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Exam (elaborations)

MRCP Part 2 (Rheumatology)

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  • MRCP Part 2

Most common ocular manifestation of RA? - answer-Keratoconjunctivitis sicca Treatment of discoid lupus - answer-Topical steroids and if they fail, PO HCQ Erythema ab igne increases the risk of what malignancy? - answer-SCC When is skin prick and patch testing needed? - answer-Skin prick- f...

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  • September 3, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MRCP Part 2
  • MRCP Part 2
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MRCP Part 2 (Rheumatology)
Most common ocular manifestation of RA? - answer-Keratoconjunctivitis sicca

Treatment of discoid lupus - answer-Topical steroids and if they fail, PO HCQ

Erythema ab igne increases the risk of what malignancy? - answer-SCC

When is skin prick and patch testing needed? - answer-Skin prick- food allergies and pollen
Skin patch- contact dermatitis

Renal failure, haemoptysis and a normal ESR - answer-Goodpasture's syndrome

What drug can exacerbate Churg-strauss? - answer-Leukotriene receptor antagonists e.g
montelukast

At what stage do you treat vitamin D deficiency? - answer-<30
<50 if high risk, e.g fragility fracture, osteoporosis, high PTH, malabsorption

Symptoms of Cryoglobulinemia? (4) - answer-Disease?
Raynauds (type I), vascular purpura, arthralgia, diffuse glomerulonephritis

Cryoglobulinemia type II associated with which infectious disease? - answer-Hepatitis C

SLE associated with which HLA? - answer-HLA B8, DR2, DR3

Symptoms most commonly seen in drug induced lupus? (4) - answer-Arthralgia
myalgia
Malar rash
Pulmonary involvement eg pleurisy

Safe drugs to treat RA in pregnancy - answer-HCQ
Sulfasalazine
NSAIDs up to 32 weeks
Low dose prednisolone

Mechanism of action of Raloxifene - answer-Selective oestrogen receptor modulator in
osteoporosis
Increases VTE risk

MOA of Strontium ranelate - answer-Increases deposition of new bone by osteoblasts and
reduces the resorption of bone by inhibiting osteoclasts


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