#MRCP PART ONE#PASSMEDICINE 2021 GASTROENTROLOGY 10

GIT KEYS
1. Surfactant………. Type II Pneumocytes
2. GBS….. Campylobacter
3. central abdominal pain with bloody diarrhea…… Campylobacter
4. Pregnant with High BP…. Labetalol
5. Student Paired T Test
6. Pregnant female with edema and 1+ protein… Nephrotic syndrome
7. Drug to discontinue before CT angiogram…… Metformin
8. CO poisoning…… can not differentiate between oxyHb and CarboxyHb
9. many time investigated for cancer (Normal)…. Illness anxiety disorder
10. mother with child behaviour Lost speech……. Psychogenic aphonia
11. chest pain every time relived with Morphine….. factious disorder
12. present with symptoms (Labs Normal)…. Somatization disorder
13. crohns disease Patient with hematuria and left flank pain…. Ureteric colic
14. young child with hematuria and palpable buttock purpura…. IgA vasculitis
15. hypoglycemia in diabetic patient with unconsciousness….. 20% dextrose
16. celiac disease patient with MALT lymphoma…. H.Pylori
17. purulent urethral discharge….. ceftriaxone plus azithromycin
18. Carcinoma Breast… CA15-3
19. HF patient on drugs want to prescribe Sacbutrail-Valsartan…… Stop Ramipril first
20. strengolydies sterocolis….. Ivermectin
21. Male with oral ulcer, conjunctivitis and uretheral discharge….. Reactive arthritis
22. male with oral ulcer, genital ulcer and thrombophlebitis…. Bechet syndrome
23. bloody diarrhea with confusion (TTP)….. E.coli
24. S/C Morphine dose…… 100 mg
25. pulmonary hemorrhage with IgG deposition….. anti glomerular BM
26. Multiple gastric ulcers (ZE)…… Gastrin
27. Esophageal varices……. Terliprisin
28. Esophageal Varices….. Azygous vein
29. incidence of AS….. 10 in 1 lac
30. lichen planus…. Topical steroids
31. seizures on Road, Indication for AED…… witness collapsed
32. Most indicative of seizures occur…. Family history
33. osteopenia…… anastrozole
34. worst prognosis in pregnancy…. Pulmonary HTN
35. Ranibizumab…… anti VEFG
36. ASD….. fixed splitting S2
37. rash on cheek…. Erysipelas
38. actinic keratosis with telangiectasia…… BCC
39. young female with mild IDA no significant finding. No intervention needed
40. old male with IDA….. angiodysplasia
41. CLL….. immunoglobulins
42. Tuberculosis…… T cells
43. hematuria with weigh loss….. Renal cell carcinoma
44. 16 years old child with joint pain….. juvenile idiopathic arthritis
45. dilated cardiomyopathy…. Doxorubicin
46. Nephrogenic DI…… Lithium
47. SIADH…. Collecting duct
48. patchy hair loss in scalp and beard. Alopecia Arrieta
49. Morphine toxicity in old age…. Decreased renal clearance
50. MODY…. Autosomal dominant
51. asthmatic with eosinophilia…. Raslizumab
52. Paget’s disease…. Oral alendronate
53. low ca, low phosphate, high ALP, high PTH…. Osteomalacia
54. osteoporosis scenario….. DXA Scan
55. Taking steroids with pain in hip……… Avascular necrosis of femur
56. NPV….. 895/900
57. Multiple sclerosis patient hopeless with insomnia, fatigue…… depressive disorder
58. BPPV…. Epley manoeuvre
59. bed sores. Water low score
60. dobutamine…. Beta 1 receptors
61. baclofen…. GABA B receptors
62. patient taking meds for facial pain having Low INR….. Carbamazepine
63. Patient on statins should not take… grapefruit juice
64. interaction between statins and anti-viral….. cytoP450
65. 18 years old with epilepsy in morning…. Juvenile epilepsy
66. Myoclonic epilepsy in 68 years old female…. Sodium valproate
67. lung cancer patient with large volume hemoptysis, immediate management. Blood transfusion
68. ventricular aneurysm… ST elevation
69. young boy with palpitations, ECG normal…… Next step is Patient event recorder loop
70. Restless leg syndrome…. Ropinirole
71. MOA of Alirocumab…. PCSK9 inhibitors
72. Palliative care patient having lung section…. Give Hyoscine Hypobromite
73. Parents of CF child want to know about next child being carrier od CF… 50%
74. Mitochondrial inheritance disease also having… sister
75. Alcohol withdrawal patient present with agitation, thiamine given….. Next is diazepam
76. Patient having anorexia nervosa present with ataxia…. Wernicke’s encephalopathy
77. scenario about….. PICA
78. Lymphadenopathy after cat exposure…. Bartonella henselae
79. CRF patient with anemia, Next Lab…. Ferritin
80. Normal in paracetamol poisoning. Albumin
81. patient with hyponatremia, upper border potassium, dizziness, and TSH raised…Addison disease
82. patient with syncope, HB1AC was 42…. Hypoglycemia
83. DKA Patient….. Normal saline
84. dementia, sexual remark….. frontotemporal dementia
85. Vomiting Tx in Lewy body dementia… domperidone
86. facial yellow crust….. impetigo
87. Cutaneous sarcoidosis
88. blistering on hands, and facial rash…. Screen for protoporphyrin
89. Measles… aerosol inhalation
90. patient on anti-psychotic having tremors and tongue pouting…. Tardive dyskinesia