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MRCP 2 > MRCP 2 Mocks > Flashcards

MRCP 2 Mocks Flashcards

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1
Q

Steroids and immunosuppression - how long?

A

Prednisolone 40 mg (or more) for longer than 7 days

Prednisolone 20 mg (or more) for longer than 14 days

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2
Q

Hypertriglyceridaemia - treatment

A

Fibrates

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3
Q

Livedo reticularis, skin ulceration and eosinophilia in a patient with atheromatous vascular disease who has recently started taking warfarin

A

Cholesterol embolisation

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4
Q

Pyoderma gangrenosum - initial treatment

A

PO Prednisolone

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5
Q

In the UK, ? is the most important current risk factor for recent hepatitis C virus infection

A

Intravenous drug use

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6
Q

Homosexual anal intercourse - which hepatitis?

A

Hepatitis B

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7
Q

Keratoderma blennorrhagica

A

Reactive Arthritis

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8
Q

Step up in Asthma management - Magnesium sulphate vs Aminophylline

A

Magnesium Sulphate first

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9
Q

Use of CMV-seronegative platelets is reserved for

A

Intrauterine and neonatal transfusions

Elective transfusion of pregnant women

Allogeneic haematopoietic stem cell transplant.

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10
Q

Rght upper quadrant pain, fever, and jaundice (Charcot’s triad) would point towards

A

Ascending Cholangitis

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11
Q

Investigation for iron deficiency (without anaemia) in postmenopausal women and men over the age of 50

A

Colonoscopy

Faecal occult blood testing is not particularly sensitive or specific.

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12
Q

Partial right bundle branch block

Elevation of the ST segment, leading to T-wave inversion in leads V1 and V2.

A

Brugada Syndrome

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13
Q

Definitive diagnostic test for pemphigus vulgaris

A

Direct immunofluorescence of skin

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14
Q

Asymptomatic, fine, scaly, reddish-brown, macular, coalescent rash over the upper trunk

Treatment?

A

Pityriasis versicolor

Itraconazole.

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15
Q

Treatment of macroprolactinoma

A

First-line treatment of these tumours is dopamine agonist therapy

Followed by surgery (usually transfrontal)

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16
Q

Normal pressure hydrocephalus - features

A

Urinary incontinence

Unsteadiness

Cognitive impairment.

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17
Q

Useful in exudative wounds

A

Alginate dressings

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18
Q

Wounds with signs of local infection

A

Antibacterial and silver-impregnated dressings

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19
Q

Meningitis complicating an ear infection

A

Streptococcus pneumoniae

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20
Q

Treatment for Herpes simplex meningo-encephalitis

A

Aciclovir

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21
Q

? for urate stones

A

Allopurinol

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22
Q

? reduces urinary calcium excretion

A

Bendroflumethiazide

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23
Q

? is for the treatment of cystinuria

A

Penicillamine

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24
Q

Transbronchial needle aspiration for what?

A

Sarcoidosis

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25
Warfarin in pregnancy
Avoid
26
Primary hyperparathyroidism vs Familial benign hypocalciuric hypercalcemia
Urinary calcium excretion is high in Primary Hyperparathyroidism.
27
normotension, hypokalaemia + hypocalciuria
Gitelman's syndrome
28
Ulnar deviation
Rheumatoid Arthritis
29
Mixed (type II) cryoglobulinaemia associated with
Hepatitis C
30
Urea breath test
H. pylori in the stomach.
31
Contraindications to infliximab in UC
Previous hepatitis B and previous tuberculosis
32
Azathioprine and ? have a severe interaction causing bone marrow suppression
Allopurinol
33
Treatment of choice for allergic bronchopulmonary aspergillosis
Oral glucocorticoids
34
First-choice agent for the treatment of hepatic encephalopathy
Lactulose
35
Secondary prophylaxis of hepatic encephalopathy
Lactulose and rifaximin
36
? can be used to help differentiate essential tremor from Parkinson's
SPECT scan
37
Angioid retinal streaks
Ehlers-Danlos syndrome
38
The high-dose dexamethasone suppression test is useful for distinguishing between
ACTH dependent (e.g. pituitary source) and Non-ACTH dependent (e.g. ectopic and adrenal source) causes of Cushings's syndrome
39
Ipsilateral CN III palsy and contralateral hemiparesis
Weber's syndrome - form of midbrain stroke
40
Broad spectrum anti-emetic which blocks acetylcholine, dopamine, and serotonin receptors.
Levomepromazine
41
Convex ST segment in V1-V3 followed by a negative T wave
Brugada syndrome
42
T wave inversions in V1-3
Arrhythmogenic right ventricular dysplasia
43
Most useful agent in preventing the delayed phase of chemotherapy-induced emesis
Dexamethasone
44
Myelodysplasia may progress to ?
Acute myeloid leukaemia
45
? antibiotics are contraindicated in patients with myasthenia gravis due to the risk of myasthenic crisis
Aminoglycoside (Gent)
46
Refractory hypercalcaemia of malignancy may be treated with ? if therapy with fluids and pamidronate fails
Subcutaneous calcitonin
47
Toxic megacolon is seen in:
Ulcerative colitis
48
Multiple myeloma is a cause of '?' amyloidosis
AL amyloidosis
49
Long-standing rheumatoid arthritis is a common cause of systemic '?' amyloidosis
AA amyloidosis
50
Nitro or Trimethoprim in CKD?
Trimethoprim
51
? disease causes splenomegaly
Gaucher disease Lysosomal storage disorder
52
? is the best way to differentiate between delirium and dementia
The Confusion Assessment Method (CAM)
53
Before a renal biopsy is performed, patients should have ?
Renal tract ultrasound
54
Schizotypal personality disorder
Social isolation and odd beliefs.
55
Bleeding patients with DIC and prolonged PT and aPTT
Fresh frozen plasma
56
Arrhythmogenic right ventricular cardiomyopathy - ECG
T wave inversion in V1-3
57
Brugada syndrome - ECG
Coved ST elevation in V1-3 followed by a negative T wave
58
Wellen's syndrome - ECG
Biphasic T waves in V2-3
59
Chickenpox is a risk factor for invasive ? soft tissue infections including necrotizing fasciitis
Group A streptococcal
60
Chlamydia - treat with ?
Doxycycline
61
Gram-negative obligate intracellular pathogen - STI
Chlamydia
62
Cyanide poisoning
Hydroxycobalamin Dicobalt Edetate Sodium Thiosulphate Sodium Nitrate
63
First line Ix for Acute chest syndrome (Sickle cell)
ABG
64
First line for Legionnaires
Macrolides
65
Treatment for Hairy Cell Leukaemia
Cladribine
66
Treatment of HSP
Usually supportive
67
Diagnostic test for Sarcoidosis
Tissue biopsy if possible
68
Safest epileptic in pregnancy
Lamotrigine
69
Chronic colonisation in CF with Pseudomonas
Prolonged Azithromycin
70
Agents used to maintain remission in Crohns
6-Mercaptopurine / Azathioprine
71
Treatment of Chagas
Benznidazole
72
Treatment of Schistosomiasis
Praziquantel
73
? is used to prevent vasospasm in aneurysmal subarachnoid haemorrhages
Nimodipine
74
? is the treatment of choice for an acute attack of neuromyelitis optica
IV methylprednisolone
75
Coil or clip for intracranial aneurysms
Coil
76
Treatment of choice for trigeminal neuralgia?
Carbamazepine

MRCP 2 (13 decks)

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