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08/05/2015

mrcp4all

1endometrialcaplusgaitproblm....ANTIGAD
2.microcyticanemiaplusnormaluppergiinvestigations...COLONOSCOPY
3.polucystickidneydisease...afternormalU/Sabdomen...after30agerepeatorreassure.
4.pancreatitis....CTABDOMEN
5.hemophilliapatternoninvestigation...MOTHER,SBROTHER
6.APTT..98...INHERITEDBYFATHER(verycheapquestion)...maybVONVILLIBRAND
7.LOWAPTT(22)...MAYbPLATLETDYSFUNCTIOON
8.teardroppoikilocytes..myelofibrosis
9.ATYPICALLYMPHOCYTES....INFECTIOUSMONONUCLEOSIS
10.ALL...9:22POORPROGNOSIS
11.70YRFemalesuicide...rskfactrforrepeat...OLDAGE
12.promyelocytes....15:17
13.PEMPHIGUSVULGARIS...IGGAtdermoepidermaljunct..mayb
14.historyofSTD....KERATODERMABLENORHGICA
15.diAbetesplushyperthyroidism....PRETIIBIALMYXDEMA...
16.1stsigninhypovolemicshock...TACHYCARDIA
17.commonparonealnervepalsy.SENSORYLOSSINDORSUMOFFOOT
18.triptosouthasia..jaundiced...prejrnyvaccdone...HEPAorHEPE
19.Alpha1antitrypsondefic...Autosomalcodominant...butitwasnotanoptionsoitwasautosomal
recessiveaspertext
20.wilsondiseasse...1in100
21.HIVdiagnosis...investigationwithconsentorwithoutconsent
22.patientthinkofnursesplaningagainsthimandtryingtopoisonhiim...PARANOIDPSYCHOSIS
23.neighbourcontrollingthoughts.....schizophrenia
24.hallucinationspluscogimpairmentplusrigidity....LWIBODYDEMENTIA
25.Manwithdrugpoisoningbeliefofsupernaturalhealingpower....DELUSION
26.CARBIMAZOL...MOA..THYROIDPEROXIDASEINHIBITOR.
27.HepC...CRYOGLOBINEMIA
28.Aplasticpicture...erythrovirus.B19
29.REPEATEDinfectionsafterchemotherapy..cause...complimentdeforimmunoglobindef..
30.repeatedneiseriainf....COMPLEMENTDEFICIENCY
31.MeningialTB...12MONTHStreatment
32.tonsillitis...withhemeturia....postinfectiousglomerulonephritis
33.metastasistovertibralcolumn...acutepainandsensoryloss...tx..surgicaldecompressionor
radiotherapyorsteroids...
34.IMITANIB...tyrosinekinaseinhibitor
35.GOLIMUMAB...MOA..TNFALPHAinhibitor
36.Investigationb4METHOTRAXATE...THIOPURINEMETHYLTRANSFERASE
37.Pregnancywithcrohn...whichtodiscontinue...AZATHIOPRIN,MESALAZINE,STEROID???
38.OLANZAPINEmostcommonsideeffect...weightGAIN
39.Lesiononshins....OCPs
40.erythemanodosum...prognosis...SPONTANEOUSRECOVERY
41.CarbamezipineinducedskinlesioninChineese...HLAGenotype.(confirmeditwithgoogleonchineese
population)
42.chikenpoxwithpneumonia...ACYCLOVIR
43.ATOPICECZEMAexacerbation...I/VACYCLOVIR
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08/05/2015

mrcp4all

44.GREYISHcoloronTONSILLSelyphadenopathy...DIPHTHERIA
45.Allergictoegg...INFLUENZAVACCINECONTRAINDICATED
46.ORAL,KIDNEYANDLUNGHAEMRHGES....microangitis
47.2POPULATIONSANDTWORESULTSINNORMALDISTRIBUTION....UNPAIREDTTEST
48.FALSEPOSITIVERATE.....55/1000or55/950
49.percentagewithpositiveresults...SENSITIVITY
50.PERSONWITHPOSITIVE...EMV....ANDonebactarialinfpositive....EMVorCMV...withgeneralized
lymphadenopathy
51.lesionunderthebreasstfoldandabdominalfoldsin80yrwomen...sebbhoricorcandida
52.cervicallyphadenopathywithankleswellingpluspupuricrashonskin....SARCOIDOSIS
53.friendshistoryoffoodpoisoning...2dayhistory..bloodydiarrheawithRTilliacfossa
pain...compylobacter
54.historyofSTDwithconjunctivitiswitharthritis....ReactiveartheritisorGONNOCOCCALinfection
55.HLA1...CD8
56.PERIPARTALCARDIOMYOPATHY
57.Takayasuarteritis...lossofradialpulsewhenhandsheldabovehead
58.exerciseinducedcollapsetwicelywithoutfamilyhistorywithnoECGchanges...cardiomyopathy
59.TallTwaves....TxCagluconate
60.differncebetweeenradialandfemoralbp....CORACTATIONOFAorta
61.aorticdisecction...i/vLabetalol
62.fastingglucose6.31nd6.2....impairedfastingglucose
63.hemchormatosisscreeninginfamilialcases..HFEgene
64.IGMnatibodies...raisedbillirubinwithraisesALPin58yrwomen....primarybillcirhhosis
65.scalerashafterthroatinfection...guttateorpityriasisrosea
66.84yroldwomenwithraisedALP..Pagetsdis
67.spasminhandaftrrepeatedtransfusions...hypocalcemia
68.drugcontraindicatedingout....thiazidediuretic
69.decreasedKlevelwithHTN...conn,ssyndrome
70.b.p90/60...hyponatremia....shortsynecthintest.
71.hyponatremiawithhypokalemia...thiazidediuretics
72.upperarmstemperatureandpainloss..Syringomelia
73.16yrfemalewithmalarflush....SLE
74.acnerosaseatreatment...oraltetracylcines
75.cellsraisedinatopyandallergy...EOSINOPHILLS
76.Redeyewithphotobiawithretroorbitalpain....???
77.unilateralpainoneyefaceandforheadwithepisodesmorethen12hrs...likingdarkandquite
room....Migraine
78.MRSAtreatment...LinozolidorVancomycin?
79.AntiCCP..rheumatoidarthritis
80.paininknee,shoulder,wristandhipsin71yrold..osteoarthritis
81.electricboardsmanufacturing.....Occupationalasthma
82.lesionsonhandsinakitchenworker...wearprotectivegloves
83.plaquesinlungsonxrayinasbestosworkerwithnormarespiratoryfunctionsandoxygen
saturation...mildasbestosis
84.pneumothorax.1.2cm.primary....discharge
85.StudentTunpairedtest
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08/05/2015

mrcp4all

86.Mannwhitney...2populationswithunpaireddataandnonparametric
87.cannotappreciatevoicesinnoice...lossofhaircellincochlea
88.superiorhomononymusquadrantinopia.....temporallobectomy
89.inferiorhomononymusquadrantinopia....parietallobe
90.LowFSH,LH,ndhighPROLACTIN...pregnancy
91.galactorhea...risperidone
92.haloperidol....druginducedparkinsonismorsubduralhematoma..
93.thiazidediuretics...distalconvulatedtubules
94.lowHCO3.....maybproxconvtubule
95.movemnetofparticlesacrossmembrane.....withhydrostaticpressure....Osmosis
96.patientonsimvastatinandotherIHDdrugs...omeprazoleiscontraindicated
97.syphilisinpregnancy...Erythomycinorazithro
98.patienttreatedwithceftriaxonewithSTDbutstillsymptoms....chlaymedia
99.ringenhancinglesionsonCT...toxoplasmosis
100.mantookpartinswimingthencamebacktocountrywithsomesymptoms....stoolovatestor
somthingelsE???
101.Itchinausinmothherandchildren...entrobiusvermicularis
102.type1diabetes...AGE..KETONE...????
103.Youngmanwithbalanitis...mody???
104.SIADH.....fluidrestrictionordesmopressin???
105.meningitis....normalglucose..incprot...lyphocytesraised???mumpsortb???
106.CTnormalafterSAH...thendoLP
107.drugcontraindicatedinpregnancy...Cipro
108.ankleclonus....Gastronemius
109.meningococcalsoghnwithnonblanchingrash...meningococcalpcr....
110.anemiawith8.8hbinpreg..canttolerateoraliron...Parentralshudbgiven
111.pcrusedfor...detectionofvirus....cytogenetics
112.tallmai1.83mheight...lowfshandlhandtestosterone....kallmansynd
113.proteindefectinHOCM..myosinhaevychain
114.sweatingnausealossofconciousnessfor1minwithjerkingmovmentsduring
unconciousness...epilepsy
115.coeliadiseasein35yoldwithepigastricmass....bacterialoverrgrowthorsomeCAorlymphome???
116.righthemicolectome..diarhea..bileacidsproducingbacteria
117.drugcntraindicatedinpersonwithpinkfrothysputum...pioglitazone
118.whichtestshudbdonetoconfirmIBDaftertissueglutaminase...SEchat...hydrogenbreathtest...or
somthingelse??/
119.pneumoniainvestigationfindingonCXR....airbronchogram
120.meddiastinalmassatcarina...stentsorprednisoloneormediastinoscopyorctchest???
121.hilarmassinchestxray....mediastinoscopyandbiopsy??
122.SVTinyoungman..verapamil/radiofrequencyablation/vagalmanuareteaching
123.masscausingintermittenttricuspidregurg...MYXOMA
124.pulmonayHTN...tricuspidregurgjetpressure..orltatrialsizeorpulmarterysize???
125.I/Vdrugabusers....pneumocystiscariniiorjirovici
125.hyperasthesiaonfacewithabsentcornealrelex..5th
126.treatmntofpersonwithshootingfacepainafternsaids...carbamezipine
127.microcyticanemia....leadpoisoning
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08/05/2015

mrcp4all

128.lipoisoning...hemodialysis
129.microscopichemeturiainhealthymanwithfamilyhistory...thinmembranedisease
130.decreasedCa,decPO4,dec25OHcholcalciferol.....osteomalacia
131.hypoglycemia....oralglucose/i/vglucose25or50%
132.sitagliptinMOA.
133.juvinaileartheritis....uveitis
134.alcoholexcess.....tx...thiamine
135.CPR...30:2
136.sleepapneawithobesity....8892%
137.tremorinoutstretchedhands,,,relivedonrestwithfatherhistoryofheadnodding...essentialtremor
138.causeofconfusion...digoxin/atenolol.
139.historyofbreathlessnessandstridorwithlumpinnck...flowvolloop
140.recurrentgout...allopurinol
141.adominnalpainwithpurpuricrashonlegs...henochschenolinpurpura
142.painkneeworseonmovmentwitha2cmswellingonpatella...prepatellarbursitis
143.4th,5thand6thnerveinvolvment...cavernoussinus
144.allergyafterblowingbaloons...latexallegy
145.Mechofactionticagrelor....inhibitADPbinding
146.oralulcers...behcetsdisease
147.HIVtest...investigation???
148.bonemetastasis...cabreast/colorectal/bladder
149.morphinetoxicitycause...renalfaliure
150.agentcausingdelayedwounghealing...steroids

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