Now we are here to discuss some points regarding MRCP part tvnovellas.info part 1 is consist of multiple choice questions. These mcq's are. PDF. Book review. Get through MRCP Part 1: MCQs and Best of Fives. Free The MRCP examination is hard and daunting to get through but the better. A friend of mine appeared in part one for couple of times, he reached to a conclusion and gave me a valuable advice that said 'when preparing.
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We will continue MRCP Series here and we will share the Books you will need for MRCP Part 1. 1: Case Histories in Clinical Medicine For MRCP by Jypee . 1- Masterclass – mrcp-1 tvnovellas.info 2- Masterclass mrcp part 1. tvnovellas.info 3- Masterclass part tvnovellas.info 4- Masterclass Psychiatrics. We are providing you MRCP part 1 books and notes and we hope that this stuff will help you in your upcoming exam. All files are PDF version.
MRCP is aimed to test the acquisition of a representative sample of medical knowledge, skills, and behaviors of the candidates wishing to work as a specialist doctor in the UK. So, in a nutshell, the MRCP examinations will make you eligible to obtain the diploma from one of the following 3 Royal Medical Colleges of Physicians: Royal College of Physicians of London Royal College of Physicians of Edinburgh Royal College of Physicians and Surgeons of Glasgow These three Royal Colleges of Physicians share this common 3-part assessment exam in general medicine which consists of 2-written parts and 1-clinical assessment exam. We will try to keep sharing high-level study material in future as well. The said repository contained some seriously useful material gathered into a single drive. You can also download all these folders to your computer or Mobile Phones as well. Thank You. We have separated study materials under their respective headings.
She denied any loss of consciousness. She had a history of type 2 diabetes mellitus, osteoarthritis of the hips and spine, diverticular disease and a hiatus hernia. Her medication comprised gliclazide, ibuprofen, omeprazole, ispaghula husk and paracetamol. On examination, she appeared well and there were no signs of injury. A hour ECG showed normal sinus rhythm throughout, with a daytime heart rate of beats per minute and a night-time heart rate of beats per minute.
There were frequent ventricular and supraventricular ectopics, one short run five beats of atrial fibrillation and one pause of 2 seconds duration at No symptoms were noted. What is the most appropriate management? She had received anticoagulants for 3 months following a right iliofemoral vein thrombosis that had developed 7 days post partum.
Investigations: protein C protein S antithrombin prothrombin A allele factor V Leiden mutation What is the most appropriate further management? A anticoagulation for an indefinite period with target international normalised ratio INR 2. He also complained of knee and ankle pains. He was homosexual, and had last had receptive anal intercourse 6 weeks previously.
On examination, he had a widespread erythematous macular rash. There was no joint swelling. Investigations: haemoglobin white cell count serum urea serum total bilirubin serum alanine aminotransferase serum alkaline phosphatase serum gamma glutamyl transferase What is the most likely diagnosis?
He had a 1-year history of microscopic polyangiitis which had initially presented with pulmonary haemorrhage and rapidly progressive glomerulonephritis. He had responded well to plasma exchange, methylprednisolone and cyclophosphamide before being switched to azathioprine at 3 months.
His current medication was prednisolone 7. On examination, he was comfortable at rest. There was bronchial breathing and a pleural rub at the right lung base but no crackles. On examination, he had widespread fasciculations in his arms, forearms and calves. His deep tendon reflexes were normal, and there were no sensory signs. She had a 5year history of rheumatoid arthritis and was taking a non-steroidal anti-inflammatory drug.
She had a 20 pack-year smoking history. Over the next 10 days, she had a persistent pyrexia that was unresponsive to broad-spectrum antibiotics.
On examination, there were rheumatoid changes in her hands and coarse inspiratory crackles over both lung fields. A B C D E aspiration pneumonia cryptogenic organising pneumonia pulmonary tuberculosis rheumatoid lung disease thromboembolic disease Part2SampleQ updated Mar Q28 A year-old man with profuse diarrhoea was admitted for measurement of his daily stool weight for 3 days, with a further measurement on day 4 when fasting.
He had previously had a normal colonoscopy and small bowel meal. Investigations: serum sodium serum potassium serum urea serum creatinine daily stool weight: day 1 day 2 day 3 day 4 fasting What is the most likely diagnosis? She had had asthma since childhood and was taking paracetamol regularly for pains in her wrists and knees. She was also taking an oral contraceptive.
Examination showed bilateral pitting oedema to mid-shin level. Chest, abdominal and neurological examinations were normal. Investigations: haemoglobin MCV white cell count serum sodium serum potassium serum urea serum creatinine h urinary total protein What is the most important diagnostic investigation?
On examination, his temperature was His right foot is shown see image. Investigations: haemoglobin white cell count neutrophil count platelet count serum C-reactive protein What is the most likely diagnosis? His regular medication was inhaled salbutamol and beclometasone, and oral theophylline. On examination, he was dyspnoeic and in distress. Auscultation of his lungs showed expiratory wheezes throughout. He was unable to perform a peak expiratory flow reading, and he failed to respond to initial therapy with oxygen, nebulised salbutamol and ipratropium bromide, and oral prednisolone 40 mg.
What is the most appropriate next step in treatment? A B C D E intravenous aminophylline intravenous hydrocortisone intravenous magnesium sulphate non-invasive ventilation subcutaneous terbutaline Part2SampleQ updated Mar Q32 A year-old man with diet-controlled type 2 diabetes mellitus gave a 3-month history of numbness and pins and needles sensations in his feet. He also felt unsteady. Two years previously, he had undergone surgery for carcinoma of the stomach. On examination, he had mild weakness of hip flexion.
His ankle reflexes were absent, and all of his other limb reflexes were diminished. His plantar responses were extensor.
There was diminished sensation to pinprick and light touch below the knees, and vibration sense was impaired at the ankles, but joint position sense was normal. Rombergs test was positive. A B C D E diabetic amyotrophy paraneoplastic sensory ataxic neuropathy spinal arteriovenous malformation subacute combined degeneration of the cord syringomyelia Part2SampleQ updated Mar Q33 A year-old man attended his general practitioner with cough and breathlessness. He had coughed up one teaspoonful of mucoid phlegm daily for the past 12 years.
He gave a 1-year history of breathlessness when walking his dog.
He had hypertension and had been taking atenolol 50 mg once daily for 5 years. He had a 46 pack-year history of smoking and was a current smoker. He had undergone an adrenalectomy for a benign phaeochromocytoma 6 years previously. Examination confirmed the thyroid swelling but showed no lymph node enlargement or skin lesions. A B C D E plasma calcitonin plasma parathyroid hormone serum OH-cholecalciferol serum anti-thyroid peroxidase antibodies serum thyroid receptor antibodies Part2SampleQ updated Mar Q35 A year-old man who was recovering in the burns unit from a full-thickness burn to the left leg complained of right upper abdominal pain.
On examination, he had a temperature of A B C D E acalculous cholecystitis acute pancreatitis common bile duct stone mesenteric ischaemia perforated peptic ulcer Part2SampleQ updated Mar Q36 A year-old man with Hodgkins lymphoma was admitted as an emergency with epistaxis and a petechial rash.
He had recently been treated with combination chemotherapy. On admission, he was pale and breathless. He had a fine petechial rash on his legs, bruises on his trunk and two large blood blisters in his mouth. Investigations: haemoglobin white cell count neutrophil count platelet count One adult dose of platelets was requested. Which special platelet product is required?
His family doctor had recorded persistent microscopic haematuria, but urine culture had been negative on three occasions. No cardiac murmurs were audible. A B C D E anti-neutrophil cytoplasmic antibodies CT scan of abdomen mycobacterial culture of early-morning urine radiolabelled white cell scan transoesophageal echocardiography Part2SampleQ updated Mar Q38 A year-old heavy-goods vehicle driver presented to his general practitioner with thirst and nocturia. He had a past history of chronic kidney failure, ischaemic heart disease and left ventricular failure.
He was taking bisoprolol, aspirin, pravastatin, ramipril, spironolactone and furosemide. He was seen by the practice nurse and taught urine testing.
The dietitian gave him advice on diet. At review 6 weeks later, he complained that he felt no better. What is the most appropriate additional treatment? A B C D E acarbose glibenclamide insulin metformin pioglitazone Part2SampleQ updated Mar Q39 A year-old woman presented to the emergency department having had a generalised tonicclonic seizure. She had had recent headaches and nausea, with some left-sided weakness.
Her family mentioned a recent change in personality, which they attributed to her stopping smoking. On examination, her Glasgow coma score was 6. She had a left hemiparesis. A chest Xray was normal. An urgent MR scan of brain T1 weighted was performed see image. What intravenous treatment is the most appropriate next step? A B C D E aciclovir cefotaxime dexamethasone diazepam sodium valproate Part2SampleQ updated Mar Q40 A year-old woman presented with a 4-week history of intermittent severe swelling affecting her face and tongue.
Each episode lasted 12 days and slowly resolved spontaneously. Oral antihistamines were unhelpful. She had developed angina and had been found to have hypertension 6 months previously, and appropriate medication had gradually been introduced. She was otherwise well, with no relevant previous medical or family history.
What medication is the most likely cause of her symptoms? Her heart sounds were normal to auscultation. There was no peripheral oedema. Abdominal examination was normal. Investigations: serum sodium serum potassium serum chloride serum bicarbonate serum urea serum creatinine plasma renin activity after 30 min supine plasma aldosterone after 30 min supine plasma adrenocorticotropic hormone She developed ventricular fibrillation immediately on arrival.
DC cardioversion restored sinus rhythm. Her husband said she had complained of chest pain for about 60 minutes before he had phoned for an ambulance. She was 28 weeks pregnant and was a smoker.
Investigations: lead ECG see image She was treated with aspirin and clopidogrel. What is the most appropriate next step in management? A B C D E coronary angiography diltiazem low-molecular-weight heparin tenecteplase transthoracic echocardiography Part2SampleQ updated Mar Q43 A year-old man first noticed right-sided shoulder weakness when his scapula stuck out painlessly during weightlifting. One year previously, he had experienced severe pain in his right shoulder, which had resolved in 3 weeks.
He stated that his first cousin was wheelchair-bound because of a muscle disease. On examination, his weakness was limited to the right serratus anterior muscle. His tendon reflexes were intact, and sensation was normal. A B C D E brachial neuritis cervical radiculopathy facioscapulohumeral muscular dystrophy spinal muscular atrophy spinobulbar muscular atrophy Part2SampleQ updated Mar Q44 A year-old man attended a routine 6-monthly renal clinic appointment and reported the occurrence of two episodes of painless visible haematuria during the previous 2 months.
He had a history of nephrotic syndrome resulting from idiopathic membranous nephropathy 9 years previously, for which he had received a 6-month course of alternate months of cyclophosphamide and prednisolone. His blood pressure had been elevated when he had the nephrotic syndrome but had settled to normal after he had entered remission.
He was not taking any medication. He smoked 25 cigarettes per day. There was no abnormality on examination of the heart, lungs or abdomen. There was a right femoral bruit. A B C D E cystoscopy intravenous urography MR angiography of renal arteries MR venography of renal veins renal biopsy Part2SampleQ updated Mar Q45 A year-old nursing sister presented with a purpuric rash over the lower legs preceded 2 weeks previously by tonsillitis.
A diagnosis of postviral thrombocytopenia was made, and the symptoms resolved over a 4-week period.
Four months later, she presented with numbness and weakness of her hands and feet and a recurrence of the purpuric rash.
Investigations: haemoglobin white cell count platelet count erythrocyte sedimentation rate serum urea serum creatinine serum alanine aminotransferase serum aspartate aminotransferase serum complement C3 serum complement C4 serum C-reactive protein anti-double-stranded DNA antibodies ELISA anti-neutrophil cytoplasmic antibodies: c-ANCA p-ANCA antinuclear antibodies chest X-ray urine microscopy What is the most likely diagnosis?
A few minutes later, he collapsed and was taken to the emergency department. Several years previously, he had been found to have a systolic murmur at a routine medical examination and an echocardiogram had shown mitral valve prolapse. There was no other significant medical history.
His neck veins were markedly distended. There was no cardiomegaly. There were crackles up to the mid-zones of his lungs. His respiration was very noisy, and his heart sounds could not be easily heard. Investigations: ECG chest X-ray sinus tachycardia cardiothoracic ratio ; pulmonary oedema What is the most likely diagnosis?
A B C D E acute mitral regurgitation acute myocardial infarction infective endocarditis pulmonary embolism rupture of sinus of Valsalva Part2SampleQ updated Mar Q47 A year-old woman, who lived alone, was found in a confused state by neighbours and brought to hospital.
On examination, her temperature was There was no focal neurological deficit. Fundoscopy was normal. Investigations: haemoglobin white cell count platelet count serum sodium serum potassium serum urea serum creatinine serum corrected calcium serum total bilirubin serum alanine aminotransferase serum alkaline phosphatase serum gamma glutamyl transferase What is the most likely cause of the hypercalcaemia?
There were tender, enlarged cervical glands palpable and an adherent grey membrane over the soft palate and tonsils. Kumar and Clark's Clinical Medicine. Oxford Handbook of Clinical Medicine.
Davidson's Principles and Practice of Medicine. See Full List. Find Out More. More Details. Attending an MRCP Part 1 course is a great way to focus your revision on key exam topics whilst getting expert tips from experienced tutors.
Mark Clements. Madni Ahmed. Manju George. Robbie Debenham United Kingdom. Excellent material! Good format Amla Ramlal. Sadia Ahsan. Elis Nalbant Manchester, United Kingdom. The best initial step is to read accredited textbooks. After then, self-assess yourself. Read this book, chapter after chapter, try to find out your mistakes and gaps in knowledge, and then re- read what you have missed.
In writing this book, I tried my best to include the commonest examination themes. You may encounter negative or positive stems i. The latter concentrates mainly on the diagnosis and management, i.
Undoubtedly, if you are well-prepared, you will pass the examination very easily. Lack of preparation is the single most common reason for failure.
Remember, practice makes perfect. Good luck with your career and exams! Amin January 7 Recommended Reading 1. Davidson's Principles and Practice of Medicine, 26th edition. London: Churchill Livingstone; Kumar P, Clark ML.