This is a collecion for some of the
common presentations for the MRCP exam (useful for part 1 & 2) Useful for revision after studying
the only note &/or passmedicine.1a
BADRAWY MRCP revision
HOPE THIS WILL BEBENIFICIAL FOR EVERYONENB I may add some morepresentations to this set, yourcomments are highlyappreciated.
1b
BADRAWY MRCP revision
A 17-y girl cardiac arrest asystoleresuscitate unsuccessfulcollapsed in a 1.500m race atcollegeno relevant family history causeof death?
2a
BADRAWY MRCP revision
HOCMMCC of SCD in the young
2b
BADRAWY MRCP revision
2 day baby cyanotic withfeeding & crying ?
3a
BADRAWY MRCP revision
TGAcyanotic: TGA most
common at birth. Fallot'smoss common overall
3b
BADRAWY MRCP revision
A 17-y girl recurrent attacks atcollapse occur without warning,occurred whilst she wasrunning for a bus,family history father diedsuddenly when he was 38-s, Dx ?
4a
BADRAWY MRCP revision
HOCMMCC of SCD in the young
4b
BADRAWY MRCP revision
A 30-y F, central chestpain,severe, non-radiating
and eases onexpiration,ECG,widespread
ST elevation,Dx ?5a
BADRAWY MRCP revision
Acute pericarditis
5b
BADRAWY MRCP revision
50 -ys M, SOB since themorning,inferior MI 1 y ago,echo following the MI normal LVfunction,still a smoker bibasal crackles,perihilarshadowing,ECG and cardiac enzymesare normal,Dx ?
6a
BADRAWY MRCP revision
Penal artery stenosis Renal artery stenosis may causesudden onset or 'flash'pulmonary oedema. A MI isunlikely given the normal ECGand cardiac enzymes
6b
BADRAWY MRCP revision
18-y Turner's syndromehas a murmur
soft ejection systolicmurmur,Dx ?
7a
BADRAWY MRCP revision
Bicuspid aortic valve MC heart disease with
Turner7b
BADRAWY MRCP revision
70 y F, palpitation + chesttightness,ECG atrial
activity 300, ventricularactivity 150 ,Dx ?
8a
BADRAWY MRCP revision
Atrial FlutterTachycardia with HR 150
think flutter8b
BADRAWY MRCP revision
A 60-y M, SOB onexertion,third heart sound
, respiratory system isunremarkable,Dx ?
9a
BADRAWY MRCP revision
Dilated cardiomyopathyA 3rd heart sound is only
considered a normalvariant in patients < 40 s
9b
BADRAWY MRCP revision
A 36-y F routine antenatal review,15weeks pregnantBP 154/94 confirmed withambulatory BP monitoringher BP 4 weeks ago was 140/88,urinedipstick protein + and nothingelse,no significant past Hx, Dx ?
10a
BADRAWY MRCP revision
Pre-existing hypertension Pregnancy related BPproblems (pre-eclampsia orpregnancy induced HTN)don't occur before 20 weeks.
10b
BADRAWY MRCP revision
A 35-y F,DVT in the thirdtrimester of pregnancy,sudden left hemiparesis,
Dx ?11a
BADRAWY MRCP revision
Patent foramen ovalepresent in about 20% of
population11b
BADRAWY MRCP revision
A 1-y-old girl, a continuousmurmur,loudest at the leftsternal edge,not cyanosed,
Dx ?12a
BADRAWY MRCP revision
PDA
12b
BADRAWY MRCP revision
A 40-y old F,refractoryhypertension,non-specific chestpains,coronary angiogram,Rightfemoral artery 122/68Left ventricle 202/104,Aorta194/84,left arm BP 188/74, Dx ?
13a
BADRAWY MRCP revision
Coarctation of the aorta
13b
BADRAWY MRCP revision
An 82-y M, increasingdyspnoea or exertion,
systolicmurmur,BP 100/80,slow
rising pulse,Dx ?14a
BADRAWY MRCP revision
AS dt Calcification of theaortic valve
14b
BADRAWY MRCP revision
A 56-y M, ED with headaches,chest pain and confusion, BP250/140,equal in botharms,Blurring of the opticdiscs,no significant medicalhistory,Dx ?
15a
BADRAWY MRCP revision
Malignant hypertension Rx with Intravenous
nitroprusside15b
BADRAWY MRCP revision
A 62-y M,two episodes of 'passingout' for around 15 seconds lastmonths associated with effort,feeling'groggy' for only a few seconds afterthe episode,systolic murmur radiates to the carotid area,Dx ?
16a
BADRAWY MRCP revision
ASNext best step isEchocardiogram
16b
BADRAWY MRCP revision
A 44-y M, Hx of palpitations +pre-syncopal symptomsECGT wave inversion in leadsV1-3 +notch at the end of theQRS complex,FH of SCD, Dx ?
17a
BADRAWY MRCP revision
Arrhythmogenic rightventricular
cardiomyopathy17b
BADRAWY MRCP revision
A 76-y, palpitationsirregular cannon 'a'
waves,Dx18a
BADRAWY MRCP revision
Complete heart block
18b
BADRAWY MRCP revision
an elderly Hx of chronicglaucoma & HTN a suddenpainless loss of vision in one eye.Fundoscopy reveals multipleflame-shaped haemorrhages andoptic disc oedema
19a
BADRAWY MRCP revision
Central retinal veinocclusion
19b
BADRAWY MRCP revision
an elderly short-sightedman presents with a floater
on the temporal field ofvision. Visual acuity is
normal20a
BADRAWY MRCP revision
Posterior vitreousdetachment
20b
BADRAWY MRCP revision
An elderly mancomplains of dysphagia,halitosis, regurgitation
and cough21a
BADRAWY MRCP revision
pharyngeal pouch
21b
BADRAWY MRCP revision
an elderly patient presentswith bone pain,
depression, renal stonesand recurrent peptic ulcer
22a
BADRAWY MRCP revision
Primaryhyperparathyroidism
22b
BADRAWY MRCP revision
a teenage girl primaryamenorrhoea, well developedsecondary sexual characteristics& breasts. scanty pubic hair andblind-ending vagina
23a
BADRAWY MRCP revision
Androgen insensitivitysyndrome
23b
BADRAWY MRCP revision
An elderly women developsitchy, tense blisters around
the flexures. There is nomucosal involvement -
24a
BADRAWY MRCP revision
bullous pemphigoid
24b
BADRAWY MRCP revision
A 30-year-old manhaemoptysis and renal
failure. A renal biopsy linearIgG deposits along thebasement membrane
25a
BADRAWY MRCP revision
Goodpasture's syndrome
25b
BADRAWY MRCP revision
A 45-year-old womanpresents with fatigue and
pruritus. Blood tests show araised bilirubin, ALP and
IgM level26a
BADRAWY MRCP revision
primary biliary cirrhosis
26b
BADRAWY MRCP revision
A 55-year-old presents withfever, headache, confusionand aphasia. A CT showspetechial haemorrhages inthe temporal lobe
27a
BADRAWY MRCP revision
herpes simplexencephalitis
27b
BADRAWY MRCP revision
A 30-year-old man presentswith recurrent palpitationsand syncope. A resting ECGshows T wave inversion inV1-3 and epsilon waves
28a
BADRAWY MRCP revision
arrhythmogenic rightventricular
cardiomyopathy28b
BADRAWY MRCP revision
A teenager with tear droppapules on the trunk andlimbs 3 weeks after a sore
throat29a
BADRAWY MRCP revision
Guttate psoriasis
29b
BADRAWY MRCP revision
a young child with a history ofatopic eczema develops a suddeneruption of painful, oedematousvesicles and pustules. They haveare systemically unwell and havea fever
30a
BADRAWY MRCP revision
Eczema herpeticum
30b
BADRAWY MRCP revision
A 60-Hx of TB dyspnoeaand fatigue. JVP is
elevated, loud S3 andKussmaul's sign is positive.
Hepatomegaly31a
BADRAWY MRCP revision
constrictive pericarditis
31b
BADRAWY MRCP revision
bitemporal hemianopia(upper quadrant defect >
lower quadrant defect)32a
BADRAWY MRCP revision
Pituitary tumour
32b
BADRAWY MRCP revision
A tall, slim man presentswith infertility. He is notedto have small, firm testes.Gonadotrophin levels are
elevated33a
BADRAWY MRCP revision
Klinefelter's syndrome
33b
BADRAWY MRCP revision
a tall, slim 18-year-old manpresents with hypogonadism.
He also complains ofanosmia. Gonadotrophin
levels are reduced34a
BADRAWY MRCP revision
Kallman's syndrome
34b
BADRAWY MRCP revision
An elderly gradualworsening dementia and
bradyphrenia , a slow,shuffling gait. urinary
incontinence35a
BADRAWY MRCP revision
normal pressurehydrocephalus
35b
BADRAWY MRCP revision
An elderly Jewish womandevelops painful, flaccid, easilyruptured vesicles and bullae onthe skin.not itchy and werepreceded by mouth lesions
36a
BADRAWY MRCP revision
pemphigus vulgaris
36b
BADRAWY MRCP revision
A woman rheumatoid arthritisred right eye.no pain,discharge or photophobiaalthough the eye is tearing.Visual acuity is normal
37a
BADRAWY MRCP revision
episcleritis
37b
BADRAWY MRCP revision
A patient develops footdrop following a fibular
neck fracture38a
BADRAWY MRCP revision
common peroneal nerve
38b
BADRAWY MRCP revision
middle aged womanthyrotoxicosis and a goitre.exophthalmos and pretibialmyxoedema. Anti-TSH receptorstimulating antibodies arepositive -
39a
BADRAWY MRCP revision
Graves' disease
39b
BADRAWY MRCP revision
persistent foul-smellingwatery diarrhoea and
weight loss after travellingto India.symptoms for two
weeks40a
BADRAWY MRCP revision
giardiasis
40b
BADRAWY MRCP revision
a patient speak fluently butmakes little sense with mulitpleword substitutions andneologisms. + difficultyunderstanding what people aresaying to him
41a
BADRAWY MRCP revision
Wernicke's aphasia
41b
BADRAWY MRCP revision
a patient have laboured,non-fluent, halting speech.He does however retain hisability to understand whatpeople are saying to him
42a
BADRAWY MRCP revision
Broca's aphasia
42b
BADRAWY MRCP revision
A 40-year-old womanpresents with fever,
fluctuating neurologicalsigns, thrombocytopenia
and renal failure43a
BADRAWY MRCP revision
TTP
43b
BADRAWY MRCP revision
An elderly acute onsetataxia, nystagmus and
sensory loss.sensory lossaffecting the left side of the
face and right arm44a
BADRAWY MRCP revision
posterior inferiorcerebellar arteryocclusion (lateral
medullary syndrome)44b
BADRAWY MRCP revision
A man presents withsevere vomiting. Earlier inthe day he reheated some
rice from a takeaway45a
BADRAWY MRCP revision
Bacillus cereus
45b
BADRAWY MRCP revision
unilateral spastic paresis andloss of proprioception /vibrationsensation with loss of pain andtemperature sensation on theopposite side.
46a
BADRAWY MRCP revision
Brown-Sequardsyndrome
46b
BADRAWY MRCP revision
A 20-y presents in summerwith gradually worsening
flu-like symptoms and a drycough. + erythema
multiforme47a
BADRAWY MRCP revision
mycoplasma pneumonia
47b
BADRAWY MRCP revision
bilateral spastic paresisand loss of pain and
temperature sensation48a
BADRAWY MRCP revision
Anterior spinal arteryocclusion
48b
BADRAWY MRCP revision
A 6-yboy passing darkurine 10 days after having
had a sorethroat.periorbital oedema
49a
BADRAWY MRCP revision
Post-streptococcalglomerulonephritis
49b
BADRAWY MRCP revision
a 5-year-old child develops acuterenal failure shortly after beingadmitted with bloody diarrhoeaand fever. Bloods show renalfailure, thrombocytopaenia andanaemia
50a
BADRAWY MRCP revision
Haemolytic uraemicsyndrome
50b
BADRAWY MRCP revision
A 30-y Turkish manrecurrent oral and genitalulceration. anterior uveitis
and thombophlebitis -51a
BADRAWY MRCP revision
Behcet's syndrome
51b
BADRAWY MRCP revision
A 30-y woman with ahistory of recurrent peptic
ulcer disease,hypercalcaemia on routine
bloods. -52a
BADRAWY MRCP revision
multiple endocrineneoplasia (type 1)
52b
BADRAWY MRCP revision
40-y man with a history ofulcerative colitis fatigue,
jaundice and pruritus andright upper quadrant pain
53a
BADRAWY MRCP revision
primary sclerosingcholangitis
53b
BADRAWY MRCP revision
Young adult with anabdominal herald patch,erythematous, oval, scaly
patches in a 'fir-tree'distribution
54a
BADRAWY MRCP revision
pityriasis rosea
54b
BADRAWY MRCP revision
A patient with a long historyof 'migraines' presents withregular headaches despiteusing sumatriptan on a dailybasis -
55a
BADRAWY MRCP revision
medication overuseheadache
55b
BADRAWY MRCP revision
A young man an acuteheadache + unilateralperiorbital edema. Onexamination there is a
lateral gaze palsy56a
BADRAWY MRCP revision
cavernous sinusthrombosis
56b
BADRAWY MRCP revision
A 45-y man diarrhoea,weight loss and arthralgia.
Jejunal biopsy deposition ofmacrophages PAS-positive
granules57a
BADRAWY MRCP revision
Whipple's disease
57b
BADRAWY MRCP revision
An elderly alcoholic manpersistent headache afterfalling over the previousday.fluctuating level of
consciousness58a
BADRAWY MRCP revision
subdural haemorrhage
58b
BADRAWY MRCP revision
A 65-y man chronichepatitis b infection
symptoms and signs of livercirrhosis. Alpha-fetoprotein
is elevated. -59a
BADRAWY MRCP revision
hepatocellular carcinoma
59b
BADRAWY MRCP revision
A young athlete paralysis ofhis right leg before an
athletics meet. Neurologicalexamination is inconsistent
-60a
BADRAWY MRCP revision
conversion disorder
60b
BADRAWY MRCP revision
Flacid paresis of theintrinsic hand muscleswith loss of pain and
temperature sensation -61a
BADRAWY MRCP revision
syringomyelia
61b
BADRAWY MRCP revision
A 50-y man history ofsinusitis presents withhaemoptysis and renal
impairment.renal biopsycrescentic GN
62a
BADRAWY MRCP revision
Wegener'sgranulomatosis
62b
BADRAWY MRCP revision
Elderly 2 week history ofunilateral headache +pain on chewing and
brushing her hair63a
BADRAWY MRCP revision
temporal arteritis
63b
BADRAWY MRCP revision
A man itchy, purple,papular rash on the palms
and flexor surfaces of arms.polygonal and covered in a
'white-lace' -64a
BADRAWY MRCP revision
lichen planus
64b
BADRAWY MRCP revision
A 15-year-old presents withnephrotic syndrome. Theirblood pressure and renalblood tests are normal -
65a
BADRAWY MRCP revision
minimal change disease
65b
BADRAWY MRCP revision
A 30-y woman foul smelling oilydiarrhoea, abdominal bloating,fatigue and weight loss.papulovesicular lesions on theextensor aspects of her arms
66a
BADRAWY MRCP revision
coeliac disease
66b
BADRAWY MRCP revision
A 60-y muscle fasciculation+ wasting of the small ms ofthe hand. MN signs in the
arms and UMN signs in thelegs
67a
BADRAWY MRCP revision
motor neuron disease
67b
BADRAWY MRCP revision
A teenage boyclumsywalking. gait ataxia, an
intention tremor and lossof lower limb reflexes -
68a
BADRAWY MRCP revision
Friedreich's ataxia
68b
BADRAWY MRCP revision
A 15-y midline neck lumppainless and cystic in
nature. It moves upwardson protrusion of the tongue
69a
BADRAWY MRCP revision
thyroglossal cyst
69b
BADRAWY MRCP revision
60-y man lung cancer dyspnoea. tachycardic,
hypotensive,JVP absent Ydescent pulsus paradoxus
70a
BADRAWY MRCP revision
cardiac tamponade
70b
BADRAWY MRCP revision
Intense pain around one eye.Attacks occurs once/day, eachepisode 1 hour for the past 8weeks. + red and watery eyeand a constricted pupil -
71a
BADRAWY MRCP revision
cluster headache
71b
BADRAWY MRCP revision
A 60-y man flu-likesymptoms & dry cough.relative bradycardia +
confused. + low sodium -72a
BADRAWY MRCP revision
Legionnaires' disease
72b
BADRAWY MRCP revision
Bilateral spastic paresis,loss of proprioception
and vibration sensationand limb ataxia -
73a
BADRAWY MRCP revision
subacute combineddegeneration of the
spinal cord73b
BADRAWY MRCP revision
bitemporal hemianopia(lower quadrant defect >upper quadrant defect)
74a
BADRAWY MRCP revision
Craniopharyngioma -
74b
BADRAWY MRCP revision
Young child withmultiple small, pearly,
umbilicated lesions75a
BADRAWY MRCP revision
molluscum contagiosum
75b
BADRAWY MRCP revision
A young man acute, painfulred eye + photophobia &
blurred vision.pupil issmall and irregular -
76a
BADRAWY MRCP revision
anterior uveitis
76b
BADRAWY MRCP revision
A patient persistent STelevation 4 weeks aftermyocardial infarction.
bibasal crackles +third andfourth heart sound
77a
BADRAWY MRCP revision
left ventricular aneurysm
77b
BADRAWY MRCP revision
an elderly short-sighted manflashing lights worse on eyemovement located in thetemporal visual field.uppervisual field loss 'like a curtaincoming down'
78a
BADRAWY MRCP revision
Retinal detachment
78b
BADRAWY MRCP revision
an elderly man with a longhistory of diabetes sudden visualloss in one eye. For the past fewdays floaters and 'cobwebs'.Visual acuity is reduced tosensing light
79a
BADRAWY MRCP revision
Vitreous haemorrhage
79b
BADRAWY MRCP revision
A woman complains oflethargy, diplopia anddysphagia. a ptosis on
examination -80a
BADRAWY MRCP revision
myasthenia gravis
80b
BADRAWY MRCP revision
a 30-y M visual problems. Hisvision is much worse in the dark +started to lose peripheral vision.He has a family history of similarproblems
81a
BADRAWY MRCP revision
Retinitis pigmentosa
81b
BADRAWY MRCP revision
an elderly female smokerreduced visual acuity, +'blurred' vision. central
scotoma and fundoscopymultiple drusen
82a
BADRAWY MRCP revision
Macular degeneration
82b
BADRAWY MRCP revision
a patient develops acuteheart failure 5 days after a
MI. A new pan-systolicmurmur is noted on
examination83a
BADRAWY MRCP revision
Ventricular septal defect
83b
BADRAWY MRCP revision
a patient is noted to have anew early-to-mid systolic
murmur 10 days afterbeing admitted for a MI
84a
BADRAWY MRCP revision
Ischaemia of thepapillary muscle
84b
BADRAWY MRCP revision
A 30-y man productivecough, fever and chestpain.herpes labialis +
consolidation in the rightlower zone -
85a
BADRAWY MRCP revision
pneumococcalpneumonia
85b
BADRAWY MRCP revision
A 25-y woman irregularperiods hirsutism.elevatedLH:FSH ratio and raised
testosterone level -86a
BADRAWY MRCP revision
polycystic ovariansyndrome
86b
BADRAWY MRCP revision
A 20-y painless swellingon the lateral aspect of theneck. smooth, non-tender
and fluctuant -87a
BADRAWY MRCP revision
branchial cyst
87b
BADRAWY MRCP revision
A 30-y man progressiveweakness of his hands. wasting ofthe small muscles of the hand.pain and temperature sensationis reduced but light touch ispreserved. -
88a
BADRAWY MRCP revision
syringomyelia
88b
BADRAWY MRCP revision
combination of bothupper and lower motor
neuron signs89a
BADRAWY MRCP revision
Amyotrophic lateralsclerosis
89b
BADRAWY MRCP revision
A man developshaematuria and
frequency after visitingMalawi -
90a
BADRAWY MRCP revision
Schistosomahaematobium
90b
BADRAWY MRCP revision
Sudden onset vertigo andvomiting, dysphagia, ipsilateralfacial pain and temperatureloss, contralateral limb pain andtemperature loss and ataxia -
91a
BADRAWY MRCP revision
posterior inferiorcerebellar artery
91b
BADRAWY MRCP revision
a 45-year-old woman withnephrotic syndrome is noted
to have marked loss ofsubcutaneous tissue from
the face92a
BADRAWY MRCP revision
Membranoproliferativeglomerulonephritis (type
II)92b
BADRAWY MRCP revision
A 2-year-old childdevelops perianal itching,which is particularly bad
at night -93a
BADRAWY MRCP revision
Enterobius vermicularis
93b
BADRAWY MRCP revision
a patient Hx of heartburnpresents with odynophagia.
There no weight loss,vomiting or anorexia
94a
BADRAWY MRCP revision
Oesophagitis
94b
BADRAWY MRCP revision
A middle-aged womensymptoms of
hypothyroidism. a diffuse,non-tender goitre .TSH
,T4 , anti-TPO +ve95a
BADRAWY MRCP revision
Hashimoto's thyroiditis
95b
BADRAWY MRCP revision
An elderly man restingtremor in right hand.
shuffling gait and a generalslowness of movement -
96a
BADRAWY MRCP revision
Parkinson's disease
96b
BADRAWY MRCP revision
A 50-year-old alcoholicpresents with fever. He is
found to have an rightupper lobe pneumonia -
97a
BADRAWY MRCP revision
Klebsiella pneumonia
97b
BADRAWY MRCP revision
a patient develops waterydiarrhoea one week after
arriving in Mexico98a
BADRAWY MRCP revision
Escherichia coli(enterotoxigenic)
98b
BADRAWY MRCP revision
A young man from north-east of the USA
fever,arthralgia. + rash 5 cmerythematous oval area with
central clearing99a
BADRAWY MRCP revision
Borrelia burgdorferi
99b
BADRAWY MRCP revision
A young man weakness oflegs shortly after severegastroenteritis. normal
Sensation in legs+ loss ofDTR
100a
BADRAWY MRCP revision
Guillain-Barre syndrome
100b
BADRAWY MRCP revision
A 75-yewoman colickypain typically in the LLQ+ diarrhoea and fever -
101a
BADRAWY MRCP revision
diverticulitis
101b
BADRAWY MRCP revision
A 40-y woman tremor ofboth hands.worse when sheis stressed and relieved by
alcohol. FH of similarproblems
102a
BADRAWY MRCP revision
essential tremor
102b
BADRAWY MRCP revision
A patient has difficultabducting their arm
following a humeral neckfracture
103a
BADRAWY MRCP revision
Axillary nerve
103b
BADRAWY MRCP revision
wrist drop following ahumeral midshaft
fracture104a
BADRAWY MRCP revision
Radial nerve
104b
BADRAWY MRCP revision
An elderly man acute,painful red eye + decreasedvisual acuity. worse in the
dark. semi-dilated non-reacting pupil
105a
BADRAWY MRCP revision
acute angle closureglaucoma
105b
BADRAWY MRCP revision
gradual onset bloodydiarrhoea after travelling to
Egypt. lasted four weeks.occasional abdominal pain
and tenesmus106a
BADRAWY MRCP revision
Amoebiasis
106b
BADRAWY MRCP revision
profuse 'rice water' diarrhoeaafter visiting a disaster reliefzone.vomiting but has noabdominal pain. Onexamination he is severelydehydrated
107a
BADRAWY MRCP revision
Cholera
107b
BADRAWY MRCP revision
sudden onset severeoccipital headache, like
being 'kicked in the backof the head'
108a
BADRAWY MRCP revision
Subarachnoidhaemorrhage
108b
BADRAWY MRCP revision
constant headacheassociated with nausea. Theheadache is present at nightand worse when coughing
109a
BADRAWY MRCP revision
Raised intracranialpressure
109b
BADRAWY MRCP revision
frontal headachefollowing URTI,worse on
leaning forward110a
BADRAWY MRCP revision
Sinusitis
110b
BADRAWY MRCP revision
A 30-y woman weight gainand irregular menstruation.BP is elevated at 170/100mmHg + evidence ofproximal muscle weakness
111a
BADRAWY MRCP revision
Cushing's syndrome
111b
BADRAWY MRCP revision
A 35-y woman BP180/110 mmHg. tired
and weak. Routine bloodsshow hypokalaemia
112a
BADRAWY MRCP revision
primaryhyperaldosteronism
112b
BADRAWY MRCP revision
a 15-year-old boy developsfever and tachypnoea one
week after recoveringfrom influenza
113a
BADRAWY MRCP revision
Staphylococcus aureuspneumonia
113b
BADRAWY MRCP revision
a 60-y Pt Hx of COPD infective exacerbation+productive cough and
consolidation on the chestx-ray
114a
BADRAWY MRCP revision
Haemophilus influenzaepneumonia
114b
BADRAWY MRCP revision
Recurrent, severe headacheunilateral and throbbing in
nature. Associated withnausea and
photosensitivity115a
BADRAWY MRCP revision
migraine
115b
BADRAWY MRCP revision
a patient with Huntington'sdisease speech which is
difficult to comprehend. canunderstand what is being
said to him116a
BADRAWY MRCP revision
Dysarthria
116b
BADRAWY MRCP revision
young adult noticeshypopigmented patches on hertrunk after coming gettingsuntan. Patches are mildlypruritic with some scale
117a
BADRAWY MRCP revision
Pityriasis versicolor
117b
BADRAWY MRCP revision
a 35-y man severe, episodicloin pain radiates round to
the front. blood+++,leucocytes ++ on the urine
dipstick118a
BADRAWY MRCP revision
Renal colic
118b
BADRAWY MRCP revision
an elderly man severecentral abdominal pain
radiating to the backassociated with
hypotension119a
BADRAWY MRCP revision
Ruptured abdominalaortic aneurysm
119b
BADRAWY MRCP revision
a 60-y with a history oftuberculosis dyspnoea &fatigue. JVP , loud S3 and
Kussmaul's sign +ve,Hepatomegaly
120a
BADRAWY MRCP revision
Constrictive pericarditis
120b
BADRAWY MRCP revision
a 25-y man is investigatedfor recurrent syncope anddyspnoea. ejection systolic
murmur121a
BADRAWY MRCP revision
Hypertrophic obstructivecardiomyopathy
121b
BADRAWY MRCP revision
a 60-y alcoholic man severechest pain after repeated
episodes of vomiting. + SCemphysema
122a
BADRAWY MRCP revision
Boerhaave syndrome
122b
BADRAWY MRCP revision
a patient who is known tohave HIV presents with
odynophagia123a
BADRAWY MRCP revision
Oesophageal candidiasis
123b
BADRAWY MRCP revision
a 55-yman fever andmalaise past few weeks
common peroneal nervepalsy. hepatitis B surface
antigen +ve124a
BADRAWY MRCP revision
Polyarteritis nodosa
124b
BADRAWY MRCP revision
a 30-y woman from Singaporeheadache, malaise & myalgia.BP 160/100 mmHg, the rightradial pulse is difficult topalpate and a carotid bruit isnoted
125a
BADRAWY MRCP revision
Takayasu's arteritis
125b
BADRAWY MRCP revision
a 65-y Male IgGparaprotein band +
asymptomatic + calciumand renal function are
normal126a
BADRAWY MRCP revision
Monoclonal gammopathyof undetermined
significance126b
BADRAWY MRCP revision
a 70-y DVT. monoclonalIgM paraprotein band . lost
weight and feels unwell.calcium and renal function
normal127a
BADRAWY MRCP revision
Waldenstrom'smacroglobulinaemia
127b
BADRAWY MRCP revision
an obese 55-y pain in theRUQ associated with fever.
Palpation of the RUQcauses arrest of respiration
128a
BADRAWY MRCP revision
Acute cholecystitis
128b
BADRAWY MRCP revision
a patient Hx of Barrett'soesophagus presents with
dysphagia and weightloss
129a
BADRAWY MRCP revision
Oesophageal cancer
129b
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a middle-aged patientdysphagia of both liquidsand solids from the start.
regurgitation and apersistent cough
130a
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Achalasia
130b
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an elderly man severe painaround his right eye,
nausea, redness of the eye,'misty vision' and a semi-
dilated pupil131a
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Acute narrow-angleglaucoma
131b
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a patient feigns chroniclower back pain to allow
him to claim governmentbenefits
132a
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Malingering
132b
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a car crash survivor feelslike he is 'watching a movie'when trying to recall details
of the episode133a
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Dissociative disorder
133b
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a 75-y man large amountsof a mucous-like diarrhoea.
Bloods demonstratehypokalaemia
134a
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Villous adenoma
134b
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a man who presents withintussusception is noticed to havemultiple polyps on colonoscopy.These are later shown to behamartomatous. He also haspigmented lesions on his lips andpalms
135a
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Peutz-Jeghers syndrome
135b
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A woman develops awinged scapula after
mastectomy136a
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long thoracic nerve
136b
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An elderly womanitchylesion on her vulva. It
started as a red patch buthas now turned into a white
plaque137a
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lichen sclerosus
137b
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a 65-y man back pain andlethargy.raised calcium,renal dysfunction and a
raised ESR138a
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Multiple myeloma
138b
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a 20-y woman recurrent episodesof abdominal pain +bloating.pain is relieved ondefecation. She normal passes 3loose stools with mucous in themornings
139a
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Irritable bowel syndrome
139b
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A man diarrhoea andabdominal pain,
papulovesicular lesions onthe soles & urticarial rash
140a
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Strongyloides stercoralis
140b
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a child sore throat and low-grade fever.vesicles in themouth and on the palms
and soles of the feet141a
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Hand, foot and mouthdisease
141b
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a child pink maculopapularrash, initially on the face beforespreading to the whole body.Suboccipital & postauricularlymphadenopathy is present
142a
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Rubella
142b
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a middle-aged womandevelops painful,
erythematous, nodularlesions over both shins
143a
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Erythema nodosum
143b
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a young child history of atopiceczema a sudden eruption ofpainful, oedematous vesiclesand pustules. systemicallyunwell and have a fever
144a
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Eczema herpeticum
144b
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a middle aged woman tendergoitre + hyperthyroidism.
TSH & T4. globallyuptakeon iodine-131 scan
145a
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Subacute thyroiditis
145b
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A patient presents with a'droopy eyelid'. unilateralmiosis, ptosis and narrowpalpebral aperture giving theappearance of enophthalmos
146a
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Horner's syndrome
146b
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A 50-y man Marfan syndromepalpitations &dyspnoea.collapsing pulse, the BP160/60 mmHg and a high-pitched diastolic murmur
147a
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aortic regurgitation
147b
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An elderly woman developsa reticulated,
hyperpigmented rash afterusing a hot water bottle
excessively -148a
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erythema ab igne
148b
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a 35-y woman loin pain +fever. She has blood+++,
leucocytes +++ on theurine dipstick
149a
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Pyelonephritis
149b
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a 50-year-old manpresents with epigastricpain relieved by eating
150a
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Duodenal ulcer
150b
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an ECG shows progressiveprolongation of the PRinterval until a dropped
beat occurs151a
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Second degree heartblock (Mobitz I)
151b
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a man develops a cardiacarrest shortly after MI. TheECG monitor shows rapid,
irregular waveforms152a
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Ventricular fibrillation
152b
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a 2-y abdominal mass andpallor. raised urinary
(VMA) and homovanillicacid (HVA) levels
153a
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Neuroblastoma
153b
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A man history of syphilisbilateral small, irregularpupils which respond toaccomodation but not to
light154a
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Argyll-Robertson pupil
154b
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an elderly Hx of HTN andglaucoma visual acuity &peripheral visual field loss.
Fundoscopy optic disccupping
155a
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Primary open-angleglaucoma
155b
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a baby is born withmicrocephaly, small eyes,low-set ears, cleft lip and
polydactyly156a
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Patau syndrome
156b
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a young boy is noted tohave learning difficulties,macrocephaly, large ears
and macro-orchidism157a
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Fragile X
157b
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a 55-y woman recurrent episodesof vertigo often triggered by achange in head position. Eachepisode lasts around 10-20seconds and is associated withnausea
158a
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Benign paroxysmalpositional vertigo
158b
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a 45-y man unilateralhearing loss. tinnitus andsome problems with hisbalance. absent corneal
reflex159a
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Acoustic neuroma
159b
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a 6-week-old baby with 1*1.5cmswelling in the left axilla. Theywere given the BCG vaccine at
birth160a
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Reactivelymphadenopathy
160b
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a 20-y man tender, swollen 2cmmass in the right submandibularregion. His temperature is38.2degC and he is noted to havepoor dental hygiene
161a
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Reactivelymphadenopathy
161b
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a 40-y alcoholichaematemesis after
repeated vomiting. Anendoscopy two months ago
no evidence of varices162a
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Mallory-Weiss syndrome
162b
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a middle-aged woman Hxof Raynaud's phenomenonc/o dysphagia + multiple
telangectasia163a
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Systemic sclerosis
163b
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a 40-year-old womandysphagia. Oesophageal
manometry oesophagealperistalsis & lower
oesophageal sphincter tone164a
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Systemic sclerosis
164b
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an elderly patient waterydiarrhoea after being treatedfor pneumonia. Blood tests
show a new, markedneutrophilia
165a
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Clostridium difficile
165b
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a 20-y man bloodydiarrhoea. abdominal pain
and tenesmus. Yesterday hehad flu-like symptoms
166a
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Campylobacter
166b
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a 60-y woman dysphagiaand lethargy. smooth,
swollen tongue and paleconjunctivae
167a
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Plummer-Vinsonsyndrome
167b
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a patien Hx of anxietyc/o having a 'lump' in her
throat168a
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Globus hystericus
168b
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a 30-y woman with a historyof recurrent peptic ulcerdisease is found to have
hypercalcaemia on routinebloods
169a
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Multiple endocrineneoplasia (type 1)
.169b
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A teenage girl anterior kneepain worse when going
down stairs and rising fromprolonged sitting
170a
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chondromalacia patellae
170b
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A 70-y womanpan-systolicmurmur after presentingwith dyspnoea. A soft S1
and split S2171a
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mitral regurgitation
171b
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a 1-y is swelling on theleft side of the neck. Themass is soft, non-tender
and transilluminates172a
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Cystic hygroma
172b
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ipsilateral oculomotorpalsy and contralateral
weakness173a
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Branches of the posteriorcerebral artery that
supply the midbrain173b
BADRAWY MRCP revision
contralateral hemiparesis andsensory loss with the upperextremity being more affectedthan the lower, contralateralhomonymous hemianopia andaphasia
174a
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Middle cerebral artery
174b
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a young woman takes aparacetamol overdose aftersplitting with her boyfriend. Twodays later she is in a newrelationship which is troubled byher repeated outbursts of anger
175a
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Borderline personalitydisorder
175b
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a woman presents to her male familydoctor wearing a low-cut top and ashort skirt. She tries to flirt with thedoctor. The consultation is filled withdrama and she becomes annoyedwith the centre of attention shiftsfrom her
176a
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Histrionic personalitydisorder
176b
BADRAWY MRCP revision
a boy is noted to havereduced tone,
hypogonadism andobesity
177a
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Prader-Willi syndrome
177b
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a baby micrognathia and a cleftpalate. He is placed prone dueto upper airway obstruction.There is no family history ofsimilar problems
178a
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Pierre-Robin syndrome
178b
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an overweight 50-y manlethargy and excessive
thirst. Fundoscopy blothaemorrhages
179a
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Type 2 diabetes mellitus
179b
BADRAWY MRCP revision
a 40-y patient Hxhypertension presents with
episodic palpitations,excessive sweating,
headaches and tremor180a
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Phaeochromocytoma
180b
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a boy arm problems after fallingfrom a tree, caught a branch tosave himself. On examination hehas a claw hand with ahyperextended wrist
181a
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Lower trunk of thebrachial plexus (C8, T1)
181b
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Loss of proprioceptionand vibration . No motor
deficit182a
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neurosyphilis
182b
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A 35-y jerky, random anduncontrollable movements of hisarms. getting progressively worsefor the past few months. His wifealso says he is increasinglyirritable and moody
183a
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Huntington's disease
183b
BADRAWY MRCP revision
a patient with acute HF 10days after MI. JVP, pulsusparadoxus and diminished
heart sounds184a
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Left ventricular free wallrupture
184b
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A woman Hx of rheumatoidarthritis severe, constant pain inher right eye. right eye is red andthere is a degree of photophobia.Visual acuity is normal
185a
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scleritis
185b
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a patient speak fluently but havedifficulty repeating phrases. Heis aware of the errors he ismaking and comprehensionremains normal
186a
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Conduction aphasia
186b
BADRAWY MRCP revision
A patient presents withsevere vomiting 4 hours
after eating at arestuarant -
187a
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Staphylococcus aureus
187b
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A 2-year-old child isadmitted with watery
diarrhoea, vomiting anddehydration -
188a
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rotavirus
188b
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a sporty teenage boypresents with pain,
tenderness and swellingover the tibial tubercle
189a
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Osgood-Schlatter disease
189b
BADRAWY MRCP revision
a sporty teenager presentswith knee pain after
exercise associated withintermittent swelling and
locking190a
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Osteochondritisdissecans
190b
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An elderly patient with a historyof atrial fibrillation presents witha sudden painless loss of vision inone eye. Fundoscopy reveals a'cherry red' spot on a pale retina-
191a
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central retinal arteryocclusion
191b
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transient unilateral lossof vision described as a
'curtain descending'192a
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Ophthalmic artery
192b
BADRAWY MRCP revision
locked-in syndrome
193a
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Basilar artery
193b
BADRAWY MRCP revision
A man episodic angioedemawhilst in west Africa. Onone occasion he noticed a'worm moving across the
left eye'194a
BADRAWY MRCP revision
Loa loa
194b
BADRAWY MRCP revision
a patient is suspected ofinjecting her mothers
insulin to cause repeatedepisodes of hypoglycaemia
195a
BADRAWY MRCP revision
Factitious disorder
195b
BADRAWY MRCP revision
Flaccid paralysis of upper+ lower face -
196a
BADRAWY MRCP revision
CN VII
196b
BADRAWY MRCP revision
A patient complains ofpins/needles and pain on
the lateral aspect of thehand -
197a
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median nerve
197b
BADRAWY MRCP revision
A 25-y man presents withvisible haematuria. He alsocomplains of having a badsore throat at the current
time198a
BADRAWY MRCP revision
IgA nephropathy
198b
BADRAWY MRCP revision
A man presents withcentral, pleuritic chest painand fever 4 weeks following
MI. The ESR is elevated -199a
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Dressler's syndrome
199b
BADRAWY MRCP revision
recurrent, non-disabling,bilateral headache,
described as a 'tight-band'
200a
BADRAWY MRCP revision
Tension headache
200b
BADRAWY MRCP revision
a man with raised, red,spherical lesion on his neck.It initially was a red spot but
rapidly grew over 4 weeks201a
BADRAWY MRCP revision
Pyogenic granuloma
201b
BADRAWY MRCP revision
a man with HIV presents with apainful, vesicular rash on theright side of his face around theeye. Fluorescein staining revealsmultiple small defects on theright cornea
202a
BADRAWY MRCP revision
Herpes zosterophthalmicus
202b
BADRAWY MRCP revision
a patient with an acute,painful red eye +
photophobia and epiphora.Fluorescein staining ragged
area on the cornea203a
BADRAWY MRCP revision
Herpes simplex keratitis
203b
BADRAWY MRCP revision
an elderly man withparkinsonism atonic
bladder, posturalhypotension and cerebellar
signs204a
BADRAWY MRCP revision
Multiple system atrophy
204b
BADRAWY MRCP revision
a 40-y man with headachesand coarsening of his facialfeatures.his wedding ring
and shoes no longer fit him205a
BADRAWY MRCP revision
Acromegaly
205b
BADRAWY MRCP revision
a newborn's arm is noted to behanging loosely following adifficult forceps delivery. Thearm is adducted and internallyrotated, elbow extended
206a
BADRAWY MRCP revision
Upper trunk of thebrachial plexus (C5,C6)
206b
BADRAWY MRCP revision
A child presents with fever,malaise and tonsillitisassociated with a 'strawberry'tongue and a fine punctateerythematous rash sparing theface -
207a
BADRAWY MRCP revision
scarlet fever
207b
BADRAWY MRCP revision
a 35-y man Hx of HTNand SAH presents with
recurrent UTIs andepisodic haematuria
208a
BADRAWY MRCP revision
Autosomal dominantpolycystic kidney disease
208b
BADRAWY MRCP revision
an elderly male smokervisible haematuria + loinpain. a loin mass can befound on the same side
209a
BADRAWY MRCP revision
Renal cell carcinoma
209b
BADRAWY MRCP revision
a 25-y man develops a painlesspustule that later erodes to forman ulcer. By the time he presentshe has painful inguinallymphadenopathy andproctocolitis
210a
BADRAWY MRCP revision
Lymphogranulomavenereum
210b
BADRAWY MRCP revision
middle-aged man head injury fallingdown some stairs. After losingconsciousness he quickly recoversc/o of a headache. Over the next fewhours he becomes more confusedand has one seizure -
211a
BADRAWY MRCP revision
extradural (epidural)haematoma
211b
BADRAWY MRCP revision
A patient develops abradycardia of 36/min followinga myocardial infarction. TheECG shows no associationbetween the P waves and QRScomplexes -
212a
BADRAWY MRCP revision
complete heart block
212b
BADRAWY MRCP revision
Plz don't hesitate to sharecomments & suggestions
for this set ..144a
BADRAWY MRCP revision
Thank You
144b
BADRAWY MRCP revision
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