Neurology 4 mrcp answers book - part 1 ppsx

[...]... earlier Q 51: Answer: e a- Lutembacher syndrome b- Lithium usage (3% incidence of Epstein anomaly) c- True, also ASD d- True, Valproate sodium can cause this e- False, there is right sided cardiac lesions like pulmonic stenosis Q52: Answer: e a- ?Neurosyphilis- Aortitis b- ?Ankylosing spondylitis c- ?Pseudoxanthoma elasticum-plucked chicken skin d- False, may reveal rheumatoid arthritis e- ?mucopolysacharidosis,... bundle branch block and prolonged PR interval c- True, due to volume overload d- False, in Ebstien anaomaly there is: 1- TALL peaked P waves in standard lead II 2-RBBB with small amplitude QRS complexes 3-WPW syndrome type B, i.e the QRS complex is negative in the right precordial leads 4- paroxysmal supra-ventricular tachycardia e- True Q55: Answer: d a- False, many changes will then be seen by this... hypercapnia Q43: Answer: b The idea of this question is that this COPD patient is cyanosed with somnolence so this indicates CO2 narcosis, so option b seems reasonable trying to detect papillodema In COPD with cor pulmonale: 1- Do fundoscope : looking for papillodema (CO2 narcosis produces raised intracranial pressure due to vasodilatation) 2- Examine his hands looking for: 1- flapping tremor 2-cyanosis 3-warmness... to 7 0-8 0 % of all lung emboli came from the venous system of the legs, yet only 1 0 -1 5 % came from the pelvic veins Don’t forget the rare causes of lung emboli : amniotic fluid, placenta, air , fat , tumor ( especially choriocarcinoms ) ,parasites ( especially schistosomes ) and septic emboli from right sided endocarditis Q45: Answer: c a- True, the usual story especially in acute massive ones 2- True,... good film quality to be seen by an expert!! 3- False, although highly characteristic in the appropriate clinical settings, unfortunately they are uncommon 4- True, due to segmental collapse 5- Secondary infection of an infarcted area Other signs: linear horizontal opacities (usually lower zones) and pleural effusion (may be bloody) Q46: Answer: d Although S1Q3T3 pattern is highly suggestive, in clinical... when compared with option "e" above Q49: Answer: d Difficult and tricky one, but you have to know the incidence of the common anomalies Tetralogy of Fallot -6 % Others: Pulmonic stenosis 7% Aortic stenosis 6% Complete transposition of great arteries 4% Q50: Answer: c a- True, due to loss of support of the right coronary cusp b- True, there is already an oligemic lung c-False, ASD secondum usually presents... 3-warmness 4- bounding rapid pulse 5- ? Clubbing has been suggested by some series Remember, cor pumonale in the context of COPD is under diagnosed in clinical practice unfortunately Echo study will show greatly dilated and or hypertrophied right ventricle WITH small sized compressed left ventricles (hence the presence of a low cardiac out put state and deterioration of the chest problem) Q 44: Answer:... ?mucopolysacharidosis, cloudy cornea Q53 Answer: c a- True, due to pulmonary hypertension and secondary tricuspid regurgitation b- True, also deterioration due to atrial fibrillation which does not respond to medical treatment c- Such a degree of a gradient indicates a severe and a significant stenosis d- True Also, limitation of physical activity despite optimal medical treatment e- True Remember: the commonest cause... prophylaxis states Q40: Answer: a Thiazides are the first line agents in hypertension for many reasons Loop diuretics are the first line agents in heart failure So loop diuretics are preferred in heart failure with hypertension Be ware of long term complications of diuretic use, like acid base and electrolyte disturbance, hyperlipdemia, hyperurecemia etc Q 41: Answer: d 1 out of 10 cases is familial... i.e 17 year old male with significant mixed aortic valve disease and mitral stenosis due to rheumatic fever needing a dental help for tooth extraction, he should be on antibiotic prophylaxis for the dental work + usual daily prophylaxis for the rheumatic fever (remember …he may be also on warfarin So anticipate bleeding upon tooth extraction!! ) Q 54: Answer: d a- True, with right axis deviation b- True, . Hematology; 40 answers. 1 0- Rheumatology; 50 answers. 1 1- Neurology; 17 6 answers. 1 2- Infectious diseases; 40 answers. 1 3- Immunology; 10 answers. 1 4- Psychiatry 10 answers. 1 5- Dermatology; 35 answers. 1 6-. answers. 4- Hepato-biliary system; 30 answers. 5- Nephrology; 51 answers. 6- Electrolytes and Acid-Base Disturbances; 20 answers. 7- Endocrinology; 50 answers. 8- Diabetes Mellitus; 20 answers. 9-. w1 h1" alt="" Answers Book / Contents: A total of 17 chapters containing 713 Answers distributed as; 1- Cardiology; 55 answers. 2- Pulmonary medicine; 51 answers. 3- Gastroenterology; 50 answers. 4-