MRCP PACES DIET 1 2020 EXPERIENCE

HISTORY
1. outside Abnormal LFTS increased ALT inside chronic diarrhea=PSC
due to ulcerative colitis.
2. Confusion in a 40 year old lady having DM and HTN attack lasted for
only a few hours resolved spontaneously. She remembered her
friend's name during the attack. TGA.
3. young business man recently came from uganda with fever
4. TIA
5. a middle age lady give history of amaurosis fungus she has
glaucoma, HTN and hyperlipidemia in past want to drive. and she
wants to fly to the USA
6. headache
7. Wegner granulomatosis
8. pt came with LL weakness for 5 days on history everything
negative,has hand numbness I didn't ask about D so I miss the
case(GBS).I am writing red flags in my paper but I didn't! ask about
the fever inside.
9. Young lady, after delivery 18m ago she developed symptoms
suggestive of Sheehan syndrome, 3m ago developed weight gain,
depression, irregular cycle Examiner asked about the diagnosis, I
said Sheehan+Hypothyroidism, He was not satisfied
10. Breast ca with mets on palliative care,wants to get admitted ,cos
she cant cope at home ,getting weaker.Inside pt has features of
hypercalcemia
11. asthma exacerbation due to new pets and beta blocker use history
of asthma then started to be uncontrolled for few months:1 his
daughter had a cat 2: he used drug for palpitations pit + B.B
12. SLE
 13. St2:Frequent fall fracture dizziness dm htn Loss of consciousness
on ramipril and metformin
14. diarrhoea on mefenamic acid IBS versus microscopic colitis
15. cancer with hypercalcemia
16. LADY with significant wt loss. And tiredness she is known to have
DM TYPE ONE HX severe depression splitted from her partner /low
appetite /scanty period /smooks 10 cig Positive FH of thyrotoxicosis
no addison symptoms DD /SHE doesn't check HAC PLUS RBS DUE
TO DEPRESSION SHE frequently GOES to bathroom (polyuria) no
symptoms of MEN DD uncontrolled dm APS ANOREXIA NERVOSA
THYROTOXICOSIS (AGAINST NO PALPITATION /BAD APPETITE)
COMMUNICATION
1. 50 year old presented with history of fall and fracture. he has a history
of recurrent falls recently MRI done showing mets in cerebellum. X
RAY suspectiong lung CA. BBN and consent for bronchial biopsy to
confirm diagnosis.
2. DNAR end of life pathway
3. MS bbn and counselling
4. Nurses with gliclazide overdose want self discharge counsel to stay in
hospital until seen by the mental health team.
5. Renal cell Ca with mets
6. counseling about IBS
7. (medical error),pt admitted with athema receive treatment
improve,the nurse gave him bisoprolol 5,lazix 40,ASA 75 by mistake.
8. Old guy admitted with pneumonia , received Amoxicillin to which he
is allergic and collapsed, received adrenaline and steroid, now stable
but confused, Discuss with daughter
9. ESRF deteriorating on HD,now drowsy,decided to stop HD,pt already
expressed her wishes not to cont with HD if she deteriorates.To talk
to dg
10. Asthmatic pt not compliance with steroid inhaler afraid from SE.
known asthma started to be not controlled she refuses to use steroid
 inhaler fear of weight gain as she used oral steroid before and gained
weight she accepted to use the inhaler and did well discussion o.k
11. LYMPHOMA & hickman line .
12. Genetic test result counseling thyroidectomy Post medullary
carcinoma and men 2
13. A long scenario explains to his son his mother's condition on
heparin for DVT. HISTORY OF FRACTURE CT DONE SHOWED
ICH fall down during stay on hospital
14. positive fx hocm father/ brother C/o sob chest tightness Ecg and
echo confirmed he has HOCM explained and cardiology team
decided ICD preventative procedure Concern about job driving and
other options of Medical treatment .

STATION 5
1. carpal tunnel syndrome on thyroxine having multiple joint
replacement both hips and right shoulder.
2. Middle aged lady complaining of generalized itchingWas diabetic also
Everything was normal for ddx
3. 38 Lady complaining about the loss of Libido , her only previous
Medical History is Hypertension for which she is taking Lisinopril and
occasional headache for which she is taking over the counter
painkillers , requested a medical review…
4. Giant cell arteritis
5. HHT
6. fundus ℅ blurring of vision in DM
7. dizziness in autoimmune polyglandular syndrome
8. pt c/o:hand and groin swelling+hard hepatosplenomegaly(lymphoma)
,
9. pt20y. c/o leg swellingBp159/90,has frothy urine+generalised body
swelling+DM, has ascites (nephrotic my be due to DM)
10. Out: Hx. of black spots In: PCOS? Metabolic
syndrome+acanthosis nigricans
11. Out: Palpitations In: Graves
12. NF 1 coming with SOB for 2 years,also has AF on warfarin
13. 76 yr old male tremor b/l left more than right Pt concern about
PD.But its looks benign essential tremor to me.
14. pemphigus + polyuria + thirst +loss of weight with good appetit 1)
admit to control pemphigus 2) diabetes mellitus 3) screen for
malignancies discussion o.k
15. chshing weight gain proximal myopathy D.m HTN easy bruising
syria irregular cycles cushing … pcos missioned to examiner not to
patient discussion o.k
16. hypothyroidism
17. Eczema
18. giant cell arteritis polymyalgia rheumatica
19. drug induced psoriasis
20. headache young in FEMALE prolactinoma nipple discharge,
21. cycleBack pain ankylosing spondylitis
22. tremors
23. neurofibromatosis
24. Lady with hand pain and knee pain O/E bilateral symmetrical PIP
joints swollen and tender plus morning stiffness plus proximal
myopathy.Dd RA /MCT.
25. MALE C/o of recurrent fever came from eritrea(african country)
missing antimalarial dos esO/E. HSM PLUS ASSITES PLUS
CLUBBING (CLD)