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A Guide to the MRCP Part 2 Written Paper by Anthony N. Warrens, Malcolm Persey, Michael Fertleman,

24 February 2017 adminNonfiction 3

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 regular' revision booklet. Revised and up-to-date all through to surround new advancements in scientific diagnostics and therapeutics, and restructured to mirror the new alterations within the structure of the half 2 written exam, the e-book keeps to provide a extra designated and examination-orientated process than different revision courses out there. The charm of the e-book lies not just within the cautious adherence to the exam layout, but additionally within the important tricks it offers on examination method, with feedback of knowledge that would be precious whilst tackling the examination offered in a 'revision-friendly' boxed structure.

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On examination there was symmetrical swelling of the metacarpophalangeal joints of both hands, which were remarkably non-tender. There was bruising over the index finger of the right hand which he said had come on while turning a stiff key that morning. He felt dizzy when he stood up from the examination couch but recovered rapidly. The GP had arranged some investigations: 34 Examination A Urinalysis in clinic showed ++ proteinuria. 1 Which initial further investigation might most further your diagnosis?

1 What is the diagnosis? (a) Glandular fever (b) CMV infection (c) Toxoplasma gondii infection (d) Streptococcus pyogenes infection (e) Kawasaki’s disease Question 39 A 45-year-old man with a background history of diabetes and severe hypercholesterolaemia is seen in A and E feeling unwell. 99 mmol/L What is the cause of his renal impairment? (a) Cholesterol emboli syndrome (b) Renal papillary necrosis (c) Renal artery stenosis (d) Diabetic nephropathy (e) Rhabdomyolysis Questions: Exam A Plasma Plasma Plasma Plasma Plasma Plasma 26 Examination A Question 40 1 What is the likely diagnosis?

Examination was unremarkable. The cerebrospinal fluid examination was clear with an opening pressure of 300 mm. 1 g/L 4 mmo/L 6 mmol/L What investigation would you order next? (a) PCR on CSF sample (b) EEG (c) CT brain (d) Blood film (e) Conduction studies Question 56 Questions: Exam A An 18-year-old male was brought in to A and E by the police, having been found collapsed in the street. They had phoned his employers (whose name was written in his diary) who confirmed that he had been totally well at work 4 hours earlier.

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