THE MOST DEBATED QUESTIONS IN 22 OCTOBER MRCP 2 WRITTEN: ANSWERS STILL NOT SETTLED
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Constipation cause: warfarin/ Verapamil
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Female with absent/reduce left radial pulse, aortic regurgitation: ?Takayasu arteritis/coarctation
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- Pregnancy post delivery of twin got widespread ST elevation-- management ? coronary cath
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- Hypercholesterolemia ask for diagnostic criteria
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Terminal, SOB→ morphine
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CXR+ acute deterioration: ? pneumothorax
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- CT thorax of a young lady, recurrent lung infection, obs pattern respond to bronchodil, CT thorax show dilatation of bronchioles: ? Alpha 1 antirypsin deficit/ COPD
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- Acute pulmonary edema ask for ventilation setting? Low tidal volume
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- Hepatomegaly of 6cm, but LFT normal, ask for next step: ? US abdomen, ?deep rectal biopsy
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Pregant, constipation- ishpaghul/ senna
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- Hematochromatosis, father with liver ca HFE gene analysis/ liver biopsy
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- Crohn disease with bleeding, got DVT ask for intervention – Dalteparin/ vana cava filter
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- ask for the cause that will progress to CKD proteinuria/ baseline creat
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- Bilateral hydronephrosis, periaorititis, aortic aneurysm 3.4 cm, : ? b/l nephrostomy / Stenting
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- 28 year old with chronic low back pain and lumbosacral spine xray: ? spondylolithesis
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- Pic of ? HUS what further investigation low complement?
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- Old guy, anemia, AKI, raised globulin, increase viscocity, ?? myeloma
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- CLL – lymph node biopsy/ immunophenotyping
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- ? Insulinoma/ Sulphonyurea investigation: ?72 hour fasting
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- Osteomyelitis, bone debridement show staph aureus, AKI, plan to start flucloxacillin and fusidic acid: no need to change the drug dosage
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Infected ulcer, slough++, periph vascular disease. Management: remove slough/ IV antibiotics
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- Submandibular swelling, abdominal pain, meningism: ? enterovirus
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- nodular lesion with peripheral redness over abdomen and thigh
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- Digoxin toxicity ask for immediate management (atropine VS Digifab)