By Anthony N. Warrens, Malcolm Persey, Michael Fertleman, Stephen H. Powis, Alimuddin Zumla
Trainees in practise for the MRCP exam will welcome the much-anticipated re-creation of this 'gold typical' revision e-book. Revised and up-to-date all through to surround new advancements in clinical diagnostics and therapeutics, and restructured to mirror the hot adjustments within the layout of the half 2 written exam, the e-book maintains to provide a extra targeted and examination-orientated method than different revision publications out there. The attraction of the e-book lies not just within the cautious adherence to the exam layout, but additionally within the worthy tricks it presents on examination strategy, with feedback of data that might be necessary while tackling the examination awarded in a 'revision-friendly' boxed layout.
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A) Acute myeloblastic leukaemia (b) Chronic lymphocytic leukaemia (c) Acute lymphoblastic leukaemia (d) Chronic myeloid leukaemia (e) Erythroleucoplakia Question 48 A 62-year-old man is referred to a renal physician for investigation of impaired renal function. He has lost 19 kg in weight over the previous 3 years, with intermittent episodes of nausea and vomiting. 06 mmol/L 69 IU/L (normal range 30–100) 41 g/L normal size kidneys; no evidence of obstruction; moderate enlargement of the prostate How would you conﬁrm the likely diagnosis?
A) Gout (b) Osteoarthritis (c) Rheumatoid arthritis (d) Systemic sclerosis (e) Pseudogout Questions: Exam A 1 18 Examination A Question 27 A 30-year-old brittle diabetic presents with a grand mal ﬁt. In A and E, her blood glucose is normal, having had no intervention. 1 The commonest cause of her ﬁt would have been: (a) Hypoglycaemia (b) Hyperglycaemia (c) Acidosis (d) Space-occupying lesion (e) Head trauma Question 28 Questions: Exam A 1 How is this condition inherited? (a) Autosomal recessive (b) Autosomal dominant (c) X-linked dominant (d) X-linked recessive (e) Mitochondrial disease inheritance pattern Question 29 You are called to a cardiac arrest where you ﬁnd that a 47-year-old man admitted earlier that week with a suspected myocardial infarct has collapsed in the corridor.
This is his ECG. He has been given aspirin, oxygen and diamorphine. 1 What is the next step ? (a) Thrombolysis with streptokinase (b) Thrombolysis with tPA (c) Echocardiogram (d) CT scan (e) Subcutaneous heparin Questions: Exam A Question 72 A 35-year-old man was admitted for investigation of intermittent blurring of his vision. During these episodes his pupils would dilate, which caused him great anxiety. He also had problems with his balance, for which reason he walked with a stick. He had no other medical problems and was on no medication.
A Guide to the MRCP Part 2 Written Paper by Anthony N. Warrens, Malcolm Persey, Michael Fertleman, Stephen H. Powis, Alimuddin Zumla
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