#MRCP PART TWO #PASSMEDICINE 2020 Gastroenterology 15

GIT KEYS
91. Polycythemia scenario….. Hyperurecmia
92. upper and lower MN signs…. Cauda equina syndrome
93. NSTEMI Patient with AF, after 1 year have to discontinue….Clopidogrel
94. dysphagia to solid and liquids with x-ray showing fluid in mediastinum…. Achalasia
95. cause of lactate increased…. Decreased tissue perfusion
96. scenario about…. Syringomyelia or cervical myelopathy
97. abdominal pain ….. Lead poisoning
98. scenario about carpenter ….. brachial neuritis or lead?
99. QT…. both depolarization & Repolarization
100. left PCA infract…… right congruous
101. pheochromocytoma…. 24 hour metanephrine
102. syncope in pool, ejection systolic murmur radiates to carotid (AS)…… ECHO
103. complication of scleroderma…. Pulmonary HTN
104. incidental pleural plaque on x-ray….. nothing to be done
105. upper quadrant vision loss… pituitary adenoma
106. loss of corneal reflex scenario….. CP angle
107. kicked out wife from bed :p ……REM sleep disorder
108. high altitude symptoms better…. Increased HB
109. hereditary angioedema…. C4
110. EBV…. T cells
111. Peritoneal dialysis….. S Epidermidis
112. hypogonadotropic hypogonadism….. Kalman syndrome
113. did malaria prophylaxis, went Kenya having headache, fever & body aches…. Malria
114. abdominal pain with fresh blood from anorectal…. Flexible sigmoidoscopy
115. anti-CCP…. Will progress to RA
116. velvety (acanthosis nigricans)…. Gastric adenocarcinoma
117. Nasopharyngeal carcinoma…. EBV
118. spironolactone…. Decrease Na
119. HSV….. temporal lobe petechial changes
120. herpes simples scenario… IV aciclovir
121. Age 50, ABP high…. Start ACEi
122. Heart failure patient improve survival… eplerenone
123. hyperaldosteronism…. Metabolic alkalosis
124. gout in patient having DM & Cardiac issue…. Colchicine
125. Most common feature of aortic dissection. Hypertension
126. small cell lung cancer…. PTHrp
127. Thyroid hormone receptor location….. Nucleus
128. Patient on amiodarone having increased TSH & normal T4….. Poor compliance with drug
129. haptoglobin binds…. Free HB
130. hemochromatosis….. erectile dysfunction
131. celiac disease…. Intraepithelial lymphocytosis
132. DKA… lipolysis
133. CKD Patient having low ca due to…. Hyperphosphatemia
134. hairdresser having asthma features when at work…. Occupational asthma
135. headache, vertigo scenario…. Basilar artery
136. Patient having parkinsonism with autonomic instability…. Multisystem atrophy
137. activated protein C resistance
138. essential Thrombocytosis…. Hydroxycarbamide
139. fomepizole…… competitive inhibitor
140. proximal weakness with facial rash….. Dermatomyositis
141. arthralgias with PAS positive….. whipples
142. Father died of RCC…… VHL syndrome
143. alcoholic cirrhosis with moderate ascites & cardiac failure, Hypokalaemia….. Spironolactone
144. Patient having endovascular abdominal repair then Present with increase creatinine…. Renovascular disease
145. Parkinson Disease Patient……. Limbic system
146. Patient 22 years with having CKD features, having few UTI ion childhood & His BP is High episodically 160/110…….. APKD or reflux Nephropathy
147. Ehlers danloas syndrome….. Colagen Type I
148. clindamycin MOA…. Protein synthesis
149. HCQ…. Maculopathy
150. Sicke cell anemia with gall stones… Bile pigment