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MRCP Classical Presentations

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Sherif Elbadrawy
Sherif Elbadrawy

contact me at (sherif_badrawy@yahoo.com)

Health & MedicineEducation
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BADRAWY MRCP Notes Classical Presentations
‫اﻟرﺣﯾم‬ ‫اﻟرﺣﻣن‬ ‫ﷲ‬ ‫ﺑﺳم‬ ❂ This is a collecion for some of the common presentations for the MRCP exam (useful for part 1 & 2) ❂ Useful for revision after studying the only note &/or passmedicine. 1a BADRAWY MRCP Notes Classical Presentations Digitally signed by Dr.Sherif Badrawy DN: cn=Dr.Sherif Badrawy, o=KKUH, ou=Critical Care, email=sherif_badrawy@yahoo.com, c=SA Date: 2015.01.18 14:44:16 +03'00'
HOPE THIS WILL BE BENIFICIAL FOR EVERYONE NB➜ I may add some more presentations to this set, your comments are highly appreciated. 1b BADRAWY MRCP Notes Classical Presentations
A 17-y girl cardiac arrest asystole resuscitate unsuccessful collapsed in a 1.500m race at college no relevant family history cause of death? 2a BADRAWY MRCP Notes Classical Presentations
HOCM MCC of SCD in the young 2b BADRAWY MRCP Notes Classical Presentations
2 day baby cyanotic with feeding & crying ? 3a BADRAWY MRCP Notes Classical Presentations
TGA cyanotic: TGA most common at birth. Fallot's moss common overall 3b BADRAWY MRCP Notes Classical Presentations
A 17-y girl recurrent attacks at collapse occur without warning,occurred whilst she was running for a bus, family history father died suddenly when he was 38-s, Dx ? 4a BADRAWY MRCP Notes Classical Presentations
HOCM MCC of SCD in the young 4b BADRAWY MRCP Notes Classical Presentations
A 30-y F, central chest pain,severe, non-radiating and eases on expiration,ECG,widespread ST elevation,Dx ? 5a BADRAWY MRCP Notes Classical Presentations
Acute pericarditis 5b BADRAWY MRCP Notes Classical Presentations
50 -ys M, SOB since the morning,inferior MI 1 y ago, echo following the MI ➜normal LV function,still a smoker bibasal crackles,perihilar shadowing,ECG and cardiac enzymes are normal,Dx ? 6a BADRAWY MRCP Notes Classical Presentations
Penal artery stenosis Renal artery stenosis may cause sudden onset or 'flash' pulmonary oedema. A MI is unlikely given the normal ECG and cardiac enzymes 6b BADRAWY MRCP Notes Classical Presentations
18-y Turner's syndrome has a murmur soft ejection systolic murmur,Dx ? 7a BADRAWY MRCP Notes Classical Presentations
Bicuspid aortic valve ➜ MC heart disease with Turner 7b BADRAWY MRCP Notes Classical Presentations
70 y F, palpitation + chest tightness,ECG ➜ atrial activity 300, ventricular activity 150 ,Dx ? 8a BADRAWY MRCP Notes Classical Presentations
Atrial Flutter Tachycardia with HR 150 ➜ think flutter 8b BADRAWY MRCP Notes Classical Presentations
A 60-y M, SOB on exertion,third heart sound , respiratory system is unremarkable,Dx ? 9a BADRAWY MRCP Notes Classical Presentations
Dilated cardiomyopathy A 3rd heart sound is only considered a normal variant in patients < 40 s 9b BADRAWY MRCP Notes Classical Presentations
A 36-y F routine antenatal review,15 weeks pregnant BP 154/94 confirmed with ambulatory BP monitoring her BP 4 weeks ago was 140/88,urine dipstick protein + and nothing else,no significant past Hx, Dx ? 10a BADRAWY MRCP Notes Classical Presentations
Pre-existing hypertension Pregnancy related BP problems (pre-eclampsia or pregnancy induced HTN) don't occur before 20 weeks. 10b BADRAWY MRCP Notes Classical Presentations
A 35-y F,DVT in the third trimester of pregnancy, sudden left hemiparesis, Dx ? 11a BADRAWY MRCP Notes Classical Presentations
Patent foramen ovale present in about 20% of population 11b BADRAWY MRCP Notes Classical Presentations
A 1-y-old girl, a continuous murmur,loudest at the left sternal edge,not cyanosed, Dx ? 12a BADRAWY MRCP Notes Classical Presentations
PDA 12b BADRAWY MRCP Notes Classical Presentations
A 40-y old F,refractory hypertension,non-specific chest pains,coronary angiogram,Right femoral artery 122/68 Left ventricle 202/104,Aorta 194/84,left arm BP 188/74, Dx ? 13a BADRAWY MRCP Notes Classical Presentations
Coarctation of the aorta 13b BADRAWY MRCP Notes Classical Presentations
An 82-y M, increasing dyspnoea or exertion, systolic murmur,BP 100/80,slow rising pulse,Dx ? 14a BADRAWY MRCP Notes Classical Presentations
AS dt Calcification of the aortic valve 14b BADRAWY MRCP Notes Classical Presentations
A 56-y M, ED with headaches, chest pain and confusion, BP 250/140,equal in both arms,Blurring of the optic discs,no significant medical history,Dx ? 15a BADRAWY MRCP Notes Classical Presentations
Malignant hypertension Rx with Intravenous nitroprusside 15b BADRAWY MRCP Notes Classical Presentations
A 62-y M,two episodes of 'passing out' for around 15 seconds last months associated with effort,feeling 'groggy' for only a few seconds after the episode,systolic murmur radiates to the carotid area,Dx ? 16a BADRAWY MRCP Notes Classical Presentations
AS Next best step is Echocardiogram 16b BADRAWY MRCP Notes Classical Presentations
A 44-y M, Hx of palpitations + pre-syncopal symptoms ECGT wave inversion in leads V1-3 +notch at the end of the QRS complex,FH of SCD, Dx ? 17a BADRAWY MRCP Notes Classical Presentations
Arrhythmogenic right ventricular cardiomyopathy 17b BADRAWY MRCP Notes Classical Presentations
A 76-y, palpitations irregular cannon 'a' waves,Dx 18a BADRAWY MRCP Notes Classical Presentations
Complete heart block 18b BADRAWY MRCP Notes Classical Presentations
an elderly Hx of chronic glaucoma & HTN ➜ a sudden painless loss of vision in one eye. Fundoscopy reveals multiple flame-shaped haemorrhages and optic disc oedema 19a BADRAWY MRCP Notes Classical Presentations
Central retinal vein occlusion 19b BADRAWY MRCP Notes Classical Presentations
an elderly short-sighted man presents with a floater on the temporal field of vision. Visual acuity is normal 20a BADRAWY MRCP Notes Classical Presentations
Posterior vitreous detachment 20b BADRAWY MRCP Notes Classical Presentations
An elderly man complains of dysphagia, halitosis, regurgitation and cough 21a BADRAWY MRCP Notes Classical Presentations
pharyngeal pouch 21b BADRAWY MRCP Notes Classical Presentations
an elderly patient presents with bone pain, depression, renal stones and recurrent peptic ulcer 22a BADRAWY MRCP Notes Classical Presentations
Primary hyperparathyroidism 22b BADRAWY MRCP Notes Classical Presentations
a teenage girl primary amenorrhoea, well developed secondary sexual characteristics & breasts. scanty pubic hair and blind-ending vagina 23a BADRAWY MRCP Notes Classical Presentations
Androgen insensitivity syndrome 23b BADRAWY MRCP Notes Classical Presentations
An elderly women develops itchy, tense blisters around the flexures. There is no mucosal involvement - 24a BADRAWY MRCP Notes Classical Presentations
bullous pemphigoid 24b BADRAWY MRCP Notes Classical Presentations
A 30-year-old man haemoptysis and renal failure. A renal biopsy linear IgG deposits along the basement membrane 25a BADRAWY MRCP Notes Classical Presentations
Goodpasture's syndrome 25b BADRAWY MRCP Notes Classical Presentations
A 45-year-old woman presents with fatigue and pruritus. Blood tests show a raised bilirubin, ALP and IgM level 26a BADRAWY MRCP Notes Classical Presentations
primary biliary cirrhosis 26b BADRAWY MRCP Notes Classical Presentations
A 55-year-old presents with fever, headache, confusion and aphasia. A CT shows petechial haemorrhages in the temporal lobe 27a BADRAWY MRCP Notes Classical Presentations
herpes simplex encephalitis 27b BADRAWY MRCP Notes Classical Presentations
A 30-year-old man presents with recurrent palpitations and syncope. A resting ECG shows T wave inversion in V1-3 and epsilon waves 28a BADRAWY MRCP Notes Classical Presentations
arrhythmogenic right ventricular cardiomyopathy 28b BADRAWY MRCP Notes Classical Presentations
A teenager with tear drop papules on the trunk and limbs 3 weeks after a sore throat 29a BADRAWY MRCP Notes Classical Presentations
Guttate psoriasis 29b BADRAWY MRCP Notes Classical Presentations
a young child with a history of atopic eczema develops a sudden eruption of painful, oedematous vesicles and pustules. They have are systemically unwell and have a fever 30a BADRAWY MRCP Notes Classical Presentations
Eczema herpeticum 30b BADRAWY MRCP Notes Classical Presentations
A 60-Hx of TB dyspnoea and fatigue. JVP is elevated, loud S3 and Kussmaul's sign is positive. Hepatomegaly 31a BADRAWY MRCP Notes Classical Presentations
constrictive pericarditis 31b BADRAWY MRCP Notes Classical Presentations
bitemporal hemianopia (upper quadrant defect > lower quadrant defect) 32a BADRAWY MRCP Notes Classical Presentations
Pituitary tumour 32b BADRAWY MRCP Notes Classical Presentations
A tall, slim man presents with infertility. He is noted to have small, firm testes. Gonadotrophin levels are elevated 33a BADRAWY MRCP Notes Classical Presentations
Klinefelter's syndrome 33b BADRAWY MRCP Notes Classical Presentations
a tall, slim 18-year-old man presents with hypogonadism. He also complains of anosmia. Gonadotrophin levels are reduced 34a BADRAWY MRCP Notes Classical Presentations
Kallman's syndrome 34b BADRAWY MRCP Notes Classical Presentations
An elderly gradual worsening dementia and bradyphrenia , a slow, shuffling gait. urinary incontinence 35a BADRAWY MRCP Notes Classical Presentations
normal pressure hydrocephalus 35b BADRAWY MRCP Notes Classical Presentations
An elderly Jewish woman develops painful, flaccid, easily ruptured vesicles and bullae on the skin.not itchy and were preceded by mouth lesions 36a BADRAWY MRCP Notes Classical Presentations
pemphigus vulgaris 36b BADRAWY MRCP Notes Classical Presentations
A woman rheumatoid arthritis red right eye.no pain, discharge or photophobia although the eye is tearing. Visual acuity is normal 37a BADRAWY MRCP Notes Classical Presentations
episcleritis 37b BADRAWY MRCP Notes Classical Presentations
A patient develops foot drop following a fibular neck fracture 38a BADRAWY MRCP Notes Classical Presentations
common peroneal nerve 38b BADRAWY MRCP Notes Classical Presentations
middle aged woman thyrotoxicosis and a goitre. exophthalmos and pretibial myxoedema. Anti-TSH receptor stimulating antibodies are positive - 39a BADRAWY MRCP Notes Classical Presentations
Graves' disease 39b BADRAWY MRCP Notes Classical Presentations
persistent foul-smelling watery diarrhoea and weight loss after travelling to India.symptoms for two weeks 40a BADRAWY MRCP Notes Classical Presentations
giardiasis 40b BADRAWY MRCP Notes Classical Presentations
a patient speak fluently but makes little sense with mulitple word substitutions and neologisms. + difficulty understanding what people are saying to him 41a BADRAWY MRCP Notes Classical Presentations
Wernicke's aphasia 41b BADRAWY MRCP Notes Classical Presentations
a patient have laboured, non-fluent, halting speech. He does however retain his ability to understand what people are saying to him 42a BADRAWY MRCP Notes Classical Presentations
Broca's aphasia 42b BADRAWY MRCP Notes Classical Presentations
A 40-year-old woman presents with fever, fluctuating neurological signs, thrombocytopenia and renal failure 43a BADRAWY MRCP Notes Classical Presentations
TTP 43b BADRAWY MRCP Notes Classical Presentations
An elderly acute onset ataxia, nystagmus and sensory loss.sensory loss affecting the left side of the face and right arm 44a BADRAWY MRCP Notes Classical Presentations
posterior inferior cerebellar artery occlusion (lateral medullary syndrome) 44b BADRAWY MRCP Notes Classical Presentations
A man presents with severe vomiting. Earlier in the day he reheated some rice from a takeaway 45a BADRAWY MRCP Notes Classical Presentations
Bacillus cereus 45b BADRAWY MRCP Notes Classical Presentations
unilateral spastic paresis and loss of proprioception /vibration sensation with loss of pain and temperature sensation on the opposite side. 46a BADRAWY MRCP Notes Classical Presentations
Brown-Sequard syndrome 46b BADRAWY MRCP Notes Classical Presentations
A 20-y presents in summer with gradually worsening flu-like symptoms and a dry cough. + erythema multiforme 47a BADRAWY MRCP Notes Classical Presentations
mycoplasma pneumonia 47b BADRAWY MRCP Notes Classical Presentations
bilateral spastic paresis and loss of pain and temperature sensation 48a BADRAWY MRCP Notes Classical Presentations
Anterior spinal artery occlusion 48b BADRAWY MRCP Notes Classical Presentations
A 6-yboy passing dark urine 10 days after having had a sore throat.periorbital oedema 49a BADRAWY MRCP Notes Classical Presentations
Post-streptococcal glomerulonephritis 49b BADRAWY MRCP Notes Classical Presentations
a 5-year-old child develops acute renal failure shortly after being admitted with bloody diarrhoea and fever. Bloods show renal failure, thrombocytopaenia and anaemia 50a BADRAWY MRCP Notes Classical Presentations
Haemolytic uraemic syndrome 50b BADRAWY MRCP Notes Classical Presentations
A 30-y Turkish man recurrent oral and genital ulceration. anterior uveitis and thombophlebitis - 51a BADRAWY MRCP Notes Classical Presentations
Behcet's syndrome 51b BADRAWY MRCP Notes Classical Presentations
A 30-y woman with a history of recurrent peptic ulcer disease, hypercalcaemia on routine bloods. - 52a BADRAWY MRCP Notes Classical Presentations
multiple endocrine neoplasia (type 1) 52b BADRAWY MRCP Notes Classical Presentations
40-y man with a history of ulcerative colitis fatigue, jaundice and pruritus and right upper quadrant pain 53a BADRAWY MRCP Notes Classical Presentations
primary sclerosing cholangitis 53b BADRAWY MRCP Notes Classical Presentations
Young adult with an abdominal herald patch, erythematous, oval, scaly patches in a 'fir-tree' distribution 54a BADRAWY MRCP Notes Classical Presentations
pityriasis rosea 54b BADRAWY MRCP Notes Classical Presentations
A patient with a long history of 'migraines' presents with regular headaches despite using sumatriptan on a daily basis - 55a BADRAWY MRCP Notes Classical Presentations
medication overuse headache 55b BADRAWY MRCP Notes Classical Presentations
A young man an acute headache + unilateral periorbital edema. On examination there is a lateral gaze palsy 56a BADRAWY MRCP Notes Classical Presentations
cavernous sinus thrombosis 56b BADRAWY MRCP Notes Classical Presentations
A 45-y man diarrhoea, weight loss and arthralgia. Jejunal biopsy deposition of macrophages PAS-positive granules 57a BADRAWY MRCP Notes Classical Presentations
Whipple's disease 57b BADRAWY MRCP Notes Classical Presentations
An elderly alcoholic man persistent headache after falling over the previous day.fluctuating level of consciousness 58a BADRAWY MRCP Notes Classical Presentations
subdural haemorrhage 58b BADRAWY MRCP Notes Classical Presentations
A 65-y man chronic hepatitis b infection symptoms and signs of liver cirrhosis. Alpha-fetoprotein is elevated. - 59a BADRAWY MRCP Notes Classical Presentations
hepatocellular carcinoma 59b BADRAWY MRCP Notes Classical Presentations
A young athlete paralysis of his right leg before an athletics meet. Neurological examination is inconsistent - 60a BADRAWY MRCP Notes Classical Presentations
conversion disorder 60b BADRAWY MRCP Notes Classical Presentations
Flacid paresis of the intrinsic hand muscles with loss of pain and temperature sensation - 61a BADRAWY MRCP Notes Classical Presentations
syringomyelia 61b BADRAWY MRCP Notes Classical Presentations
A 50-y man history of sinusitis presents with haemoptysis and renal impairment.renal biopsy crescentic GN 62a BADRAWY MRCP Notes Classical Presentations
Wegener's granulomatosis 62b BADRAWY MRCP Notes Classical Presentations
Elderly 2 week history of unilateral headache + pain on chewing and brushing her hair 63a BADRAWY MRCP Notes Classical Presentations
temporal arteritis 63b BADRAWY MRCP Notes Classical Presentations
A man itchy, purple, papular rash on the palms and flexor surfaces of arms. polygonal and covered in a 'white-lace' - 64a BADRAWY MRCP Notes Classical Presentations
lichen planus 64b BADRAWY MRCP Notes Classical Presentations
A 15-year-old presents with nephrotic syndrome. Their blood pressure and renal blood tests are normal - 65a BADRAWY MRCP Notes Classical Presentations
minimal change disease 65b BADRAWY MRCP Notes Classical Presentations
A 30-y woman foul smelling oily diarrhoea, abdominal bloating, fatigue and weight loss. papulovesicular lesions on the extensor aspects of her arms 66a BADRAWY MRCP Notes Classical Presentations
coeliac disease 66b BADRAWY MRCP Notes Classical Presentations
A 60-y muscle fasciculation + wasting of the small ms of the hand. MN signs in the arms and UMN signs in the legs 67a BADRAWY MRCP Notes Classical Presentations
motor neuron disease 67b BADRAWY MRCP Notes Classical Presentations
A teenage boyclumsy walking. gait ataxia, an intention tremor and loss of lower limb reflexes - 68a BADRAWY MRCP Notes Classical Presentations
Friedreich's ataxia 68b BADRAWY MRCP Notes Classical Presentations
A 15-y midline neck lump painless and cystic in nature. It moves upwards on protrusion of the tongue 69a BADRAWY MRCP Notes Classical Presentations
thyroglossal cyst 69b BADRAWY MRCP Notes Classical Presentations
60-y man lung cancer ➜ dyspnoea. tachycardic, hypotensive,↑JVP absent Y descent pulsus paradoxus 70a BADRAWY MRCP Notes Classical Presentations
cardiac tamponade 70b BADRAWY MRCP Notes Classical Presentations
Intense pain around one eye. Attacks occurs once/day, each episode 1 hour for the past 8 weeks. + red and watery eye and a constricted pupil - 71a BADRAWY MRCP Notes Classical Presentations
cluster headache 71b BADRAWY MRCP Notes Classical Presentations
A 60-y man flu-like symptoms & dry cough. relative bradycardia + confused. + low sodium - 72a BADRAWY MRCP Notes Classical Presentations
Legionnaires' disease 72b BADRAWY MRCP Notes Classical Presentations
Bilateral spastic paresis, loss of proprioception and vibration sensation and limb ataxia - 73a BADRAWY MRCP Notes Classical Presentations
subacute combined degeneration of the spinal cord 73b BADRAWY MRCP Notes Classical Presentations
bitemporal hemianopia (lower quadrant defect > upper quadrant defect) 74a BADRAWY MRCP Notes Classical Presentations
Craniopharyngioma - 74b BADRAWY MRCP Notes Classical Presentations
Young child with multiple small, pearly, umbilicated lesions 75a BADRAWY MRCP Notes Classical Presentations
molluscum contagiosum 75b BADRAWY MRCP Notes Classical Presentations
A young man acute, painful red eye + photophobia & blurred vision.pupil is small and irregular - 76a BADRAWY MRCP Notes Classical Presentations
anterior uveitis 76b BADRAWY MRCP Notes Classical Presentations
A patient persistent ST elevation 4 weeks after myocardial infarction. bibasal crackles +third and fourth heart sound 77a BADRAWY MRCP Notes Classical Presentations
left ventricular aneurysm 77b BADRAWY MRCP Notes Classical Presentations
an elderly short-sighted man flashing lights worse on eye movement located in the temporal visual field.upper visual field loss 'like a curtain coming down' 78a BADRAWY MRCP Notes Classical Presentations
Retinal detachment 78b BADRAWY MRCP Notes Classical Presentations
an elderly man with a long history of diabetes sudden visual loss in one eye. For the past few days floaters and 'cobwebs'. Visual acuity is reduced to sensing light 79a BADRAWY MRCP Notes Classical Presentations
Vitreous haemorrhage 79b BADRAWY MRCP Notes Classical Presentations
A woman complains of lethargy, diplopia and dysphagia. a ptosis on examination - 80a BADRAWY MRCP Notes Classical Presentations
myasthenia gravis 80b BADRAWY MRCP Notes Classical Presentations
a 30-y M visual problems. His vision is much worse in the dark + started to lose peripheral vision. He has a family history of similar problems 81a BADRAWY MRCP Notes Classical Presentations
Retinitis pigmentosa 81b BADRAWY MRCP Notes Classical Presentations
an elderly female smoker reduced visual acuity, + 'blurred' vision. central scotoma and fundoscopy multiple drusen 82a BADRAWY MRCP Notes Classical Presentations
Macular degeneration 82b BADRAWY MRCP Notes Classical Presentations
a patient develops acute heart failure 5 days after a MI. A new pan-systolic murmur is noted on examination 83a BADRAWY MRCP Notes Classical Presentations
Ventricular septal defect 83b BADRAWY MRCP Notes Classical Presentations
a patient is noted to have a new early-to-mid systolic murmur 10 days after being admitted for a MI 84a BADRAWY MRCP Notes Classical Presentations
Ischaemia of the papillary muscle 84b BADRAWY MRCP Notes Classical Presentations
A 30-y man productive cough, fever and chest pain.herpes labialis + consolidation in the right lower zone - 85a BADRAWY MRCP Notes Classical Presentations
pneumococcal pneumonia 85b BADRAWY MRCP Notes Classical Presentations
A 25-y woman irregular periods hirsutism.elevated LH:FSH ratio and raised testosterone level - 86a BADRAWY MRCP Notes Classical Presentations
polycystic ovarian syndrome 86b BADRAWY MRCP Notes Classical Presentations
A 20-y painless swelling on the lateral aspect of the neck. smooth, non-tender and fluctuant - 87a BADRAWY MRCP Notes Classical Presentations
branchial cyst 87b BADRAWY MRCP Notes Classical Presentations
A 30-y man progressive weakness of his hands. wasting of the small muscles of the hand. pain and temperature sensation is reduced but light touch is preserved. - 88a BADRAWY MRCP Notes Classical Presentations
syringomyelia 88b BADRAWY MRCP Notes Classical Presentations
combination of both upper and lower motor neuron signs 89a BADRAWY MRCP Notes Classical Presentations
Amyotrophic lateral sclerosis 89b BADRAWY MRCP Notes Classical Presentations
A man develops haematuria and frequency after visiting Malawi - 90a BADRAWY MRCP Notes Classical Presentations
Schistosoma haematobium 90b BADRAWY MRCP Notes Classical Presentations
Sudden onset vertigo and vomiting, dysphagia, ipsilateral facial pain and temperature loss, contralateral limb pain and temperature loss and ataxia - 91a BADRAWY MRCP Notes Classical Presentations
posterior inferior cerebellar artery 91b BADRAWY MRCP Notes Classical Presentations
a 45-year-old woman with nephrotic syndrome is noted to have marked loss of subcutaneous tissue from the face 92a BADRAWY MRCP Notes Classical Presentations
Membranoproliferative glomerulonephritis (type II) 92b BADRAWY MRCP Notes Classical Presentations
A 2-year-old child develops perianal itching, which is particularly bad at night - 93a BADRAWY MRCP Notes Classical Presentations
Enterobius vermicularis 93b BADRAWY MRCP Notes Classical Presentations
a patient Hx of heartburn presents with odynophagia. There no weight loss, vomiting or anorexia 94a BADRAWY MRCP Notes Classical Presentations
Oesophagitis 94b BADRAWY MRCP Notes Classical Presentations
A middle-aged women symptoms of hypothyroidism. a diffuse, non-tender goitre .↑TSH ,↓T4 , anti-TPO +ve 95a BADRAWY MRCP Notes Classical Presentations
Hashimoto's thyroiditis 95b BADRAWY MRCP Notes Classical Presentations
An elderly man resting tremor in right hand. shuffling gait and a general slowness of movement - 96a BADRAWY MRCP Notes Classical Presentations
Parkinson's disease 96b BADRAWY MRCP Notes Classical Presentations
A 50-year-old alcoholic presents with fever. He is found to have an right upper lobe pneumonia - 97a BADRAWY MRCP Notes Classical Presentations
Klebsiella pneumonia 97b BADRAWY MRCP Notes Classical Presentations
a patient develops watery diarrhoea one week after arriving in Mexico 98a BADRAWY MRCP Notes Classical Presentations
Escherichia coli (enterotoxigenic) 98b BADRAWY MRCP Notes Classical Presentations
A young man from north- east of the USA fever,arthralgia. + rash 5 cm erythematous oval area with central clearing 99a BADRAWY MRCP Notes Classical Presentations
Borrelia burgdorferi 99b BADRAWY MRCP Notes Classical Presentations
A young man weakness of legs shortly after severe gastroenteritis. normal Sensation in legs+ loss of DTR 100a BADRAWY MRCP Notes Classical Presentations
Guillain-Barre syndrome 100b BADRAWY MRCP Notes Classical Presentations
A 75-yewoman colicky pain typically in the LLQ + diarrhoea and fever - 101a BADRAWY MRCP Notes Classical Presentations
diverticulitis 101b BADRAWY MRCP Notes Classical Presentations
A 40-y woman tremor of both hands.worse when she is stressed and relieved by alcohol. FH of similar problems 102a BADRAWY MRCP Notes Classical Presentations
essential tremor 102b BADRAWY MRCP Notes Classical Presentations
A patient has difficult abducting their arm following a humeral neck fracture 103a BADRAWY MRCP Notes Classical Presentations
Axillary nerve 103b BADRAWY MRCP Notes Classical Presentations
wrist drop following a humeral midshaft fracture 104a BADRAWY MRCP Notes Classical Presentations
Radial nerve 104b BADRAWY MRCP Notes Classical Presentations
An elderly man acute, painful red eye + decreased visual acuity. worse in the dark. semi-dilated non- reacting pupil 105a BADRAWY MRCP Notes Classical Presentations
acute angle closure glaucoma 105b BADRAWY MRCP Notes Classical Presentations
gradual onset bloody diarrhoea after travelling to Egypt. lasted 4 weeks. occasional abdominal pain and tenesmus 106a BADRAWY MRCP Notes Classical Presentations
Amoebiasis 106b BADRAWY MRCP Notes Classical Presentations
profuse 'rice water' diarrhoea after visiting a disaster relief zone.vomiting but has no abdominal pain. On examination he is severely dehydrated 107a BADRAWY MRCP Notes Classical Presentations
Cholera 107b BADRAWY MRCP Notes Classical Presentations
sudden onset severe occipital headache, like being 'kicked in the back of the head' 108a BADRAWY MRCP Notes Classical Presentations
Subarachnoid haemorrhage 108b BADRAWY MRCP Notes Classical Presentations
constant headache associated with nausea. The headache is present at night and worse when coughing 109a BADRAWY MRCP Notes Classical Presentations
Raised intracranial pressure 109b BADRAWY MRCP Notes Classical Presentations
frontal headache following URTI,worse on leaning forward 110a BADRAWY MRCP Notes Classical Presentations
Sinusitis 110b BADRAWY MRCP Notes Classical Presentations
A 30-y woman weight gain and irregular menstruation. BP is elevated at 170/100 mmHg + evidence of proximal muscle weakness 111a BADRAWY MRCP Notes Classical Presentations
Cushing's syndrome 111b BADRAWY MRCP Notes Classical Presentations
A 35-y woman BP 180/110 mmHg. tired and weak. Routine bloods show hypokalaemia 112a BADRAWY MRCP Notes Classical Presentations
primary hyperaldosteronism 112b BADRAWY MRCP Notes Classical Presentations
a 15-year-old boy develops fever and tachypnoea one week after recovering from influenza 113a BADRAWY MRCP Notes Classical Presentations
Staphylococcus aureus pneumonia 113b BADRAWY MRCP Notes Classical Presentations
a 60-y Pt Hx of COPD ➜ infective exacerbation+ productive cough and consolidation on the chest x-ray 114a BADRAWY MRCP Notes Classical Presentations
Haemophilus influenzae pneumonia 114b BADRAWY MRCP Notes Classical Presentations
Recurrent, severe headache unilateral and throbbing in nature. Associated with nausea and photosensitivity 115a BADRAWY MRCP Notes Classical Presentations
migraine 115b BADRAWY MRCP Notes Classical Presentations
a patient with Huntington's disease➜ speech which is difficult to comprehend. can understand what is being said to him 116a BADRAWY MRCP Notes Classical Presentations
Dysarthria 116b BADRAWY MRCP Notes Classical Presentations
young adult notices hypopigmented patches on her trunk after coming getting suntan. Patches are mildly pruritic with some scale 117a BADRAWY MRCP Notes Classical Presentations
Pityriasis versicolor 117b BADRAWY MRCP Notes Classical Presentations
a 35-y man severe, episodic loin pain radiates round to the front. blood+++, leucocytes ++ on the urine dipstick 118a BADRAWY MRCP Notes Classical Presentations
Renal colic 118b BADRAWY MRCP Notes Classical Presentations
an elderly man severe central abdominal pain radiating to the back associated with hypotension 119a BADRAWY MRCP Notes Classical Presentations
Ruptured abdominal aortic aneurysm 119b BADRAWY MRCP Notes Classical Presentations
a 60-y with a history of tuberculosis ➜ dyspnoea & fatigue. ↑JVP , loud S3 and Kussmaul's sign +ve, Hepatomegaly 120a BADRAWY MRCP Notes Classical Presentations
Constrictive pericarditis 120b BADRAWY MRCP Notes Classical Presentations
a 25-y man is investigated for recurrent syncope and dyspnoea. ejection systolic murmur 121a BADRAWY MRCP Notes Classical Presentations
Hypertrophic obstructive cardiomyopathy 121b BADRAWY MRCP Notes Classical Presentations
a 60-y alcoholic man severe chest pain after repeated episodes of vomiting. + SC emphysema 122a BADRAWY MRCP Notes Classical Presentations
Boerhaave syndrome 122b BADRAWY MRCP Notes Classical Presentations
a patient who is known to have HIV presents with odynophagia 123a BADRAWY MRCP Notes Classical Presentations
Oesophageal candidiasis 123b BADRAWY MRCP Notes Classical Presentations
a 55-yman fever and malaise past few weeks common peroneal nerve palsy. hepatitis B surface antigen +ve 124a BADRAWY MRCP Notes Classical Presentations
Polyarteritis nodosa 124b BADRAWY MRCP Notes Classical Presentations
a 30-y woman from Singapore headache, malaise & myalgia. BP 160/100 mmHg, the right radial pulse is difficult to palpate and a carotid bruit is noted 125a BADRAWY MRCP Notes Classical Presentations
Takayasu's arteritis 125b BADRAWY MRCP Notes Classical Presentations
a 65-y Male IgG paraprotein band + asymptomatic + calcium and renal function are normal 126a BADRAWY MRCP Notes Classical Presentations
Monoclonal gammopathy of undetermined significance 126b BADRAWY MRCP Notes Classical Presentations
a 70-y DVT. monoclonal IgM paraprotein band . lost weight and feels unwell. calcium and renal function normal 127a BADRAWY MRCP Notes Classical Presentations
Waldenstrom's macroglobulinaemia 127b BADRAWY MRCP Notes Classical Presentations
an obese 55-y pain in the RUQ associated with fever. Palpation of the RUQ causes arrest of respiration 128a BADRAWY MRCP Notes Classical Presentations
Acute cholecystitis 128b BADRAWY MRCP Notes Classical Presentations
a patient Hx of Barrett's oesophagus presents with dysphagia and weight loss 129a BADRAWY MRCP Notes Classical Presentations
Oesophageal cancer 129b BADRAWY MRCP Notes Classical Presentations
a middle-aged patient dysphagia of both liquids and solids from the start. regurgitation and a persistent cough 130a BADRAWY MRCP Notes Classical Presentations
Achalasia 130b BADRAWY MRCP Notes Classical Presentations
an elderly man severe pain around his right eye, nausea, redness of the eye, 'misty vision' and a semi- dilated pupil 131a BADRAWY MRCP Notes Classical Presentations
Acute narrow-angle glaucoma 131b BADRAWY MRCP Notes Classical Presentations
a patient feigns chronic lower back pain to allow him to claim government benefits 132a BADRAWY MRCP Notes Classical Presentations
Malingering 132b BADRAWY MRCP Notes Classical Presentations
a car crash survivor feels like he is 'watching a movie' when trying to recall details of the episode 133a BADRAWY MRCP Notes Classical Presentations
Dissociative disorder 133b BADRAWY MRCP Notes Classical Presentations
a 75-y man large amounts of a mucous-like diarrhoea. Bloods demonstrate hypokalaemia 134a BADRAWY MRCP Notes Classical Presentations
Villous adenoma 134b BADRAWY MRCP Notes Classical Presentations
a man who presents with intussusception is noticed to have multiple polyps on colonoscopy. These are later shown to be hamartomatous. He also has pigmented lesions on his lips and palms 135a BADRAWY MRCP Notes Classical Presentations
Peutz-Jeghers syndrome 135b BADRAWY MRCP Notes Classical Presentations
A woman develops a winged scapula after mastectomy 136a BADRAWY MRCP Notes Classical Presentations
long thoracic nerve 136b BADRAWY MRCP Notes Classical Presentations
An elderly womanitchy lesion on her vulva. It started as a red patch but has now turned into a white plaque 137a BADRAWY MRCP Notes Classical Presentations
lichen sclerosus 137b BADRAWY MRCP Notes Classical Presentations
a 65-y man back pain and lethargy.raised calcium, renal dysfunction and a raised ESR 138a BADRAWY MRCP Notes Classical Presentations
Multiple myeloma 138b BADRAWY MRCP Notes Classical Presentations
a 20-y woman recurrent episodes of abdominal pain + bloating.pain is relieved on defecation. She normal passes 3 loose stools with mucous in the mornings 139a BADRAWY MRCP Notes Classical Presentations
Irritable bowel syndrome 139b BADRAWY MRCP Notes Classical Presentations
A man diarrhoea and abdominal pain, papulovesicular lesions on the soles & urticarial rash 140a BADRAWY MRCP Notes Classical Presentations
Strongyloides stercoralis 140b BADRAWY MRCP Notes Classical Presentations
a child sore throat and low- grade fever.vesicles in the mouth and on the palms and soles of the feet 141a BADRAWY MRCP Notes Classical Presentations
Hand, foot and mouth disease 141b BADRAWY MRCP Notes Classical Presentations
a child pink maculopapular rash, initially on the face before spreading to the whole body. Suboccipital & postauricular lymphadenopathy is present 142a BADRAWY MRCP Notes Classical Presentations
Rubella 142b BADRAWY MRCP Notes Classical Presentations
a middle-aged woman develops painful, erythematous, nodular lesions over both shins 143a BADRAWY MRCP Notes Classical Presentations
Erythema nodosum 143b BADRAWY MRCP Notes Classical Presentations
a young child history of atopic eczema a sudden eruption of painful, oedematous vesicles and pustules. systemically unwell and have a fever 144a BADRAWY MRCP Notes Classical Presentations
Eczema herpeticum 144b BADRAWY MRCP Notes Classical Presentations
a middle aged woman tender goitre + hyperthyroidism. ↓TSH & ↑T4. globally↓uptake on iodine-131 scan 145a BADRAWY MRCP Notes Classical Presentations
Subacute thyroiditis 145b BADRAWY MRCP Notes Classical Presentations
A patient presents with a 'droopy eyelid'. unilateral miosis, ptosis and narrow palpebral aperture giving the appearance of enophthalmos 146a BADRAWY MRCP Notes Classical Presentations
Horner's syndrome 146b BADRAWY MRCP Notes Classical Presentations
A 50-y man Marfan syndrome palpitations &dyspnoea. collapsing pulse, the BP 160/60 mmHg and a high- pitched diastolic murmur 147a BADRAWY MRCP Notes Classical Presentations
aortic regurgitation 147b BADRAWY MRCP Notes Classical Presentations
An elderly woman develops a reticulated, hyperpigmented rash after using a hot water bottle excessively - 148a BADRAWY MRCP Notes Classical Presentations
erythema ab igne 148b BADRAWY MRCP Notes Classical Presentations
a 35-y woman loin pain + fever. She has blood+++, leucocytes +++ on the urine dipstick 149a BADRAWY MRCP Notes Classical Presentations
Pyelonephritis 149b BADRAWY MRCP Notes Classical Presentations
a 50-year-old man presents with epigastric pain relieved by eating 150a BADRAWY MRCP Notes Classical Presentations
Duodenal ulcer 150b BADRAWY MRCP Notes Classical Presentations
an ECG shows progressive prolongation of the PR interval until a dropped beat occurs 151a BADRAWY MRCP Notes Classical Presentations
Second degree heart block (Mobitz I) 151b BADRAWY MRCP Notes Classical Presentations
a man develops a cardiac arrest shortly after MI. The ECG monitor shows rapid, irregular waveforms 152a BADRAWY MRCP Notes Classical Presentations
Ventricular fibrillation 152b BADRAWY MRCP Notes Classical Presentations
a 2-y abdominal mass and pallor. raised urinary (VMA) and homovanillic acid (HVA) levels 153a BADRAWY MRCP Notes Classical Presentations
Neuroblastoma 153b BADRAWY MRCP Notes Classical Presentations
A man history of syphilis bilateral small, irregular pupils which respond to accomodation but not to light 154a BADRAWY MRCP Notes Classical Presentations
Argyll-Robertson pupil 154b BADRAWY MRCP Notes Classical Presentations
an elderly Hx of HTN and glaucoma ↓visual acuity & peripheral visual field loss. Fundoscopy optic disc cupping 155a BADRAWY MRCP Notes Classical Presentations
Primary open-angle glaucoma 155b BADRAWY MRCP Notes Classical Presentations
a baby is born with microcephaly, small eyes, low-set ears, cleft lip and polydactyly 156a BADRAWY MRCP Notes Classical Presentations
Patau syndrome 156b BADRAWY MRCP Notes Classical Presentations
a young boy is noted to have learning difficulties, macrocephaly, large ears and macro-orchidism 157a BADRAWY MRCP Notes Classical Presentations
Fragile X 157b BADRAWY MRCP Notes Classical Presentations
a 55-y woman recurrent episodes of vertigo often triggered by a change in head position. Each episode lasts around 10-20 seconds and is associated with nausea 158a BADRAWY MRCP Notes Classical Presentations
Benign paroxysmal positional vertigo 158b BADRAWY MRCP Notes Classical Presentations
a 45-y man unilateral hearing loss. tinnitus and some problems with his balance. absent corneal reflex 159a BADRAWY MRCP Notes Classical Presentations
Acoustic neuroma 159b BADRAWY MRCP Notes Classical Presentations
a 6-week-old baby with 1*1.5cm swelling in the left axilla. They were given the BCG vaccine at birth 160a BADRAWY MRCP Notes Classical Presentations
Reactive lymphadenopathy 160b BADRAWY MRCP Notes Classical Presentations
a 20-y man tender, swollen 2cm mass in the right submandibular region. His temperature is 38.2degC and he is noted to have poor dental hygiene 161a BADRAWY MRCP Notes Classical Presentations
Reactive lymphadenopathy 161b BADRAWY MRCP Notes Classical Presentations
a 40-y alcoholic haematemesis after repeated vomiting. An endoscopy two months ago no evidence of varices 162a BADRAWY MRCP Notes Classical Presentations
Mallory-Weiss syndrome 162b BADRAWY MRCP Notes Classical Presentations
a middle-aged woman Hx of Raynaud's phenomenon c/o dysphagia + multiple telangectasia 163a BADRAWY MRCP Notes Classical Presentations
Systemic sclerosis 163b BADRAWY MRCP Notes Classical Presentations
a 40-year-old woman dysphagia. Oesophageal manometry ↓oesophageal peristalsis & ↓lower oesophageal sphincter tone 164a BADRAWY MRCP Notes Classical Presentations
Systemic sclerosis 164b BADRAWY MRCP Notes Classical Presentations
an elderly patient watery diarrhoea after being treated for pneumonia. Blood tests show a new, marked neutrophilia 165a BADRAWY MRCP Notes Classical Presentations
Clostridium difficile 165b BADRAWY MRCP Notes Classical Presentations
a 20-y man bloody diarrhoea. abdominal pain and tenesmus. Yesterday he had flu-like symptoms 166a BADRAWY MRCP Notes Classical Presentations
Campylobacter 166b BADRAWY MRCP Notes Classical Presentations
a 60-y woman dysphagia and lethargy. smooth, swollen tongue and pale conjunctivae 167a BADRAWY MRCP Notes Classical Presentations
Plummer-Vinson syndrome 167b BADRAWY MRCP Notes Classical Presentations
a patien Hx of anxiety c/o having a 'lump' in her throat 168a BADRAWY MRCP Notes Classical Presentations
Globus hystericus 168b BADRAWY MRCP Notes Classical Presentations
a 30-y woman with a history of recurrent peptic ulcer disease is found to have hypercalcaemia on routine bloods 169a BADRAWY MRCP Notes Classical Presentations
Multiple endocrine neoplasia (type 1) . 169b BADRAWY MRCP Notes Classical Presentations
A teenage girl anterior knee pain worse when going down stairs and rising from prolonged sitting 170a BADRAWY MRCP Notes Classical Presentations
chondromalacia patellae 170b BADRAWY MRCP Notes Classical Presentations
A 70-y womanpan-systolic murmur after presenting with dyspnoea. A soft S1 and split S2 171a BADRAWY MRCP Notes Classical Presentations
mitral regurgitation 171b BADRAWY MRCP Notes Classical Presentations
a 1-y is swelling on the left side of the neck. The mass is soft, non-tender and transilluminates 172a BADRAWY MRCP Notes Classical Presentations
Cystic hygroma 172b BADRAWY MRCP Notes Classical Presentations
ipsilateral oculomotor palsy and contralateral weakness 173a BADRAWY MRCP Notes Classical Presentations
Branches of the posterior cerebral artery that supply the midbrain 173b BADRAWY MRCP Notes Classical Presentations
contralateral hemiparesis and sensory loss with the upper extremity being more affected than the lower, contralateral homonymous hemianopia and aphasia 174a BADRAWY MRCP Notes Classical Presentations
Middle cerebral artery 174b BADRAWY MRCP Notes Classical Presentations
a young woman takes a paracetamol overdose after splitting with her boyfriend. Two days later she is in a new relationship which is troubled by her repeated outbursts of anger 175a BADRAWY MRCP Notes Classical Presentations
Borderline personality disorder 175b BADRAWY MRCP Notes Classical Presentations
a woman presents to her male family doctor wearing a low-cut top and a short skirt. She tries to flirt with the doctor. The consultation is filled with drama and she becomes annoyed with the centre of attention shifts from her 176a BADRAWY MRCP Notes Classical Presentations
Histrionic personality disorder 176b BADRAWY MRCP Notes Classical Presentations
a boy is noted to have reduced tone, hypogonadism and obesity 177a BADRAWY MRCP Notes Classical Presentations
Prader-Willi syndrome 177b BADRAWY MRCP Notes Classical Presentations
a baby micrognathia and a cleft palate. He is placed prone due to upper airway obstruction. There is no family history of similar problems 178a BADRAWY MRCP Notes Classical Presentations
Pierre-Robin syndrome 178b BADRAWY MRCP Notes Classical Presentations
an overweight 50-y man lethargy and excessive thirst. Fundoscopy blot haemorrhages 179a BADRAWY MRCP Notes Classical Presentations
Type 2 diabetes mellitus 179b BADRAWY MRCP Notes Classical Presentations
a 40-y patient Hx hypertension presents with episodic palpitations, excessive sweating, headaches and tremor 180a BADRAWY MRCP Notes Classical Presentations
Phaeochromocytoma 180b BADRAWY MRCP Notes Classical Presentations
a boy arm problems after falling from a tree, caught a branch to save himself. On examination he has a claw hand with a hyperextended wrist 181a BADRAWY MRCP Notes Classical Presentations
Lower trunk of the brachial plexus (C8, T1) 181b BADRAWY MRCP Notes Classical Presentations
Loss of proprioception and vibration . No motor deficit 182a BADRAWY MRCP Notes Classical Presentations
neurosyphilis 182b BADRAWY MRCP Notes Classical Presentations
A 35-y jerky, random and uncontrollable movements of his arms. getting progressively worse for the past few months. His wife also says he is increasingly irritable and moody 183a BADRAWY MRCP Notes Classical Presentations
Huntington's disease 183b BADRAWY MRCP Notes Classical Presentations
a patient with acute HF 10 days after MI. ↑JVP, pulsus paradoxus and diminished heart sounds 184a BADRAWY MRCP Notes Classical Presentations
Left ventricular free wall rupture 184b BADRAWY MRCP Notes Classical Presentations
A woman Hx of rheumatoid arthritis severe, constant pain in her right eye. right eye is red and there is a degree of photophobia. Visual acuity is normal 185a BADRAWY MRCP Notes Classical Presentations
scleritis 185b BADRAWY MRCP Notes Classical Presentations
a patient speak fluently but have difficulty repeating phrases. He is aware of the errors he is making and comprehension remains normal 186a BADRAWY MRCP Notes Classical Presentations
Conduction aphasia 186b BADRAWY MRCP Notes Classical Presentations
A patient presents with severe vomiting 4 hours after eating at a restuarant - 187a BADRAWY MRCP Notes Classical Presentations
Staphylococcus aureus 187b BADRAWY MRCP Notes Classical Presentations
A 2-year-old child is admitted with watery diarrhoea, vomiting and dehydration - 188a BADRAWY MRCP Notes Classical Presentations
rotavirus 188b BADRAWY MRCP Notes Classical Presentations
a sporty teenage boy presents with pain, tenderness and swelling over the tibial tubercle 189a BADRAWY MRCP Notes Classical Presentations
Osgood-Schlatter disease 189b BADRAWY MRCP Notes Classical Presentations
a sporty teenager presents with knee pain after exercise associated with intermittent swelling and locking 190a BADRAWY MRCP Notes Classical Presentations
Osteochondritis dissecans 190b BADRAWY MRCP Notes Classical Presentations
An elderly patient with a history of atrial fibrillation presents with a sudden painless loss of vision in one eye. Fundoscopy reveals a 'cherry red' spot on a pale retina - 191a BADRAWY MRCP Notes Classical Presentations
central retinal artery occlusion 191b BADRAWY MRCP Notes Classical Presentations
transient unilateral loss of vision described as a 'curtain descending' 192a BADRAWY MRCP Notes Classical Presentations
Ophthalmic artery 192b BADRAWY MRCP Notes Classical Presentations
locked-in syndrome 193a BADRAWY MRCP Notes Classical Presentations
Basilar artery 193b BADRAWY MRCP Notes Classical Presentations
A man episodic angioedema whilst in west Africa. On one occasion he noticed a 'worm moving across the left eye' 194a BADRAWY MRCP Notes Classical Presentations
Loa loa 194b BADRAWY MRCP Notes Classical Presentations
a patient is suspected of injecting her mothers insulin to cause repeated episodes of hypoglycaemia 195a BADRAWY MRCP Notes Classical Presentations
Factitious disorder 195b BADRAWY MRCP Notes Classical Presentations
Flaccid paralysis of upper + lower face - 196a BADRAWY MRCP Notes Classical Presentations
CN VII 196b BADRAWY MRCP Notes Classical Presentations
A patient complains of pins/needles and pain on the lateral aspect of the hand - 197a BADRAWY MRCP Notes Classical Presentations
median nerve 197b BADRAWY MRCP Notes Classical Presentations
A 25-y man presents with visible haematuria. He also complains of having a bad sore throat at the current time 198a BADRAWY MRCP Notes Classical Presentations
IgA nephropathy 198b BADRAWY MRCP Notes Classical Presentations
A man presents with central, pleuritic chest pain and fever 4 weeks following MI. The ESR is elevated - 199a BADRAWY MRCP Notes Classical Presentations
Dressler's syndrome 199b BADRAWY MRCP Notes Classical Presentations
recurrent, non-disabling, bilateral headache, described as a 'tight- band' 200a BADRAWY MRCP Notes Classical Presentations
Tension headache 200b BADRAWY MRCP Notes Classical Presentations
a man with raised, red, spherical lesion on his neck. It initially was a red spot but rapidly grew over 4 weeks 201a BADRAWY MRCP Notes Classical Presentations
Pyogenic granuloma 201b BADRAWY MRCP Notes Classical Presentations
a man with HIV presents with a painful, vesicular rash on the right side of his face around the eye. Fluorescein staining reveals multiple small defects on the right cornea 202a BADRAWY MRCP Notes Classical Presentations
Herpes zoster ophthalmicus 202b BADRAWY MRCP Notes Classical Presentations
a patient with an acute, painful red eye + photophobia and epiphora. Fluorescein staining ragged area on the cornea 203a BADRAWY MRCP Notes Classical Presentations
Herpes simplex keratitis 203b BADRAWY MRCP Notes Classical Presentations
an elderly man with parkinsonism atonic bladder, postural hypotension and cerebellar signs 204a BADRAWY MRCP Notes Classical Presentations
Multiple system atrophy 204b BADRAWY MRCP Notes Classical Presentations
a 40-y man with headaches and coarsening of his facial features.his wedding ring and shoes no longer fit him 205a BADRAWY MRCP Notes Classical Presentations
Acromegaly 205b BADRAWY MRCP Notes Classical Presentations
a newborn's arm is noted to be hanging loosely following a difficult forceps delivery. The arm is adducted and internally rotated, elbow extended 206a BADRAWY MRCP Notes Classical Presentations
Upper trunk of the brachial plexus (C5,C6) 206b BADRAWY MRCP Notes Classical Presentations
A child presents with fever, malaise and tonsillitis associated with a 'strawberry' tongue and a fine punctate erythematous rash sparing the face - 207a BADRAWY MRCP Notes Classical Presentations
scarlet fever 207b BADRAWY MRCP Notes Classical Presentations
a 35-y man Hx of HTN and SAH presents with recurrent UTIs and episodic haematuria 208a BADRAWY MRCP Notes Classical Presentations
Autosomal dominant polycystic kidney disease 208b BADRAWY MRCP Notes Classical Presentations
an elderly male smoker visible haematuria + loin pain. a loin mass can be found on the same side 209a BADRAWY MRCP Notes Classical Presentations
Renal cell carcinoma 209b BADRAWY MRCP Notes Classical Presentations
a 25-y man develops a painless pustule that later erodes to form an ulcer. By the time he presents he has painful inguinal lymphadenopathy and proctocolitis 210a BADRAWY MRCP Notes Classical Presentations
Lymphogranuloma venereum 210b BADRAWY MRCP Notes Classical Presentations
middle-aged man head injury falling down some stairs. After losing consciousness he quickly recovers c/o of a headache. Over the next few hours he becomes more confused and has one seizure - 211a BADRAWY MRCP Notes Classical Presentations
extradural (epidural) haematoma 211b BADRAWY MRCP Notes Classical Presentations
A patient develops a bradycardia of 36/min following a myocardial infarction. The ECG shows no association between the P waves and QRS complexes - 212a BADRAWY MRCP Notes Classical Presentations
complete heart block 212b BADRAWY MRCP Notes Classical Presentations
a newborn baby has ambiguous genitalia. At 2 weeks they develop severe vomiting, dehydration and weight loss 213a BADRAWY MRCP Notes Classical Presentations
Congenital adrenal hyperplasia (21- hydroxylase deficiency) 213b BADRAWY MRCP Notes Classical Presentations
a patient has polyuria and polydipsia. blood glucose is normal and the urine osmolality is 220 mOsm/kg 214a BADRAWY MRCP Notes Classical Presentations
Diabetes insipidus 214b BADRAWY MRCP Notes Classical Presentations
an infant persistent jaundice + high level of unconjugated bilirubin. There is some improvement with phenobarbital 215a BADRAWY MRCP Notes Classical Presentations
Crigler-Najjar syndrome (type 2) 215b BADRAWY MRCP Notes Classical Presentations
a young man is noted to have an elevated unconjugated bilirubin level on a fasting blood sample 216a BADRAWY MRCP Notes Classical Presentations
Gilbert's syndrome 216b BADRAWY MRCP Notes Classical Presentations
a 55-y presents with RUQ pain, fever and jaundice. His blood pressure is 98/60 mmHg and he appears slightly confused 217a BADRAWY MRCP Notes Classical Presentations
Ascending cholangitis 217b BADRAWY MRCP Notes Classical Presentations
a 45-y alcoholic man severe epigastric pain vomiting. He has had a number of similar episodes before 218a BADRAWY MRCP Notes Classical Presentations
Acute pancreatitis 218b BADRAWY MRCP Notes Classical Presentations
a west African man is admitted to hospital with intestinal obstruction. He has recently been suffering from haemoptysis and wheezing 219a BADRAWY MRCP Notes Classical Presentations
Ascaris lumbricoides 219b BADRAWY MRCP Notes Classical Presentations
a 30-y dyspnoea, chest pain and fever one week after an URTI.pericardial friction rub, gallop rhythm, and cardiomegaly 220a BADRAWY MRCP Notes Classical Presentations
Coxsackie B virus 220b BADRAWY MRCP Notes Classical Presentations
a 40-y renal transplant recipient on immunosuppressants fever and fatigue.blood film shows atypical lymphocytes, abnormal LFTs but a negative heterophil antibody test 221a BADRAWY MRCP Notes Classical Presentations
Cytomegalovirus 221b BADRAWY MRCP Notes Classical Presentations
a 75-y man presents with passing large amounts of a mucous-like diarrhoea. Bloods demonstrate hypokalaemia 222a BADRAWY MRCP Notes Classical Presentations
Villous adenoma 222b BADRAWY MRCP Notes Classical Presentations
a 20-y woman diarrhoea. past few months she has lost weight recurrent abdominal pain and mouth ulcers 223a BADRAWY MRCP Notes Classical Presentations
Crohn's disease 223b BADRAWY MRCP Notes Classical Presentations
a patient presents with bloody diarrhoea, fever and abdominal pain 224a BADRAWY MRCP Notes Classical Presentations
Shigella 224b BADRAWY MRCP Notes Classical Presentations
a 65-y man with lung cancer develops muscle weakness in his legs. repeated muscle contractions ➜ ↑muscle strength. Hyporeflexia and weakness on examination 225a BADRAWY MRCP Notes Classical Presentations
Lambert-Eaton syndrome 225b BADRAWY MRCP Notes Classical Presentations
a 25-y man with muscle weakness . On shaking his hand he has difficultly loosening his grip. frontal balding, bilateral ptosis and cataracts 226a BADRAWY MRCP Notes Classical Presentations
Myotonic dystrophy 226b BADRAWY MRCP Notes Classical Presentations
an elderly women develops itchy, tense blisters around the flexures. There is no mucosal involvement 227a BADRAWY MRCP Notes Classical Presentations
Bullous pemphigoid 227b BADRAWY MRCP Notes Classical Presentations
an adult with erythematous target lesions on the hands which later spread to the torso following a herpes simplex infection 228a BADRAWY MRCP Notes Classical Presentations
Erythema multiforme 228b BADRAWY MRCP Notes Classical Presentations
a child lethargy, fever and headache + a 'slapped- cheek' rash spreading to the proximal arms and extensor surfaces 229a BADRAWY MRCP Notes Classical Presentations
Erythema infectiosum 229b BADRAWY MRCP Notes Classical Presentations
a child develops a pink maculopapular rash, initially on the face before spreading to the whole body. Suboccipital and postauricular lymphadenopathy is present 230a BADRAWY MRCP Notes Classical Presentations
Rubella 230b BADRAWY MRCP Notes Classical Presentations
A 50-y man has epigastric pain worsened by eating 231a BADRAWY MRCP Notes Classical Presentations
gastric ulcer 231b BADRAWY MRCP Notes Classical Presentations
a 10-y has fever + fleeting large joint pain & 'jerking' movements of the hand and face. murmur & SC nodules on the wrists 232a BADRAWY MRCP Notes Classical Presentations
Streptococcus pyogenes 232b BADRAWY MRCP Notes Classical Presentations
a 10-y has fever + sore throat. fine, erythematous, 'sand-paper' rash which is more prominent in flexural areas. 233a BADRAWY MRCP Notes Classical Presentations
Streptococcus pyogenes 233b BADRAWY MRCP Notes Classical Presentations
a 10-y boy passing 'brown' urine. 2 weeks ago he had a severe sore throat.↑BP for his age + periorbital oedema 234a BADRAWY MRCP Notes Classical Presentations
Streptococcus pyogenes 234b BADRAWY MRCP Notes Classical Presentations
a 2-month-old seizures, fever, poor feeding and irritability. CSF analysis shows Gram +ve rods with tumbling motility 235a BADRAWY MRCP Notes Classical Presentations
Listeria monocytogenes 235b BADRAWY MRCP Notes Classical Presentations
an obese 12-year-old boy with pain in the hip and distal thigh. On examination there is loss of internal rotation 236a BADRAWY MRCP Notes Classical Presentations
Slipped upper femoral epiphysis 236b BADRAWY MRCP Notes Classical Presentations
a 6-year-old boy presents with progressive hip pain for the past few weeks associated with a limp 237a BADRAWY MRCP Notes Classical Presentations
Perthes disease 237b BADRAWY MRCP Notes Classical Presentations
a man who has recently been treated for herpes simplex encephalitis presents with a sudden increase in appetite and sexual desire 238a BADRAWY MRCP Notes Classical Presentations
Kluver-Bucy syndrome 238b BADRAWY MRCP Notes Classical Presentations
a male smoker recurrent episodes of severe pain around one eye lasts around 1 hour. occur daily for the past 6 weeks and are associated with ocular erythema and lacrimation 239a BADRAWY MRCP Notes Classical Presentations
Cluster headache 239b BADRAWY MRCP Notes Classical Presentations
A 35-year-old woman firm swelling at the bottom of her neck. She has been suffering from weakness and numbness of her arm on the same side - 240a BADRAWY MRCP Notes Classical Presentations
cervical rib 240b BADRAWY MRCP Notes Classical Presentations
an elderly man presents with severe central abdominal pain radiating to the back associated with hypotension 241a BADRAWY MRCP Notes Classical Presentations
Ruptured abdominal aortic aneurysm 241b BADRAWY MRCP Notes Classical Presentations
A patient with an uncorrected VSD cyanosis +RV failure. + right to left shunt and pulmonary hypertension - 242a BADRAWY MRCP Notes Classical Presentations
Eisenmenger's syndrome 242b BADRAWY MRCP Notes Classical Presentations
A 30-year-old woman presents with loss of vision in her right eye associated with pain on eye movement. Six months ago she presented with tingling and numbness in her left hand - 243a BADRAWY MRCP Notes Classical Presentations
multiple sclerosis 243b BADRAWY MRCP Notes Classical Presentations
A young man with a history of epilepsy and learning difficulties is noted to areas of depigmented skin on his torso. He also has roughened patches of skin over the lumbar spine - 244a BADRAWY MRCP Notes Classical Presentations
tuberous sclerosis 244b BADRAWY MRCP Notes Classical Presentations
a man who is on treatment for HIV painful, vesicular rash on the right side of his face around the eye. Fluorescein staining reveals multiple small defects on the right cornea 245a BADRAWY MRCP Notes Classical Presentations
Herpes zoster ophthalmicus 245b BADRAWY MRCP Notes Classical Presentations
a 40-year-old with advanced HIV (CD4 count < 50) blurred vision. Fundoscopy multiple retinal haemorrhages 246a BADRAWY MRCP Notes Classical Presentations
Cytomegalovirus retinitis 246b BADRAWY MRCP Notes Classical Presentations
a patient presents with fever, headache and a rash after visiting North Carolina. The rash started on the wrist and ankles before spreading 247a BADRAWY MRCP Notes Classical Presentations
Rickettsia ricketsii 247b BADRAWY MRCP Notes Classical Presentations
a patient is admitted with blurred vision, a 'droopy face' and weakness in his arms. Yesterday he had eaten some food that he had canned himself previously 248a BADRAWY MRCP Notes Classical Presentations
C. botulinum 248b BADRAWY MRCP Notes Classical Presentations
ptosis,a 'down and out' eye,dilated, fixed pupil 249a BADRAWY MRCP Notes Classical Presentations
CN III 249b BADRAWY MRCP Notes Classical Presentations
paralysis of mastication muscles,loss of corneal reflex loss of facial sensation,deviation of jaw towards the side of lesion 250a BADRAWY MRCP Notes Classical Presentations
CN V 250b BADRAWY MRCP Notes Classical Presentations
a 1-month-old baby had a seizure. irritable, feeding poorly + fever. The baby was born at 35 weeks following premature rupture of the membranes 251a BADRAWY MRCP Notes Classical Presentations
Group B Streptococcus 251b BADRAWY MRCP Notes Classical Presentations
a 50-year-old man with late- onset asthma presents with malaise and weight loss. He also complains of recurrent bouts of sinusitis. Bloods show a marked eosinophilia 252a BADRAWY MRCP Notes Classical Presentations
Churg-Strauss syndrome 252b BADRAWY MRCP Notes Classical Presentations
an African farmer develops grossly swollen, oedematous legs associated with a massively enlarged scrotum 253a BADRAWY MRCP Notes Classical Presentations
Wuchereria bancrofti 253b BADRAWY MRCP Notes Classical Presentations
a man develops hyperpigmented skin and blindness after being bitten by a fly 254a BADRAWY MRCP Notes Classical Presentations
Onchocerca volvulus 254b BADRAWY MRCP Notes Classical Presentations
a 30-year-old man African origin non-productive cough and dyspnoea.+ multiple joint pains. A chest x-ray shows bilateral hilar lymphadenopathy 255a BADRAWY MRCP Notes Classical Presentations
Sarcoidosis 255b BADRAWY MRCP Notes Classical Presentations
a 75-y man who used to work in a foundry progressive dyspnoea. A chest x-ray upper zone interstitial lymph nodes with 'egg-shell' calcification of the hilar lymph nodes 256a BADRAWY MRCP Notes Classical Presentations
Silicosis 256b BADRAWY MRCP Notes Classical Presentations
a sheep farmer is found to have hepatic cysts on ultrasound 257a BADRAWY MRCP Notes Classical Presentations
Echinococcus granulosus 257b BADRAWY MRCP Notes Classical Presentations
a 25-y is investigated for ataxia. cerebellar and retinal haemangiomas. His blood pressure is 190/115 mmHg 258a BADRAWY MRCP Notes Classical Presentations
Von Hippel-Lindau syndrome 258b BADRAWY MRCP Notes Classical Presentations
a young man has multiple pigmented spots on torso. + freckling around the axillary and groin region 259a BADRAWY MRCP Notes Classical Presentations
Neurofibromatosis 259b BADRAWY MRCP Notes Classical Presentations
Normal serum calcium, normal serum phosphate, raised ALP and normal PTH - 260a BADRAWY MRCP Notes Classical Presentations
Paget's disease 260b BADRAWY MRCP Notes Classical Presentations
a 40-y female has dyspnoea and fatigue. mid-diastolic murmur is heard. An echocardiogram shows a pedunculated mass in the left atrium 261a BADRAWY MRCP Notes Classical Presentations
Atrial myxoma 261b BADRAWY MRCP Notes Classical Presentations
a 70-y man has chest pain and dyspnoea.he has an ejection systolic murmur which radiates to his carotids 262a BADRAWY MRCP Notes Classical Presentations
Aortic stenosis 262b BADRAWY MRCP Notes Classical Presentations
a 10-y child Hxy of neonatal jaundice develops pallor and jaundice after an upper respiratory tract infection associated with erythematous cheeks. Splenomegaly is noted on examination 263a BADRAWY MRCP Notes Classical Presentations
Hereditary spherocytosis 263b BADRAWY MRCP Notes Classical Presentations
a 15-year-old Greek boy pallor and jaundice after having a lower RTI.Hxy off neonatal jaundice.blood film shows Heinz bodies 264a BADRAWY MRCP Notes Classical Presentations
G6PD deficiency 264b BADRAWY MRCP Notes Classical Presentations
a 50-y woman Hx of rheumatic fever has dyspnoea. she is in atrial fibrillation + loud S1, split S2 & diastolic murmur 265a BADRAWY MRCP Notes Classical Presentations
Mitral stenosis 265b BADRAWY MRCP Notes Classical Presentations
A 5-y boy has a palpable, erythematous rash on extensor surfaces of the arms and legs + abdominal pain. + haematuria on mild renal failure - 266a BADRAWY MRCP Notes Classical Presentations
Henoch-Schonlein purpura 266b BADRAWY MRCP Notes Classical Presentations
uvula deviated away from the side of lesion loss of gag reflex 267a BADRAWY MRCP Notes Classical Presentations
CN X 267b BADRAWY MRCP Notes Classical Presentations
An elderly man has vomiting, 'constipation' and abdominal distension. + 'tinkling' bowel sounds 268a BADRAWY MRCP Notes Classical Presentations
intestinal obstruction 268b BADRAWY MRCP Notes Classical Presentations
an overweight teenage girl has headache and blurred vision.she is noted to have papilloedema 269a BADRAWY MRCP Notes Classical Presentations
Idiopathic intracranial hypertension 269b BADRAWY MRCP Notes Classical Presentations
A baby has micrognathia and a cleft palate. He is placed prone due to upper airway obstruction. no family history of similar problems 270a BADRAWY MRCP Notes Classical Presentations
Pierre-Robin syndrome 270b BADRAWY MRCP Notes Classical Presentations
Red palms of the hands and the soles of the feet which later peel 271a BADRAWY MRCP Notes Classical Presentations
Kawasaki disease 271b BADRAWY MRCP Notes Classical Presentations
A 20-y man of Iranian Jewish descent is Ix for jaundice and found to have an elevated conjugated bilirubin level 272a BADRAWY MRCP Notes Classical Presentations
Dubin-Johnson syndrome 272b BADRAWY MRCP Notes Classical Presentations
a baby is born with ambiguous genitalia, labioscrotal folds with clitoromegaly. 273a BADRAWY MRCP Notes Classical Presentations
5-alpha reductase deficiency 273b BADRAWY MRCP Notes Classical Presentations
At 13 years of age the child undergoes virilization with facial hair and deepening of the voice 274a BADRAWY MRCP Notes Classical Presentations
5-alpha reductase deficiency 274b BADRAWY MRCP Notes Classical Presentations
a patient has medullary thyroid cancer. past Hx includes phaeochromocytoma and she is currently undergoing investigations for hypercalcaemia 275a BADRAWY MRCP Notes Classical Presentations
Multiple endocrine neoplasia (type 2A) 275b BADRAWY MRCP Notes Classical Presentations
bilateral spastic paresis, loss of proprioception and vibration sensation and an intention tremor 276a BADRAWY MRCP Notes Classical Presentations
Friedrich's ataxia 276b BADRAWY MRCP Notes Classical Presentations
a baby is born with micrognathia, low-set ears, rocker bottom feet and overlapping of fingers 277a BADRAWY MRCP Notes Classical Presentations
Edward's syndrome 277b BADRAWY MRCP Notes Classical Presentations
a boy with learning difficulties is noted to be extremely friendly and extroverted. He has short for his age and has supravalvular aortic stenosis 278a BADRAWY MRCP Notes Classical Presentations
William's syndrome 278b BADRAWY MRCP Notes Classical Presentations
a boy learning difficulties + extremely friendly & extrovert. short for his age and has supravalvular aortic stenosis 279a BADRAWY MRCP Notes Classical Presentations
William's syndrome 279b BADRAWY MRCP Notes Classical Presentations
a 35-year-old intravenous drug user presents with decompensated liver disease. They do not drink alcohol. On examination a number of purpura are found 280a BADRAWY MRCP Notes Classical Presentations
Hepatitis C 280b BADRAWY MRCP Notes Classical Presentations
a 50-y obese man has DM2 + mild hepatomegaly . one glass of wine per week. slightly raised ALT and a liver ultrasound shows increased echogenicity 281a BADRAWY MRCP Notes Classical Presentations
Non-alcoholic fatty liver disease 281b BADRAWY MRCP Notes Classical Presentations
a child presents with fever associated with an itchy, macular rash which then becomes vesicular 282a BADRAWY MRCP Notes Classical Presentations
Chickenpox 282b BADRAWY MRCP Notes Classical Presentations
a child presents with fever, conjunctivitis and being irritable.+maculopapular rash which started behind ears before spreading and becoming blotchy & confluent 283a BADRAWY MRCP Notes Classical Presentations
Measles 283b BADRAWY MRCP Notes Classical Presentations
sudden onset vertigo and vomiting, ipsilateral facial paralysis and deafness 284a BADRAWY MRCP Notes Classical Presentations
Anterior inferior cerebellar artery 284b BADRAWY MRCP Notes Classical Presentations
an obese man with DM2 develops brown, velvety plaques on his neck and axillae 285a BADRAWY MRCP Notes Classical Presentations
Acanthosis nigricans 285b BADRAWY MRCP Notes Classical Presentations
a 40-y man has recurrent episodes of vertigo + tinnitus and hearing loss + aural fullness precedes the attacks 286a BADRAWY MRCP Notes Classical Presentations
Meniere's disease 286b BADRAWY MRCP Notes Classical Presentations
a 60-y woman Hx of PRV has abdominal pain and distension. + ascites and hepatomegaly on examination 287a BADRAWY MRCP Notes Classical Presentations
Budd-Chiari syndrome 287b BADRAWY MRCP Notes Classical Presentations
contralateral homonymous hemianopia with macular sparing and visual agnosia 288a BADRAWY MRCP Notes Classical Presentations
Posterior cerebral artery 288b BADRAWY MRCP Notes Classical Presentations
defective eye abduction and horizontal diplopia 289a BADRAWY MRCP Notes Classical Presentations
CN VI 289b BADRAWY MRCP Notes Classical Presentations
hypersensitive carotid sinus reflex loss of taste (posterior 1/3rd of the tongue) loss of gag reflex 290a BADRAWY MRCP Notes Classical Presentations
CN IX 290b BADRAWY MRCP Notes Classical Presentations
A 30-y man recently returned from working in west Africa has a number of painful genital ulcers + unilateral, painful inguinal LNs. The ulcers have sharply defined, ragged, undermined border 291a BADRAWY MRCP Notes Classical Presentations
chancroid 291b BADRAWY MRCP Notes Classical Presentations
a 3-y child is noted to have haematuria. there is a mass in the left loin 292a BADRAWY MRCP Notes Classical Presentations
Wilms' tumour 292b BADRAWY MRCP Notes Classical Presentations
a man with poorly controlled coeliac disease develops itchy vesicles on his elbows and buttocks 293a BADRAWY MRCP Notes Classical Presentations
Dermatitis herpetiformis 293b BADRAWY MRCP Notes Classical Presentations
A 65-y man presents with back pain and lethargy. + raised calcium, renal dysfunction and a raised ESR - 294a BADRAWY MRCP Notes Classical Presentations
multiple myeloma 294b BADRAWY MRCP Notes Classical Presentations
a 2-y old fever for the past 7 days + conjunctivitis, erythema and oedema of the hands and feet, cracked lips and a strawberry tongue 295a BADRAWY MRCP Notes Classical Presentations
Kawasaki disease 295b BADRAWY MRCP Notes Classical Presentations
a child develops fever, malaise and myalgia associated with bilateral parotitis 296a BADRAWY MRCP Notes Classical Presentations
Mumps 296b BADRAWY MRCP Notes Classical Presentations
a patient known to have HIV gradually worsening speech and behavioural problems + coordination difficulties. A MRI shows multifocal non-enhancing lesions 297a BADRAWY MRCP Notes Classical Presentations
JC virus 297b BADRAWY MRCP Notes Classical Presentations
A 6-month-old boy developmental delay and infantile spasms.fair hair and blue eyes. There is some eczema on the torso and he is noted to have a slightly 'musty' odour - 298a BADRAWY MRCP Notes Classical Presentations
phenylketonuria 298b BADRAWY MRCP Notes Classical Presentations
a 45-y woman with nephrotic syndrome is noted to have marked loss of subcutaneous tissue from the face 299a BADRAWY MRCP Notes Classical Presentations
Membranoproliferative glomerulonephritis (type II) 299b BADRAWY MRCP Notes Classical Presentations
a 65-y woman has aching and morning stiffness in the proximal limb muscles. She is having difficulty getting out of a chair 300a BADRAWY MRCP Notes Classical Presentations
Polymyalgia rheumatica 300b BADRAWY MRCP Notes Classical Presentations
a 40-year-old presents with severe pain and swelling over his right 1st metatarsophalangeal joint 301a BADRAWY MRCP Notes Classical Presentations
Gout 301b BADRAWY MRCP Notes Classical Presentations
a patient is found to have a positive Trendelenburg sign 302a BADRAWY MRCP Notes Classical Presentations
Superior gluteal nerve 302b BADRAWY MRCP Notes Classical Presentations
a patient develops tingling and numbness on the outer aspect of the thigh 303a BADRAWY MRCP Notes Classical Presentations
Lateral cutaneous nerve of the thigh 303b BADRAWY MRCP Notes Classical Presentations
a 40-year-old woman presents with lethargy, weakness and weight loss. On examination her blood pressure is 80/50 mmHg and there is hyperpigmentation of the skin 304a BADRAWY MRCP Notes Classical Presentations
Addison's disease 304b BADRAWY MRCP Notes Classical Presentations
a 20-y woman Hx of emotional lability and depression presents with an asymmetrical tremor. On examination she has early stigmata of chronic liver disease 305a BADRAWY MRCP Notes Classical Presentations
Wilson's disease 305b BADRAWY MRCP Notes Classical Presentations
a 40-y man presents with nephrotic syndrome. Renal biopsy demonstrates sub- epithelial immune complex deposition in the glomerulus 306a BADRAWY MRCP Notes Classical Presentations
Membranous glomerulonephritis 306b BADRAWY MRCP Notes Classical Presentations
a 30-y man presents with haematuria. known to have bilateral sensorineural hearing loss and visual problems 307a BADRAWY MRCP Notes Classical Presentations
Alport's syndrome 307b BADRAWY MRCP Notes Classical Presentations
a teenage girl presents with medial knee pain following activity. The knee has given way on occasion 308a BADRAWY MRCP Notes Classical Presentations
Patellar subluxation 308b BADRAWY MRCP Notes Classical Presentations
a man Hx of medullary thyroid cancer & phaeochromocytoma + a tall, thin, 'marfanoid' habitus. A number of small lumps are noted on his eyelids and lips 309a BADRAWY MRCP Notes Classical Presentations
Multiple endocrine neoplasia (type 2B) 309b BADRAWY MRCP Notes Classical Presentations
a teenage male gymnast chronic anterior knee pain that worsens after running or jumping. tender below the patella 310a BADRAWY MRCP Notes Classical Presentations
Patellar tendonitis 310b BADRAWY MRCP Notes Classical Presentations
A 30-y has a two-day history of vomiting and watery, non- bloody diarrhoea. This is associated with colicky abdominal pain. Temperature is normal. - 311a BADRAWY MRCP Notes Classical Presentations
gastroenteritis 311b BADRAWY MRCP Notes Classical Presentations
a patient has episodic confusion, sweating, dizziness and headches. The symptoms often improve after eating 312a BADRAWY MRCP Notes Classical Presentations
Insulinoma 312b BADRAWY MRCP Notes Classical Presentations
a patient has spasms in his jaw which spread to his back and abdomen. The spasms > severe causing arching of the back. One week ago he had a deep cut to his leg 313a BADRAWY MRCP Notes Classical Presentations
C. tetani 313b BADRAWY MRCP Notes Classical Presentations
a 14-year-old immigrant from the Ukraine has sore throat, fever and dysphagia.+ bulky cervical lymphadenopathy and a grey membrane on her pharynx 314a BADRAWY MRCP Notes Classical Presentations
Corynebacterium diphtheriae 314b BADRAWY MRCP Notes Classical Presentations
a patient with Huntington's disease has speech which is difficult to comprehend. He retains the ability to understand what is being said to him 315a BADRAWY MRCP Notes Classical Presentations
Dysarthria 315b BADRAWY MRCP Notes Classical Presentations
a patient is noted to speak fluently but have difficulty repeating phrases. He is aware of the errors he is making and comprehension remains normal 316a BADRAWY MRCP Notes Classical Presentations
Conduction aphasia 316b BADRAWY MRCP Notes Classical Presentations
a 30-year-old homosexual man develops a solitary, raised, firm, red papule which later erodes to form a painless ulcer. Non- tender inguinal lymphadenopathy 317a BADRAWY MRCP Notes Classical Presentations
Syphilis 317b BADRAWY MRCP Notes Classical Presentations
a 30-year-old woman complains of thin, white, 'fishy' smelling discharge. Clue cells are seen on microscopy 318a BADRAWY MRCP Notes Classical Presentations
Bacterial vaginosis 318b BADRAWY MRCP Notes Classical Presentations
A 30-y woman is investigated for amenorrhoea, galactorrhoea and a low libido - 319a BADRAWY MRCP Notes Classical Presentations
prolactinoma 319b BADRAWY MRCP Notes Classical Presentations
a 40-y alcoholic has haematemesis after repeated episodes of vomiting. An endoscopy two months ago showed no evidence of varices 320a BADRAWY MRCP Notes Classical Presentations
Mallory-Weiss syndrome 320b BADRAWY MRCP Notes Classical Presentations
a middle-aged man had open fracture of his leg develops painful, oedematous, bronze coloured skin around the fracture site. Haemorrhagic blebs and bullae+ crepitus and tenderness on palpation of the affected skin 321a BADRAWY MRCP Notes Classical Presentations
C. perfringens 321b BADRAWY MRCP Notes Classical Presentations
a man who works in the wool industry develops a black skin lesion surrounded by oedema. It initially started as a small red papule 322a BADRAWY MRCP Notes Classical Presentations
Bacillus anthracis 322b BADRAWY MRCP Notes Classical Presentations
a 15-year-old presents with a mouth ulceration and fever. On examination he has severe gingivostomatitis 323a BADRAWY MRCP Notes Classical Presentations
Herpes simplex virus-1 323b BADRAWY MRCP Notes Classical Presentations
a 6-y girl who has sickle cell disease develops pallor and fatigue shortly after a viral illness characterised by an erythematous rash affecting her cheeks 324a BADRAWY MRCP Notes Classical Presentations
Parvovirus B19 324b BADRAWY MRCP Notes Classical Presentations
A 25-y man is admitted following a shoulder dislocation. He has a history of joint hypermobility and is noted to have elastic, 'stretchy' skin + with multiple bruises 325a BADRAWY MRCP Notes Classical Presentations
Ehler-Danlos syndrome 325b BADRAWY MRCP Notes Classical Presentations
a 6-week-old baby cyanosis and feeding difficulties. An echo shows a right-to-left shunt through a VSD, right ventricular outflow tract obstruction with associated right ventricular hypertrophy and an overriding aorta 326a BADRAWY MRCP Notes Classical Presentations
Tetralogy of Fallot 326b BADRAWY MRCP Notes Classical Presentations
a young man is seen with his mother. She is concerned that he is socially withdrawn. He is bright and is doing well in his job as a engineer.emotionally cold and has little interest in either praise or criticism 327a BADRAWY MRCP Notes Classical Presentations
Schizoid personality disorder 327b BADRAWY MRCP Notes Classical Presentations
a man has pleuritic central chest pain and dyspnoea following a viral illness. His pain is worse when lying down 328a BADRAWY MRCP Notes Classical Presentations
Acute pericarditis 328b BADRAWY MRCP Notes Classical Presentations
a young girl is noted to have a webbed neck, pulmonary stenosis, ptosis and short stature 329a BADRAWY MRCP Notes Classical Presentations
Noonan syndrome 329b BADRAWY MRCP Notes Classical Presentations
An obese 50-y woman has pain in the RUQ which radiates to the interscapular region.apyrexial and not jaundiced 330a BADRAWY MRCP Notes Classical Presentations
biliary colic 330b BADRAWY MRCP Notes Classical Presentations
a 20-y man presents with a 3 week history of bloody diarrhoea associated with tenesmus 331a BADRAWY MRCP Notes Classical Presentations
Ulcerative colitis 331b BADRAWY MRCP Notes Classical Presentations
a recent immigrant from Latin America presents to the ED after a seizure. A CT head shows multiple cystic lesions 332a BADRAWY MRCP Notes Classical Presentations
Taenia solium 332b BADRAWY MRCP Notes Classical Presentations
an elderly man has 'bone pains'. He is known to be deaf. + raised ALP and a skull x-ray shows a thickened vault 333a BADRAWY MRCP Notes Classical Presentations
Paget's disease of the bone 333b BADRAWY MRCP Notes Classical Presentations
a 20-y man recurrent fractures following minor trauma. Calcium and phosphate levels are normal. A skeletal survery shows sclerosis at the base of the skull 334a BADRAWY MRCP Notes Classical Presentations
Osteopetrosis 334b BADRAWY MRCP Notes Classical Presentations
a baby fetal ultrasound showed a cystic hygroma.swollen hands and feet and echo shows a bicuspid aortic valve 335a BADRAWY MRCP Notes Classical Presentations
Turner's syndrome 335b BADRAWY MRCP Notes Classical Presentations
a 6-y girl precocious puberty. cafe-au-lait spots > on one side of her body and a skull deformity 336a BADRAWY MRCP Notes Classical Presentations
McCune-Albright syndrome 336b BADRAWY MRCP Notes Classical Presentations
a traveller who has recently returned from South America develops megaoesophagus, megacolon and myocarditis 337a BADRAWY MRCP Notes Classical Presentations
Chagas' disease 337b BADRAWY MRCP Notes Classical Presentations
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