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Exam (elaborations)

MRCP Official Sample Questions with answers

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MRCP Official Sample Questions with answers

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MRCP Official Sample Questions with answers


A 65-year-old woman presented with a 12-hour history of the sudden onset of
gait unsteadiness, vomiting and headache, followed by increasing drowsiness.


What is the most likely diagnosis?


A: acute cerebellar haemorrhage


B: acute subdural haemorrhage


C: frontal subdural empyema


D: herpes simplex encephalitis


E: pituitary apoplexy - ....🔰VERIFIED ANSWERS.... ✔✔A


A post-marketing observational study of a new drug was conducted on 5000
patients following clinical trials.


What best describes the data generated from this type of study?




A: comparative efficacy

,B: cost-benefit


C: cost effectiveness


D: potency


E: profile of adverse effects - ....🔰VERIFIED ANSWERS.... ✔✔E


A 79-year-old woman was admitted for elective hip replacement surgery. On
examination, she was pale. There was 2-cm splenomegaly and there were small
discrete axillary lymph nodes.


haemoglobin 107 g/L (115-165)
white cell count 34.5 × 109/L (4.0-11.0)
platelet count 183 × 109/L (150-400)


What is the most likely diagnosis?




A: acute myeloid leukaemia


B: chronic lymphocytic leukaemia


C: chronic myeloid leukaemia

,D: myelodysplasia


E: myelofibrosis - ....🔰VERIFIED ANSWERS.... ✔✔B


A 17-year-old boy presented with a non-blanching rash over his legs, a swollen
knee and painless, visible haematuria.


Urinalysis showed blood 3+, protein 1+.


serum creatinine 210 µmol/L (60-110) urine culture negative ultrasound scan
of kidneys normal


What glomerular abnormality is most likely to be present at renal biopsy?


A: focal segmental sclerosis


B: foot process fusion


C: linear deposition of IgG on the basement membrane


D: mesangial deposition of IgA


E: thickening of basement membranes - ....🔰VERIFIED ANSWERS.... ✔✔D

, A 75-year-old woman developed a spreading cellulitis on her left leg secondary
to ulceration.


blood cultures MRSA


In addition to vancomycin, what is the most appropriate antibiotic?


A: amoxicillin


B: azithromycin


C: flucloxacillin


D: metronidazole


E: rifampicin - ....🔰VERIFIED ANSWERS.... ✔✔E


A 45-year-old woman presented with right flank pain. She had a 4-year history
of hypertension and progressive cognitive impairment.


On examination, she had livedo reticularis and tenderness in the right flank.
Her BP was 185/105 mmHg. Urinalysis showed blood 3+, protein 1+.


Hb 129 g/L (115-165) WCC 8.7 × 109/L (4.0-11.0) PlTs 83 × 109/L (150-400)

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