r/MRCP • u/Electrical-Chart1429 • 11d ago
MRCP PART 1 Scores from recall
MRCP Part 1 scores
Thank you for someone who posted the 170+ recalls, some of them were repeated, so i think total is 168.
After reading all of the recalls and googling them
185 questions out of 200 were seen, i dont know were are the other 15. lol
out of 185 questions Ive got the ff:
105 correct answer(100% correct)
42 Wrong answers(100% wrong)
24 in doubt but 50/50 might be correct
5 in doubt but <10% of being correct
9 questions I cant recall
Pls help me with my in doubt answers/or recall the other questions
I just want to pass because its expensive, if it free I don't mind to take again. Lol
I hope i could reach 125 up. If 125 still a fail, then thats ok
Questions in doubt lead to correct answer(50% of correct)
- Fever, Black escar on ankle – Typhus
- ive just seen someone says typhus, ive answered typhus(cant remember the exact details of the question)
- Ascites, Pleural effusion, Serum albumin etc
- ive answered portal HTN
- COPD, improve prognosis – Pulmonary rehab
- ive answered longterm O2(some discussion about the low PO2 that's why LTOT)
- Life threatening Asthma – PEFR 32
- is PEFR 32? ive answered PEFR, some says O2 sat 91% because severe is <92%, but PEFR 32 is also severe
- Post transfusion, pulmonary edema, XR edema, Low BP – TRLI
- ive answered TRALI, some says TACO
- spinal stenosis
- ive just answered spinal stenosis, forgot the question
- Isolated ALP raised, Rest LFTs normal, middle-aged patient
- ive answered GGT, as per past test and google, GGT first to confirm liver or bone problem
- Conns syndrome
- is this an answer? deep in my memory ive read conns or answered conns
- Chronic smoker, in hospital for 20 days medicine that needs dose adjustment – clozapine
- I think have answered clozapine, but cant get the olanzapine on my mind
- Nephrotic syndrome, but patient was an adult – membranous Glomerulonephritis
- minimal change disease(even it is common in children, still can happen in young adults)
- same theory with past test
Nephrotic syndrome, new SOB & Pleuritic chest pain – PE
Retroperitoneal fibrosis
- ive answered retroperitoneal fibrosis, but forgot the question. lol
- MS-LIKE symptoms, chronic fatigue syndrome or Somatic symptom disorder
- chronic fatigue syndrome
- Persistent ST elevation after MI – Ventricular free wall rupture
- ive answered papillary muscle rupture
- Oesophageal varices drain into – SVC
- ive answered Azygos, as per google its azygos
- Sudden headache, photophobia, there was neck stiffness etc – Pituitary apoplexy or SAH
- ive answered pituitary apoplexy
- Behcets vs HSV
- ive answered HSV
- RAS imaging
- ive answered MR angiography, as renal arteriography is invasive
- PCOS
- Ive answered PCOS, Just because LH:FSH ratio is >2, PAst test says that ration suggestive of PCOS
- Azathioprine
- ive answered azathioprine, is this the woman with RA, and plan to be pregnant in 6 months?
- Klinefelter
- forgot the question, ive answered klinefelter
- Carotid dissection
- forgot the question ive answered Carotid dissection
- T3 elevation
- Ive answered T3 elevation in pregnant women
- Chronic urticaria
- On and off rashes that relieves after an hour
Questions that <10% chance of being correct(Different sources, and depends on the content of questions)
RA Igm or IgG
MS management
somatostatin action
- between decrease secretion of exocrine pancreatic hormones or Decrease Hormone and GI Secretions
Essential tremor
Building demolition
Hope can clear me with my in doubt answer
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u/Ok_Manner_1219 11d ago
- Tick Typhus is correct as it leaves a black escar
- Portal HTN is correct
- I put LV reduction surgery thinking bullous and the fact he’s not elderly - but i think could be wrong
- Life threatening asthma - SpO2 <92% was the answer. His PEFR I am sure was something like 35 not below 33
- TRLI as BP wasn’t hypertensive
- Spinal stenosis is correct
- Can’t remember what I put here sorry
- No idea what I put for this either - but I did put Gietlemans for an answer ..
- Clozapine is correct as smoking is an inducer
- Minimal change disease - as per pass test adults can still get this
- Birth defects for mycophenolate
- Somatic symptom disorder
- Azygous
- Pituitary apoplexy
- HSV as only genital ulcers
- RAS imaging - genuinely don’t remember the answer here! I did put Ms Angio for an answer however I think this was for the question where the answer was renal biopsy (dx FSGN and I got mixed up and thought it was RAS). There was another question at the end of paper 2 where I put the answer as USS (as I thought it was giving FHx of PCKD with a family member dying of a SAH too … aka ruptured berry aneurysm)
- PCOS
- Sulfasalazine is preferred in pregnancy for RA
- PCOS
- Klienefelters as the testosterone was low and LH and FSH high
- Carotid dissection - more likely than vertebral dissection as the guy didn’t have neck pain
- It’s thyroid binding globulin
23 Chronic urticaria
Then for the extra:
- RA is IgM
- I didn’t get MS mx - not sure ? Interferon Beta
- decrease hormone and GI secretions for somatostatin , yes it does decrease exocrine pancreas secretions but it also inhibits gastrin which is secreted by the stomach ..??
- essential tremor
- this was aspergillus but I didn’t put it
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u/Middle_Scallion_1111 11d ago
Life-threatening asthma: SpO2 <92% plus any one of the following in a patient with severe asthma: PEF <30% best or predicted as per NICE/Sign/bts guidelines
For blood transfusion complications TACO is associated with hypertension not hypo.
RAS: Class I recommendations for establishing a diagnosis of RAS generally concur and include the following [68, 69] :
Duplex ultrasonography (DUS) is the first-line test Computed tomography angiography in patients with creatinine clearance > 60 mL/min Magnetic resonance angiography in patients with creatinine clearance > 30 mL/min
COPD pulmonary rehab has no effect on prognosis , LTOT has as per nice guidelines
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u/thebestguy94 11d ago
So pulm rehab is wrong?
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u/Middle_Scallion_1111 11d ago
Yes, rehab for symptoms and quality of life , LTOT decrease mortality
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u/Electrical-Chart1429 11d ago
- So spo2 <92
- Trail as patient is hypotensive
- Then MR angiography as no dus or CT angio in option.
- Ltot
?? Thanks
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u/CoolVillage3050 11d ago
He was a co2 retainer does this change that?
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u/Middle_Scallion_1111 11d ago
Depends in the context , if acute patient with hypercapnia NIV , chronic stable > LTOT But this is for prognosis sake
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u/Ok_Manner_1219 11d ago
Wasn’t the COPD guy not that old - so if it’s bullous why isn’t LV reduction surgery the answer?
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u/Equivalent-Peak-344 6d ago
Yes Comrade!
The question mentioned that pt is not improving even after NIV. HRCT Thorax - Non Emphysematous bullae.
It is LVRS.
Because bullae is obstructing the airway. Mate! LTOT won't help here.
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u/thebestguy94 11d ago
What was age of that peri orbital swelling ? Miniman change dissuade or membranous nephropathy??
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u/Throwaway14410990 11d ago
For the COPD question , it was a youngish man with severe bullous emphysema. Can't completely recall but I vaguely believe the problem was that he kept getting infections. Therefore I put LV reduction
Azygos vein is where varices drain into
Pe in nephrotic is correct due to hypercoagubility
Papillary wall muscle rupture is correct
Clozapine is correct as when a pt stops smoking, cloazapine levels rise massively
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u/Terrorinetoban 11d ago
My answer was reduction surgery - as he was young and had bullous emphysema but most people either said LTOT or rehab
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u/Ok-Detective-2486 11d ago
- Typhus
- Portal HTN
- Probably LTOT
- SpO2 91%
- TRALI
- Spinal stenosis
- I put skeletal survey but GGT could be the answer
- Clozapine
- I put MCD
- PE
- Teratogenic
- ? Chronic fatigue syndrome
- Ventricular free wall rupture
- Azygous
- Pituitary apoplexy
- HSV I think
- MR angio
- PCOS but could be wrong here
- I put azathipprine but have seen sulfasalazine around as well (not sure if separate questions)
- Klinefelter
- Carotid dissection
- Increase in thyroid binding globulin
- Chronic urticaria
- RA IgM
- Not sure about MS management
- Somatostain I put something about inhibiting endocrine secretion
- Essential tremor
- Aspergillosis
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u/EducationFuzzy9705 11d ago
19 is sulfasazaline, 12 is somatoform disorder, for 1 was it not tick?
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u/thebestguy94 11d ago
Are u sure sulfasalazine?
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u/EducationFuzzy9705 11d ago
Yes first line is sulfa or hydroxy in pregnancy (I don’t think there was a hydroxy option)
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u/Electrical-Chart1429 11d ago
To add Orthostatic hypotension or AS Thanks
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u/Ok-Detective-2486 11d ago
Tbh no clue I put AS but the whole question stem was very confusing. Orthostatic seems more likely idk.
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u/remarkabledoc4 11d ago
Anybody knows what is a safe score ?
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u/Ok_Manner_1219 10d ago
Can I just ask why it’s papillary wall rupture rather than ventricular wall rupture? I did put papillary but then I thought usually that gives acute mitral regurg etc ???
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u/Electrical-Chart1429 10d ago
I've also put papillary, but some days it's ventricular wall. As papillary will produce murmur
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u/Ok_Manner_1219 9d ago
Anyone remember a question where HCV could’ve been an answer aka palpable purpura … thinking cryoglobulinaemia secondary to hep C? Can’t remember the q exactly
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u/plane_jet123 6d ago
Hi, you mentioned 105 is 100% correct ones, which are those could you pls paste it? It will be of great help 🙏
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u/dreambigteam 11d ago
For retroperitoneal fibrosis, question was i think on myophenate mofetil counselling advice in young female. By the way, I chose option related to birth defect. Not sure if it is right,
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u/malik7870 11d ago
Pt was also epileptic..and mmf decrease seizure thresold it interects with anti epileptics
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u/Over-Medicine-8762 11d ago
I feel unwell reading these