MRCP Prev paper

Question 1

K Granulonmatis ftrs and DOC

Answer 1

Painless genital ulcers , no LN
DOC-AZITHRO/ DOXY

Question 2

Mycoplasma genitalm

Answer 2

Urethritis
DOC-Azithro/ doxy 7 d

Question 3

Syphilis

Answer 3

Treponema palllidum
Painless ulcers
DOC- pencillin / Ceftriaxone

Question 4

ty 1 vs 2 Hepatorenal syndrome

Answer 4

1- acute crt double >221 in 2 wks
2- worsening over 3 m

Question 5

Waldenström’s macroglobulinaemia

Answer 5

Age -70 , High Igm
Systemic upset: weight loss, lethargy (NO BONY PAINS).
2) Monoclonal IgM paraproteinaemia
3) Hyperviscosity syndrome in around 10-15% of patients e.g. visual
disturbance due to retinal vein thrombosis, DVT.
4) Hepatosplenomegaly
5) Lymphadenopathy
6) Cryoglobulinaemia e.g. Raynaud’s
7) ↑ ESr

Question 6

Botulism paralysis

Answer 6

acute flaccid descrending paralysis

Question 7

TY 1 DM insulin in short vs long sx

Answer 7

Short- omit morning insulin
long- Fixed rate insulin

Question 8

Listeria histo

Answer 8

Gram + motile bacilli

Question 9

CKD normal ferritin level

Answer 9

100 micro gram/l

Question 10

Argyl robertson pupil

Answer 10

Non reactive to light but accomodation +

Question 11

Marcus gun pupil

Answer 11

RAPD , dilate when swinging light is shone

Question 12

PE mx

Answer 12

Hemodynamic stable- DOAC
Active APLA- lmh + vit k antagonist
Hemo unstable - Thrombolysis