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MRCP > Mock > Flashcards

Mock Flashcards

1
Q

Stress incontinence

A

Pelvic floor –> duloxetine

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2
Q

Urge incontinence

A

Bladder retraining –> mirebegron

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3
Q

Rasburicase MOA

A

Uric acid oxidation

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4
Q

Cushings preliminary investigation

A

24 hour urinary cortisol

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5
Q

Membranous nephropathy management

A

Rituximab

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6
Q

Ank spon imaging

A

MRI of sacroiliac joints

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7
Q

vWB disease management

A

Desmopressin

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8
Q

SLE antibody

A

anti ds-DNA

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9
Q

MODY management

A

Gliclazide

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10
Q

Which vaccination to avoid if allergic to egg

A

Yellow fever
flu vaccine

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11
Q

Acne rosacea management

A

Start with topical azelic acid, can try oral doxy if severe

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12
Q

pH for a NGT

A

1.5-3.5

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13
Q

MEN 1 tumours

A

glucagonoma more common than insulinoma

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14
Q

Homocystinuria management

A

Pyridoxine

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15
Q

Chickenpox pneumonia management

A

IV aciclovir

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16
Q

Autoimmune haemalytic disease investigation

A

Direct antiglobulin test

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17
Q

Hereditary spherocytosis investigation

A

cryoheamolysis and eosin - 5 maelamine binding test

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18
Q

Diarrhoea in a kids nursery

A

Shigella

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19
Q

Condition related to RA

A

Renal amyloidosis

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20
Q

Ifosfamide side effect

A

Haemorhagic cystitis

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21
Q

Roux en Y bypass what do people struggle to absorb

A

Iron

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22
Q

Behcets genetics

A

B51

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23
Q

Vestibular schwannoma cell

A

Schwann cells

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24
Q

Timescale for post strep glomerulonephritis

A

> /=10 days OTHERWISE more likely to be IgA nephropathy

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25
Q

Management of Alzheimers

A

Start with donepezil and can move to memantine

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26
Q

Non-falciparum malaria management

A

artemethur and lumefantrine

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27
Q

how does metformin work

A

increase hepatic glucose output

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28
Q

Post MI, pansystolic murmur radiating to the axilla

A

Acute mitral regurgitation

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29
Q

Hyperkalaemia, if high what is the first line management

A

Calcium gluconate as it stabilises the membrane and therefore stops the risk of a life threatening arrhythmia

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30
Q

CLL first line investigation

A

Immunotyping

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31
Q

First line management of chronic open angle glaucoma

A

Topical timolol or a prostaglandin analogue

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32
Q

Where is the insulin cell receptor

A

On the cell membrane

33
Q

CMV prophylactic agent

A

Vanciclovir

34
Q

Lateral medullary syndrome which artery

36
Q

lateral medullary syndrome artery

A

vertebral artery

37
Q

hypertensive meds that cause ankle swelling

A

amlodipine and doxazoacin

38
Q

post, pan systolic murmur radiating to the axilla cause

A

acute mitral regurgitation

39
Q

treatment for acute hyperkalaemia inital

A

IV calcium gluconate - need to stabilise the membrane to reduce risk of cardiac arrhythmia

40
Q

CLL initial investigation

A

Immunotyping

41
Q

Chronic open angle glaucoma management

A

Topical timolol or prostaglandin analogue

42
Q

Where is the cell receptor for insulin

A

On the cell membrane

43
Q

Philadelphia chromosome

A

9;22 (CML)

44
Q

CMV prophylaxis

A

valgangcliovir

45
Q

How does dialysis work in drug overdose

A

drugs with a high water solubility are removed from the blood

46
Q

APKD imaging

47
Q

Cyclophosphamide MOA

A

B cell depletion

48
Q

Parietal lobe stroke artery

A

anterior cerebral artery

49
Q

Diptheria

A

grey skin (difficulty swallowing, grey skin)

50
Q

Pulmonary hypertension and pregnancy

A

Need to add LMWH if PH is well controlled

51
Q

Testicular tumour

  1. AFP
  2. B-HCG
  3. LDH
  4. PLAP
A
  1. AFP - non-seminomatous tumours (teratomas, yolk-sac)
  2. Choriocarcinoma
  3. marker of tumour bulk (seen in seminomas and non-seminomas)
  4. Seminomas
52
Q

Sensitivity

A

Of those that have the disease who tests positive

53
Q

Specificity

A

Of those that do not have the disease those who test negative

54
Q

NPV

A

Of those that test negative, those that do not have the disease

55
Q

PPV

A

Of those that test positive, those that have the disease

56
Q

Treatment of Torsades

A

IV magnesium

57
Q

Why does trimethoprim increase creatinine

A

Because it inhibits the excretion of creatinine

58
Q

which cells produce IgE

59
Q

Renal artery stenosis investigation

A

CT renal angiogram

60
Q

Congenital long QT syndrome management

A

BB (atenolol, propranolol, metoprolol)

61
Q

IgG subclass deficiency

A

Recurrent UTIs

62
Q

Haemochromotosis investigation

A

Genetic testing

63
Q

Wet macular degeneration management

A

Bevilzumab

64
Q

How does alcohol cause hypoglycaemia

A

Reduced gluconeogenesis

65
Q

Angiodysplasia cause of bleeding

A

VWF deficiency (commonly presents with AF)

66
Q

Average number of calories for a male per day

67
Q

Recurrent meningitis, which complement level is low

68
Q

Fabry’s disease

A

Skin rash, osteoporosis, abdominal pain, neurological dysfunction

Alpha galatosidase deficiency

69
Q

Acute uveitis management

A

Topical steroids

70
Q

Cauda equina vs conus medullaris syndrome

A

Cauda equina: saddle paraesthesia
Conus medullaris: perianal paraesthesia

71
Q

Medication that should not be used in Graves eye disease

A

Radioiodine

72
Q

Avascular necrosis of the femur gold standard imaging

73
Q

Bullous pemphigoid skin biopsy

A

C3 deposition

74
Q

Renal tubular acidosis 1

A

metobolic acidosis, osteomalacia, nephrocalcinosis

75
Q

Alcohol causing blindness

76
Q

Brittle asthma management

A

omalizumab

77
Q

Blood thinner bad in renal failure

78
Q

Congenital prolonged QT syndrome which channel is effected

MRCP (28 decks)

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