Download Case Histories for the MRCP (Hodder Arnold Publication) by Paul Goldsmith, Robert Semple PDF

By Paul Goldsmith, Robert Semple

A overview e-book in query resolution layout excellent for examination guidance for college students taking step 1 and step 2 of the forums. All questions are provided within the kind of "best of five", "pick-n-from many", advert a number of matching.Features contain in-depth causes to answers,and complete colour phtographs increase illustrative case histories.

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Extra info for Case Histories for the MRCP (Hodder Arnold Publication)

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4 A 24-year-old medical student presented with a seven-day history of fevers, sweats and right shoulder tip pain. There were no other complaints. He had spent much of his elective in South Africa two months previously, travelling in rural areas. Percussion over the lower costal cartilages was painful, and breath sounds were reduced at the right base. Examination was otherwise normal. ALP 150 U/l, liver function tests otherwise normal. CXR: raised right hemidiaphragm. 1. What is the most likely diagnosis?

Choose the most likely diagnosis from the following: a) Irritable bowel syndrome b) Jejunal diverticulosis with bacterial overgrowth c) Bile salt-induced diarrhoea d) Lactase deficiency e) Hypogammaglobulinaemia 2. 7 A 24-year-old centre forward sustained a complicated right tibia and fibula fracture following a vicious tackle from behind. The leg was placed in an external fixator. The following day he was placed on flucloxacillin for what appeared to be a wound infection. Three days later, blood tests were sent off prior to a further plating operation.

On examination an enlarged lymph node was palpable in the right cervical chain. There were no signs of local infection. His pulse was 80/min and blood pressure was 120/80 mmHg. The JVP was not raised and heart sounds were normal. There was no organomegaly. His face and ankles were swollen. Full blood count and electrolytes were normal. Albumin 24 g/l, ALT 22 U/l. Urine dipstick: protein ϩϩϩ. Microscopy of urine was normal. Light microscopy of renal biopsy was normal. 1. Choose the single most likely diagnosis from each of the two groups below: a) Tuberculosis b) Cat scratch disease c) Hodgkin’s disease 32 Questions d) Sarcoidosis e) Diabetes f) g) h) i) j) Focal segmental glomerulosclerosis (FSGS) Minimal change glomerulonephropathy (MCN) Membranous glomerulonephritis Proximal renal tubular dysfunction Glomerular hyperfiltration 2.

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