- Study guides, Class notes & Summaries

MRCP- Gastroenterology Exam Questions and answers How do duodenal ulcers present? Epigastric pain relieved by eating, features of upper GI haemorrhage may be seen (haematemesis, melena) How do gastric ulcers present? Epigastric pain worsened by eating, features of upper GI haemorrhage may be seen How does appendicitis present? Pain initially in central abdomen before localising to RIF. Anorexia, tachycardia, low-grade pyrexia, tenderness in RIF. Rovsing's sign

MRCP - Part 2 Exam Questions and answers What organism causes bed bugs? - Cimex hemipteru Which chromosomal deletion is associated with a poor prognosis in CLL? - del 17p What can be used to treat flares of acute intermittent porphyria? - IV haem arginate What does CSF show in cryptococcal meningtisi? - High opening pressure and elevated protein. What is the hx fo

MRCP Part 2 (Gastroenterology) Exam Questions and answers Where is somatostatin secreted from? - D cells Glasgow severity score for pancreatitis - PaO2 <8 Age >55 Neutrophilia WCC >15 Calcium <2 Renal function, Urea>16 Enzymes, AST>200 LDH>600 Albumin <32 Sugar, BM>10 Slow onset bloody diarrhoea after travelling? >7 days

MRCP Part 1: Gastroenterology Exam Questions and answers ESR Calculation Men: < (Age/2) Women: < (Age + 10 / 2) Severity of UC MILD: <4 stools/day, only a small amount of blood MODERATE: 4-6 stools/day, varying amounts of blood, no systemic upset SEVERE: >6 bloody stools per day + systemic upset (pyrexia, tachycardia, anaemia, raised inflammatory markers) PROCTITIS Mild to Moderate UC Rx: Inducing Remission

MRCP Part 2: Cardiology Exam Questions and answers S1Q3T3 - Large S wave in Lead I - Large Q wave in Lead III - Inverted T wave in Lead III IE: Indications for Surgery - severe valvular incompetence - lengthening PR interval - indicates aortic abscess disrupting the AVN - infections resistant to antibiotics/fungal infections - heart failure refractory to standard medical treatment - recurrent emboli after antibiotic therapy IE: Poor Prognostic Factors - Staphylococcus Aureus Infectio...

MRCP Part 2: Cardiology Exam Questions and answers S1Q3T3 - Large S wave in Lead I - Large Q wave in Lead III - Inverted T wave in Lead III IE: Indications for Surgery - severe valvular incompetence - lengthening PR interval - indicates aortic abscess disrupting the AVN - infections resistant to antibiotics/fungal infections - heart failure refractory to standard medical treatment - recurrent emboli after antibiotic therapy IE: Poor Prognostic Factors - Staphylococcus Aureus Infectio...

MRCP Part 2 (Cardiology) Exam Questions and answers A- atrial contraction (absent in AF, cannon waves in complete heart block, VT, ectopics) C- closure of tricuspid valve X- fall in pressure in ventricular systole V- Filling of atrium against closed tricuspid (large in TR) Y- Opening of tricuspid valve (absent in tamponade) - Name the waves of the JVP and which of these are associated to which part? Cardiac tamponade

MRCP Part 1 – Ophthalmology Exam Questions and answers What are the possible effects of blunt intraocular trauma on the eye? - Subconjunctival haemorrhage Corneal abrasion Traumatic pupillary mydriasis Hyphaema Vitreous haemorrhage Commotio retinae Choroidal rupture Retinal detachment

MRCP Part 2 (Endocrine) Exam Questions and answers How does it work and side effects? Sulphonylureas e.g Gliclazide - What is the drug? Stimulate pancreatic beta cells to secrete insulin S.E: hypo's, weight gain, hyponatremia How does it work and side effects? Thiazolidinediones e.f pioglitazone - What is the drug? Activates PPARy in adipocytes to promote adipogenesis and FA uptake S.E: *Fluid retention*, weight gain

MRCP Part I: haematology Exam Questions and answers TTP (dangerous thrombocytopenias) - Thrombotic thrombocytopenic purpura. If you have neurology, renal, fevers (triad) and on the blood film haemolysis & RC fragments --> Patient needs plasmaphoresis within the next hour. HELLP (dangerous thrombocytopenias) - pregnant, LFTs deranged, proteinuria think HELLP which stands for haemolysis, elevated liver enzymes, low platelets. Treat: deliver the baby. Obstetric emergency. Note: th...