By Paul Goldsmith, Robert Semple
A assessment booklet in query solution layout excellent for examination coaching for college students taking step 1 and step 2 of the forums. All questions are offered within the type of "best of five", "pick-n-from many", advert a number of matching.Features comprise in-depth motives to answers,and complete colour phtographs increase illustrative case histories.
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Extra resources for Case Histories for the MRCP, 2nd edition
ALP 150 U/l, liver function tests otherwise normal. CXR: raised right hemidiaphragm. 1. What is the most likely diagnosis? a) Ascending cholangitis due to Salmonella typhi b) Right subphrenic abscess c) Amoebic dysentery d) Right lower lobe pneumonia e) Tuberculosis f) Hepatic amoebic abscess g) Hepatic Streptococcus milleri abscess 2. 5 A 35-year-old man was referred with abnormal facial movements and uncontrollable limb twitches, which had been building up over several months. He had been an in-patient at the local psychiatric hospital for the previous two years, and he had recently been started on a new medication.
5 mmol/l, ALP 240 U/l. IVP showed small, irregular kidneys with normal pelvicalyceal systems and bladder. Skeletal survey showed bone age of 14, subperiosteal phalangeal erosions, increased density of vertebral endplates, and widened epiphyses Exam 3 23 of long bones with poorly defined metaphyses. With sodium supplements, his creatinine clearance rose from 2 ml/min to 10 ml/min and his postural drop disappeared. 1. What is the most likely diagnosis? 8 A 26-year-old joiner presented with a 36-hour history of increasingly severe abdominal pain associated with back pain and rigors.
4 g/dl, white cell count 4 ϫ 109/l, platelets 380 ϫ 109/l. Electrolytes and liver function tests were normal. Ultrasound of abdomen: normal liver and spleen, no masses seen. 1. Choose the single most accurate diagnosis from the following: a) Appendiceal carcinoid tumour b) Bronchial carcinoid tumour c) Systemic mastocytosis d) Phaeochromocytoma e) Verner–Morrison syndrome f) Climacteric flushes 26 Questions 2. 1 A 23-year-old unemployed mother of three presented with a ten-day history of progressive breathlessness, dry cough, fever and malaise.