ConciseMRCP

Educating MRCP candidates since 2008

[ConciseMRCP @ConciseMRCP]

If a patient has diplopia, it is the outermost image that is the abnormal image

Cover each eye in turn

If the inner image disappears, you have covered the good eye

If the same image disappears covering each eye or changes on reexamination consider psychogenic

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[ConciseMRCP @ConciseMRCP]

Wegener = C-ANCA = pR3
Churg & MPA = P-ANCA = MPO

PAN = ANCA -'ve

Wegener's new name GPA (Granulomatosis with polyangiitis)
Churg Strauss new name eGPA (Eosinophilic Granulomatosis with polyangiitis)

Ulcerative colitis = p-ANCA
Crohn's = ASCA

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[ConciseMRCP @ConciseMRCP]

Finding on blood film (exams)

Pencil cells = iron deficiency
Tear drops = Myelofibrosis
Heinz bodies = G6PD
Smear (smudge) cells = CLL
Howell Jolly bodies = missing spleen
Helmet / fragmented cells = MAHA
Burr cells = Uraemia
Basophilic stippling = Lead poisoning

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[ConciseMRCP @ConciseMRCP]

Summary of abnormalities on EMG

Increased amplitude with repeated stimulation = LEMS
Decreased amplitude with repeated stimulation = Myasthenia
Divebomber = Myotonic dystrophy
Reduced amplitude and duration with fibrillation = Myositis

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[ConciseMRCP @ConciseMRCP]

Factors 10 9 7 2 are reduced by Warfarin
Factors 10a 9a 2a are inhibited by IV Heparin

The only numerical difference in their site of action is factor 7 which is why Heparin doesn't affect the extrinsic clotting cascade

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[ConciseMRCP @ConciseMRCP]

Type 1 RTA = Loss of ability to secrete H+ ions in DCT
Type 2 RTA = Loss of ability to resorb HCO3- in PCT
Type 4 RTA = Same as spironolactone

Your blood is acidic and your urine alkaline.
Simple

(Type 3 doesn't exist anymore)

[ConciseMRCP @ConciseMRCP]

Booking open for March 25th - 26th MRCP written, weekend revision course.

Free to Wessex trainees

Book on https://t.co/NFAlNoMrjH

See you there!

[ConciseMRCP @ConciseMRCP]

Free for Wessex trainees.

A few places left for this weekends course (14th & 15th Jan).

Book via webpage

[ConciseMRCP @ConciseMRCP]

Causes of lung fibrosis - upper lobe predominant

TB Tuberculosis
EAA Extrinsic allergic alveolitis
ABPA Allergic bronchopulmonary aspergillosis

Silicosis
Sarcoidosis

Histiocytosis x

[ConciseMRCP @ConciseMRCP]

Free sitting of conciseMRCP part 1 revision course Aug 11th 12th.

All course fees will be refunded on attendance.

In celebration of 10th Anniversary

Visit https://t.co/F3r0ObVdOY to book a place

[ConciseMRCP @ConciseMRCP]

Westermark sign

A dark section of lung due to a PE
(Oligaemic section due to lack of perfusion)

[ConciseMRCP @ConciseMRCP]

Remember to practice 10 questions at a time before looking at whether you got the answers right.

You need to learn to maintain your confidence going forward, one question at a time, despite not knowing how you are performing.