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Exam (elaborations)

MRCP Official Sample Questions With Correct Answers

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MRCP Official Sample Questions With Correct 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 hae...

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  • November 12, 2024
  • 168
  • 2024/2025
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  • Questions & answers
  • MRCP
  • MRCP
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©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM



MRCP Official Sample Questions With
Correct 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?

, ©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM

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.


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

, ©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM


E: myelofibrosis - answer✔B
A 17-year-old boy presented with a non-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 - answer✔D
A 75-year-old woman developed a spreading cellulitis on her left leg secondary to ulceration.


blood cultures MRSA


In addition to vancomycin, what is the most appropriate antibiotic?

, ©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM

A: amoxicillin


B: azithromycin


C: flucloxacillin


D: metronidazole



E: rifampicin - answer✔E
A 45-year-old woman presented with right 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

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