By Paul Goldsmith, Robert Semple
A overview publication in query solution structure perfect for examination guidance for college students taking step 1 and step 2 of the forums. All questions are awarded within the kind of "best of five", "pick-n-from many", advert a number of matching.Features comprise in-depth reasons to answers,and complete colour phtographs increase illustrative case histories.
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Extra resources for Case Histories for the MRCP, 2nd edition
Sample text
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. By the time of her admission she was barely able to move.
On examination he smelled of alcohol, was confused, and had four spider naevi on his chest. There was no asterixis. This was one of the patient’s hands: 1. What abnormality does he have in his hands? a) Combined median and ulnar nerve compression palsies b) Dupuytren’s contracture c) Volkmann’s ischaemic contracture 2.
Tone was increased bilaterally in the lower limbs with grade 4/5 pyramidal weakness, brisk reflexes and up-going plantars. Vibration sense was absent to the knees. There was no ataxia. His blood pressure was 120/80 mmHg when down lying and 100/60 mmHg when standing. He appeared pigmented, but examination was otherwise normal. 5 mmol/l, creatinine 77 mol/l. 1. What is the most likely diagnosis? 9 A 75-year-old man was reviewed in clinic following a recent chest infection. This was his third chest infection within six months, and he complained that even when not feverish he seemed to be coughing up a lot of green sputum.