MRCP Updates

Dive into Muscular Dystrophies with our new article on the MRCP Updates Journal: 📚clinical insights, mnemonics, and MCQ tricks.
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Some recalls from today's exam 20/11/2024
please share more questions by replying on the group

Respiratory Medicine:
Chest X-ray: Post-varicella pneumonia.
Allergic Bronchopulmonary Aspergillosis (ABPA): Multiple questions.
Pulmonary Embolism: Several questions.
Management of life-threatening asthma: Patient with high PCO2 despite nebulizations.
ABG Interpretation: Severe pneumonia with high PCO2 and low pH.
Neurology:
Lewy Body Dementia: A couple of questions.
Migraine with Aura: Case-based question.
TIA and Stroke Management: Including high blood pressure management.
Oligogyric Crisis: Management question.
Transient Epileptic Amnesia: Management.
Location of Neurological Lesion: Trapezius muscle and tongue involvement.
Gastroenterology:
Pelvic Inflammatory Disease (PID): Management.
Rectosigmoid Ulcerative Colitis: Initial management.
Esophageal Rupture: Following relentless vomiting.
Esophageal Ulceration in Immunosuppressed: Biopsy showing inclusion bodies.
Upper GI Bleeding: Patient with aspirin use, heavy drinking, and smoking, but no liver disease.
Calculi After Ileal Resection in Crohn’s Disease: Component increased in urine.
Ascending Cholangitis: Management.
Bacterial Peritonitis: Post-paracentesis case.
Endocrinology:
Thyroid Function Tests: Hyperemesis gravidarum.
Cushing’s Disease: Low and high dexamethasone suppression test interpretation.
Subacute Thyroiditis: Radiodine uptake imaging with flu-like symptoms history.
PCOS: Lab result interpretation.
Prolactinomas: Management.
Nephrogenic Diabetes Insipidus: Lab tests for differentiation.
Hematology and Oncology:
Post-Streptococcal Glomerulonephritis: Next investigation for confirmation.
Waldenström’s Macroglobulinemia vs. Multiple Myeloma.
Thrombotic Thrombocytopenic Purpura (TTP): Investigations.
Heparin-Induced Thrombocytopenia: Diagnosis and management.
Bladder Cancer: Investigation for suspected case.
Chronic Kidney Disease: Patient with polycythemia, weight loss, and hematuria.
Infectious Diseases:
Leptospirosis: Clinical presentation and diagnosis.
Listeria Monocytogenes: Two cases with CSF findings.
Legionella Pneumonia: Severe case management.
Vector for Dengue Fever.
Rheumatology and Musculoskeletal:
Subacute Combined Degeneration of the Spinal Cord: Metformin-related cases.
Charcot’s Arthropathy: Next appropriate investigation.
Knee X-ray: Showing pseudogout.
Osteomyelitis: In a diabetic patient.
Polymyositis: Presentation and diagnosis.
Avascular Necrosis: Elderly patient on steroids.
Hip Replacement X-ray: Malposition after a fall.
Dermatology:
Moderate Rosacea: Management.
Erythema Multiforme: Drug-induced in ulcerative colitis.
Actinic Keratosis or Squamous Cell Carcinoma: Likely excision.
Toxicology:
Paracetamol Overdose: Management.
TCA Overdose: Management.
Ophthalmology:
Central Retinal Artery Occlusion: Image-based question.
Central Retinal Vein Occlusion: Image-based question.
Cardiology:
Cardiomyopathy: Trypanosoma infection in a South American patient.
Post-Cardiac Arrest Management.
AFib with Ischemic Colitis.
Nephrology:
Acute Interstitial Nephritis: Due to omeprazole.
Terminal Patient with Mesothelioma: Breathlessness management.
Miscellaneous:
Drug-Induced Pancreatitis.
Myotonic Dystrophy: Patient with cataracts and weakness.
Premature Ovarian Failure/Menopause: Clinical questions.
Pressure Ulcer Management: Use of colloid dressings.
Young Patient with Hemorrhoids and Hyperplastic Polyp: Next monitoring steps.

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87 F presenting with SOB
ABG shows T1RF
CXR
What is the top differential?

85 F woke up with a headache
What does this CT head show?

What is the rhythm on this ECG?

https://youtu.be/ESkWlioX2PU?si=i6BQmFGpRL9FW38t

This CT Angio shows AAA with a thrombus
The patient has been found to have an extensive peripheral vascular disease from abdominal aorta down to the feet bilaterally

You can reply in the groups

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94 F presented with legs pain and inability to walk
Her bloods showed the below results
Urea 18.8 mmol/L Creat 137 mmol/L CRP 52 mg/L WBC 8.31 Hb 108 g/L INR 1.3 VBG pH 7.38 HC03 29.0 Lac 1.9
Her CT Angio is shown in the pictures

What is the diagnosis?

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📢 Attention MRCP Candidates!

Unlock your potential with our latest article on lung fibrosis! This comprehensive guide is designed to help you ace your exams with confidence.
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