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MRCP Official Sample Questions Objective Assessment Solved 100- Correct!.
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10/15/24, 9:11 AMMRCP Official Sample Questions
Jeremiah
Terms in this set (198)
A 65-year-old woman presented with a 12- A
hour history of the sudden onset of gait
unsteadiness, vomiting and headache,
followed by increasing drowsiness.
What is the most likely diagnosis?
A: acute cerebellar haemorrhage
B: acute subdural haemorrhage
C: frontal subdural empyema
D: herpes simplex encephalitis
E: pituitary apoplexy
A post-marketing observational study of a E
new drug was conducted on 5000 patients
following clinical trials.
What best describes the data generated
from this type of study?
A: comparative efficacy
B: cost-benefit
C: cost effectiveness
D: potency
E: profile of adverse effects
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,10/15/24, 9:11 AM
A 79-year-old woman was admitted for B
elective hip replacement surgery. On
examination, she was pale. There was 2-cm
splenomegaly and there were small
discrete axillary lymph nodes.
haemoglobin 107 g/L (115-165)
white cell count 34.5 × 109/L (4.0-11.0)
platelet count 183 × 109/L (150-400)
What is the most likely diagnosis?
A: acute myeloid leukaemia
B: chronic lymphocytic leukaemia
C: chronic myeloid leukaemia
D: myelodysplasia
E: myelofibrosis
A 17-year-old boy presented with a non- D
blanching rash over his legs, a swollen knee
and painless, visible haematuria.
Urinalysis showed blood 3+, protein 1+.
serum creatinine 210 µmol/L (60-110) urine
culture negative ultrasound scan of kidneys
normal
What glomerular abnormality is most likely
to be present at renal biopsy?
A: focal segmental sclerosis
B: foot process fusion
C: linear deposition of IgG on the
basement membrane
D: mesangial deposition of IgA
E: thickening of basement membranes
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,10/15/24, 9:11 AM
A 75-year-old woman developed a E
spreading cellulitis on her left leg
secondary to ulceration.
blood cultures MRSA
In addition to vancomycin, what is the most
appropriate antibiotic?
A: amoxicillin
B: azithromycin
C: flucloxacillin
D: metronidazole
E: rifampicin
A 45-year-old woman presented with right A
flank pain. She had a 4-year history of
hypertension and progressive cognitive
impairment.
On examination, she had livedo reticularis
and tenderness in the right flank. Her BP
was 185/105 mmHg. Urinalysis showed
blood 3+, protein 1+.
Hb 129 g/L (115-165) WCC 8.7 × 109/L (4.0-
11.0) PlTs 83 × 109/L (150-400)
serum creatinine 106 µmol/L (60-110)
What antibody test is most likely to be
positive?
A: anticardiolipin
B: anticentromere
C: anti-glomerular basement membrane
D: antimitochondrial
E: anti-neutrophil cytoplasmic
E: anti-neutrophil cytoplasmic
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, 10/15/24, 9:11 AM
A 37-year-old woman presented with a C
history of intermittent lightheadedness.
Examination was normal.ECG normal
24-hour ambulatory ECG tracing
atrial and ventricular premature beats;
nocturnal bradycardia and Mobitz type 1
atrioventricular block, and supraventricular
tachycardia
Which abnormality on the 24-hour
ambulatory ECG is clinically most
important?
A: atrial premature beats
B: profound sleep-associated bradycardia
C: supraventricular tachycardia
D: transient Mobitz type 1 atrioventricular
block
E: ventricular premature beats
E: ventricular premature beats
A 28-year-old man presented with a 1- C
month history of weight loss, abdominal
distension, flatulence and foul-smelling
diarrhoea following a visit to India.
anti-tissue transglutaminase antibodies
negative
stool cultures and microscopy negative
What is the most likely diagnosis?
A: acute HIV seroconversion illness
B: coeliac disease
C: giardiasis
D: hookworm infection (ancylostomiasis)
E: viral gastroenteritis
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