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Exam (elaborations)

MRCP OFFICIAL SAMPLE QUESTIONS WITH COMPLETE SOLUTIONS.

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  • WEMT
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MRCP OFFICIAL SAMPLE QUESTIONS WITH COMPLETE SOLUTIONS.

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  • November 1, 2024
  • 105
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WEMT
  • WEMT
avatar-seller
LucieLucky
MRCP OFFICIAL SAMPLE QUESTIONS
WITH COMPLETE SOLUTIONS!!

A nn65-year-old nnwoman nnpresented nnwith nna nn12-hour nnhistory nnof nnthe nnsudden
nnonset nnof nngait nnunsteadiness, nnvomiting nnand nnheadache, nnfollowed nnby
nnincreasing nndrowsiness.


What nnis nnthe nnmost nnlikely nndiagnosis?

A: nnacute nncerebellar nnhaemorrhage nn

nnB: nnacute nnsubdural nnhaemorrhage nn


nnC: nnfrontal nnsubdural nnempyema nn


nnD: nnherpes nnsimplex nnencephalitis nn


nnE: nnpituitary nnapoplexy nn- nnAnswer nnA


A nnpost-marketing nnobservational nnstudy nnof nna nnnew nndrug nnwas nnconducted nnon
nn5000 nnpatients nnfollowing nnclinical nntrials.


What nnbest nndescribes nnthe nndata nngenerated nnfrom nnthis nntype nnof nnstudy?


nnA: nncomparative nnefficacy nn


nnB: nncost-benefit nn


nnC: nncost nneffectiveness nn


nnD: nnpotency nn


nnE: nnprofile nnof nnadverse nneffects nn- nnAnswer nnE


A nn79-year-old nnwoman nnwas nnadmitted nnfor nnelective nnhip nnreplacement nnsurgery.
nnOn nnexamination, nnshe nnwas nnpale. nnThere nnwas nn2-cm nnsplenomegaly nnand
nnthere nnwere nnsmall nndiscrete nnaxillary nnlymph nnnodes.

,haemoglobin nn107 nng/L nn(115-165) nn
white nncell nncount nn34.5 nn× nn109/L nn(4.0-11.0) nn
platelet nncount nn183 nn× nn109/L nn(150-400) nn

What nnis nnthe nnmost nnlikely nndiagnosis?


nnA: nnacute nnmyeloid nnleukaemia nn


nnB: nnchronic nnlymphocytic nnleukaemia nn


nnC: nnchronic nnmyeloid nnleukaemia nn


nnD: nnmyelodysplasia nn


nnE: nnmyelofibrosis nn- nnAnswer nnB


A nn17-year-old nnboy nnpresented nnwith nna nnnon-blanching nnrash nnover nnhis nnlegs, nna
nnswollen nnknee nnand nnpainless, nnvisible nnhaematuria.


Urinalysis nnshowed nnblood nn3+, nnprotein nn1+.

serum nncreatinine nn210 nnµmol/L nn(60-110) nnurine nnculture nnnegative nnultrasound
nnscan nnof nnkidneys nnnormal nn


What nnglomerular nnabnormality nnis nnmost nnlikely nnto nnbe nnpresent nnat nnrenal
nnbiopsy?


nnA: nnfocal nnsegmental nnsclerosis nn


nnB: nnfoot nnprocess nnfusion nn


nnC: nnlinear nndeposition nnof nnIgG nnon nnthe nnbasement nnmembrane nn


nnD: nnmesangial nndeposition nnof nnIgA nn


nnE: nnthickening nnof nnbasement nnmembranes nn- nnAnswer nnD


A nn75-year-old nnwoman nndeveloped nna nnspreading nncellulitis nnon nnher nnleft nnleg
nnsecondary nnto nnulceration.


blood nncultures nnMRSA nn

In nnaddition nnto nnvancomycin, nnwhat nnis nnthe nnmost nnappropriate nnantibiotic?

nnA: nnamoxicillin nn

,nnB: nnazithromycin nn


nnC: nnflucloxacillin nn


nnD: nnmetronidazole nn


nnE: nnrifampicin nn- nnAnswer nnE


A nn45-year-old nnwoman nnpresented nnwith nnright nnflank nnpain. nnShe nnhad nna nn4-year
nnhistory nnof nnhypertension nnand nnprogressive nncognitive nnimpairment.


On nnexamination, nnshe nnhad nnlivedo nnreticularis nnand nntenderness nnin nnthe nnright
nnflank. nnHer nnBP nnwas nn185/105 nnmmHg. nnUrinalysis nnshowed nnblood nn3+, nnprotein
nn1+.


Hb nn129 nng/L nn(115-165) nnWCC nn8.7 nn× nn109/L nn(4.0-11.0) nnPlTs nn83 nn× nn109/L
nn(150-400) nn
nn
serum nncreatinine nn106 nnµmol/L nn(60-110) nn

What nnantibody nntest nnis nnmost nnlikely nnto nnbe nnpositive?

nnA: nnanticardiolipin nn


nnB: nnanticentromere nn


nnC: nnanti-glomerular nnbasement nnmembrane nn


nnD: nnantimitochondrial nn


E: nnanti-neutrophil nncytoplasmic nn

nnE: nnanti-neutrophil nncytoplasmic nn- nnAnswer nnA


A nn37-year-old nnwoman nnpresented nnwith nna nnhistory nnof nnintermittent
nnlightheadedness. nnExamination nnwas nnnormal.ECG nnnormal nn
nn
24-hour nnambulatory nnECG nntracing nn
atrial nnand nnventricular nnpremature nnbeats; nnnocturnal nnbradycardia nnand nnMobitz
nntype nn1 nnatrioventricular nnblock, nnand nnsupraventricular nntachycardia
nn
Which nnabnormality nnon nnthe nn24-hour nnambulatory nnECG nnis nnclinically nnmost
nnimportant?


nnA: nnatrial nnpremature nnbeats nn

, nnB: nnprofound nnsleep-associated nnbradycardia nn


nnC: nnsupraventricular nntachycardia nn


nnD: nntransient nnMobitz nntype nn1 nnatrioventricular nnblock


E: nnventricular nnpremature nnbeats nn

nnE: nnventricular nnpremature nnbeats nn- nnAnswer nnC


A nn28-year-old nnman nnpresented nnwith nna nn1-month nnhistory nnof nnweight nnloss,
nnabdominal nndistension, nnflatulence nnand nnfoul-smelling nndiarrhoea nnfollowing nna
nnvisit nnto nnIndia.


anti-tissue nntransglutaminase nnantibodies nnnegative nn
nn
stool nncultures nnand nnmicroscopy nnnegative nn

What nnis nnthe nnmost nnlikely nndiagnosis?

nnA: nnacute nnHIV nnseroconversion nnillness nn


nnB: nncoeliac nndisease nn


nnC: nngiardiasis nn


nnD: nnhookworm nninfection nn(ancylostomiasis) nn


nnE: nnviral nngastroenteritis nn- nnAnswer nnC


A nn30-year-old nnwoman nnpresented nnwith nna nn6-month nnhistory nnof nntremor nnand
nndifficulty nnin nnspeaking.


On nnexamination, nnshe nnwas nnfound nnto nnhave nnincreased nnmuscle nntone nnin nnall
nnfour nnlimbs, nnbradykinesia nnand nn4-cm nnhepatomegaly.


What nnlaboratory nnfinding nnwould nnbest nnsupport nna nndiagnosis nnof nnWilson's
nndisease?


nnA: nnincreased nnincorporation nnof nnradioactive nncopper nninto nncaeruloplasmin nn


nnB: nnlow nnhepatic nncopper nncontent nn


nnC: nnlow nnserum nncaeruloplasmin nnconcentration nn


nnD: nnlow nnserum nnfree nncopper nnconcentration nn

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