By Anthony N. Warrens, Malcolm Persey, Michael Fertleman, Stephen H. Powis, Alimuddin Zumla
Trainees in instruction for the MRCP exam will welcome the much-anticipated re-creation of this 'gold common' revision e-book. Revised and up to date all through to surround new advancements in clinical diagnostics and therapeutics, and restructured to mirror the new adjustments within the structure of the half 2 written exam, the ebook keeps to provide a extra specific and examination-orientated strategy than different revision publications out there. The allure of the publication lies not just within the cautious adherence to the exam structure, but in addition within the priceless tricks it presents on examination method, with feedback of data that may be precious while tackling the examination awarded in a 'revision-friendly' boxed layout.
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Additional resources for A Guide to the MRCP Part 2 Written Paper
A) Achalasia (b) Oesophageal web (c) Scleroderma (d) Peptic stricture (e) Malignant stricture Questions: Exam A 1 22 Examination A Question 34 A 23-year-old man returns from a holiday in the USA with a skin rash. He complains of a drooping right eyelid. CSF examination reveals clear ﬂuid with an opening pressure of 16 cm. 0 mmol/L 5 mmol/L What is the likely diagnosis? (a) Neurosyphilis (b) Neurosarcoidosis (c) Lyme disease (d) SLE (e) Fungal meningitis Questions: Exam A Question 35 1 The pathology should initially be treated with: (a) Oral vancomycin (b) Oral metronidazole (c) Oral corticosteroids (d) Topical corticosteroids (e) Intravenous corticosteroids Questions 23 Question 36 A 37-year-old presents with haemoptysis.
1 Apart from dextrocardia, what is the diagnosis? 5 g/dL 8 × 109/L 351 × 109/L 87 mm/h Questions: Exam A A 60-year-old male presents with swelling and stiffness in his hands and shoulders of 6 months’ duration. Some years ago he had required bilateral surgery for carpal tunnel syndrome; he was a little breathless on exertion, and admitted to impotence since his GP had prescribed diuretics for his dyspnoea, but otherwise his history was unremarkable. On examination there was symmetrical swelling of the metacarpophalangeal joints of both hands, which were remarkably non-tender.
Two 1-week courses of oral prednisolone, starting at a dose of 30 mg, had brought no signiﬁcant beneﬁt. Questions 17 On examination, he was dyspnoeic on mild exertion. His chest was hyperinﬂated. Otherwise there were occasional inspiratory and expiratory wheezes audible throughout the chest. His peak expiratory ﬂow rate was 250 L/min. His JVP was not visible and the apex beat was not displaced. Cardiac auscultation was normal. The liver was palpable 2 cm below the right subcostal margin. By percussion, the upper border was in the seventh intercostal space.