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MRCP > Mock 3 > Flashcards

Mock 3 Flashcards

1
Q

Section 5’2

A

Doctors holding power for 72 hours

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2
Q

Section 5’4

A

Nurses holding power for 6 hours

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3
Q

Section 136

A

Police emergency powers

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4
Q

Section 2

A

28 days for assessment

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5
Q

Section 3

A

6 months for treatment

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6
Q

Can you treat on a section 2

A

Not without patient consent apart from ECT

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7
Q

Gonorrhoea management if pen allergic

A

IM ceftriaxone and oral azithromycin

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8
Q

Spherocytosis at risk

A

Cholecystitis caused by an increase in bile pigment gallstones

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9
Q

Acute colitis and hepatic impairment in a traveller with bloody diarrhoea cause

A

Amoebiasis –> entamoeba histolytica

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10
Q

PAH when pregnant

A

Stop endothelin receptor antagonists and can start a phosphodiesterase inhibitor +/- LMWH

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11
Q

Testing PAH

A

Acute vasodilator testing

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12
Q

If vasodilator positive management in PAH

A

CCB

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13
Q

If vasodilator negative management in PAH

A

Prostaglandin analogues
Endothelin A receptor antagonists
Phosphodiesterase inhibitors

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14
Q

Gout preventative medication

A
  1. Allopurinol or febuxostat
  2. Benzbromarone
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15
Q

Lowest cortisol levels

A

0000

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16
Q

Cushings ABG

A

hypokalaemic metabolic alkalosis

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17
Q

Congenital adrenal hyperplasia cause

A

21 hydroxylase deficiency

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18
Q

Vesicoureteric reflux imaging

A

Micturating cystogram

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19
Q

Symptoms of vesicoureteric reflux

A

Renal scarring and hypertension

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20
Q

Acne rosacea first line management

A

Topical metronidazole

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21
Q

Adalimumab moa

A

Anti-TNF alpha

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22
Q

Chancroid symptoms

A
  1. Painful ulcers
  2. Purulent ulcers
  3. Lymphadenopathy
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23
Q

Cause of chancroid

A

Haemophilus decryei

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24
Q

Management of chancroid

A

Single dose of azithromycin or IV ceftriaxone

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25
Q

Examples of TNF alpha blockers

A

Adalimumab, golimumab, etanercept

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26
Q

Examples of IL-6 monoclonal antibodies

A

Tocilizumab

27
Q

Examples of IL2/3 monoclonal antibodies

A

Ustekinumab

28
Q

When to use ustekinumab

A

Failure of TNF alpha blockers

29
Q

Drug that causes pulmonary fibrosis with long term use

A

Nitrofurantoin

30
Q

Primary pulmonary hypertension

A

Tricuspid regurgiration

31
Q

How does TR present

A

Pan systolic murmur
Loudest in fourth intercostal space
Hepatomegaly

32
Q

Fleicanide MOA

A

Fast sodium channel inhibitor

33
Q

Psoriatic arthritis first line DMARD

A

Methotrexate

34
Q

What needs to be given alongside methotrexate

A

Folic acid

35
Q

CD20 monoclonal antibody

A

rituximab

36
Q

Granulomatosis with polyangitis biopsy results

A

Pauci-immune cresecentric glomerulonephritis

37
Q

Polymyositis diagnostic ix

A

Muscle biopsy

38
Q

Polymyositis antibody

A

Anti-Jo (note only 20% of patients with polymyositis will test positive)

39
Q

Dermatomyositis antibody

A

Anti Mi 2

40
Q

Starting ramipril blood results if renal artery stenosis

A

Raised potassium and creatinine, if type 4 renal acidosis, will just have raised potassium and normal creatinine

41
Q

JAK 2 mutation

A

Polycythaemia and myelofibrosis

42
Q

ADAMTS13 deficiency

A

VWD

43
Q

First line delirium IM

A

Start with haloperidol, if known Parkinsons to use diazepam

44
Q

Angio-oedema cause

A

Elevated bradykinin
Low C1

45
Q

Solitary toxic thyroid nodule management

A

Radio-iodine treatment (can have a partial thyroidectomy if patient wishes to conceive)

46
Q

Achalasia management

A

Heller cardiomyopathy

47
Q

Patient high from cocaine management

A

IM haloperidol and lorazepam

48
Q

Ciclosporin moa

A

IL-2 antagonist

49
Q

Gastric MALT low grade management

A

H Pylori eradication

50
Q

Palindronic rheumatoid management

A

Hydroxychloroquine

51
Q

How do you know that rheumatoid arthritis is palindronic rheumatoid

A

Recovery in between joint pain

52
Q

Hyperkalaemia ECG changes

A

U waves

53
Q

AF caused by an ischaemic event management

A

Aspirin + Clopi + DOAC (stop fondaparinex)

54
Q

MOA fondaparinex

A

Factor Xa inhibitor

55
Q

VT over sVT

A

negative concordance across ECG

56
Q

Medication causing worsening psoriasis

A

BB

57
Q

Cancer associated with Hashimotos

A

Thyroid lymphoma

58
Q

SLE management

A

Cyclophosphamide and mycofenalite

59
Q

IgA nephropathy vs membranous glomerulonephropathy

A

IgA: proteinuria and haematuria
Membranous: proteinuria

60
Q

Angiodysplasia valve disorder

A

AS

61
Q

vWD bloods

A

Normal PT and aPTT

62
Q

vHL eye tumour

A

haemangioma

63
Q

H pylori eradication test

A

Carbon 13 test

MRCP (28 decks)

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