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::mrcgp sample questions::

These questions have been developed in conjunction with onmedica.net, the free portal for doctors.

Write down you answer to each question, then click to see the answers.

1. Regarding ectopic pregnancy, which TWO of the following are the most common sites for ectopic implantation? Select TWO answers only

  1. The ovary
  2. The ampulla of the fallopian tube
  3. The fimbria of the fallopian tube
  4. The isthmus of the fallopian tube

2. W hich TWO of the following are risk factors for ectopic pregnancy? Select TWO answers only

  1. Use of the combined oral contraceptive pill
  2. Use of the progestogen only pill
  3. Use of an intrauterine contraceptive device
  4. Being Caucasian

3. Regarding ectopic pregnancy, which TWO of the following investigations are the most useful in making an initial diagnosis? Select TWO answers only

  1. Urine beta HCG test
  2. Serial Serum HCG tests
  3. Abdominal ultrasound
  4. Transvaginal ultrasound

4. P elvic inflammatory disease is an important cause of ectopic pregnancy. Which of the following is the MOST common presenting symptom. Select ONE answer only

  1. Creamy vaginal discharge and pruritis
  2. Deep Dyspareunia
  3. Bilateral lower abdominal pain
  4. Dysuria

5. Which of the following is the most common causative organism in Pelvic Inflammatory Disease in the UK ? Select ONE answer only

  1. Neisseria gonorrhoea
  2. Mycoplasma genitalium
  3. Mycoplasma hominis
  4. Chlamydia trachomatis

6. Regarding Rheumatoid arthritis, which TWO of the following statements are correct? Select TWO answers only

  1. Men are affected more than women
  2. RA affects about 5% of the population
  3. T cell synovial infiltration is an early histological finding
  4. Women are affected more than men

7. Regarding investigations in patients with suspected Rheumatoid Arthritis, which ONE of the following statements are correct? Select ONE answer only

  1. Rheumatoid factor is present in 90% of patients with RA
  2. Rheumatoid factor is present in 50% of patients with RA
  3. Rheumatoid factor is present in 80% of patients with RA
  4. Rheumatoid factor is present in 60% of patients with RA

8. For each of the following statements regarding RA, answer TRUE or FALSE

  1. Rheumatoid Arthritis is an inheritable condition
  2. ulnar deviation of the fingers is due to subluxation at the proximal interphalangeal joints
  3. RA is a common cause of anaemia of chronic disease

9. Which THREE of the following are extra-articular manifestations of Rheumatoid Arthritis? Select THREE answers only

  1. Caplan's syndrome
  2. Reiter's syndrome
  3. keratoconjunctivitis sicca
  4. macular degeneration
  5. Felty's syndrome

10. Which of the following statements is correct regarding blood monitoring in the treatment of RA with Methotrexate? Select ONE answer only

  1. •  Bloods should be monitored every week for the first two months
  2. •  Bloods should be monitored every two weeks for the first two months
  3. •  Bloods should be monitored monthly for the first two months
  4. •  Bloods should be monitored every two months from commencement

11. Regarding childhood vaccinations, which TWO of the following statements are correct? Select TWO answers only

  1. A single dose of MMR vaccine protects approximately 85% of children against measles and mumps
  2. A single does of MMR vaccine protects approximately 95% of children against rubella
  3. A minimum of 6 months should elapse before administering a second dose of MMR
  4. Patients with a significant history of anaphylactic reaction to egg or egg protein should be vaccinated in a hospital setting

12. Regarding childhood vaccinations, which ONE of the following statements are correct? Select ONE answer only

  1. The new combined diphtheria, tetanus, acelular pertussis, inactivated polio and haemophilus inflenzae type B (DTaP/IPV/Hib) and meningococcal C vaccine should be given together at 2, 3 and 4 months
  2. The new combined diphtheria, tetanus, acelular pertussis, inactivated polio and haemophilus inflenzae type B (DTaP/IPV/Hib) and meningococcal C vaccine should be given together at 3, 4 and 12 months
  3. The new combined diphtheria, tetanus, acelular pertussis, inactivated polio and haemophilus inflenzae type B (DTaP/IPV/Hib) and meningococcal C vaccine should be given together with MMR at 12-15 months
  4. History of allergy to egg proteins is a contraindication to having the combined vaccine ( DTaP/IPV/Hib)

13. Regarding treatments for acne:

  1. •  Topical isotretinoin
  2. •  Topical clindamycin
  3. •  Topical benzoyl peroxide
  4. •  Oral lymecycline
  5. •  Oral co-cyprindol (oral contraceptive)
  6. •  Oral isotretinoin

For each of the following patients, select the MOST suitable treatment. You may use each option ONCE, MORE than ONCE, or not at all

13.1 A 15 year old girl presenting with mild acne affecting her face only. She has multiple comedones with no infected / severe inflammatory patches.

13.2 A 19 year old male with inflammatory acne affecting his face, back and chest. He has no scarring, and has been using topical washes and cleansers purchased over the counter for 6 weeks with no effect.

13.3 A 19 year old female who is sexually active, with moderately severe acne affecting her face, chest and back. She is not planning to have children at this stage.

13.4 A 17 year old male with severe inflammatory acne. His face is the worst affected, and this is causing him a lot of anxiety with bullying at school. He has been treated for 12 weeks with oral tetracycline with little improvement.

14. Regarding the use of oral Isotretinoin in the treatment of severe acne, which ONE of the following statements is correct? Select ONE answer only

  1. Female patients MUST avoid pregnancy while on treatment and for 6 months after completing therapy.
  2. Female patients MUST avoid pregnancy while on treatment and for 3 months after completing therapy
  3. Female patients MUST avoid pregnancy while on treatment and for 1 month after competing therapy
  4. Female patients MUST avoid using Isotretinoin in the first three months of pregnancy

15. Regarding treatment with oral isotretinoin, which TWO of the following are ABSOLUTE contraindications? Select TWO answers only.

  1. Uncontrolled hyperlipidaemia
  2. Liver disease
  3. Renal disease
  4. Hypervitaminosis A
  5. Hypertension
  6. Migraine

answers >>

 

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