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List of High Yield Topics for MRCP Part 1 Exam

Author: sujitvasanth, Posted on Wednesday, November 23 @ 19:13:36 IST by RxPG  

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MRCP Part 1

1. Young girl suspect Anorexia Nervosa linugo hair, finctional hypogonadotrophic hypogonadism -> amennorhea. LH and FSH both low. All other hormones are usually normal. Ferritin low.

2. Reiters Syndrome arthritis, uveitis, urethritis Chlymidia, campylobacter, Yersinia, SALMONELLA , Shigella. Balanisits.

3. PKD aut dom Chr 16/4 assoc berry aneurysm, mitral/aortic regurg

4. Porphyria photosensitivity, blisters, scars with millia, hypertrichosis

5. heart sounds: Aortic Stenosis s2 paradoxical split, length proportional to severity

6. Vitiligo commonest assoctions pernicious anaemia >>> type 1 DM , autoimmune addisons, autoimmune thyoid dx

7. Gout blood urate high/low/normal, joint aspirate pos birif, ppt thiazides, NO allopurinol/aspirin in acute phase

8. Peripheral neuropathy a) B12 rapid, dorsal columns (joint pos, vibration), sensory ataxia, pseudoathetosis of upperlimbs b) diabetic slow, spinothalamic (pain, temp?) c)alcohol slow progressive, spinothalamic d) Pb motor upper limbs

9. CNS abnormalities in HIV: toxoplaasmosis (ring enhancing), lymphoma (solitary lesion). HIV encephalopathy, progressive multifocal leucoencephalopathy (PML demylination in advanced HIV, low attenuation lesions)

10. Travellers diarrohea: chronic (>2 WEEKS) giardia (incidious onset rx. Metronidazole), SALMONELLA (serious systemic illness), E.coli (rx. Ciprofloxacin) , Shigella

11. Renal syndrome minimal change disease, membanous, IgA nephropathy, post-streptococcal.

12. If you see blood on urinalysis forget about RAS

13. Thyroid Malignancy tend to be non-functional, anaplastic has worse prognosis, local infiltration -> dysphagia, vocal cord paralysis

ALMOST Pathognomic for the exam

fatiguability -> myasthenia gravis

fasciculations -> Motor neurone diease

silvery white scale -> PSORIASIS

hypopigmented -> vitiligo/pityriasis versicolor

pretibial myxoedema --> Graves (NOT lid lag, NOT exopthalmus)

Note: originally posted at http://www.rxpgonline.com/postt36587.html

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