mrcp part 1 revision

mrcp part 1 revision Mrcp part 1 Revision

27/03/2024

Mrcp part 1 pass medicine solving sessions starting from 3rd april.
Interested candidates inbox
Course fee:3.5k
Course duration:6 months

13/07/2023

A25 years old woman has presented for review of her asthma control. she states that her control has worsend recently and she is now using her ventolin inhaler 1-2 times per week. she is not on any other medication for asthma control. she denize any recent illness but does indicate worsening of symptoms in cooler weather and during exercise. which is the next best step?

A)oral prednisolone

b)inhaled beclometasone dipropionate

c)inhaled formoterol

d)inhaled salmeterol

e)leukotriene receptor antagonist

13/07/2023

32 year old South African man presents to the rheumatology clinic for review. he was diagnosed with ankylosing Spondylitis 5 years ago and subsequently failed on a course of NSAID and course of glucocorticoids.he was therefore started on Etanercept 1 year ago and had reported a significant reduction in his symptoms.

Today he reports and increase in lethargy over the last 2 months associated with a degree of breathlessness dry cough and Weight Loss that he is unable to quantify.
When you come to examine him you notice a tender swelling over the sternum.The patient admits to falling of his bike recently and jarring the handle bars into his chest.

examination reviews a soft,cool,fluctuant swelling over the mid sternum.There is a small break in the skin with surrounding erythema.Respiratory examination reveals a reduced expansion with some upper zone crackles.

what is the likely diagnosis?

a)pathological fracture secondary to glucocorticoid use

b)localised cellulitis

c)tuberculosis

d)restrictive lung disease secondary to Costa vertebral involvement of ankylosing Spondylitis

e)upper lobe Pulmonary Fibrosis

13/07/2023

A 78 years old man present to acute medical unit with severe back pain. he described the pain a sudden one set sharp pain which reached maximum severity with in seconds.

chest X-ray :blunting of the left costophrenic
angle

plural sample shows bloody in appearance

what is the most useful plural field Markar to make a diagnosis of a hemothorax?

a)ph
b)lactate
c)hematocrit
d)LDH
e)triglyceride

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