MRCP-1 8th January 2019


#1

MRCP-1 8th January 2019

  1. Blistering rash with hyperteichosis…porphyria cautinea tarda
  2. the answer is Rheumatoid factor…it was siogren with cryoglobulinemia
  3. Treatment of sxhistosomiasis praZiquatnel
  4. ischarmic colitis spleenic flxr
  5. waterlow scr decibitus ulcer
  6. ispsiltrl horner contraltrl pain temp lost posterior inferior cerebellar
  7. stroke upper limb greater than lower middle cerebral
  8. Young age patient air travel Australia to UK got TIA like symptoms— transthoracic echo
  9. Methotrexate MoA…DHF inhibitor
  10. Rituximab Inhibits B cell
  11. dicrotic notch signifies --aortic valve closure
  12. sudden death autopsy fibrofatty tissue---- arythmogenic right ventricular dysplsa
  13. Coronary sinus location-Right Atrium
  14. option one was correct 95 of test was neative in 95 disease negative condition
  15. Multiple cranial palsies-Lesion in cavernous sinus
  16. U wave in hypokalemia?
  17. Sensitivity answer was 80 perecnet
  18. PPV was 40 percent
  19. PKD screening usg of all 1st degree relatv by USG abdomen
  20. Kaposi Sarcome HHV8
  21. Factor 5 laiden deficency causes protein c resistance?
  22. Stoamtoform…
  23. Malingering. For gain of methadone
  24. fondaparinux-Inhibits factor Xa
  25. abxicimab-- glycoprotein 2b/3a inhibitr
  26. Tx of supra ventricular tachycardia after failure of manoeuvre Verapamil since adenosine contraindicated in asthma
  27. Additional Tx of nisseria gonorrhea after azithromycin==Ceftriaxone
  28. Organism responsible for human bite infection: Ekinella
  29. Exacerbating drug in psoriasis—Propanolol
  30. Patch lesions on body with skin atrophy and hair plugging-- discoid lupus erythematous
  31. Multiple lesions with wickham striae in mouth— lichen planus
  32. Fulminating hepatotis pathology— Necrosis
  33. Jerky hand Movement—Huntington
  34. Pericarditis - ECG changes ST waves concave upward
  35. Which will be normal after 36 hours of paracetamol poisoning
    Bilirubin album ast alp— Albumin ?
  36. Lithium toxicity in elderly pt cause-----Decrease renal clearance?
  37. Tx of diagnosed dm whose creatinine was at upper limit and RBS was 15— Metformin
  38. Marker of diagnosing DM type 1… Ketones
  39. Ketonuria: Lipolysis
  40. Autoimmune thyroiditis? Which cancer—Lymphoma
  41. Medulary cc.----Ret oncogene
  42. Why give loading dose of amiodarone—due to long half life
  43. Lab like dic except high platelet alongwith Sepsis— DIC ?
  44. pitutiary apoplexy
  45. Strongylodosis
  46. SAH most common cause of rupture—(Berry was not in option)—post communicating artery?
  47. Diarrhoea in nursing home–norvovirus
  48. gastroenteritis just after meal in 03 friends and after 24 hours in 03 frnds— Bacillus Bruceus?
  49. Pilocarpine MoA-Muscarinic agonist
  50. Chronic anal fissure, constipation with mental confusion presented with painful defecation—glyceryl tri nitrate-methylcellulose tx?
  51. Nonvisible haematuria but the usg was normal next investigation----flexible cystoscopy
  52. Von hipp landu syn–retinal haematoma
  53. Paget disease-Give Bisphosphonate
  54. 16 year girl with leg rash, hematuria and proteinuria?
  55. hx of throat infection and palpable rash on leg…it was HUS ?
  56. SLE -Low C4
  57. Malt… Eradicate h. Pylori,
  58. rx responds… Urea breath test
  59. Worsen opthalmoplegia after —radioiodine therapy
  60. UGIB-PPi to reduce rebledd
  61. 76 years old with AF –dabigatrin
  62. Child with abd pain since chilhood now ankle edema, plus inc. creatinine low albumin… Minimal, IgA, Membranous (?)
  63. armenian descent-arthalgia-renal affection and peritonitis causing abdominal pain-- familial meditarranen fever…
  64. After Veitnam trip of 03 months pleural effutn and erythema nodosm— TB
  65. Patient afib normal bp ischemic stroke presented after 6 hours? Treatmen to give asprin
  66. Empyema = low PH
  67. Post renal transplant lesion with behind ear lesion… cutaneous B cell (PTDLT) or squamous ?
  68. APC gene–colon carcinoma
  69. Brca… Ovarian
  70. break frm boyfriend visual and auditory hallucinatn vivid dream— adjustmen disorder/ mefloquine toxicity, schizophrenia, herpes encephalitis?? –
  71. COPD patient, best way for oxygen–ventuuri mask
  72. Obese man cause of false high measured bp—undersized cuff
  73. Cystic fibrosis–pancreatic insufficiency— fecal elastase
  74. Distal IP+ proximal IP+ spared MCP+ dactylitis sausage finger- psoriatic arthritis
  75. unsighty nails…what investigation— nail clippings for mycology
  76. man with backpain with vertebral collapse-What to check---- serum testosterone
  77. Lady was on dialysis- constantly had hyper PTH—parathyroidectomy
  78. Ventricular tachycardia most probably finding- AV dissociation
  79. involvement of deltoid , weakness, atropy… Axillary nerve
  80. Diarrhoea with electrolyte imbalance— hyperchloremic metabolic acidosis
  81. Haemoptysis with p-anca positive and raised creatinine- Microscopic polyangitis
  82. Feature most consistent with Dementia (Alzheimer’s)- disorientation in time
  83. pregnancy Herpez zostr serology negative… Give immunoglobulin
  84. Post jugular line, drop in spo2 with decreased breath sounds and dull on percussion- Haemothorax
  85. Variable region of antibody- FAB
  86. Patient chronic smoker and shipyard worker, pleural plaques in x ray, FEV1/FVC- 0.39, cause of recent breathlessness- COPD
  87. Episodic asthma, investigation- serial peak flow measurement
  88. Diabetes—Adhesive Capsulitis
  89. Cough causing medicine—Ace-inhibitor
  90. Constipation—Ca+ channel blocker
  91. Power of the test===
  92. Specificity—
  93. Sensitivity—
  94. Diagnosis—Pagets Disease
  95. CKD with Hypoparathyroidism in young – Psudo, primary ?
  96. Pitutary apoplexy
  97. Insulinoma—Serum Insulin after 72 hours of fasting
  98. Parkinsonism – Levodopa
  99. Alzheimer—Donepizil
  100. Central Vein Occlusion in painless visual loss—cottol wool exudate , hypertensive
  101. Bathlow score—cognitive function, incontinence
  102. RA patient—episcleritis
  103. Did athermoatous because the patient had tia recently abd also carotid bruit
  104. closure of pda with ibuprofen in pregnancy- last trimester
  105. -turner, murmer and hypertension>> CoA
  106. erect peanut aspiration, which lobe—
  107. seminoma prognostic marker>BHCG
  108. best marker for hemochromatosis monitoring—ferritin
  109. LFT results ALP was elevated and most likely site of obstruction withthin the biliary system ? CBD
  110. small kindey sizes, bruit—atheromatous disease
    
  111. Young girl with menorrhagia from the onset of puberty… Positive history of mother and sister---- Vwd
  112. Myasthenia with strabismus
    
  113. botulism
  114. one MS
  115. Carbimazole given which serum marker will be correct first
    Free t4 ?
  116. Superior oblique muscle
  117. cholestatic picture— Flucoxacillin
  118. Pt with severe parkinson left iliac fossa pain and bleeding pr. Diverticulitis
  119. popliteal cyst rupture—DVT
    
  120. DVT-- Thalidomide—
    
  121. alpha 1 deficiency answer? ZZ
  122. Pt had type 1 dm hypothyroidism , with tetany. Low ca low pth. Primary hypoparathyroidism?
  123. Most contagious—VZV
  124. jejunal bipsy
  125. Acute graft rejection ---- lymphocytes and NK cells
    
  126. Thalamus: allodynia case poststroke
  127. copd case spo2—90%
  128. Rituximab—MOA: suppress B ells
  129. Vision issue. TB regimen—Ethambutol
  130. St elevation in 11 111 avf. Right coronary
  131. Before giving tnf—checking mycobacterium
  132. MRSA patient on vancomyvin develop anaphylactic—Linezolid, red man;slow infusion ?
  133. Asthma,–LRTA
  134. Onandesetron—5 ht3
  135. Cholesterol emboli. Post coronary pt
  136. 80 yr old with benign positional vertigo–Next to do dix hallpike
  137. Coronary sinus empty—Right atrium
  138. Alcohol dependence syndrome
  139. for facial nerve–There is last of taste 2/3 ; facial canal carries chorda tympani(taste) and nerve to stapedius(hyperacusis)
  140. Neonatal LE more chances in pregnant woman if positive—Anti RO
  141. detrusor instability— Solifenacin
  142. Aortic dissection— Labetolol
  143. Swollen knee join aspiration all ok… next step—polarized light
  144. CSF Culture all ok Nisseria meningitis suspected
  145. Idiopathic lung fibrosis- what feature found in x ray
  146. Alkaptunuria—Aminoacid
  147. Under continuous inhibition: Prolactin
  148. Anti basement membrane antibody—good pasture
  149. MCA… upper limb >lowe
  150. Cavernous sinus- 3rd, 5th and 6th Cranial nerve involved.
  151. H/o fall, abnormal pupil constrictive reflex: Base of skull fracture, Normal variant ?
  152. Braf—PCR
  153. Oesophageal varices: inj terlipressin
  154. Oesophageal varices: observe
  155. Oesophageal varices: Iv fluids
  156. Diaphragmatic Palsy
  157. Autosomal dominant PCKD–50% chances in all children
  158. Copd exacerbation. pH 7.30. Carbon dioxide 7.1. Oxygen normal—Observe( bcs pt is improving---- NIV bcs CO2 is 7.1
  159. Sciatic Nerve Palsy
  160. Commonest immunoglobulin found?—IgG
  161. Pyoderma gangrenonum im RA treatment— Oral steroid
  162. Mycosid fungoided treatment after failure of topical steroids—UVA therapy
  163. Painful lesions on leg and cxr with bilateral lymphadenopathy— steroid
  164. Empyema low PH
  165. patient who had long term bronchiectesis - was afebrile but renal function was off … option had membranous / focal segmental—amyloidosis
  166. bloody diarrhoea responded well to metronidazole what was the organism--- Ent amoeba
    
  167. which part will be impermeable to water ? Ascending limb of loop of henle
  168. an SBP ( febrile + ascites ) question where the next step — Ultrasound
  169. impaiered sweating in forheadin horner internal carotid artery??
  170. Intention to treat mcq?
  171. Filariasis after mountain hiking swelling in leg
  172. Platelet 15 asymptomatic: platelet infusion
  173. Radiotherapy done but again haemoptysis—most appropriate therapy : radiation-
  174. Platelet infusion chance of infection: strep
  175. Blood infusion—irradiated
  176. Permanent pacemaker indication: 3rd degree heart block
  177. Short synachten test
  178. OGTT for confirmation of Acromegaly
  179. hnf1alpha
  180. Scenario of febrile neutropenia. What coverage is must for antibiotic of choice? Pseudomonas or pneumocystic jiroveci ?
  181. Power of study means : ?
  182. Maculopapular rash on groin and buttocks, rhabditiform larvae on stool? Strongyloides
  183. Features of some haemotological malignancy with swollen cervical lymph node , diagnostic test lymph node biopsy
  184. Vision issue. TB regimen.—Ethambutol
  185. Psoriasis aggravating factor: B blocker
  186. Exacerbation of copd.
  187. Alpha antitrypsin deficiency genotype---- homogeneous PiZZ
  188. Beta3 microglobulin
  189. AL amyloidosis or B3 microglobulin
  190. Chronic subdural hematoma scenario
  191. Common peroneal nerve foot drop
  192. diagnosis of aspergillus—precipitin test
  193. trigeminal neuralgia or tmj dysfunction= trigeminal neuralgia ?
  194. Latex Allergy—Patch test
  195. Mechanism of ciclosporin: (Ciclosporin or cyclosporin A inhibits calcineurin, an enzyme that is required for transcription of interleukin-2.) Interleukin 2
  196. Duchene muscular dystrophy – X inactivation
  197. Haemophilia which family member likely to be affected- Mother’s brother
    
  198. Pcychiatry. One who saw an angel, offering ecstasy to doctor. Has HIV and having a long history of bizarre attitude: Antisocial ?
  199. Closes eye and the arm pronate n drift downwards?—Cerebellar
  200. One angiodysplasia associated with aoritc stenosis!!

Best of Luck !!!