RxPG - the perfect Rx for medical Post Graduate entrance blues!
Mobile Edition | Help/Newbie? | 24/7 Support
HOT | PrePG | MCQ | DNB | Careers | Books | Colleges | Dental | DocIndia | PLAB |  USMLE  | Australia | Canada | GLOBAL | OffBeat!
Articles | Forums | MCQ Crammer | Downloads | Mnemonics | Revision Tools | Recent Shouts | All Features


MRCP Part 1 Paper, 23 Sep 2003 : Version 1.01 - Q 1-80

Author: tegs, Posted on Sunday, October 05 @ 01:29:22 IST by RxPG  

 FRIEND Add to My Pages   PRINTER Printer Friendly   FRIEND Email Story  FRIEND Download Story  MRCP Part 1 alerts 

MRCP Part 1


1) Mass in anterior mediastinum
a) Thymus
b) Heart
c) Bronchi
d) Oesophagus
e) .

2) Mass in anterior mediastinum- CT scan finding -next appropriate investigation
a) biopsy of mass
b) fibre optic bronchoscopy
c)
d)
e) .

3) In splenectomy pneumovax is given
a) 1 week before surgery
b) 1 month before surgery
c) just before surgery
d) more than 1 week before surgery
e) .

4) 40 yr old male presents with left foot drop, tingling and numbness in right foot, urine-blood ++, protein+++, ESR+++
a) polyarteritis nodosa
b) SLE.
c)
d)
e) .

5) Wasting of intrinsic muscles of hand, loss of pinprick sensation in right hand.
a) Syringomyelia
b) .
c) .
d)
e) .

6) Amiodarone induced hyperthyroidism- treatment-
a) carbimazole
b) radioiodine
c) Prednisolone.
d)
e) .

7) Most common adverse effect of radioiodine treatment-
a) hypothyroidism,
b) Thyroid cancer.
c)
d) .
e) .

8) Cushing syndrome-BMI-35, 24 hr free urine cortisol-550, investigation of choice
a) low dose dexamethasone suppression test
b) high do
c) CRH test,
d) serum ACTH levels
e) .

9) Pheochromocytoma - initial drug
a) atenolol
b) phenoxybenzamine,
c) Hydralazine.
d)
e) .

10) Features of systemic sclerosis ESR^^^, A dsDNA- neg, RF-neg most common finding
a) erythema nodosum,
b) malabsorption, uveitis
c)
d) .
e) .

11) MDMA- complication-
a) hypernatraemia ,
b) hypokalemia,
c) Metabolic acidosis.
d) .
e) .

12) Following head injury complaints of polyuria- appropriate investigation
a) Water deprivation test.
b) .
c) .
d) .
e) .

13) Suspected SIADH most common finding
a) urine flow rate of 15 ml/hr ,
b) Urine osmolality of?
c) Serum osmolality
d)
e) .

14) Drug which causes weight gain –
a) carbamazepine,
b) valproate,
c) Phenytoin.
d) .
e) .

15) Methotrexate and OCP and ibuprofen, becomes pregnant 14 weeks -appropriate step-
a) Folinic acid supplementation
b) .
c) .
d) .
e) .

16) Itchy rash, vesicles and excoriations on extensor surface of forearm and elbow investigation
a) direct immunofluorescence staining of peri-lesional skin,
b) All skin investigations.
c)
d) .
e) .

17) Itchy violaceous papules over flexor aspect of wrist, most common finding of this condition
a) involvement of buccal mucosa
b) .
c) .
d) .
e) .

18) Scarring alopecia, lesions over face
a) discoid lupus erythematosus
b) .
c) .
d) .
e) .

19) SLE + membranous nephropathy + hypertension +pregnant most appropriate treatment
a) anticoagulation with warfarin ,
b) control of BP with ramipril,
c) immunosuppression with cyclophosphamide or corticoster
d) .
e) .

20) H/o of increasing chest pain at rest ,H/o of previous MI ,patient on regular haemodialysis for ESRF pre dialysis HB-11.6g/dl,after 6 weeks ,Hb -7.9g/dlinvestigations-serum ferritin -low appropriate treatment
a) Blood transfusion,
b) IV iron
c) IV erythropoetin,
d) sc epoeitn,
e) PT coronary angioplasty.

21) On Haemodialysis, complains of muscle weakness, K-increased, appropriate first step
a) lower potassium in dialysate
b) .
c) .
d) .
e) .

22) 16 yr boy with father tested sputum + for TB, boy -tuberculin test -negative, chest x-ray-normal next step
a) immediate BCG vaccination,
b) antitubercular chemother
c) isolation of fat
d) Follow up testing after 2 weeks.
e) .

23) Slow acetylators - drug which can cause adverse effect-
a) HYDRALAZINE
b) .
c) .
d) .
e) .

24) LV systolic dysfunction on ramipril and frusemide which other drug can be added to improve prognosis
a) atenolol,
b) amlodipine,
c) digoxin,
d) isosorbide
e) .

25) Patient started on sildenafinil for impotence, which drug is contraindicated
a) isosorbide dinitrate
b) .
c) .
d) .
e) .

26) Post streptococcal glomerulonephritis, risk of ESRF
a) <10%,
b) 10-20%,etc
c) .
d) .
e) .

27) Left sided muscle weakness of leg, right sided loss of pin prick sensation of foot
a) Left spinal cord lesion.
b) .
c) .
d) .
e) .

28) Acute onset of severe headache, progressive drowsiness BP 170/110 mm Hg most likely cause.
a) brainstem herniation ,
b) poor control of BP,
c) Pituitary apoplexy e
d) .
e) .

29) Left hemi sensory inattention, partial left homonymous hemianopia, and likely site of lesion.
a) frontal lobe,
b) parietal lo
c) occipital lobe,
d) temporal l
e) .

30) Return from east Africa, profuse watery diarrhoea, blood mucus, patient on rehydration oral next step.
a) loperamide,
b) cipro,
c) metronidazole,
d) vancomycin
e) .

31) IV drug abuser, fever, cough, headache and Echo-vegetations on tricuspid valve.
a) S aurues ,
b) S epidrmidis,
c) coxiella burne
d) S viridans,
e) Candida.

32) H/o of diarrhoea and back ache, patient on pacemaker most likely cause –
a) ischemic colitis,
b) pseudomembranous colitis ,
c) S discitis
d) .
e) .

33) NSAID induced small bowel changes.
a) .
b) .
c) .
d)
e) .

34) Suspected constrictive pericarditis, confirmatory finding
a) Equalisation of end diastolic pressures in both ventricular chambers.
b) .
c) .
d) .
e) .

35) Central cyanosis - Pa O2-6.3kpa Pa O2-(60%)-6.8kpa, Pa CO2-normal, diagnosis
a) Right to left cardiac shunt.
b) .
c) .
d) .
e) .

36) Oral antibiotic for 4 days blood film -bite cells.
a) autoimmune haemolytic anaemia ,
b) PCH,
c) G6PD deficiency,
d) drug induced hemolytic anaemia
e) .

37) Generalised bruising, platelet count < 50.
a) Autoimmune thrombocytopenia ,
b) TTP
c) .
d) .
e) .

38) ST elevation in lead 2, 3, AVF which artery is involved.
a) right coronary
b) left anterior descendi
c) left main stem
d) .
e) .

39) Cocaine abuse-chest pain, mechanism
a) coronary artery spasm
b) .
c) .
d) .
e) .

40) Difficulty in elevation of eye, diplopia on lateral gaze to left side, pain in eye –cause
a) Grave disease,
b) cavernous sinus thrombosis,
c) PCA aneurysm,
d) Sphenoid sinusitis.
e) .

41) Tension type headache not relieved by full dose paracetamol, next drug to be added
a) nortryptiline ,
b) sertraline ,
c) naprox
d) Ibuprofen
e) .

42) Teichopsia at onset of headache, recurrent attacks, female. Appropriate treatment
a) ergotamine suppository at onset of next attack,
b) sumatriptan at next attack,
c) paracetamol
d) .
e) .

43) Neck stiffness, headache in cervical and occipital region Cervical X-ray-widespread degenerative change, ESR-^^^
a) Cervical spondolysis.
b) .
c) .
d) .
e) .

44) Long standing rheumatoid arthritis, choking sensation on having food, spastic paraparesis, cause
a) atlanto-axial subluxation ,
b) high cervical cord lesion,
c) Central cauda equina lesion
d) .
e) .

45) 12 yr old girl-mild sore throat, throat swab -N. meningitides +, immediate step
a) blood culture,
b) Lumbar puncture,
c) Rifampicin to all contacts,
d) observation
e) IV ceftriaxone for 7 days.

46) Fever cough friends had similar complaints, blood-macrocytic features, chest x-ray- bilateral hazy shadow, cause
a) S. pneumoniae,
b) S aureus
c) Adenovirus
d) .
e) .

47) Breathlessness due to right sided effusion Protein -^^^^, glucose-1.3 mmol/l
a) Bronchial Ca,
b) pleural mesothelioma,
c) tuberculosis
d) .
e) .

48) Calcification over hemi diaphragm, asymptomatic, most likely condition
a) TB,
b) mesothelioma,
c) Asbestosis.
d) .
e) .

49) Noisy breathing, inspiratory stridor appropriate investigation.
a) flow volume loop,
b) PEFR,
c) FEV1,
d) F
e) .

50) Exertional dyspnea, dry cough, bilateral basal crackles, appropriate investigation-
a) CT scan chest ,
b) Measurement of diffusion capacity.
c)
d) .
e) .

51) Breast ca mastectomy+ Radiotheray, chest x-ray-dense shadow on lateral aspect of right midzone, diagnosis.
a) pulmonary infarct,
b) pulmonary haemorrhage,
c) Radiation pneumonitis.
d) .
e) .

52) Return from holiday - Kenya, confusion, headache and diarrhoea, likely cause
a) cerebral malaria,
b) lyme disease,
c) legionella,
d) leptospirosis,
e) Listeria meningitis.

53) Most common adverse effect of Cyclosporin
a) alopecia,
b) hepatotoxic
c) nephrotoxic
d)
e) .

54) Pregnant develops acute pyelonephritis, H/o of recurrent childhood infections, most likely
a) physiological urine stasis,
b) Bladder outlet obstruction,
c) reflux nephropathy
d) Renal stone disease.
e) .

55) 40 yr old woman asymptomatic gall stones, normal serum biochemistry appropriate next step.
a) ESWL,
b) LAP cholecystectomy,
c) observation,
d) ursodeoxycholic acid,
e) chenodeoxy

56) H/o of sweating, hunger episodes recurrent and weight gain since 6 months plasma glucose -6.8 mmol/L next appropriate investigations
a) fasting Insulin and C-peptide levels,
b) CT pancreas
c)
d) .
e) .

57) Acute myocardial infarction -frank diabetes findings- appropriate treatment
a) acarbose,
b) sc insulin,
c) glicazide,
d) metfor
e) Proglitazone.

58) Drug of choice for atrial fibrillation.
a) atenolol,
b) digoxin,
c) adenosine
d) .
e) .

59) Bruising, blood -WBC-left side shift with promyelocytic cells, most likely finding
a) t(9,22)
b) t(15,17)
c) t(8,
d) .
e) .

60) SLE antibody-
a) antiSSA ,
b) anti
c) Anti RNP.
d) anti Sm,
e) antiJO1

61) Linear deposition of IgG in GBM, ARF most likely finding
a) anti GBM,
b) ANCA,
c) PNCA etc
d)
e) .

62) H/o suggestive of PAN
a) anti neutrophil cytoplasmic antibody levels
b) .
c) .
d) .
e) .

63) Bone changes in RA
a) subperiosteal resorption ,
b) peri-articular osteopaenia,
c) Periosteal reaction.
d) .
e) .

64) Rheumatoid Arthritis -useful to make diagnosis of severity
a) morning stiffness ,
b) Articular erosions on x-ray of hand.
c) .
d) .
e) .

65) Difficulty in getting up from squatting position, progressive in nature blood –normal
a) polymyalgia rheumatica,
b) osteoarthritis,
c) diabetes melli
d) Cushing syndro
e) .

66) Muscle weakness, progressive, multiple tender points on back muscle, blood tests normal ESR^^^
a) fibromyalgia,
b) polymyositis,
c) myasthenia gravis
d) .
e) .

67) cAMP -second messenger for
a) ACTH,
b)
c) Insulin etc
d) .
e) .

68) Mild sore throat, frank haematuria, most likely finding on renal biopsy
a) Mesangial deposition of IgA.
b) .
c) .
d) .
e) .

69) 3 episodes of vomiting after taking alcohol, 4th time -cupful of blood, likely cause
a) Mallory Wiess syndrome,
b) oesophageal varices,
c) gastritis,
d) Oesophageal ulcerat
e) .

70) Patient on coamoxiclav, ibuprofen LFTs suggestive of cholestasis most likely due to
a) coamoxiclav,
b) Ibuprofen,
c) Hepatitis B.
d) .
e) .

71) Which is correct of gamma glutamyl transferase?
a) Elevation is indicative of hepatic fatty deposition.
b) .
c) .
d) .
e) .

72) Progressive deterioration of mental functions, abnormal LFTs next investigation
a) alpha antitrypsin levels ,
b) serum ceruloplasmin levels
c) .
d) .
e) .

73) Cholestatic LFT findings, USG-no duct dilatation diagnosis
a) hepatitis b ,
b) primary sclerosing cholangitis,
c) Ca pancreas.
d)
e) .

74) Patient with low mood, which of following statement favour schizophrenia in place of depression
a) listening to her dead father 's voice saying she is prostitute,
b) Other options were delusions of reference and illusio
c)
d) .
e) .

75) Major depression not responding to drugs, correct statement is
a) ECT improves patients mood
b) .
c) .
d) .
e) .

76) BMI-normal, no H/o of change in menstruation and bowel habit blood findings suggestive of iron deficiency, diagnosis
a) celiac disease,
b) crohns disease,
c) hypothyroidism,
d) B thalassemia minor,
e) Anorexia nervosa.

77) H/o of chest pain, in woman who has H/o of multiple previous symptoms after her father who died of MI
a) factitious disorder,
b) somatisation disorder,
c) hypochondria
d)
e) .

78) Anxiety disorder which finding is likely
a) elevation of BP during attack ,etc
b) .
c) .
d) .
e) .

79) Asthmatic on beclomethasone -200mg and salbutamol inhaled, but condition not yet improved next step
a) add aminophylline,
b) add montelukast increase dose of beclomethasone,
c) Substitute with salmeterol.
d) .
e) .

80) Paracetamol overdose-1/2 hr
a) oral activated charcoal50g
b) .
c) .
d) .
e) .
--------------------------------------------------------

Visit this site regularly to check out the newer and more complete versions of this paper. Our team is currently working to solve and explain this question paper and that will be available shortly.

Other Relevent RxPG Links:

Discuss This Paper

MRCP Discussion Forum

Question no 81-155 are available as a separate page in this site.


4 (Excellent) 3(Good) 2(Good) 1(Bad)   


Recommended Books for MRCP Part 1
• Books required for preparation of MRCP Part 1 examination by tegs
 

Related MRCP Part 1 articles
• Perplexed as to how to get through the MRCP 1 exam?
• MRCP Part 1 exam doesn't need a big book!
• How to Pass MRCP Part 1 Exam in Three Weeks
• List of High Yield Topics for MRCP Part 1 Exam
• 100 Commonly Tested Facts for MRCP Part 1 Exam
• MRCP(UK) PART 1 Results for 20 September 2005 Exam
• MRCP(UK) Part 1 Results for 25 January 2005 Examination
• MRCP(UK) Part 1 Examination Pass List - 21 September 2004
• MRCP part 1 exam in India
• Books required for preparation of MRCP Part 1 examination
• MRCP Part 1 Paper, 23 Sep 2003 : Version 1.01 - Q 81-155
• MRCP Part 1 Paper, 23 Sep 2003 : Version 1.01 - Q 1-80
• Syllabus for MRCP Part 1 [....Continued]
• Syllabus for MRCP Part 1 Exam
• MRCP (UK) - Part 1 Examination; Essential Information
• MRCP; How to enter the Part 1 Examination
• MRCP(UK) Part 1 Examination - CHANGES FROM MAY 2003
• MRCP(UK) Part 1 Examination: Composition of the Papers by specialty from 2003/2
• A Sample Best of Five[BOF] question for MRCP Part 1
• MRCP(UK) Part 1 Examination Regulations: Marking system

Related MRCP Part 1 Discussions

Other articles by tegs
• Huntington’s Disease
• List of themes for March 9, 2004 PLAB Part 1 Question Paper
• How to prepare for PLAB part 1?
• PLAB 1 Format Change from September 2004
• SGPGI MD Entrance Examination (January 4, 2004) Results
• Indian GP honoured with Lifetime Achievement Award
• Job Situation in UK - by Dr Suresh Chari
• Couinaud's nomenclature
• MRCS Degree will be awarded in India - DNB tie up eith Royal College of Surgeons
• Essential Information for UK Dentist Career
• H1-B route to US is a little easier
• JR/Demo AIIMS foreign/sponsored -RESULT 2004
• PGIMS December Results - Full List
• New Format of TRAS – Temporary Registration Assessment Scheme
• Essential Information - THE COUNTRY OF THE UNITED ARAB EMIRATES
• Why Work in Saudi Arabia?
• Medics Abroad Have to Sit Exams to Qualify for Work Visa in Saudi
• CBI arrests students in Ranchi for leaked papers
• After CAT, Ranjit's role in AIIMS paper leak being probed
• MAHE Admissions 2004

 MRCP Part 1 FAQ
  FAQ: Onexamination or Pastest - Which one to do?
  FAQ: Which is the best PACES course?
  FAQ: How to prepare for MRCP Part 1?
  FAQ: Should I read Harrison or Kumar & Clark for MRCP?
  Browse all FAQs


Write an Article on MRCP Part 1
You can share your exam experiences, preparation strategies, books you have read or just any information about MRCP Part 1 on RxPG website and we will publish it under your name.

Article Rating
Average Score: 5
Votes: 4




Most Read Article
Books required for preparation of MRCP Part 1 examination

Related Links
· Royal College of Physicians Ed
· Royal College of Physicians Ln
· RxPG First Aid For PLAB
· Medicine Books at Amazon.com
· MRCP Books at Amazon.com
· MRCP Forum
· Discuss Past Papers






ARTICLE TOOLS

· MRCP Part 1 section
· Articles by tegs
· Add to my pages
· Printer friendly version
· PDF version
· Email article
· Feedback on this article
· Medical tutorials
· Related forum posts
· Related articles
· Related downloads
· Submit article
· MRCP Part 1 alerts
· MRCP Part 1 books
· MRCP Part 1 past papers


Most read story about MRCP Part 1:
Books required for preparation of MRCP Part 1 examination



Server Status: 186 pages served in last minute. Page generation time: 0.075 seconds

Site Maps: [Books] [News] [Forums] [Reviews] [Mnemonics]

sitemap - top30 - centuries - testimonials


About Us :: Disclaimer :: Contact Us :: Reporting abuse :: Terms of Services :: Privacy Policy

Advertise with RxPG!
Made in India by RxPG Medical Solutions Private Limited

"RxPG" is a Registered Trademark

Chrome Web Store YouTube Twitter LinkedIn Wikipedia Facebook