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Irish Recalls May 2016

The document contains a list of medical recall questions and answers from the MRCPI Part 1 exam in May 2016. It covers various topics including diagnoses, treatments, and management of different medical conditions. Each entry presents a clinical scenario followed by a suggested diagnosis or treatment option.

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dr Mahde
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0 views

Irish Recalls May 2016

The document contains a list of medical recall questions and answers from the MRCPI Part 1 exam in May 2016. It covers various topics including diagnoses, treatments, and management of different medical conditions. Each entry presents a clinical scenario followed by a suggested diagnosis or treatment option.

Uploaded by

dr Mahde
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MRCPI PART-1-RECALLS

MRCPase Telegram Group

MAY 2016

Dr. Madani Globawe (AboHaneen)


MRCPI Part 1 Recalls
May 2016

1. Female K/C of Sjogren’s disease presented with RT flank pain. Her


investigation showed K 3.0, HCO3 19, CL 113, Na 137. The diagnosis is
Answer: Renal stone and RTA type-I?

2. Head Trauma with SIADH?

3. ATN: Urinary Fractional excretion of sodium?

4. MEN with increased parathyroid hormone?

5. Hypercalcemia due to osteoclastic activity?

6. MRI spine with cord compression?

7. LQTS presented with fainting episodes with VT?

8. LQTS: Which drug causing that?

9. Hypertrichosis in cyclosporine?

Page 1
10. Ac. Gout with renal failure?
Answer: Colchicine vs allopurinol?

11. Post -operative thromboembolism?

12. Patient has hypogonadotropic hypogonadism and anosmia?


Answer: Kallman's syndrome?

13. Histology figure of possible squamous/basal cell carcinoma or actinic?

14. Histology of vitiligo?


Answer: Absent melanocyte? Absent melanin?

15. Hereditary angioedema presents with 6 hours of severe tongue swelling


Rx?

16. Gallstone obstruction level?

17. Most common cause for cholecystitis?


Answer: E-coli? Enterococcus? Pseudomonas?

18. Benign positional vertigo BPV?

19. COPD?

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Answer: Decrease Fio2 24-28%?

20. Acute asthma management?


Answer: IV hydrocortisone

21. Post- transplant patient on infliximab?


Answer: TB?

22. Suspected SAH test?


Answer: Non-contrast CT scans?

23. Third nerve palsy?


Answer: Absent right consensual reflex

24. Gonococcal septicemia?

25. Chlamydia trachomatis Infection?

26. Renal artery stenosis?


Answer: causes high renin and aldosterone?

27. DKA case?


Answer: Add dextrose?

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28. Patient presented with (4+) proteinuria, after a viral illness?
Answer: minimal changes disease vs viral cardiac myopathy?

29. Pain and stiffness in shoulders and hips?


Answer: Amyotrophic lateral sclerosis? Polymyositis?

30. RA rheumatoid factor is negative?


Answer: Anti-CCP?

31. Patient has colostomy and his bowel filled with fecal matter treatment?
Answer: Enema?

32. Patient receiving suitable dose of morphine?


Answer: Continue same dose with addition of stool softener?

33. Patient presented with weekly headache management?


Answer: Propranolol? CBT? Neurology consultation? CT scan?

34. Patient with vasovagal syncope management?


Answer: Do nothing?

35. Patient has bleeding after tooth extraction causes?


Answer: Thrombocytopenia? ITP?

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36. Dermatology picture of Hemangioma? Basal cell carcinoma?

37. Alcoholic patient with thiamine deficiency?

38. Alcoholic hepatitis?

39. Hepatitis C case?

40. CHADVASC Score >2 management?


Answer: Aspirin?

41. ABGs compensated respiratory alkalosis?

42. Patient with feature of right lacunar stroke?

43. Patient with non- small cell lung carcinoma NSCLC?


Answer: Thoracotomy? Mediastinoscopy ?

44. Status epilepticus management?


Answer: IV phenytoin?

45. Traumatic brain injury prevention of seizure?


Answer: Antiepileptic up to 2 years?

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46. Common peroneal n. palsy?

47. Sciatic nerve palsy vs non organic cause?

48. Median nerve injury treatment?


Answer: Splint? Decompression?

49. CSF showed high neutrophils?


Answer: cefotaxime?

50. Patient develops neutropenia following antibiotic?


Answer: Cotrimoxazole?

51. ***IgG and IgM dec complement activation??

52. Hemochromatosis?

53. Diabetic patient has high creatinine?


Answer: Stop metformin?

54. Patient with TB he develops hypotension?


Answer: Addison’s?

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55. Patient with GERD?
Answer: esophageal manometry?

56. Patient with esophageal rupture features?


Answer: Esophagogram? CT chest?

57. Patient has UTI and found to have abdominal mass?


Answer: Colon Ca?

58. Abdominal x ray?


Answer: Ileocecal Crohn’s?

59. Pneumothorax x-ray?

60. Gilbert’s syndrome?

61. Ankylosing spondylitis?

62. Patient with Wegener’s?


Answer: C-ANCA

63. Patient with complete heart block?

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64. Patient has DM / HTN?
Answer: perindopril?

65. Endocarditis due to streptococcus viridians?

66. COPD LTOT

67. Aspirin action?


Answer: inhibition of thromboxane A2?

68. Lung functions with decreased transfer factor?


Answer: Sarcoidosis?

69. Patient presented with nocturnal cough and his PEFR 150?
Answer: GERD? Micro-aspiration of gastric contents?

70. External/ internal intercostal/ diaphragm weakness?

71. HIV patient presented with diarrhea?


Answer: cryptosporidium?

72. Patient developed URTI with stridor?


Answer: Influenza?

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73. Patient with latent TB infection LTBI treatment?
Answer: INH?

74. HIV confirmation test?


Answer: Viral load? P24 antigen?

75. Patient presented with tense bullae and the histology showed it is
confined to the subepidermal?

76. Patient with mass in the neck and has stridor?


Answer: Tracheostomy? Laryngectomy ? Laryngeal mask airway?

77. Diabetic patient has hidradenitis suppurativa how you will manage him?
Answer: Tight glycemic control?

78. Causes of pneumaturia?

79. K/C of AF presented with abdominal pain?


Answer: Mesenteric ischemia?

80. Patient admitted and the nurses observed that he has decreased
appetite what is the management?
Answer: Nutrition? Oral?

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81. Graph: shaded area? : true/ false/positives/negatives?

82. Graph glucose: X, Y?

83. Data true RRR?

84. ds-DNA and SLE?

85. Anisocytosis on Blood film? Abdominal x-ray with mass AF ? Mesentric


ischemia

86. Patient diagnosed with AF and ask about stroke prevention?


Answer: Anticoagulation?

87. Patient admitted with DKA receive treatment his BM decreased to 8.9?
Answer: Add 5% dextrose?

88. Patient with positive Murphy’s sign, high conjugated bilirubin, bilious
vomiting what is the level of obstruction?

89. Patient found to have AST 150 ALT 100 what causes of liver enzyme
elevation?

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90. What is the half-life of sildenafil?

Answer: 4 Hours?

91. Patient with anal fissure?

92. Patient with avascular necrosis?

93. Patient with glomerulonephritis and has an increased KCO?


Answer: Churg-Strauss syndrome?

94. Nurse presented with syncopal episodes and had urinary incontinence?
Answer: EEG and imaging?

Page 11
95. Patient has pain and stiffness in shoulders and hips?
Answer: Amyotrophic lateral sclerosis? Polymyositis?

96. Patient with previous history of small bowel resection presented with
angular stomatitis?
Answer: Zinc deficiency?

Page 12

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