D: transient Mobitz type 1 atrioventricular block
E: ventricular premature beats
E: ventricular premature beats - answer-C
A 28-year-old man presented with a 1-month history of weight loss, abdominal distension, flatulence and foul-smelling diarrhoea following a visit to India.
anti-t...
MRCP Official Sample Questions and answers
A 65-year-old woman presented with a 12-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 - answer-A
A post-marketing observational study of a 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 - answer-E
A 79-year-old woman was admitted for elective hip replacement surgery. On examination, she
was pale. There was 2-cm splenomegaly and there were small discrete axillary lymph nodes.
A 37-year-old woman presented with a 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 - answer-C
A 28-year-old man presented with a 1-month history of weight loss, abdominal distension,
flatulence and foul-smelling diarrhoea following a visit to India.
A 30-year-old woman presented with a 6-month history of tremor and difficulty in speaking.
On examination, she was found to have increased muscle tone in all four limbs, bradykinesia and
4-cm hepatomegaly.
What laboratory finding would best support a diagnosis of Wilson's disease?
A: increased incorporation of radioactive copper into caeruloplasmin
B: low hepatic copper content
C: low serum caeruloplasmin concentration
D: low serum free copper concentration
E: low urine copper concentration - answer-C
Question 10
What dietary substrate is broken down into glucose and galactose by the action of intestinal
enzymes?
A: fructose
B: lactose
C: maltose
D: mannose
E: sucrose - answer-B
A 16-year-old girl presented with non-scaly, discrete areas of hair loss on the scalp. She had a
past history of atopic eczema and had a number of depigmented areas on her hands and around
her eyes.
What is the most likely diagnosis?
A: alopecia areata
B: hypothyroidism
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