytes disturbance causing confusion low/high Na.

18. contraindications lung Surgery --> FEV dec bp 130/90, Ace inhibitors (if proteinuria analgesic induced headache.

21. 1.5 cm difference btwn kidneys -> Renal artery stenosis --> Magnetic resonance angiogram.

22. temporal tenderness--> temporal arteritis -> steroids > 90% ischaemic neuropathy, 10% retinal art occlusion.

23. severe retroorbital, daily headache, lacrimation --> cluster headache.

24. pemphigus involves mouth (mucus membranes), pemphigoid less serious NOT mucosa.

25. diagnosis of polyuria -> water deprivation test, then DDAVP.

26. insulinoma -> 24 hr supervised fasting hypoglycaemia.

27. Diabetes Random >7 or if >6 OGTT (75g) -> >11.1 also seen in HCT.

28. causes of villous atrophy: coeliac (lymphocytic infiltrate), Whipples , dec Ig, lymphoma, trop sprue (rx tetracycline).

29. diarrhoea, bronchospasm, flushing, tricuspid stenosis -> gut carcinoid c liver mets.

30. hepatitis B with general deterioration -> hepaocellular carcinoma.

31. albumin normal, total protein high -> myeloma (hypercalcaemia, electrophoresis).

32. HBSag positive, HB DNA not detectable --> chornic carier.

33. Inf MI, artery invlived -> Right coronary artert.

34. Aut dom conditions: Achondroplasia, Ehler Danlos, FAP, FAMILIAL hyperchol,Gilberts, Huntington's, Marfans's, NFT

I/II, Most porphyrias, tuberous sclerosis, vWD, PeutzJeghers.

35. X linked: Beck/Duch musc dyst, alports, Fragile X, G6PD, Haemophilia A/B.

36. Loud S1: MS, hyperdynamic, short PR. Soft S1: immobile MS, MR.

37. Loud S2: hypertension, AS. Fixed split: ASD. Opening snap: MOBILE MS, severe near S2.

38. HOCM/MVP - inc by standing, dec by squating (inc all others). HOCM inc by valsalva, decs all others. Sudden death

athlete, FH, Rx. Amiodarone, ICD.

39. MVP sudden worsening post MI. Harsh systolic murmur radites to axilla.

40. Dilated Cardiomyopathy: OH, bp, thiamine/selenium deficiency, MD, cocksackie/HIV, preg, doxorubicin, infiltration

(HCT, sarcoid), tachycardia.

41. Restrictive Cardiomyopathy: sclerodermma, amyloid, sarcoid, HCT, glycogen storage, Gauchers, fibrosis,

hypereosinophilia Lofflers, caracinoid, malignancy, radiotherapy, toxins.

42. Tumor compressing Respiratory tract --> investigation: flow volume loop.

43. Guillan Barre syndrome: check VITAL CAPACITY.


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44. Horners sweating lost in upper face only lesion proximal to common carotid artery.

45. Internuclear opthalmoplegia: medial longitudinal fasciculus connects CN nucleus 3-4. Ipsilateral adduction palsy,

contralateral nystagmus. Aide memoire (TRIES TO YANK THE ipsilateral BAD eye ACROSS THE nose ). Convergence

retraction nystagmus, but convergence reflex is normal. Causes: MS, SLE, Miller fisher, overdose(barb, phenytoin, TCA)

Wernicke.

46. Progressive Supranuclear palsy: Steel Richardson. Absent voluntary downward gaze, normal dolls eye . i.e.

Occulomotor nuclei intact, supranuclear Pathology .

47. Perinauds syndrome: dorsal midbrain syndrome, damaged midrain and superior colliculus: impaired upgaze (cf

PSNP), lid retraction, convergence preserved. Causes: pineal tumor, stroke, hydrocephalus, MS.

48. demetia, gait abnormaily, urinary incontinence. Absent papilloedema-->Normal pressure hydrocephalus.

49. acute red eye -> acute closed angle glaucoma >> less common (ant uveitis, scleritis, episcleritis, subconjuntival

haemmorrhage).

50. wheeles, URTICARIA , drug induced -> aspirin.

51. sweats and weight gain -> insulinoma.

52. diagnostic test for asthma -> morning dip in PEFR >20%.

53. Causes of SIADH : chest/cerebral/pancreas Pathology , porphyria, malignancy, Drugs (carbamazepine,

chlorpropamide, clofibrate, atipsychotics, NSAIDs, rifampicin, opiates)

54. Causes of Diabetes Insipidus: Cranial: tumor, infiltration, trauma Nephrogenic: Lithium, amphoteracin,

domeclocycline, prologed hypercalcaemia/hypornatraemia, FAMILIAL X linked type

55. bisphosphonates:inhibit osteoclast activity, prevent steroid incduced osteoperosis (vitamin D also).

56.returned from airline flight, TIA-> paradoxical embolus do TOE.

57. alcoholic, given glucose develops nystagmus -> B1 deficiency (wernickes). Confabulation->korsakoff.

58. mono-artropathy with thiazide -> gout (neg birefringence). NO ALLOPURINOL for acute.

59. painful 3rd nerve palsy -> posterior communicating artery aneurysm till proven otherwise

60 late complication of scleroderma --> pumonaryhypertention plus/minus fibrosis.

61. causes of erythema mutliforme: lamotrigine

62. vomiting, abdominal pain, hypothyroidism -> Addisonian crisis (TFT typically abnormal in this setting DO NOT give

thyroxine).

63. mouth/genital ulcers and oligarthritis -> behcets (also eye /SKIN lesions, DVT)

64. mixed drug overdose most important step -> Nacetylcysteine (time dependent prognosis)

65. cavernous sinus syndrome - 3rd nerve palsy, proptosis, periorbital swlling, conj injectn

66. asymetric parkinsons -> likely to be idiopathic

67. Obese, NIDDM female with abnormal LFT's -> NASH (non-alcoholic steatotic hepatitis)

68. fluctuating level of conciousness in elderly plus/minus deterioration --> chronic subdural. Can last even longer than

months


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69. Sensitivity --> TP/(TP plus FN) e.g. For SLE - ANA highly sens, dsDNA:highly specific

70. RR is 8%. NNT is ----> 100/8 --> 50/4 --> 25/2 --> 13.5

71. ipsilateral ataxia, Horners, contralateral loss pain/temp --> PICA stroke (lateral medulary syndrome of Wallenburg)

72. renal stones (80% calcium, 10% uric acid, 5% ammonium (proteus), 3% other). Uric acid and cyteine stone are

radioluscent.

73. hyperprolactinaemia (allactorrohea, amenorrohea, low FSH/LH) -> Da antags (metoclopramide, chlorpromazine,

cimetidine NOT TCA's), pregnancy, PCOS, pit tumor/microadenoma, stress.

74. Distal, asymetric arthropathy -> PSORIASIS

75. episodic headache with tachycardia -> phaeochromocytoma

76. very raised WCC -> ALWAYS think of leukaemia.

77. Diagnosis of CLL --> immunophenotyping NOT cytogenetics, NOT bone marrow

78. Prognostic factors for AML -> bm karyotype (good/poor/standard) >> WCC at diagnosis.

79. pancytopenia with raised MCV --> check B12/folate first (other causes possble, but do this FIRST). Often associayed

with phenytoin use --> decreased folate

80. miscariage, DVT, stroke --> LUPUS anticoagulant --> lifelong anticoagulation

81. Hb elevated, dec ESR -> polycythaemua (2ndry if paO2 low)

82. anosmia, delayed puberty -> Kallmans syndrome (hypogonadotrophic hypogonadism)

83. diag of PKD -> renal US even if think anorexia nervosa

85. commonest finding in G6PD hamolysis -> haumoglobinuria

86. mitral stenosis: loud S1 (soft s1 if severe), opening snap.. Immobile valve -> no snap.

87. Flank pain, urinalysis:blood, protein -> renal vein thrombosis. Causes: nephrotic syndrome, RCC, amyloid, acute

pyelonephritis, SLE (atiphospholipid syndrome which is recurrent thrombosis, fetal loss, dec plt. Usual cause of cns

manifestations assoc with LUPUS ancoagulant, anticardiolipin ab)

88. anaemia in the elderly assume GI malignancy

89. hypothermia, acute renal failure -> rhabdomyolysis (collapse assumed)

90. pain, numbness lateral upper thigh --> meralgia paraesthesia (lat cutaneous nerve compression usally by by ing

ligament)

91. diagnosis of haemochromatosis: screen with Ferritin, confirm by tranferrin saturation, genotyping. If nondiagnostic

do liver biopsy 0.3% mortality

92. 40 mg hidrocortisone divided doses (bd) --> 10 mg prednisolone (ie. Prednislone is x4 stronger)

93. BTS: TB guidlines close contacts -> Heaf test -> positive CXR, negative --> repeat Heaf in 6 weeks. Isolation not

required.

94. Diptheria -> exudative pharyngitis, lymphadenopathy, cardio and neuro toxicity.

95. Indurated plaques on cheeks, scarring alopecia, hyperkeratosis over hair follicles ->>Discoid LUPUS

96. wt loss, malabsoption, inc ALP -> pancreatic cancer


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97. foreign travel, tender RUQ, raised ALP --> liver abscess do U/S

98. wt loss, anaemia (macro/micro), no obvious cause -> coeliac (diarrhoea does NOT have to be present)

99. haematuria, proteinuria, best investigation --> if glomerulonephritis suspected --> renal biopsy

100. venous ulcer treatment --> exclude arteriopathy (eg ABPI), control oedema, prevent infection, compression

bandaging.

101. Malaria, incubation within 3/12. can be relapsing /remitting. Vivax and Ovale (West Africa) longer imcubation.

102. Fever, lymphadenopathy, lymphocytosis, pharygitis --->EBV ---> heterophile antibodies

103. GI bleed after endovascular AAA Surgery --> aortoenteric fistula

List of High Yield Topics for MRCP Part 1 Exam

Author: sujitvasanth, Posted on Wednesday, November 23 @ 19:13:36 IST by RxPG

Biostatistics: Basics - a must for all exams

For normally distributed data- parametric testStudents t-test

For skewed continuous data which is paired- non- parametric testWilcoxon rank-sum test

For skewed continuous data which is unpaired- non- parametric testMann Whitney Test

To test one categorical variable against another Chi-squared test

Categorical variables are qualitative not numerical. Eg. dead or alive

SE(standard Error)= SD(standard Deviation)/n

Confidence intervals are calculated from SE

Normal Laboratory Values and Ranges For MRCP Question Papers

Date: Monday, July 07 @ 04:27:45 CDT

Topic: MRCP Part 1

Print this page

Haematology

Full blood count


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Westergren

Under 50 years:

Males 0 15 mm/1st hr

Females 0 20 mm/1st hr

Over 50 years:

Males 0 20 mm/1st hr

Females 0 30 mm/1st hr

Plasma viscosity (25C) 1.50 1.72 mPa/s

Coagulation Screen

Prothrombin time 11.5 15.5s

International normalised ratio


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Von Willebrand factor antigen 50 150 IU/dL

Protein C 80 135 IU/dL

Protein S 80 120 IU/dL

Antithrombin III 80 120 IU/dL

Activated protein C resistance 2.12 4.0

Fibrin degradation products < 100 mg/L

D-Dimer screen < 0.5 mg/L

Haematinics

Serum iron 12 30 mol/L

Serum iron-binding capacity 45 75 mol/L

Serum ferritin 15 300 g/L

Serum transferrin 2.0 4.0 g/L

Serum B12 160 760 ng/L

Serum folate 2.0 11.0g/L

Red cell folate 160 640 g/L

Serum haptoglobin 0.13 1.63 g/L

Haemoglobin electrophoresis:

Haemoglobin A > 95%


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Haemoglobin A2 2 3%

Haemoglobin F < 2 %

Chemistry

Serum sodium 137 144 mmol/L

Serum potassium 3.5 4.9 mmol/L

Serum chloride 95 107 mmol/L

Serum bicarbonate 20 28 mmol/L

Anion gap 12 16 mmol/L

Serum urea 2.5 7.5 mmol/L

Serum creatinine 60 110 mol/L

Serum corrected calcium 2.2 2.6 mmol/L

Serum phosphate 0.8 1.4 mmol/L

Serum total protein 61 76 g/L

Serum albumin 37 49 g/L

Serum total bilirubin 1 22 mol/L

Serum conjugated bilirubin 0 3.4 mol/L

Serum alanine aminotransferase 5 35 U/L

Serum aspartate aminotransferase 1 31 U/L


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Serum alkaline phosphatase 45 105 U/L (over 14 years)

Serum gamma glutamyl transferase 4 35 U/L (< 50 U/L in males)

Serum lactate dehydrogenase 10 250 U/L

Serum creatine kinase (Males) 24 195 U/L

Serum creatine kinase (Females) 24 170 U/L

Creatine kinase MB fraction < 5%

Serum troponin I 0-0.4 g/L

Serum troponin T 0 0.1 g/L

Serum copper 12 26 mol/L

Serum caeruloplasmin 200 350 mg/L

Serum aluminium 0-10 g/L

Serum magnesium 0.75 1.05 mmol/L

Serum zinc 6 25 mol/L

Serum urate (males) 0.23 0.46 mmol/L

Serum urate (females) 0.19 0.36 mmol/L

Plasma lactate 0.6 1.8 mmol/L

Plasma ammonia 12 55 mol/L

Serum angiotensin-converting enzyme 25 82 U/L


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Fasting plasma glucose 3.0 6.0 mmol/L

Haemoglobin A1 C 3.8 6.4%

Fructosamine < 285 mo/L

Serum amylase 60 180 U/L

Plasma osmolality 278 305 mosmol/Kg

Urine

Albumin/creatinine ratio (untimed specimen)


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PaO2 11.3 12.6 kPa

PaCO2 4.7 6.0 kPa

Base excess 2 mmol/L

Carboxyhaemoglobin:

Non-smoker < 2%

Smoker 3 15%

Endocrinology

Adrenal steroids

Blood

Serum aldosterone (normal diet)

Upright (4h) 330 830 pmol/L

Supine (30m) 135 400 pmol/L

Serum cortisol:

09.00h 200 700 nmol/L

22.00h 50 250 nmol/L

Overnight dexamethasone suppression test (after 1mg dexamethasone)

Serum cortisol < 50 nmol/l

Low dose dexamethasone suppression test (2 mg/day for 48h)


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Serum cortisol < 50 nmol/L

After insulin-induced hypoglycaemia (blood glucose < 2.2 mmol/L)

Serum cortisol > 550 nmol/L and 200 nmol/L greater than baseline

Plasma 11 deoxycortisol 24 46 nmol/L

Serum dehydroepiandrosterone

(09.00) 7 31 nmol/L

Serum dehydroepiandrosterone sulphate:

(Males) 2 10 mol/L

(Females) 3 12 mol/L

Serum androstenedione (adults)

Males 1.6 8.4 nmol/L

Females 0.6 8.8 nmol/L

Post menopausal females 0.9 6.8 nmol/L

Serum 17-hydroxyprogesterone:

Males 1 10 nmol/L

Females

Follicular 1 10 nmol/L

Luteal 10 20 nmol/L


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Serum oestradiol

Males < 180 pmol/L

Females

Post-menopausal < 100 pmol/L

Follicular 200 400 pmol/L

Mid-cycle 400 1200 pmol/L

Luteal 400 1000 pmol/L

Serum progesterone

Males < 6 nmol/L

Females

Follicular < 10 nmol/L

Luteal > 30 nmol/L

Serum testosterone

Males 9 35 nmol/L

Females 0.5 3 nmol/L

Serum dihydrotestosterone

Males 1- 2.6 nmol/L

Females 0.3 9.3 nmol/L


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Serum sex hormone binding protein

Males 10 62 nmol/L

Females 40 137 nmol/L

Urine

Aldosterone 14 53 nmol/24h

Cortisol 55 250 nmol/24h

Plasma angiotensin II 5 35 pmol/L

Plasma renin activity

Recumbent 1.1 2.7 pmol/ml/h

Erect after 30m 3.0 4.3 pmol/ml/h

Pancreatic and gut hormones

Plasma gastrin < 55 pmol/L

Plasma or serum insulin:

Overnight fasting < 186 pmol/L

After hypoglycaemia

(Blood glucose < 2.2 mmol/L) < 21 pmol/L

Plasma vasoactive intestinal polypeptide < 30 pmol/L

Plasma pancreatic polypeptide < 300 pmol/L


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Plasma glucagon < 50 pmol/L

Anterior pituitary hormones

Plasma adrenocorticotrophic hormone

09.00 < 18 pmol/L

Plasma follicle stimulating hormone

Males 1 7 U/L

Females

Follicular 2.5 10 U/L

Midcycle 25 70 U/L

Luteal 0.32 2.1 U/L

Post-menopausal > 30 U/L

Plasma growth hormone

Basal, fasting and between pulses < 1 mU/L

After hypoglycaemia > 40 mU/L

Plasma luteinizing hormone

Males 1 10 U/L

Females

Follicular 2.5 10 U/L


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Midcycle 25 70 U/L

Luteal 1 13 U/L

Post-menopausal > 30 U/L

Plasma prolactin < 360 mU/L

Plasma thyroid stimulating hormone 0.4 5 mU/L

Posterior pituitary hormones

Plasma antidiuretic hormone 0.9 4.6 pmol/L

Thyroid hormones

Plasma thyroid binding globulin 13 28 mg/L

Plasma thyroxine (T4) 58 174 nmol/L

Free T4 10 22 pmol/L

Tri-iodothyronine (T3) 1.07 3.18 nmol/L

Free T3 5 10 pmol/L

Serum TSH receptor antibodies < 7 U/L

Serum antithyroid peroxidase < 50 IU/mL

Serum thyroid receptor antibodies < 10 U/L

Catecholamines

(Plasma recumbent with venous catheter in place for 30m prior to collection of sample)


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Adrenaline 0.03 1.31 nmol/L

Noradrenaline 0.47 4.14 nmol/L

Urine

Vanillyl mandelic acid 5 35 mol/24h

Dopamine < 3100 nmol/24h

Adrenaline < 144 nmol/24h

Noradrenaline < 570 nmol/24h

Hydroxyindole acetic acid < 70 mol/24h

Others

Plasma parathyroid hormone 0.9 5.4 pmol/L

Plasma calcitonin < 27 pmol/L

Serum cholecalciferol (vitamin D3) 60 105 nmol/L

Serum 25 OH cholecalciferol 45 90 nmol/L

Age-related insulin like growth factor 1

13 15 yrs 9.3 56.0 nmol/L

16 18 yrs 9.3 56.0 nmol/L

20 40 yrs 7.5 37.3 nmol/L

40 60 yrs 5.6 23.3 nmol/L


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>60 yrs 3.3 23.3 nmol/L

Immunology / Rheumatology

Complement C3 65 190 mg/dL

Complement C4 15 50 mg/dL

Total haemolytic (CH50) 150 250 U/L

Serum C-reactive protein < 10 mg/L

Serum immunoglobins

IgG 6.0 13.0 g/L

IgA 0.8 3.0 g/L

IgM 0.4 2.5 g/L

IgE


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Anti double-stranded DNA (ELISA) 0 73 U/mL

Antineutrophil cytoplasmic antibodies

Anti Proteinase 3 Negative

Anti MPO Negative

Antinuclear antibodies Negative at 1:20 Dil.

ENA Negative

Gastric parietal cells Negative at 1:20 Dil.

Interstitial cells of testis Negative at 1:10 Dil.

Jo-1 Negative

La Negative

Mitochondrial Negative at 1:20 Dil.

RNP Negative

Scl-70 Negative

Ro Negative

Skeletal muscle Negative at 1:60 Dil.

Sm Negative

Smooth muscle Negative at 1:20 Dil.

Thyroid colloid and microcosmal antigens Negative at 1:10 Dil.


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Rheumatoid factor < 30 k IU/L

Tumour Markers

Serum alpha-fetoprotein


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Serum lithium 0.5 1.5 mmol/L

Serum phenobarbital 65 172 mol/L

Serum phenytoin 40 80 mol/L

Serum primidone 23 55 mol/L

Plasma theophylline 55 110 mol/L

Cerebro-spinal fluid

Opening pressure 50 180 mm H2O

Total protein 0.15 0.45 g/L

Albumin 0.066 0.442 g/L

Chloride 116 122 mmol/L

Glucose 3.3 4.4 mmol/L

Lactate 12 mmol/L

Cell count 5 mL-1

Differential:

Lymphocytes 60 70%

Monocytes 30 50%

Neutrophils None

IgG/ALB 0.26


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IgG index 0.88

Urine

Glomerular filtration rate 70 140 mL/min

Total protein < 0.2g/24h

Albumin < 30 mg/24 h

Calcium 2.5 7.5 mmol/24h

Urobilinogen 1.7 5.9 mol/24h

Coproporphyrin < 300 nmol/24h

Uroporphyrin 6 24 nmol/24h

Delta-aminolevulinate 8 53 mol/24h

5-hydroxyindoleacetic acid 10 47 mol/24h

Osmolality 350 1000 mosmol/Kg

Faeces

Nitrogen 70 140 mmol/24h

Urobilinogen 50 500 mol/24h

Coproporphyrin 0.018 1.2 mol/24h

Coproporphyrin 0.46 mmol/g dry weight

Protoporphyrin 0 4 mol/24h


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Protoporphyrin 0 220 nmol/g dry weight

Total porphyrin

(ether soluble) 10 200 nmol/g dry weight

(ether insoluble) 0 24 nmol/g dry weight

Fat (on normal diet) < 7g / 24h

Add to My Pages Printer Friendly Email Story Download Story MRCP Part 1 alerts

1. Young girl suspect Anorexia Nervosa linugo hair, finctional hypogonadotrophic hypogonadism -> amennorhea. LH

and FSH both low. All other hormones are usually normal. Ferritin low.

2. Reiters Syndrome arthritis, uveitis, urethritis Chlymidia, campylobacter, Yersinia, SALMONELLA , Shigella.

Balanisits.

3. PKD aut dom Chr 16/4 assoc berry aneurysm, mitral/aortic regurg

4. Porphyria photosensitivity, blisters, scars with millia, hypertrichosis


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5. heart sounds: Aortic Stenosis s2 paradoxical split, length proportional to severity

6. Vitiligo commonest assoctions pernicious anaemia >>> type 1 DM , autoimmune addisons, autoimmune thyoid dx

7. Gout blood urate high/low/normal, joint aspirate pos birif, ppt thiazides, NO allopurinol/aspirin in acute phase

8. Peripheral neuropathy a) B12 rapid, dorsal columns (joint pos, vibration), sensory ataxia, pseudoathetosis of

upperlimbs b) diabetic slow, spinothalamic (pain, temp?) c)alcohol slow progressive, spinothalamic d) Pb motor

upper limbs

9. CNS abnormalities in HIV: toxoplaasmosis (ring enhancing), lymphoma (solitary lesion). HIV encephalopathy,

progressive multifocal leucoencephalopathy (PML demylination in advanced HIV, low attenuation lesions)

10. Travellers diarrohea: chronic (>2 WEEKS) giardia (incidious onset rx. Metronidazole), SALMONELLA (serious systemi

illness), E.coli (rx. Ciprofloxacin) , Shigella

11. Renal syndrome minimal change disease, membanous, IgA nephropathy, post-streptococcal.

12. If you see blood on urinalysis forget about RAS

13. Thyroid Malignancy tend to be non-functional, anaplastic has worse prognosis, local infiltration -> dysphagia, voca

cord paralysis


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ALMOST Pathognomic for the exam

fatiguability -> myasthenia gravis

fasciculations -> Motor neurone diease

silvery white scale -> PSORIASIS

hypopigmented -> vitiligo/pityriasis versicolor

pretibial myxoedema --> Graves (NOT lid lag, NOT exopthalmus)


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MRCP part-1 recall MCQS 07/05/2013

These are some of the MCQS, which I tried to reproduce. Your

suggestion and correction will be appreciated. If anyone of u can

reproduce more Plz post on this forum.

1. Patient is unable to take his arm beyond or pain wen rising above

140-180 degree. ( Supraspinatus tendinitis).

2.Sensory loss of middle finger and some other features. (C7

involvement).

3. Pt having diarrhea for last one month following passing holidays

somewhere and stool microscopy shows Strongolides. (Albendazole).

4. Protien 3D view. (western method)

5.Patient having recurrent chest infection. (Complement levels)..

6. Mechanism of Action of meglitinides. (DPP-4 inhibitor)

7. Mechanism of action of Flecanide. (sodium channel blocker).

8. Herpetic lesion on wrist then after few days macular rash over the

body. (Erythema Multiforme).

9. Pt having low calcium, low phosphate, low Vit-D, ALP raised,

parathyroid hormone raised. How to manage. (Oral vit-D).

10. Pt having Ankylosing spondilitis. chose feature. (Global Axial

decrease mobility)

11. Pt having itchy scales on sternum, eyelids, face, nasal bridge.

(Sebohric dermatitis).

12. Pt having lesion on toes, microscopy shows Trychophytum rubrum.

(terbinafine)

13. Pt having sever photosensitivity, malar rash and some other

findings. (SLE).

14. Piercing pain in the eye. (trigeminal neuroglia) not sure on this.

15. Pt having ischemic colitis, which part of colon is involved. (Spleenic

flexure).

16. Continuous bleeding from pt after vena puncture. PT-raised, APPT-


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raised, Fibronogen-low, D-dimers-raised. (DIC)

17. Poor prognostic factor in leukemia.

18. Question from statistics about positive predictive value. answer

10%

19. Vit- D Resistant rickets. (X-link Dominant).

20. Hereditary telangictasia (Autosomal Dominant)

21.Pt having dizziness, vertigo and eye examination was normal.

(Mieniers disease)

22. Specify the site of lesion that pt is unable to abduct his eye and

some other features. (PONS) not sure,

23. There was a question in which a pt is having lower motor neuron

lesion in upper limb and upper neuron lesion in lower limbs.

(Amytropic lateral sclerosis)

24. PCR...(fromation od DNA from RNA)

25. Where RNA splicing take place.

26. Pat had mastoid surgery for deafness and there was renal

involvement showing blood+, Protien+ in urine. (Alport syndrome).

27. PT diabetic and HTN having painless decrease vision in one of the

eye. fundoscopy shows cotton wools, haemorrhage. (Not sure)

28. CSF examination. glucose normal, protein normal, Lymphos raised,

neutros normal. (Viral infection)

29. Diagnosis of pt on basis of investigation , Von Willbrand antigen

low, Von Willbrand activity low, factor VIII low. (Von willbrand

disease).

30. Pt having plasmodium Vivax infection. wt is the benefit of giving

chloroquine+primaquine. (Decrease resistant)

31. 1 cm rim of pneumothorax. (Discharge and repeat X-ray after 7

days).

32. Pt having small lung carcinoma, having SOB. Increase cortisol level

due to ectopic production of ACTH.

33. Pregnant lady increase frequency of SOB and wheeze. she is on

salbutamol inhaler. (Add steriods)

34. Pt on long term tx for rheumatoid arthritis. some other features.

(Rectal biopsy for amyloidosis).

35. Pt having barret oesophagus on proven following endoscopy. (Acid


39/73

suppression and repeat biopsy).

36. Pt having dyspepsia for long time. (endoscopy)

37. Pt having sever chest infection and was admitted in the hospital. IV

antibiotics are given. 10 days after that pt feel SOB and x-ray shows

large plural Effusion. (Empyema) not sure.

38. Pt had chemotherapy and presented SOB and muffled heart

sounds. (Cardiac temponade)

39. MOA of Bivalirudin. ( direct thrombin inhibitor)

40. Pt having numbness on the lateral boarder of foot. (S1 lesion)

41. CREST complication. (Malabsorption)

42. Pt having lytic lesion on radio graphy. (Protien electrophoresis)

43. Rt sided apical lung cancer involving brachial plexus. Mode of tx.

Not sure.

44. Which of the following causing upper lobe fibrosis. (Allergic

Fibrosing alvelitis)

45. Which of the following cell is raised in Aspergiollus infection.

(Eosinophill)

46. Pt having painlees or red urine and SOB. TX not sure

47. Pt going for chemoptherapy which of the measures should taken

prior to tx. (Red pack cell transfusion)

48. Pt taking DEMARDS drugs and having oral ulcer. (candidiasis)

49. Tricyclic overdose. (IV NaHCO3)

50. Methnol Over dose. (Dialysis)

51. Pt collapse not breathig, no pulse, next step. ( Call for Help)

52. patient with abdomina lpain and vomitting and acidosis nothing

about ketonemia mentioned given insulin in infusion waht nest step. (

Normal Saline)

53. Hypertention and palpitaion thyroin cancer removed in the hx(

carcenoma) what is the diagnosis: pheochromocytoma.

54. Which drug will u give wen pt with pheochromocytomo going for

surgery. (phenoxybenzamine)

55. ECG show st depression in V5 and V6. (Circumflex artery)

56. Pt with obstructive sleep apnea. CPAP, BIPAP, some instruments

use. not sure in this senario.


40/73

Will post more in a day or two. your suggestion and correction will be

appreciated.

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TRENDING:MRCP Part-1 Recall MCQS 07/05/2013

khaled_se

Newbie

Posts: 1

Credits:105

Wed May 08, 2013 11:51 pm (2 days ago)#2

thanks allot my friend

but about 4. Protien 3D view I think it is by x-

ray

. Specify the site of lesion that pt is unable to

abduct his eye and some other features.

(PONS) not sure ( i think it is correct )

thanks again and keep going

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saeedanwar9

Serious Member

Posts: 9

Credits:145

AimMRCP Part 1

Thu May 09, 2013 12:05 pm (1 day ago)#3

topics asked were .

1. lateral epicondyitis

2. ischaemia mesenteric

3.ra

4.sle

5.htn treatement in more than55

6.malignant htn

7.hf

8.vsd

9.ps or aortic valve bicuspid ?
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