By Anthony N. Warrens, Malcolm Persey, Michael Fertleman, Stephen H. Powis, Alimuddin Zumla
Trainees in training for the MRCP exam will welcome the much-anticipated new version of this 'gold normal' revision e-book. Revised and up-to-date all through to surround new advancements in scientific diagnostics and therapeutics, and restructured to mirror the hot alterations within the structure of the half 2 written exam, the publication maintains to provide a extra specified and examination-orientated method than different revision publications out there. The attraction of the e-book lies not just within the cautious adherence to the exam layout, but additionally within the priceless tricks it presents on examination process, with feedback of knowledge that may be useful whilst tackling the examination offered in a 'revision-friendly' boxed layout.
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1 What investigation would conﬁrm this diagnosis? (a) Blood culture (b) Blood smear for spirochaetes Questions 45 (c) IgM ﬂuorescent treponemal antibody test (d) IgG ﬂuorescent treponemal antibody test (e) Serial antibody assays for rising titres of ﬂuorescent treponemal antibody Question 67 What prompted this investigation? (a) Abnormal renal function (b) Abdominal pain (c) Sterile pyuria (d) Red cell casts in urine (e) Recurrent urinary tract infection 2 What is the diagnosis? (a) Analgesic nephropathy (b) Partially treated urinary tract infection (c) Reﬂux nephropathy (d) Schistosomiasis (e) Tuberculosis Questions: Exam A 1 46 Examination A Question 68 Questions: Exam A This man developed a sudden, severe headache.
The white cell count was 13–15 × 109/L and platelet count 60–80 × 109/L. 5°C, white cell count to 20 × 109/L and the platelet count fell to 40 × 109/L. The antibiotics were changed to ceftazidime and metronidazole. Seventy-two hours later she was no better. There were no positive microbiological results from any stage in her illness. Questions: Exam A Question 61 42 1 Examination A What would be your ﬁrst lines of management? (a) Change to intermittent haemodialysis (b) Stop all drugs (c) Repeat cultures after discontinuing antimicrobial therapy (d) Extend anti-staphylococcal cover with fusidic acid (e) Change and culture tips of IV cannulae and catheters and repeat blood cultures (f) Commence antifungal therapy (g) Platelet transfusion (h) Give hydrocortisone (i) Further laparotomy (j) Give fresh frozen plasma Question 62 Questions: Exam A 1 What is the likely diagnosis?
No other history was available. 7°C and was generally ﬂoppy except around his mouth where he seemed to be chewing. His pulse was 165/min and his blood pressure 80/65. He had ﬁxed dilated pupils. There was no neck stiffness or papilloedema and no focal neurological signs. Results of investigations were as follows: Plasma sodium Plasma potassium Plasma urea Lumbar puncture 1 What is the causative agent? 5 mmol/L normal Questions 39 Question 57 1 The diagnosis is: (a) Tay–Sachs disease (b) Background diabetic retinopathy (c) Grade II hypertensive retinopathy (d) Choroiditis (e) Retinal detachment Question 58 A 59-year-old man with a history of angina is admitted to hospital for investigation of intermittent claudication.