From: Part1@mrcpuk.org To: mak5962@hotmail.

com 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. We currently 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 | Regent’s Park | London NW1 4LE Direct line +44 (0)20 3075 1515 | www.mrcpuk.org | Part1@mrcpuk.org | facebook | twitter | linkedin From: mak khan [mailto:mak5962@hotmail.com] Sent: 15 May 2013 11:08 To: PART1 Subject: RE: Your mail dated 15th May, 2013 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 and Psychotherapy 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 From: Part1@mrcpuk.org To: mak5962@hotmail.com Date: Wed, 15 May 2013 10:26:52 +0100 Subject: RE: Your mail dated 14th May, 2013

Dear Doctor,

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 Cardiology Clinical pharmacology, therapeutics and toxicology Clinical sciences** Dermatology Endocrinology Gastroenterology Haemotology and oncology Neurology Ophthalmology Psychiatry Renal medicine Respiratory medicine Rheumatology Tropical medicine, infectious and sexually transmitted diseases Number of questions* 15 20 25 8 15 15 15 15 4 8 15 15 15 15

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,

Shona Lindsay | Exams Administrator Exams Candidate Office | MRCP(UK) Central Office MRCP(UK), 11 St Andrews Place | Regent’s Park | London NW1 4LE Direct line +44 (0)20 3075 1515 | www.mrcpuk.org | Part1@mrcpuk.org | facebook | twitter | linkedin From: mak khan [mailto:mak5962@hotmail.com] Sent: 14 May 2013 20:14 To: PART1 Subject: RE: Your mail dated 14th May, 2013 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

(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 , Colombo, University 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: Part1@mrcpuk.org To: mak5962@hotmail.com; s.ross@rcpe.ac.uk 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 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 1 examinations is 521. If you have any questions please do not hesitate to get in contact.

DR MATIN A KHAN MGM MEDICAL COLLEGE . What is the average cuttoff /pass marks in MRCP UK ? Is there an age bar to sit in this examinations as I am 53 now ? Is the passing score for MRCP part 1 is 521/999 (by equating method) ? If we have 200 questions in 2 papers then how much marks does a single question carry ? If equating is done then how ? How much percentage approximately does this score equate to? Is it around 60-65%? What is cut off in May 2013 MRCP Part 1 Exam ? Expect to hear from you pretty soon.org | facebook | twitter | linkedin From: mak khan [mailto:mak5962@hotmail. JHARKHAND INDIA Phone = 91 9431184120 -- Date: Tue.mrcpuk. 8. FAQ section and general information on the website www. Regards . 11 St Andrews Place | Regent’s Park | London NW1 4LE Direct line +44 (0)20 3075 1515 | www. 7.org | Part1@mrcpuk. 2. 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 .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.Kind regards. Will you pl reply those ? 1. 5. 6. 14 May 2013 10:21:31 +0100 From: J.com] Sent: 14 May 2013 10:41 To: PART1. 4. You can find details on the contact page of the website.com 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 Dr Khan Please refer to the Regulations.uk To: mak5962@hotmail.mrcpuk.Gibson@rcpe. I work on the PACES Examination and not the Written. JAMSHEDPUR. Shona Lindsay | Exams Administrator Exams Candidate Office | MRCP(UK) Central Office MRCP(UK). 3.ac.

com> wrote: Dear Mr Jo Gibson Greetings ! I have few queries reg MRCP UK Part 1 . DR MATIN A KHAN MGM MEDICAL COLLEGE . copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it.11 Queen Street Edinburgh EH2 1JQ Telephone: 0131-225-7324 e-mail: j. mak khan <mak5962@hotmail. SC009465) 9 . Thank you for your co-operation.Jo Gibson Examinations Department Royal College of Physicians of Edinburgh (A charity registered in Scotland. 7.rcpe. http://www. 3. JAMSHEDPUR. Please do not disclose. no.ac. 8. Will you pl reply those ? 1. Thank you for your co-operation.com This message may contain confidential information. . 6. Please do not disclose. 5.gibson@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. 4. What is the average cuttoff /pass marks in MRCP UK ? Is there an age bar to sit in this examinations as I am 53 now ? Is the passing score for MRCP part 1 is 521/999 (by equating method) ? If we have 200 questions in 2 papers then how much marks does a single question carry ? If equating is done then how ? How much percentage approximately does this score equate to? Is it around 60-65%? What is cut off in May 2013 MRCP Part 1 Exam ? Expect to hear from you pretty soon.uk Website: http://www. copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. JHARKHAND INDIA Phone = 91 9431184120 -This email was Anti Virus checked by Astaro Security Gateway. This message may contain confidential information.astaro. 2.

ross@rcpe.com] Sent: 14 May 2013 10:41 To: PART1. Thank you for your email. The current passing scaled score is 521. The passing scaled score for the 2013 MRCP(UK) Part 1 examinations is 521.From: Part1@mrcpuk. i. 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 . 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. 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. 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.org | Part1@mrcpuk. Will you pl reply those ? . The relevant experience may be gained from any hospital in the world. Further details can be found at this link: http://www. If you have any questions please do not hesitate to get in contact. Shona Lindsay | Exams Administrator Exams Candidate Office | MRCP(UK) Central Office MRCP(UK).org To: mak5962@hotmail.pdf As the scores are equated.mrcpuk. 11 St Andrews Place | Regent’s Park | London NW1 4LE Direct line +44 (0)20 3075 1515 | www. There is no age bar to sit the MRCP(UK) examinations. have completed Foundation Year 1 or equivalent.ac. The MRCP(UK) Part 1 examination is marked using an equating system. This 12 months experience is calculated up to the date of the MRCP(UK) Part 1 Examination and not the application closing date. This is conducted by special statistical software.uk Date: Tue.mrcpuk. no percentage is given overall. and this has been the passing scaled score since the 2008/03 diet.org | facebook | twitter | linkedin From: mak khan [mailto:mak5962@hotmail.org/SiteCollectionDocuments/MRCPUK_Part1_Equating. Kind regards. s.e.com. All doctors must have had at least 12 months' experience in medical employment.

7. Will you pl reply those ? . 5.1. Regards Jo Gibson Examinations Department Royal College of Physicians of Edinburgh (A charity registered in Scotland. mak khan <mak5962@hotmail. FAQ section and general information on the website www. I work on the PACES Examination and not the Written. SC009465) 9 .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.uk To: mak5962@hotmail.ac. 6. DR MATIN A KHAN MGM MEDICAL COLLEGE . You can find details on the contact page of the website.com> wrote: Dear Mr Jo Gibson Greetings ! I have few queries reg MRCP UK Part 1 . JHARKHAND INDIA Phone = 91 9431184120 -- Date: Tue.gibson@rcpe. What is the average cuttoff /pass marks in MRCP UK ? Is there an age bar to sit in this examinations as I am 53 now ? Is the passing score for MRCP part 1 is 521/999 (by equating method) ? If we have 200 questions in 2 papers then how much marks does a single question carry ? If equating is done then how ? How much percentage approximately does this score equate to? Is it around 60-65%? What is cut off in May 2013 MRCP Part 1 Exam ? Expect to hear from you pretty soon.rcpe. JAMSHEDPUR. no. 8.mrcpuk.uk Website: http://www. 14 May 2013 10:21:31 +0100 From: J. 4.11 Queen Street Edinburgh EH2 1JQ Telephone: 0131-225-7324 e-mail: j.com 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 Dr Khan Please refer to the Regulations.ac. 2. 3.Gibson@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.

1. copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. What is the average cuttoff /pass marks in MRCP UK ? Is there an age bar to sit in this examinations as I am 53 now ? Is the passing score for MRCP part 1 is 521/999 (by equating method) ? If we have 200 questions in 2 papers then how much marks does a single question carry ? If equating is done then how ? How much percentage approximately does this score equate to? Is it around 60-65%? What is cut off in May 2013 MRCP Part 1 Exam ? Expect to hear from you pretty soon. SC009465) 9 .com 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.astaro. 6.org Hope this helps Yours sincerely Lindy Tedford Mrs Lindy Tedford Head of Examinations Royal College of Physicians of Edinburgh (A charity registered in Scotland.mrcpuk. Please do not disclose. 8. 27 Aug 2012 14:11:06 +0100 From: L. JAMSHEDPUR.11 Queen Street Edinburgh EH2 1JQ Telephone: 0131-225-7324 Fax: 0131-225-2053 . If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. 7. JHARKHAND INDIA Phone = 91 9431184120 -This email was Anti Virus checked by Astaro Security Gateway. 4. 3. Date: Mon. DR MATIN A KHAN MGM MEDICAL COLLEGE . no. 2.uk To: mak5962@hotmail. http://www. Thank you for your co-operation.Tedford@rcpe. 5.ac.com This message may contain confidential information. Any information that is produced about the MRCP exams (including the Specialty Exams) can be found on the MRCP(UK) website at www.

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. before a total of two years’ experience.org. Within these two years. which used to contain 'actual questions asked in Part 1 & 2 .I have come to know that there used be 3 books published by ROYAL COLLEGE .ac. and thus be successful in the MRCP(UK) PACES examination. Are these still available ? 2. 1. not less than four months should be spent in posts involving the continuing care of emergency medical patients. including at least four months in medical specialties or medical sub-specialties. 2 Jul 2012 16:46:07 +0100 From: L. There is no reason why you should not be able to sit MRCP(UK) Part 1. Now at least I know that my eligibility stands for all parts of MRCP UK including PACES .tedford@rcpe.Is MRCP Neuro available in India ? Regards DR MA KHAN Jamshedpur INDIA Date: Mon.com> 27/08/2012 13:30 >>> Dear Mrs Lindy Tedford Head of Examinations Thanks for your information.com Subject: Re: My eligibility for MRCP PACES ? pl reply . The following is an extract from the regulations:5. Please refer to the MRCP(UK) website www.uk To: mak5962@hotmail. 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. I hope this helps! Yours sincerely .rcpe.ac. 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.e-mail: l. Dear Dr Khan Thank you for your e-mail.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 <mak5962@hotmail.Tedford@rcpe.ac. but may be gained in any hospital throughout the world. 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). following the award of their primary medical degree.uk Website: http://www.mrcpuk. We therefore recommend that candidates will normally have completed a twoyear Foundation programme and started Core Medical Training (or an equivalent period of training) before attempting the MRCP(UK) PACES examination.

I could not plan MRCP earlier in my life . Jharkhand . Then I qualified for Bihar State Govt Health services in Nov.com> 02/07/2012 12:06 >>> Dear Ms Lindy Tedford Greetings from Dr M A Khan from Jamshedpur. because of geographical barriers and some serious financial constraints . I have presented papers on HIV topics in International Conferences and my 4 papers on HIV topics have been published in Indexed International Journals .11 Queen Street Edinburgh EH2 1JQ Telephone: 0131-225-7324 Fax: 0131-225-2053 e-mail: l. Pediatrics and Psychiatry --6 months each (total 18 months) which included Emergency care /OPD/Indoor treatment( during all 18 months ). 9. Colombo . I have completed my mandatory 1 year core training (called ' Rotating Internship ' over here)in 1988-89. Now it is affiliated with Vinba Bhave University .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. affiliated with Ranchi University . Ranchi.( 1 year ) 6..--Total 14 years 5 months . Jharkhand . My profile reads as follows : 1. so will you please let me know whether I will be eligible to take PACES if I pass MRCP -Part I . Dhanbad .I am aged 52 years and have passed my MBBS in 1988 from Patliputra Medical College . Jharkhand in 1988.ac. Ranchi . Srilanka and Fellowship in HIV Medicine (1 year --200607) from School of Tropical Medicine & Medical College . . After that I have completed ' RESIDENT HOUSE PHYSICIAN SHIPS in the specialties of Int Medicine .. India.Lindy Tedford Mrs Lindy Tedford Head of Examinations Royal College of Physicians of Edinburgh (A charity registered in Scotland.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 <mak5962@hotmail. Jharkhand India. Hazaribagh . 8. but now since MRCP is available in India.ac. Expecting to hear from you pretty soon.from 1989 March-1990 October. no. MGM Medical College . Jharkhand with working as Medical officer which included Emergency care/Indoor/OPD care .tedford@rcpe. 4. 10.uk Website: http://www.rcpe. 5. Ranchi Jharkhand during May 1992--. India . SC009465) 9 .June 1993 . I have passed PG Diploma in Radio diagnosis (DMRD )from Rajendra Medical College . 2. 1990 and have served in Primary Health Centres ( a 6 bedded hospital ) which included OPD. Indoor care and Emergency care till March 2005. which I plan to take in May 2013.In between I have completed PG Diploma in Family Health( 2003) from Post Graduate Institute of Medicine (Colombo) affiliated with Colombo University . 3. Kolkata .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. Jamshedpur . This is to enquire about the 'eligibility for PACES in my case.Since 2005 March till date . Jharkhand affiliated with Ranchi University. my employer has posted me in the Deptt of Biochemistry .

JAMSHEDPUR JHARKHAND INDIA -This email was Anti Virus checked by Astaro Security Gateway. http://www. Obese woman. macpap rash/flu like illnes --> HIV acute. Drug induced pneumonitis --> methotrexate or amiodarone. 2. 9. Posted on Wednesday. Cushings – Diagnosis: 24hr urinary free cortisol. . 11. foreign travel. AF with TIA --> Warfarin. papilloedema/headache --> Benign Intercanial Hypertention. 4.highest first. Herpes encephalitis --> temporal lobe calicification OR temporoparietal attentuation – subacute onset i.astaro.com 100 Commonly Tested Facts for MRCP Part 1 Exam Author: sujitvasanth. 7. 3. chest discomfort and dysphagia --> achalasia. November 23 @ 19:10:08 IST by RxPG 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.Regards DR M A KHAN MGM MEDICAL COLLEGE . cause of gout --> dec urinary excretion. 10. bullae on hands and fragule SKIN torn by minor trauma --> porphyria cutanea tarda.e. Rash on buttocks – Dermatitis herpetiformis (coeliac dx). Addisons --> short synacthen. Several days. Acromegaly – Diagnosis: OGTT followed by GH conc. 6. 1. Just TIA's with no AF --> Aspirin 5. They are listed in order of importance . 8.

40. amyloid. PeutzJeghers. 10% retinal art occlusion. G6PD. Soft S1: immobile MS. Gauchers. 33. flushing. relieved by OH->benign essential TREMOR AutDom.slow progression. Ehler Danlos. bronchospasm. 31. alports. 14. 42. Inf MI. Diabetes Random >7 or if >6 OGTT (75g) -> >11. Amiodarone. MD. severe near S2. pemphigoid – less serious NOT mucosa. Loud S1: MS.1 also seen in HCT. FAP. diarrhoea. Sudden death athlete. . primary hrperparathyroidism --> high Ca. decs all others. doxorubicin. 43. causes of villous atrophy: coeliac (lymphocytic infiltrate). hypereosinophilia Lofflers. cocksackie/HIV. NFT I/II. diagnosis of polyuria -> water deprivation test.titubation. bp. trop sprue (rx tetracycline). Opening snap: MOBILE MS. PD – no titubation) 17. albumin normal. tuberous sclerosis. 28. HCT. Most porphyrias. 25. 30. artery invlived -> Right coronary artert.Gilberts. MR. TREMOR postural. Marfans's. Haemophilia A/B. insulinoma -> 24 hr supervised fasting hypoglycaemia. (MS – titbation. Loud S2: hypertension. ICD. FH. Rx. preg. 24. then DDAVP. lymphoma. sarcoid). 15. vWD. 36. 41. glycogen storage.5 cm difference btwn kidneys -> Renal artery stenosis --> Magnetic resonance angiogram. X linked: Beck/Duch musc dyst. dec by squating (inc all others). 27. malignancy. HOCM inc by valsalva. Guillan Barre syndrome: check VITAL CAPACITY.12. 38. Fixed split: ASD. 21. erythema nodosum. tachycardia. normal/low PO4. 32. arthropathy --> Loffgrens syndrome benign. toxins. MVP sudden worsening post MI. fibrosis. total protein high -> myeloma (hypercalcaemia. HBSag positive. Splenectomy --> need pneumococcal vaccine AT LEAST 2 weeks pre-op and for life. normal/high PTH (in elderly). FAMILIAL hyperchol. daily headache. 26.inc by standing. Ace inhibitors (if proteinuria analgesic induced headache. tricuspid stenosis -> gut carcinoid c liver mets. no Rx needed. dec Ig. sarcoid. short PR. HB DNA not detectable --> chornic carier. 22. hyperdynamic. hepatitis B with general deterioration -> hepaocellular carcinoma. 39. 34. HOCM/MVP . 29. Tumor compressing Respiratory tract --> investigation: flow volume loop. thiamine/selenium deficiency. Restrictive Cardiomyopathy: sclerodermma. severe retroorbital. caracinoid. 13. middle aged man with KNEE arthritis --> gonococcal sepsis (older people -> Staph). lacrimation --> cluster headache. 37. 23. electrolytes disturbance causing confusion – low/high Na. Whipples . electrophoresis). Harsh systolic murmur radites to axilla. Fragile X. radiotherapy. contraindications lung Surgery --> FEV dec bp 130/90. 1. Huntington's. Aut dom conditions: Achondroplasia. temporal tenderness--> temporal arteritis -> steroids > 90% ischaemic neuropathy. infiltration (HCT. sarcoidosis. 18. 35. Dilated Cardiomyopathy: OH. AS. pemphigus – involves mouth (mucus membranes). 16.

Progressive Supranuclear palsy: Steel Richardson. TCA). convergence preserved. Absent voluntary downward gaze. vomiting. mixed drug overdose most important step -> Nacetylcysteine (time dependent prognosis) 65. Confabulation->korsakoff. NO ALLOPURINOL for acute. lid retraction. Miller fisher. alcoholic. hypothyroidism -> Addisonian crisis (TFT typically abnormal in this setting DO NOT give thyroxine). 45. 48. 50. prologed hypercalcaemia/hypornatraemia. atipsychotics. NIDDM female with abnormal LFT's -> NASH (non-alcoholic steatotic hepatitis) 68. diagnostic test for asthma -> morning dip in PEFR >20%.e. Obese. 58. cavernous sinus syndrome . amphoteracin. Internuclear opthalmoplegia: medial longitudinal fasciculus connects CN nucleus 3-4. mono-artropathy with thiazide -> gout (neg birefringence). Aide memoire (TRIES TO YANK THE ipsilateral BAD eye ACROSS THE nose ). wheeles. Causes of Diabetes Insipidus: Cranial: tumor. NSAIDs. 53. 47. 51. TIA-> paradoxical embolus do TOE.3rd nerve palsy. acute red eye -> acute closed angle glaucoma >> less common (ant uveitis. infiltration. hydrocephalus. Causes: MS. porphyria. demetia.returned from airline flight. phenytoin. overdose(barb. MS. URTICARIA . Perinauds syndrome: dorsal midbrain syndrome. causes of erythema mutliforme: lamotrigine 62. drug induced -> aspirin. fluctuating level of conciousness in elderly plus/minus deterioration --> chronic subdural. contralateral nystagmus. DVT) 64. scleritis. domeclocycline. sweats and weight gain -> insulinoma. normal dolls eye . conj injectn 66.44. damaged midrain and superior colliculus: impaired upgaze (cf PSNP). Convergence retraction nystagmus. 63. 56. FAMILIAL X linked type 55. mouth/genital ulcers and oligarthritis -> behcets (also eye /SKIN lesions. 59. proptosis. opiates) 54. i. SLE. bisphosphonates:inhibit osteoclast activity. stroke. Ipsilateral adduction palsy. chlorpropamide. periorbital swlling. subconjuntival haemmorrhage). 49. rifampicin. Drugs (carbamazepine. episcleritis. clofibrate. Occulomotor nuclei intact. Causes of SIADH : chest/cerebral/pancreas Pathology . Wernicke. 57. trauma Nephrogenic: Lithium. malignancy. but convergence reflex is normal. asymetric parkinsons -> likely to be idiopathic 67. 46. Absent papilloedema-->Normal pressure hydrocephalus. Horners – sweating lost in upper face only – lesion proximal to common carotid artery. Causes: pineal tumor. Can last even longer than 6 months . 52. 61. given glucose develops nystagmus -> B1 deficiency (wernickes). prevent steroid incduced osteoperosis (vitamin D also). abdominal pain. gait abnormaily. urinary incontinence. painful 3rd nerve palsy -> posterior communicating artery aneurysm till proven otherwise 60 late complication of scleroderma --> pumonaryhypertention plus/minus fibrosis. supranuclear Pathology .

commonest finding in G6PD hamolysis -> haumoglobinuria 86. anaemia in the elderly assume GI malignancy 89. Distal. BTS: TB guidlines – close contacts -> Heaf test -> positive CXR. dec plt.5 71.69. very raised WCC -> ALWAYS think of leukaemia.. Hb elevated. 94. stress.3% mortality 92. 77. Prognostic factors for AML -> bm karyotype (good/poor/standard) >> WCC at diagnosis. hyperkeratosis over hair follicles ->>Discoid LUPUS 96. If nondiagnostic do liver biopsy 0.g. fetal loss. anticardiolipin ab) 88. wt loss. Uric acid and cyteine stone are radioluscent. NNT is ----> 100/8 --> 50/4 --> 25/2 --> 13. miscariage. pit tumor/microadenoma. pain. PCOS. Causes: nephrotic syndrome.ANA highly sens. dsDNA:highly specific 70. numbness lateral upper thigh --> meralgia paraesthesia (lat cutaneous nerve compression usally by by ing ligament) 91. but do this FIRST). pancytopenia with raised MCV --> check B12/folate first (other causes possble. acute pyelonephritis. malabsoption. 5% ammonium (proteus). inc ALP -> pancreatic cancer . SLE (atiphospholipid syndrome which is recurrent thrombosis. opening snap. lymphadenopathy. renal stones (80% calcium. Sensitivity --> TP/(TP plus FN) e. hyperprolactinaemia (allactorrohea. acute renal failure -> rhabdomyolysis (collapse assumed) 90. RCC. stroke --> LUPUS anticoagulant --> lifelong anticoagulation 81. mitral stenosis: loud S1 (soft s1 if severe). asymetric arthropathy -> PSORIASIS 75. genotyping. 87. Diptheria -> exudative pharyngitis. 40 mg hidrocortisone divided doses (bd) --> 10 mg prednisolone (ie. cardio and neuro toxicity. negative --> repeat Heaf in 6 weeks. pregnancy. contralateral loss pain/temp --> PICA stroke (lateral medulary syndrome of Wallenburg) 72. amyloid. DVT. protein -> renal vein thrombosis. cimetidine NOT TCA's). 79. Usual cause of cns manifestations assoc with LUPUS ancoagulant. Diagnosis of CLL --> immunophenotyping NOT cytogenetics. amenorrohea. 3% other). low FSH/LH) -> Da antags (metoclopramide. Flank pain. Horners. scarring alopecia. Isolation not required. 95. hypothermia. NOT bone marrow 78. Indurated plaques on cheeks. dec ESR -> polycythaemua (2ndry if paO2 low) 82. episodic headache with tachycardia -> phaeochromocytoma 76. 74. Prednislone is x4 stronger) 93. diagnosis of haemochromatosis: screen with Ferritin. anosmia. urinalysis:blood. For SLE . chlorpromazine. Often associayed with phenytoin use --> decreased folate 80. ipsilateral ataxia. 10% uric acid. RR is 8%. diag of PKD -> renal US even if think anorexia nervosa 85. 73. Immobile valve -> no snap. confirm by tranferrin saturation. delayed puberty -> Kallmans syndrome (hypogonadotrophic hypogonadism) 83.

parametric testMann Whitney Test To test one categorical variable against another Chi-squared test Categorical variables are qualitative not numerical. prevent infection. 101. 102. control oedema. lymphadenopathy. incubation within 3/12. tender RUQ.non. lymphocytosis. Eg. no obvious cause -> coeliac (diarrhoea does NOT have to be present) 99. GI bleed after endovascular AAA Surgery --> aortoenteric fistula List of High Yield Topics for MRCP Part 1 Exam Author: sujitvasanth. Posted on Wednesday.97. haematuria. proteinuria. best investigation --> if glomerulonephritis suspected --> renal biopsy 100. pharygitis --->EBV ---> heterophile antibodies 103. Fever.parametric testWilcoxon rank-sum test For skewed continuous data which is unpaired. venous ulcer treatment --> exclude arteriopathy (eg ABPI). can be relapsing /remitting. Vivax and Ovale (West Africa) longer imcubation. anaemia (macro/micro). 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. November 23 @ 19:13:36 IST by RxPG Biostatistics: Basics .a must for all exams For normally distributed data. foreign travel.non. raised ALP --> liver abscess do U/S 98. Malaria. compression bandaging. wt loss. July 07 @ 04:27:45 CDT Topic: MRCP Part 1 Print this page Haematology Full blood count .parametric test Student’s t-test For skewed continuous data which is paired.

5 g/dL Haematocrit (males) 0.36 – 0.5 – 7 x 109/L Lymphocytes 1.8 x 109/L Eosinophils 0.4% Erythrocyte sedimentation rate .04 – 0.5 – 16.5 – 4 x 109/L Monocytes 0 – 0.1 x 109/L Platelet count 150 – 400 x 109/L Reticulocyte count 25 – 85 x 109/L OR 0.47 MCV 80 – 96 fL MCH 28 – 32 pg MCHC 32 – 35 g/dL White cell count 4 – 11 x 109/L White cell differential: Neutrophils 1.40 – 0.5 – 2.52 Haematocrit (females) 0.4 x 109/L Basophils 0 – 0.0 – 18.0 g/dL Haemoglobin (females) 11.Haemoglobin (males) 13.

8 – 5. XII 50 – 150 IU/dL Factor V Leiden Von Willebrand factor 45 – 150 IU/dL .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 (25°C) 1. X.50 – 1.4 Activated partial thromboplastin time 30 – 40s Fibrinogen 1. IX.5 – 15. VII. VIII.4 g/L Bleeding time 3 – 8m Coagulation Factors Factors II. V.72 mPa/s Coagulation Screen Prothrombin time 11. XI.5s International normalised ratio <1.

0 – 11.0 – 4.0 g/L Serum B12 160 – 760 ng/L Serum folate 2.0µg/L Red cell folate 160 – 640 µg/L Serum haptoglobin 0.12 – 4.5 mg/L Haematinics Serum iron 12 – 30 µmol/L Serum iron-binding capacity 45 – 75 µmol/L Serum ferritin 15 – 300 µg/L Serum transferrin 2.13 – 1.63 g/L Haemoglobin electrophoresis: Haemoglobin A > 95% .0 Fibrin degradation products < 100 mg/L D-Dimer screen < 0.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.

Haemoglobin A2 2 – 3% Haemoglobin F < 2 % Chemistry Serum sodium 137 – 144 mmol/L Serum potassium 3.2 – 2.8 – 1.5 – 7.5 – 4.5 mmol/L Serum creatinine 60 – 110 µmol/L Serum corrected calcium 2.9 mmol/L Serum chloride 95 – 107 mmol/L Serum bicarbonate 20 – 28 mmol/L Anion gap 12 – 16 mmol/L Serum urea 2.4 µmol/L Serum alanine aminotransferase 5 – 35 U/L Serum aspartate aminotransferase 1 – 31 U/L .6 mmol/L Serum phosphate 0.4 mmol/L Serum total protein 61 – 76 g/L Serum albumin 37 – 49 g/L Serum total bilirubin 1 – 22 µmol/L Serum conjugated bilirubin 0 – 3.

6 – 1.36 mmol/L Plasma lactate 0.23 – 0.05 mmol/L Serum zinc 6 – 25 µmol/L Serum urate (males) 0.19 – 0.75 – 1.8 mmol/L Plasma ammonia 12 – 55 µmol/L Serum angiotensin-converting enzyme 25 – 82 U/L .46 mmol/L Serum urate (females) 0.1 µg/L Serum copper 12 – 26 µmol/L Serum caeruloplasmin 200 – 350 mg/L Serum aluminium 0-10 µg/L Serum magnesium 0.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 µg/L Serum troponin T 0 – 0.

8 – 6.5 mg/mmol (females) Lipids and Lipoproteins The target levels will vary depending on the patient’s overall cardiovascular risk assessment.0 – 6.45 – 1.36 – 7.5 mg/mmol (males) <2.44 . Serum cholesterol: < 5.Fasting plasma glucose 3.0 mmol/L Haemoglobin A1 C 3.2 mmol/L Serum LDL cholesterol: < 3.55 mmol/L Fasting serum triglyceride 0.69 mmol/L Blood Gases (breathing air at sea level) Blood H+ 35 – 45 nmol/L pH 7.36 mmol/L Serum HDL cholesterol: > 1.4% Fructosamine < 285 µmo/L Serum amylase 60 – 180 U/L Plasma osmolality 278 – 305 mosmol/Kg Urine Albumin/creatinine ratio (untimed specimen) <3.

6 kPa PaCO2 4.PaO2 11.7 – 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: 09.3 – 12.00h 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) .

00) 7 – 31 nmol/L Serum dehydroepiandrosterone sulphate: (Males) 2 – 10 µmol/L (Females) 3 – 12 µmol/L Serum androstenedione (adults) Males 1.6 – 8.9 – 6.2 mmol/L) Serum cortisol > 550 nmol/L and 200 nmol/L greater than baseline Plasma 11 – deoxycortisol 24 – 46 nmol/L Serum dehydroepiandrosterone (09.6 – 8.Serum cortisol < 50 nmol/L After insulin-induced hypoglycaemia (blood glucose < 2.8 nmol/L Post menopausal females 0.4 nmol/L Females 0.8 nmol/L Serum 17-hydroxyprogesterone: Males 1 – 10 nmol/L Females Follicular 1 – 10 nmol/L Luteal 10 – 20 nmol/L .

5 – 3 nmol/L Serum dihydrotestosterone Males 1.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 0.3 nmol/L .2.6 nmol/L Females 0.3 – 9.

7 pmol/ml/h Erect after 30m 3.2 mmol/L) < 21 pmol/L Plasma vasoactive intestinal polypeptide < 30 pmol/L Plasma pancreatic polypeptide < 300 pmol/L .0 – 4.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 1.3 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 < 2.1 – 2.

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

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)

Adrenaline 0.03 – 1.31 nmol/L

Noradrenaline 0.47 – 4.14 nmol/L

Urine

Vanillyl mandelic acid 5 – 35 µmol/24h

Dopamine < 3100 nmol/24h

Adrenaline < 144 nmol/24h

Noradrenaline < 570 nmol/24h

Hydroxyindole acetic acid < 70 µmol/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

4 – 2. Anticentromere antibodies Negative at 1:40 Dil.5 g/L IgE <120 kU/L Serum β2 – micro globulin < 3 mg/L Autoantibodies (all serum) Adrenal Negative at 1:10 Dil.>60 yrs 3.0 g/L IgM 0.8 – 3.11 .3 – 23.0 – 13.0 g/L IgA 0. Anticardiolipin antibody IgG 0 – 23 IgM 0 .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.

Thyroid colloid and microcosmal antigens Negative at 1:10 Dil. . Sm Negative Smooth muscle Negative at 1:20 Dil. RNP Negative Scl-70 Negative Ro Negative Skeletal muscle Negative at 1:60 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.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.

Rheumatoid factor < 30 k IU/L Tumour Markers Serum alpha-fetoprotein <10 kU/L Serum carcinoembryonic antigen < 10 µg/L Serum neurone specific enolase < 12 µg/L Serum prostate specific antigen Males over 40 <4 µg/L Males under 40 <2 µg/L Serum human chorionic gonadotrophin < 5 U/L Serum CA 125 < 35 U/mL Serum CA 19 – 9 < 33 U/mL Therapeutic Drug Levels Plasma aminophylline 10 – 20 µg/mL Plasma carbamazepine 34 – 51 µmol/L Blood ciclosporin 100 – 150 nmol/L Plasma digoxin (taken at least 6h post dose) 1 – 2 nmol/L Plasma ethosuximide 280 – 710 µmol/L Blood gentamicin (peak) 5 – 7 µg/ml .

5 – 1.4 mmol/L Lactate 1 –2 mmol/L Cell count ≤ 5 mL-1 Differential: Lymphocytes 60 – 70% Monocytes 30 – 50% Neutrophils None IgG/ALB ≤ 0.15 – 0.Serum lithium 0.066 – 0.5 mmol/L Serum phenobarbital 65 – 172 µmol/L Serum phenytoin 40 – 80 µmol/L Serum primidone 23 – 55 µmol/L Plasma theophylline 55 – 110 µmol/L Cerebro-spinal fluid Opening pressure 50 – 180 mm H2O Total protein 0.26 .3 – 4.442 g/L Chloride 116 – 122 mmol/L Glucose 3.45 g/L Albumin 0.

2 µmol/24h Coproporphyrin 0.5 mmol/24h Urobilinogen 1.46 mmol/g dry weight Protoporphyrin 0 – 4 µmol/24h .5 – 7.018 – 1.88 Urine Glomerular filtration rate 70 – 140 mL/min Total protein < 0.9 µmol/24h Coproporphyrin < 300 nmol/24h Uroporphyrin 6 – 24 nmol/24h Delta-aminolevulinate 8 – 53 µmol/24h 5-hydroxyindoleacetic acid 10 – 47 µmol/24h Osmolality 350 – 1000 mosmol/Kg Faeces Nitrogen 70 – 140 mmol/24h Urobilinogen 50 – 500 µmol/24h Coproporphyrin 0.7 – 5.IgG index ≤ 0.2g/24h Albumin < 30 mg/24 h Calcium 2.

Young girl – suspect Anorexia Nervosa – linugo hair. uveitis. Yersinia. mitral/aortic regurg 4. scars with millia. PKD – aut dom Chr 16/4 assoc berry aneurysm. campylobacter. 3. Porphyria – photosensitivity. finctional hypogonadotrophic hypogonadism -> amennorhea. All other hormones are usually normal.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. hypertrichosis . Balanisits. Reiters Syndrome – arthritis. 2. blisters. SALMONELLA . LH and FSH both low. Shigella. Ferritin low. urethritis – Chlymidia.

local infiltration -> dysphagia. post-streptococcal. lymphoma (solitary lesion). dorsal columns (joint pos. Travellers diarrohea: chronic (>2 WEEKS) giardia (incidious onset rx. spinothalamic (pain. 12. temp?) c)alcohol – slow progressive. autoimmune thyoid dx 7. Peripheral neuropathy – a) B12 – rapid. NO allopurinol/aspirin in acute phase 8. progressive multifocal leucoencephalopathy (PML – demylination in advanced HIV. Renal syndrome – minimal change disease. Thyroid Malignancy – tend to be non-functional. HIV encephalopathy. anaplastic has worse prognosis. Ciprofloxacin) . ppt thiazides. joint aspirate pos birif. SALMONELLA (serious systemic illness). IgA nephropathy. low attenuation lesions) 10. Vitiligo – commonest assoctions pernicious anaemia >>> type 1 DM . sensory ataxia. Gout – blood urate high/low/normal. vocal cord paralysis . membanous. Metronidazole). Shigella 11. length proportional to severity 6. pseudoathetosis of upperlimbs b) diabetic – slow. spinothalamic d) Pb – motor upper limbs 9. E.5. If you see blood on urinalysis forget about RAS 13. autoimmune addisons. CNS abnormalities in HIV: toxoplaasmosis (ring enhancing). heart sounds: Aortic Stenosis s2 paradoxical split.coli (rx. vibration).

NOT exopthalmus) .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.

Patient is unable to take his arm beyond or pain wen rising above 140-180 degree. (Albendazole). which I tried to reproduce. PT-raised. (Erythema Multiforme). 2. Mechanism of Action of meglitinides. Pt having low calcium. parathyroid hormone raised. microscopy shows Trychophytum rubrum. nasal bridge. Mechanism of action of Flecanide.MRCP part-1 recall MCQS 07/05/2013 These are some of the MCQS. low Vit-D. low phosphate. 15. (Complement levels). ( Supraspinatus tendinitis). Pt having Ankylosing spondilitis. (Global Axial decrease mobility) 11. Herpetic lesion on wrist then after few days macular rash over the body. (trigeminal neuroglia) not sure on this. APPT- . (Spleenic flexure).. Pt having ischemic colitis. 9. 3. How to manage. ALP raised. 1. 6. (sodium channel blocker). Pt having diarrhea for last one month following passing holidays somewhere and stool microscopy shows Strongolides. (SLE). eyelids.Sensory loss of middle finger and some other features. 12. (Oral vit-D). Continuous bleeding from pt after vena puncture.Patient having recurrent chest infection. 14. 16. (C7 involvement). malar rash and some other findings. Pt having lesion on toes. Your suggestion and correction will be appreciated. 8. Pt having itchy scales on sternum. Piercing pain in the eye. Protien 3D view. chose feature. If anyone of u can reproduce more Plz post on this forum. 10. face. which part of colon is involved. (Sebohric dermatitis). (terbinafine) 13. (DPP-4 inhibitor) 7. 4. (western method) 5. Pt having sever photosensitivity.

glucose normal. Where RNA splicing take place. Pt on long term tx for rheumatoid arthritis. (Amytropic lateral sclerosis) 24. CSF examination. Von Willbrand activity low. (Von willbrand disease). (Rectal biopsy for amyloidosis). (Alport syndrome). (Discharge and repeat X-ray after 7 days). 18.D Resistant rickets. (Viral infection) 29.. (Mieniers disease) 22. (PONS) not sure. PT diabetic and HTN having painless decrease vision in one of the eye. factor VIII low. 30. (Not sure) 28.raised. Vit. (DIC) 17. having SOB. wt is the benefit of giving chloroquine+primaquine. Diagnosis of pt on basis of investigation . Pat had mastoid surgery for deafness and there was renal involvement showing blood+. 20. protein normal. Pregnant lady increase frequency of SOB and wheeze. she is on salbutamol inhaler. Hereditary telangictasia (Autosomal Dominant) 21. 1 cm rim of pneumothorax. 32. There was a question in which a pt is having lower motor neuron lesion in upper limb and upper neuron lesion in lower limbs. haemorrhage. 27. some other features. 35. Pt having small lung carcinoma. Increase cortisol level due to ectopic production of ACTH. 33. vertigo and eye examination was normal. (X-link Dominant). answer 10% 19. (Decrease resistant) 31. Von Willbrand antigen low. Pt having barret oesophagus on proven following endoscopy. 26. Question from statistics about positive predictive value. Protien+ in urine. (Acid . neutros normal. (Add steriods) 34.. Lymphos raised. Pt having plasmodium Vivax infection. Poor prognostic factor in leukemia. Specify the site of lesion that pt is unable to abduct his eye and some other features.Pt having dizziness. fundoscopy shows cotton wools. 23.(fromation od DNA from RNA) 25. PCR. D-dimers-raised. Fibronogen-low.

Pt having painlees or red urine and SOB. ECG show st depression in V5 and V6. Which of the following cell is raised in Aspergiollus infection. BIPAP. Which of the following causing upper lobe fibrosis. 38. ( direct thrombin inhibitor) 40. CREST complication. IV antibiotics are given. Pt having numbness on the lateral boarder of foot. Pt having dyspepsia for long time. (endoscopy) 37. (Protien electrophoresis) 43. Tricyclic overdose. (S1 lesion) 41. ( Normal Saline) 53. (candidiasis) 49. CPAP. (phenoxybenzamine) 55. TX not sure 47. Pt had chemotherapy and presented SOB and muffled heart sounds. (Empyema) not sure. . next step. (Allergic Fibrosing alvelitis) 45. Which drug will u give wen pt with pheochromocytomo going for surgery. Rt sided apical lung cancer involving brachial plexus. Pt taking DEMARDS drugs and having oral ulcer. MOA of Bivalirudin. (Circumflex artery) 56. (Malabsorption) 42. some instruments use. (IV NaHCO3) 50. (Dialysis) 51. not sure in this senario. ( Call for Help) 52. (Red pack cell transfusion) 48. 10 days after that pt feel SOB and x-ray shows large plural Effusion. Pt having sever chest infection and was admitted in the hospital. 54. Pt going for chemoptherapy which of the measures should taken prior to tx. Pt collapse not breathig.suppression and repeat biopsy). patient with abdomina lpain and vomitting and acidosis nothing about ketonemia mentioned given insulin in infusion waht nest step. Hypertention and palpitaion thyroin cancer removed in the hx( carcenoma) what is the diagnosis: pheochromocytoma. (Cardiac temponade) 39. Pt with obstructive sleep apnea. 36. 44. Pt having lytic lesion on radio graphy. Methnol Over dose. Not sure. (Eosinophill) 46. Mode of tx. no pulse.

hf 8.htn treatement in more than55 Posts: 9 Credits: 145 Aim MRCP Part 1 6. lateral epicondyitis saeedanwar9 Serious Member 2. 2013 12:05 pm (1 day ago) #3 topics asked were . Protien 3D view I think it is by xkhaled_se Newbie ray . 2013 11:51 pm (2 days ago) #2 thanks allot my friend but about 4. ischaemia mesenteric 3.sle 5. 1.ra 4. your suggestion and correction will be appreciated.Will post more in a day or two. (PONS) not sure ( i think it is correct ) Posts: 1 Credits: 105 thanks again and keep going report this post to a moderator Back to top Thu May 09.ps or aortic valve bicuspid ? .vsd 9. Specify the site of lesion that pt is unable to abduct his eye and some other features. report this post to a moderator Back to top TRENDING: MRCP Part-1 Recall MCQS 07/05/2013 Wed May 08.malignant htn 7.

oa 23.mechanism of action of spirinolactone 32 direct thrombin agonist 33.dka 29. clear airways / call for help . alzehmars disease 43.addisons disease 30 hypertension with low potasium.ihd location of artey 16.complement 38. carotid artery dissection 42.iaa 35.ppv 12.telangestasia 36 marfans 37.exercise tolerance test 15. 31.septic arthritis 25 psoritic arthritis 26 enteric arthritis 27. rf 20.septic arthrits 24.nonparametric test 14.metronidazole -ileic involvement in chrons 28.gout 22.infective endocarditis 19. catract 40.10.eea 34.ankylosing spondylosis 21.ppv 13.arnold chiari 39.treatment of pheochromocytoma 18.normal aonion gap metabolic acidosis 11.men 2 pheochromocytoma 17.retinal vien obstruction 41.

s1 lesion 51. graves 61.mgravis/ 50.meiners disease. 78.copd 47 .hypopitutarism 72. occupational asthma 46.osteomalacia 58.radial nerves branch lesion. 65. 66.pons 70.unequal blood pressures 63. head tremor 68 . systemic sclerosis 56.intrasellar piytutary 71. 52.di lithium.smivastativ+clarithromycin 73.scleritis 49. 64.44. 69.frozen shoulder 53.seizures 67. mg sulphate 48. subacute thyrotoxicosis 62.bph 54.acromegaly 76 insulinoma 77.psedomonas. fluoxitine in young patient .ceolic disease 55.pagets disease.fluxetine 79. siadh.peritoneal dialyses 45. 59 cushings 60.motor neuron disease.schizophrenia.tertiray hyperparathriodism 75. 74.hypochondriasis.

erythrema multiforme 86.pnh 109.anaemia of chronic disease 110.pt 114. 96.alcohol piosing 81.bullous pempigoid 87.klienfilter 98. 85.vonwilbrand 111.uc 93.ulnar nerve leision 91.mylofibrosis 1o6. 15.wegeners 82 alport 83.cml 103.mechanism of inactivity of cortisol.seboric dermatits 88.80.myeloma 100.cll 104.paracetamol poising.bilirubin mild elevated next test 112. .mitral valve severity.17 translocation 105.diuretic used in calcium stones 102.ibs 94.dic 107.myelofroliferative disorder 108.yersinia 95.psoriasis 89. granuloma annulare 90.pcos 97.hypothriodism 99.dyspepsia. chronic hepatitis c -cryoglobinemia 113.primary hyperparathyriodism 101. 92.hsp 84 iga nephropathy.

bpaspergilosis.risk factor crohons smoking 135-omega 3 use report this post to a moderator Back to top Thu May 09. dr_jabed Serious Member 1.ra Posts: 6 4.cluster headache 130.tricyclic overdose' bicarbonate 131. ischaemia mesenteric 3.xlinked dominant rickets 127.115.adenosine mechanism 133.plural effusion 129.alopecia 117.epiglotitis 124.pregnanat treat asthma 121.inflixanib 134.sle . 2013 1:16 pm (1 day ago) #4 saeedanwar9 wrote: topics asked were .tlco reduced in lung fibrosis 128. 119.iv bypass the first order kinectics 123.oral painful ulcers.adenosine first in svt then give again 132.heriditary angieoedema -c4 level 116.prophylaxis in previous preeclampsia 122. 125 treatement of toxoplasmosis 126. 118.aspiration pneumonia 120. lateral epicondyitis 2.small cell ca.

mechanism of action of spirinolactone 32 direct thrombin agonist 33.ppv 12.dka 29. rf 20. 31.exercise tolerance test 15.men 2 pheochromocytoma 17.telangestasia 36 marfans .septic arthritis 25 psoritic arthritis 26 enteric arthritis 27. oa 23.vsd 9.septic arthrits 24.ihd location of artey 16.iaa 35.normal aonion gap metabolic acidosis 11.htn treatement in more than55 6.Credits: 137 Aim MRCP Part 1 5.gout 22.nonparametric test 14.infective endocarditis 19.ankylosing spondylosis 21.ps or aortic valve bicuspid ? 10.eea 34.ppv 13.malignant htn 7.metronidazole -ileic involvement in chrons 28.treatment of pheochromocytoma 18.hf 8.addisons disease 30 hypertension with low potasium.

59 cushings 60.arnold chiari 39.scleritis 49. 69.hypopitutarism 72. graves 61.pons 70.motor neuron disease.osteomalacia 58.bph 54.smivastativ+clarithromycin . alzehmars disease 43. occupational asthma 46.hypochondriasis. 65. systemic sclerosis 56. 66.ceolic disease 55.37. subacute thyrotoxicosis 62.unequal blood pressures 63. head tremor 68 . mg sulphate 48.peritoneal dialyses 45.mgravis/ 50.schizophrenia.complement 38.retinal vien obstruction 41. catract 40. 52. carotid artery dissection 42.psedomonas.intrasellar piytutary 71.pagets disease.copd 47 .radial nerves branch lesion.frozen shoulder 53. 64.seizures 67. clear airways / call for help 44.s1 lesion 51.

siadh.cll 104.dic 107.hypothriodism 99. 96.myeloma 100.tertiray hyperparathriodism 75.di lithium.psoriasis 89.bullous pempigoid 87.diuretic used in calcium stones 102.erythrema multiforme 86. granuloma annulare 90.dyspepsia.ulnar nerve leision 91.wegeners 82 alport 83.yersinia 95. 85. 92.myelofroliferative disorder .cml 103.klienfilter 98.mechanism of inactivity of cortisol. 78.hsp 84 iga nephropathy.17 translocation 105.pcos 97.alcohol piosing 81.fluxetine 79.meiners disease. 15. fluoxitine in young patient 80. 74.73.seboric dermatits 88.acromegaly 76 insulinoma 77.ibs 94.primary hyperparathyriodism 101.uc 93.mylofibrosis 1o6.

alopecia 117.plural effusion 129.tricyclic overdose' bicarbonate 131.108.pt 114.bilirubin mild elevated next test 112. chronic hepatitis c cryoglobinemia 113.iv bypass the first order kinectics 123.oral painful ulcers.small cell ca.adenosine mechanism 133. 119.prophylaxis in previous preeclampsia 122.epiglotitis 124.paracetamol poising.pregnanat treat asthma 121.tlco reduced in lung fibrosis 128.vonwilbrand 111.aspiration pneumonia 120.risk factor crohons smoking 135-omega 3 use *which is correct---cluster or analgesia induced headache *which is correct ---to prevent colon cancer-- . 125 treatement of toxoplasmosis 126.cluster headache 130.adenosine first in svt then give again 132.mitral valve severity.anaemia of chronic disease 110.pnh 109. 115. 118.xlinked dominant rickets 127.heriditary angieoedema -c4 level 116. bpaspergilosis.inflixanib 134.

mastoid surgery-iga or alport *in plasmodium vivax -primaquine used due to reduce gamate or liver stage *diabetic retinopathy---stop smoking correct or no* *sciatic or s1 nrve compressio* *red urine with howell jolly body-pnh or pch *severe dyspepsia after treatment-do endoscopy or others *in ra ---ig or citrulline report this post to a moderator +7 Back to top Thu May 09.w3 or vit -3 or etoricoxib *in preclamsia--treament--salt restriction or nifedipine *occupational asthma---is it correct --do pefr to do work and away from work *following uti with red urine . 2013 1:20 pm (1 day ago) #5 ***arnold chiarri or ms *optic nerve or occiptal lobe-maccunn dr_jabed Serious Member *in severity of ms --which one correct i la size or pul artery pressure *in ulner nerve anatomy-1 st or 2nd lumbrical Posts: 6 Credits: 137 Aim MRCP Part 1 report this post to a moderator Back to top .

2013 1:24 pm (1 day ago) #6 *psudomona-tazobactam or cefotaxime *esbl -impenem or other dr_jabed Serious Member *bowens or granloma annulare *gilbert ----iv nicotinamide or fasting 48 hours *in eyes---osmolality change or cataract Posts: 6 Credits: 137 Aim MRCP Part 1 report this post to a moderator *in youge age af ---flecainide or digixoin Back to top Thu May 09. 2013 1:35 pm (1 day ago) #8 *which is correct---cluster or analgesia induced headache dr_jabed Serious Member *which is correct ---to prevent colon cancer-w3 or vit -3 or etoricoxib *in preclamsia--treament--salt restriction or nifedipine Posts: 6 *occupational asthma---is it correct --do pefr .Thu May 09. 2013 1:26 pm (1 day ago) #7 abpa most confirmatory-preciptant or eosinophilia dr_jabed Serious Member Posts: 6 Credits: 137 Aim MRCP Part 1 report this post to a moderator Back to top Thu May 09.

Credits: 137 Aim MRCP Part 1 to do work and away from work *following uti with red urine . 2013 2:35 pm (1 day ago) #10 which is correct---cluster or analgesia induced headache i think cluster headache. *in preclamsia--treament--salt restriction or .mastoid surgery-iga or alport *in plasmodium vivax -primaquine used due to reduce gamate or liver stage *diabetic retinopathy---stop smoking correct or no* *sciatic or s1 nrve compressio* *red urine with howell jolly body-pnh or pch *severe dyspepsia after treatment-do endoscopy or others *in ra ---ig or citrulline report this post to a moderator Back to top Thu May 09. 2013 1:36 pm (1 day ago) #9 pls notified early dr_jabed Serious Member Posts: 6 Credits: 137 Aim MRCP Part 1 report this post to a moderator Back to top Thu May 09.

mastoid surgery-iga or alport i wrote iga as macroscopic haematuria . 2013 2:40 pm (1 day ago) #11 dr_jabed wrote: *which is correct---cluster or analgesia saeedanwar9 Serious Member induced headache *which is correct ---to prevent colon cancer--w3 or vit -3 or etoricoxib Posts: 9 Credits: 145 Aim MRCP Part 1 *in preclamsia--treament--salt restriction or nifedipine *occupational asthma---is it correct -do pefr to do work and away from work *following uti with red urine .mastoid surgery-iga or alport *in plasmodium vivax -primaquine used due to reduce gamate or liver stage *diabetic retinopathy---stop smoking correct or no* .24 hrs before urti .saeedanwar9 Serious Member nifedipine i think question ws further protection of preeclampsia i wrote lmwh but i can b Posts: 9 Credits: 145 Aim MRCP Part 1 aspirin*occupational asthma---is it correct -do pefr to do work and away from work correct *following uti with red urine . abpa most confirmatory-preciptant or (eosinophilia)i think report this post to a moderator Back to top Thu May 09.

i think correct report this post to a moderator Back to top Thu May 09.i think correct lmwh occupational asthma .correct iga . 2013 6:48 pm (1 day ago) #12 copd asthma saeedanwar9 Serious Member test to recognize occupatonal asthma aspiration pneumonia osa tlco Posts: 9 Credits: 145 Aim MRCP Part 1 eaa iaa bpaspergiolosis small cell car epiglotitis pleural effusion .macroscopic haematuria urti 24 hrs before i think correct liver stage i think correct s1 nerve compressionrf act on igg.*sciatic or s1 nrve compressio* *red urine with howell jolly body-pnh or pch *severe dyspepsia after treatment-do endoscopy or others *in ra ---ig or citrulline clusterheadache .

2013 7:04 pm (1 day ago) #14 retinal vein occlusion cataract saeedanwar9 Serious Member screlitis Arnold Cherie malformation constitutes eye questions Posts: 9 Credits: 145 Aim MRCP Part 1 report this post to a moderator Back to top Thu May 09. 2013 6:52 pm (1 day ago) #13 asthma mg sulphate sarcoidosis completes 15 question from saeedanwar9 Serious Member respiratory Posts: 9 Credits: 145 Aim MRCP Part 1 report this post to a moderator Back to top Thu May 09. 2013 7:09 pm (1 day ago) #15 seborric dermatitis .pulmonary embolism from respiratory system report this post to a moderator Back to top Thu May 09.

. 2013 7:46 pm (1 day ago) #17 saeedanwar9 wrote: erythma multiforme DOC_ATH Addicted Member Wht was the question on granuloma Posts: 11 Credits: 175 annulare?. ....I dont remember it at all.fungal nail treatment granuluma annular psoriasis saeedanwar9 Serious Member treatment of severe atopic dermatitis alopecia bullous pepigoid Posts: 9 Credits: 145 Aim MRCP Part 1 report this post to a moderator dermatology Back to top Thu May 09... 2013 7:11 pm (1 day ago) #16 erythma multiforme saeedanwar9 Serious Member Posts: 9 Credits: 145 Aim MRCP Part 1 report this post to a moderator Back to top Thu May 09...

* on lithium & hypertensive = give amlodipine * contraindication to samll cell caner = infliltration of brachial plexus (or volue < 1. * multiple enhance ring in CT = c. * woman who sees her dead husband = ?readjustment. * resistant hypertension =Conn's syndrome=Rennin-Aldo ration. * malingering man asking fir sick report and he drinks alcohol = alcohol dependence.Aim DNB Part 2 report this post to a moderator Back to top Thu May 09.8 in options) *lambert eaton syndrome = antibodies to post synaptic Ca voltage gated channels.toxoplasmoisi =pyrimeth+ sulfazianize. * collapsed pt & breath or pulse: chest compression ? (before AHA 2010 PPl argued Posts: 4 Credits: 120 abt asking for help). 2013 7:50 pm (1 day ago) #18 Selected questions *recurren vertigo = BPV = Dix Halpik bobysab Newbie maneuver. * Howel-Jowel =hyposplenism = Coealiac. * pain in the forearm worst by wrist extension = radial tunnel syndrome ( more distal than tenis elbow). * a young man diagnosed as crohn and . * false +ve VDRL = yaws (trponemal species).5 not 1. * circular lesion on dorsum of the hand = granuloma annulare.

* weird movements in class = tourret syndome. * ibsilateral facial loss + ibsl horner + con. * penumia in ICU improved then high fever with p effusions = empyema * gout in CVS problem = cholcicine (others have risk of fluids retention). 2013 8:07 pm (1 day ago) #19 Selected questions *recurren vertigo = BPV = Dix Halpik bobysab Newbie maneuver. * false +ve VDRL = yaws (trponemal species).started treatment =advice = stop smoking. * collapsed pt & breath or pulse: chest . report this post to a moderator Back to top Thu May 09.amylase = stone as pancreatic duct? * discritpiton of sata disribution around mean = SD? *pituitary incidentalom prognosis = no progress * insulinoma = supervised 72h hrs fasting.lt weaknes = posterior inferoir cerebellar *red eye with mild tenderness = epislcleritis * digested into glucose and galactose = lactose. * asian woman with unequal blood pressur = Takayasu * pt wheneve has flu urine turn dark = IgA nephropathy *cholangitis with 4-fold rise in S.

* resistant hypertension =Conn's syndrome=Rennin-Aldo ration. * pain in the forearm worst by wrist extension = radial tunnel syndrome ( more distal than tenis elbow). * on lithium & hypertensive = give amlodipine * contraindication to samll cell caner = infliltration of brachial plexus (or volue < 1.lt weaknes = posterior inferoir cerebellar *red eye with mild tenderness = epislcleritis * digested into glucose and galactose = lactose. * a young man diagnosed as crohn and started treatment =advice = stop smoking. * penumia in ICU improved then high fever with p effusions = empyema * gout in CVS problem = cholcicine (others have risk of fluids retention). .compression ? (before AHA 2010 PPl argued Posts: 4 Credits: 120 abt asking for help). * Howel-Jowel =hyposplenism = Coealiac.toxoplasmoisi =pyrimeth+ sulfazianize.8 in options) *lambert eaton syndrome = antibodies to post synaptic Ca voltage gated channels. * circular lesion on dorsum of the hand = granuloma annulare. * ibsilateral facial loss + ibsl horner + con. * multiple enhance ring in CT = c. * malingering man asking fir sick report and he drinks alcohol = alcohol dependence.5 not 1. * woman who sees her dead husband = ?readjustment.

2013 10:18 am (13 hours ago) #21 Wht muscle wasting in ulnar nerve. 2013 7:07 am (16 hours ago) #20 than you for all ahmed1mam2 Newbie Posts: 1 Credits: 105 report this post to a moderator Back to top Fri May 10...adductor p brevis& .* weird movements in class = tourret syndome. * asian woman with unequal blood pressur = Takayasu * pt wheneve has flu urine turn dark = IgA nephropathy *cholangitis with 4-fold rise in S.amylase = stone as pancreatic duct? * discritpiton of sata disribution around mean = SD? *pituitary incidentalom prognosis = no progress * insulinoma = supervised 72h hrs fasting. report this post to a moderator Back to top Fri May 10....

... The answer was 3rd and 4th lumbricals. 2013 3:11 pm (8 hours ago) #23 I want some vague questions if u do not mind the one who is sure about the answer to ahmed_kattout Expert Member tell..brachial plexus involvement 8 child with father with psoraiasis ?? ..thanks in advance 1 dementia decrease the falls.none 7 CI for lung cancer surgery..ahmed_kattout Expert Member Posts: 22 Credits: 240 Aim MRCP Part 1 report this post to a moderator Back to top Fri May 10.type 1 6 pituitary small tumor . AYUSMATI Newbie Posts: 1 Credits: 105 Aim DNB Part 2 report this post to a moderator Back to top Fri May 10....stop haloperidol 2 lat epicondylitis or radial tunnel Posts: 22 Credits: 240 Aim MRCP Part 1 3 ulnar nerve muscle wasting 4 thyroid hard mass ... 2013 11:26 am (12 hours ago) #22 Adductor pollicis wasnt an option.. FNA 5 DM not control by sufnyurea ....

ASD 18 girl with menorrghia .doxycycline 11 gm -ve cocci.calcification 23 report this post to a moderator Back to top Fri May 10..9 CD mesalazine or stop smoking 10 insect bite ...... 16 down.... LADA/ Type 1..should be LADA.false +ve vdrl 12 oral ulcers after chemotherapy 13 pseudomonas treatment 14 girl with syncope after kneeing for 30min.... Posts: 11 Credits: 175 Aim DNB Part 2 report this post to a moderator ....bleeding ...5 DM fits more with the criteria... Type 1 DM would present at a much younger age and would require Insulin at a younger age...start hydroxycarbamide 22 mitral valve severity.....vasovagal 15 confused parkinson..ebstein anomaly 17 ES murmer . 2013 3:57 pm (8 hours ago) #24 Young patient aged 35 yrs with DM not controlled with sulfonylurea DOC_ATH Addicted Member (gliclazide)......vW 19 non Hodgkin with high ldh what before start? 20 anaemic of chronic disease 21 thrmbocyathemia.

Rupturing blisters . another statistics . Red cell folate provides reflection of baseline folate levels .Boy with down syndrome and murmur and parasternal heave . Reason because patient is post gastric surgery for PUD (likely respected Parietal cells and so b12 deficient).RF is a IgM/IgA or IgG that is targeted at IgG 9. and recently had trimethoprim therapy (folate antagonist). diabetic with postural drop .hypopitutarism 7.10% 11..Adenosine mech of action .Lady known with pallor.albendazole 3.Strongloides tx ..bullous pemphigoid 4. positive predictive value statistics . Boy with hypercalcemia and xray changes sarcoidosis 10.sensivity 13.VSD? 5. 2013 9:28 pm (2 hours ago) #25 have compiled the questions so far: Ylngoi Newbie Part 1 1.Pregnant lady with worsening asthma beclomethasone 6. what rhematoid factor target .G-couple receptors Posts: 2 Credits: 110 2.splenic flexure (watershed) 8. Paired t test for question on new topical treatment for facial hemangioma 12. ischaemic colitis . Question about pernicious anemia .Back to top Fri May 10.this one should be red cell folate.

If alports likely worse creatinine expected. Young man with haematuria and past history of deafness.lesion in optic nerve 18 patient with a non secreting pituitary tumor ..potassium channels 15.where is the lesion . CNS...patient with ipsilateral and contralateral signs . This should be IgA in view of presentation. Tranexamic acid contraindicated bladder fibrosis 20. CAPD peritonitis . Both nerves from mid to lower pons 17 Patient with RAPD . Likely to be asymptomatic..CML **23 patient with Howell jolly bodies and hyposplenic picture on PBF 24.transfuse in view of symptomatic anaemia. Also patient went for mastoid surgery for the deafness whereas alports is a sensorineural deafness due to collagen deficit in inner ear.2 ..staph epidermidis 26. lady with purpuric rash cryoglobulinemia 22.. Lady with bleeders on colonoscopy Hb 9..myelofibrosis 25. Creatinine reflected only mild impairment.. Had CN 6 and CN7 with crossed hemiparesis. Tear drops poikilocytes .tumor is small and non functioning. 9:22 translocation . What causes prolongation of QT potassium channel blockage 16. 'Incidentaloma' **19. What causes repolarization .this answer is right pons. I don't think surgery corrects this? Possibly has both a conductive hearing loss and IgA nephron arty 21...14. Lady with increased ALP and GGT what .

Anti mitochondrial antibodies for PBC 27. Lady with CREST .Urea breath test 31. Young man with dyspepsia. loss of libido and back pain ..81 female with mucous stool.Do transferrin sat for hemochromatosis 35.Endoscopy surveillance 34.S1 root compression 38.not sure. Barretts oesophagus .may suffer from malabsorption in the future 30. Patient may sound like IBS but red flags are anaemia with both folate and ferritin low .Villous adenoma .malabsorption syndrome 29. Clearly patient is stable! 32. 28. Question about patient with shoulder pain. Patient with diarrhoea.celiac can present this way. pneumothorax 1 cm no SOB outpatient xray . Lady with scleroderma now with watery diarrhea . no other signs . could be CVID 37. Patient in face presented 24 hours After pain onset which lasted 3 hours. this should be impingement syndrome. hypokalemia and hypochloremia **36.further test . I think this should be celiac disease. old man with pagets disease. Patient with IBS with non specific presentation.loss of 3/4 .bisphosphonates 33. Ulnar nerve impairment. Man with polyuria. Young male. no fractures .i think) .X-linked agammaglobulinemia ( Wiskott Aldrich . Loss of sensation dorsum of foot etc . qn describes Hawkins and Neers 39. chest infection etc .

i think 46.transcribes RNA to DNA **52.Wegners 54. Most common cause of SBP community acquired should be strept pneumonia. mRNA spliced out introns in nucleus before migrating to ribosomes in RER 51. Anorexia on NG feeding hypophosphatemia 48. nosocomial is gram negative 43. . what cause . Strept pyogenes.lumbricals 40. Give clinda and. What does primaquine do in vivax plasmodium .check complement (capsulated bacteria) **41.destroy gametes in liver.This is nucleus. Penicillin **42. ST changes in V5-V6.DDP-4 inhibitor 49. CT scan multiple enhancing lesion . what are you likely . Hereditary Haemorrhagic telangiectasia Autosomal dominant 45. sounds like nec fasciitis.P450 50. which cell organelle splices RNA to protein . Man with insect bite from south africa Rickettsia 47.Aut dominant 55. High fever hypotension severe cellulitis. reverse transcriptase .Bradykinin 44. DM . Before starting on warfarin . Lady with recurrent strept bacterial pneumonia .Action of Sitalgliptin . Marfan's syndrome . Ramipril induced angioedema. cANCA + symptoms . what to start after dexa sulfapyridine/pyrimethamine 53.

I chose half life (5 half lives to steady state) 67. I put trichotillomania **69. GCS 5 hemodialysis 63.Patient on clarithromycin. dont give simvastatin 60. bipolar. mech of action .direct thrombin inhibitor 61. Amitriptylline overdose.no other hair loss.scleritis 65.repeat adenosine 57. Vit D resistant ricketts .. Man who had viral infection. Dementia. you gave adenosine 6 mg. with polyuria Lithium 59. low GCS .?alcoholic dementia vs vascular dementia 70. patchy hair loss . nothing happens. Intermittent blurred vision . Red eye pain . loss of inhibition .stop .normal on corrected . Methanol overdose. SVT .cataract from osmolality changes **66.to see on coronary angio .Circumflex stenosis 56. what next ... LVF. what antihypertensive to add ramipril aids left ventricle remodeling **68.IV bicarb ***62. Young man .NOt sure what question means. First order kinetics . Shouldn't be bioavailability because they described IV administration so bioavailability should be equal amongst all subjects. Dementia recurrent falls .X linked dominant 58.only in frontal and temporal regions .erythema multiforme **64. Bivarudin . now comes with rash .

5?? Not sure 84. Severe atopic dermatitis . Arm and bilateral lower limb involvement. not responding .organise ECHO **77. Hep E usually in pregnant women? 78. Man with neck pain and neurology carotid artery dissection 79. 70 yr old man with LVF . **83. which condition will you not operate .cervical radiculomyelopathy 82. Woman with sudden onst SOB. Patient with worsening renal fxn . history of neck and back pain .aspirin 86. just .etoricoxib 85. Girl with reduced consiousness and jerks only when disturbed.IV Mg sulphate **76.severely acute. Anti HBc positive.analgesic induced headache 81.haloperidol 71.8 ?? This one is strange.Do Hep C serology. Headache piercing the eyes. Sounds like malingering 80.. Metformin only needs to stop when Cr >150-200 72.VWD. leukaemia good prognosis .t(15:17) 87. Ashtmatic . Which intervention decreases colon cancer . Patient on pergolidine .increases GABA activity 74. HBsAG negative ..FVC 1. Patient immune to hep B and hep A.Leave it alone! Cr can rise 15% with ace inhibitor (allowed).tacrolimus 73. I thought the criteria was <1. Lorazepam .add bisoprolol 75. Which intervention decreases risk of pre eclampsia. Girl with menorrhagia . Man with tumour of apex. history of analgesia .

no eye contact.staph aureus 95. Joint sepsis .angina **102.hypochondriac 92.all others are antipsychotics that can cause EPSE even if atypicals.biopsy a skin lesion.. suicidal .Fulfills becks triad for tamponade 88. strongest indicator to stop .alcohol dependence. abusive -? Lorazepam . children's school mates recently had diarrhoea campylobacter.PTSD. Man with poor work performance. man convinced he had cancer despite all negative tests . Heart murmur in 2nd and 3rd ic space . ETT.Phaeochromocytoma 97. Rota causes secretory diarrhea 96. African lady. drinker. Mental status exam was normal so it's not depression **93. alcohol . 100. Woman whose husband died.Mixed respiratory and metabolic acidosis 101. agitated. indicator of severity Degree of Pulmonary capillary wedge .Psychotic depression 91. 94. initial mgt prednisolone 99.started chemo for BRCA . lady admitted with sweating and palpitations .PS **103. Complete heart block . man with bloody diarrhoea. mitral stenosis. but she still sees him talking to her .LGV 89. 90.variable intensity S1 98. Dermatomyositis. man with parkinsons.. 2nd person auditory hallucination. symptoms suggestive of leprosy . Man with low mood. Man with painful genital ulcers .

PT .still proximal tubule and TAL ? **108. patient with fever and jaundice.pressure (pulmonary HTN) 104. investigation . idiopathic pulmonary fibrosis. lambert eton syndrome. one of its paraneoplastic syndromes was given 114. extertringic allergic alviolitis. pain in fore arm on resistance of extension of wrist. Multiple sclesosis.alcholic. finding on xr . tazosin 118. antibodies to VGCC 115. CXR shows upper zone involvement ***112 Allergic bronchopulmonary aspergilosis. infective endocarditis risk highest with previous IE 105. treated in icu. hopital acquired pnemonia.lower zone heart border blurring ***111. picture of asending cholangitis. investigation. Patient with cardiogenic syncope .CBD stone 119.most specific 113 Small cell carcinoma.. lateral epicondolyitis *116.SA dysfunction 106.precipitins . camunity acuired pnemonia. now vision 117. again fever.. . patient with past histery of arm problem.increased cardiac output **107. pulmonary hypertension diagnosis 2Decho 109. physiologic change after one minute of standing . patient with ingestion of 20 paracetamol pills. maximum absorption of Na in salt and water depleted patient . ?empyema **110.

patient with early mornign stiffness and uper arms tenderness. Patient with pheochoromsytoma. now with inflammatory oligoarthritis but no other systemic features . on nsaid. renal artery stenosis 130. clinical feature reduced joint excursion in all directions 134.?phenoxybenzamine 129. patient wid ulcerative collitis and now joint pains .feature of anemia of chronic disease 121. resistant hypertension. polymylgia rheumatica 132. man with 3 yrs h/o lesion on shin Bowens disease ** 127. iv n saline 123. poorly controlled. diabetic patient.. treament startd with acylovir. patient with father with psoriasis. dka. patient with picture of RA. next treatment option .. iv insulin was given. insulin with oral glucose toleance test ** 124. ankylising spondolyits. treatment with colchicine . what treatment shoud be started.spondyloarthropathy 133..?CXR granulomas indicate previous infection 125. type of diabetes 128..** 120..MTX 135. got gout. feature most strongly associated with tb recurrence . hypokalemic alkalosis . patient in hospital. flash pulmonary edema. Test of Acromegaly.enteropathic arthritis 122. csf feature most strongly associated wid diagnosis lymphocytosis ** 126 .renin/aldo ratio 131.

scaly lesion on face. things move or spin with head position change = BPV = Dix Halpik maneuver.call for help first early access as per ACLS/BCLS 140. **150 circular lesion on dorsum of the hand = granuloma annulare (thoguht not mentioned diabetic). sudden onset visual loss.. investigation. patient with hearing loss. Ciclosporin in post renal transplant Tcell function suppressed 147. boy with abnormal movements tourette syndrome ** 145... nose scalp sternum i think 142.. ?meniere's disease **137. gram neg intracellular diplococci.test. FNAC 139. A subject with urethritis. xray osteosclerosis ---osteoarthritis old lady with varus deformity 3 months pain 143..electron microscopy. on lithium & hypertensive = give amlodipine (SHOULD BE alpha blocker) . retinal hemrges and cotton wool spots . collapsed patient. thyroid swelling. high LH/FSH ratio 144.CRVO 138. 3d image of protein . PCOD--.Creatinine increased after Trimethoprim decreased tubular secretion (trimethoprim decreases tubular secretion of creat) 149. pt on chemotherapy was given ondansatron but vomiting not controlled nabilone 146.. VDRL +ve . seborrhic dermatitis. Xray crystallography is for 3d visualisation of crystals 141..136... tinnitus and vertigo..False positive VDRL 148. ?BCC **151.

Pt having low calcium. ALP raised. a young man diagnosed with IBD (crohns) and started treatment what is the advice = stop smoking 153. microscopy shows Trychophytum rubrum. Tricyclic overdose. Unequal blood pressures in both arms in asian lady . Pt with obstructive sleep apnea. 154. parathyroid hormone raised. D-dimers-raised. Rash and renal impairment .observe 160. low Vit-D. (Protien electrophoresis for myeloma) 159.monitor PEFR on weekdays and weekends **166. Pt having lesion on toes. Diplopia and proximal myopathy . (Oral vit-D). (DIC) 157. Occupational asthma .HSP . PT-raised. (Mieniers disease) 158. Pt having lytic lesion on radio graphy.MG 167. low phosphate. vertigo and eye examination was normal. 155. CPAP 162. has a bite on thigh but no other symptoms .Takayasu's arteritis **168. (terbinafine) 156. location of mechanism of action of spirinolactone 165. Continuous bleeding from pt after vena puncture. (IV NaHCO3) **161. ?Addison's disease 164.Pt having dizziness.152. which anti depressant to use in young type I DM patient? mirtazapine? others were SSRI/venlafaxine 169. How to manage. APPT-raised. Mechanism of action of Flecanide. (sodium channel blocker).normal aonion gap metabolic acidosistype II RTA **163. Fibronogenlow. Patient hiking in west scotland.

Type I DM not well controlled on OHGAs. facial swelling amongst symptoms . klienfilter syndrome . mechanism of inactivation of cortisol ?free excretion 171. primary testicular failure ** 172. started on prednisolone.Hib 176.reticulocytes 175. looks like will be insulin requiring . which is next best treatment advice .small testes. Organism causing epiglottitis . How to treat? **173. bilirubin mild elevated and other LFT normal next test .likely PNH over PCH 174.LADA . Lung fibrosis finding? .mesalazine vs quit smoking 178. Patient with newly diagnosed Chron's disase. Red urine.** 170.Reduced TLCO ** 177. Patient with hypocalcemic hyper calciuria.

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