MRCP Classical Diagnostics
& Keywords
Dr. Sherif Badrawy
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
❂ Anti gastric parietal cell Abs
+ve
❂ Anti intrinsic factor Abs +ve
❂ Macrocytic anemia
1a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pernicious Anemia
1b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Digitally signed
by Dr.Sherif
Badrawy
Date:
2015.12.04
22:09:19 +03'00'
❂ Hypochromic microcytic
anemia
❂ BM: sideroblasts & ↑ iron
stores
2a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sideroblastic anemia
2b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Flow cytometry of blood
↓CD59 & CD55
3a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Paroxysmal nocturnal Hburia
3b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
◥ 【↑ Hb & Hct】
◥ 【JAK2 mutation】
◥ 【↑ (LAP)】
◥ 【↓ESR】
4a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Polycythemia Rubra Vera
4b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✱ Anemia
✱【'Tear-drop'
poikilocytes】on blood film
✱【'DRY TAP'】
✱ ↑(LAP)
5a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Myelofibrosis
5b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pancytopenia despite a
hypercellular bone marrow
Pelger-Huet cells
↑ MCV, nucleated red cells, &
a small number of blasts
6a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Myelodysplasia
6b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Philadelphia chromosome
95% of pts = "BCR-ABL,"
★ low LAP score
★ 【Blasts < 5 %】
★ ↑ Basophils
★ hypercellular BM
7a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chronic Myeloid Leukemia
7b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ ↑WBCs +【BLASTS 】± ↓RBCs
,↓Platlets or even ↓WBCs
★ AUER ROD ➜ an esoinophilic
neede like inclusion bodies in
cytoplasm of blast cells
★ Myeloperoxidase
8a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute Myeloid Leukemia
8b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
◙【IMMUNOPHENOTYPING】➜most
of the cells are B-cells (CD19
positive). CD5 & CD23
◙ WBC ≥ 20,000 é ≥ 80%
lymphocytes.
◙ Blood film: smear or smudge cells
9a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chronic Lymphocytic
Leukemia
9b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blood smear ➜ B-cells é
filamentous projections
TRAP stain positive
10a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hairy Cell Leukemia
10b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ ↑WBCs +【BLASTS 】± ↓RBCs
,↓Platlets or even ↓WBCs
★ Terminal Deoxynucleotide
Transferase 【TdT】
★ CXR: mediastinal mass
11a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute Lymphoblastic Leukaemia
★ Bone marrow biopsy ➜
Diagnostic
★ Immunophenotyping,
establish whether the "blast" cells
origin is B or T lymphocytes
11b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✸ Widespread lymphadenopathy
✬ Normal CBC
✬ CT scan of the chest,
abdomen, & pelvis ➜
lymphadenopathy
12a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Non-Hodgkin Lymphoma
best initial test is an
excisional biops
12b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✸ Widespread lymphadenopathy
✬ Normal CBC
✬ CT scan of the chest, abdomen,
& pelvis ➜ lymphadenopath
✬ Bone marrow biopsy ➜ 【Reed-
Sternberg cells】
13a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hodgkin's lymphoma
13b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Antiplatelet Abs ➜IgG
BM➜ megakaryocytes
14a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ITP
14b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
❅ ↑Transferrin saturation >
55% in men or > 50% in ♀
❅ ↑Ferritin (e.g. > 500 ug/l) &
iron
❅ ↓TIBC
15a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hemochromatosis
15b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
investigation of choice for
upper airway compression ?
16a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Flow volume loop
16b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ix of choice in patients with
cytology negative exudative
effusions ?
17a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
LOCAL ANAESTHETIC
THORACOSCOPY
17b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ix of choice and required to
make a diagnosis of IPF ?
18a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CT chest
18b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
most accurate test for
sarcoidosis ?
19a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lymph node biopsy ➜ non-
caseating granulomas
19b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Most accurate test for
Bronchiectasis ?
20a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
high-resolution CT scan
20b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Most accurate test for
Obstructive Sleep Apnoea ?
(OSA)
21a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
【POLYSOMNOGRAPHY】
(sleep study)
21b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Best Dx study for PE ?
22a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
【CT Pulmonary
Angiography】
【CTPA is -Ve ➜ Pts don't
need further Ix or Rx for PE
】
22b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Legionella pneumonia ?
23a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
▦ Urinary Ag
23b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Cystic fibrosis ?
24a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sweat test: 2 reliable +Ve
results on 2 separate days is
Dx for CF. it is +Ve when
chloride is > 60
24b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best test to Dx Cushing's
syndrome ?
25a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ overnight dexamethasone
suppression test (failure to
suppress cortisol < 50 is highly
suggestive for cushing)
✯ 24 hour urinary free cortisol is
the next best answer
25b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best test to Dx Conn's
Syndrome ?
26a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Renin:Aldosterone Ratio
26b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best test to diagnose
Addison's disease ?
27a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
short synacthen test
27b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best screen test for Zollinger-
Ellison Syndrome ?
28a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Fasting gastrin levels done in
3 different days as the
gastrin
secretion is pulsatile
28b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best single test for classifying
ascites ?
29a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
SAAG
29b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx tool of choice for Ischemic
Colitis ?
30a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Colonoscopy
30b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
best single test for Prosthetic
Valve Thrombosis ?
31a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
transoesophageal
echocardiography
31b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
BNP(< 100pg/ml) ?
32a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ HF unlikely
✯ BNP is a helpful test to r/o
a Dx of HF
32b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Klinefelter Syndrome ?
33a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Karyotyping
33b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Vitamin D-Resistant
Rickets ?
34a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
• Normal serum calcium,
↓phosphate, elevated alkaline
phosphotase
↑urinary phosphate
✯ cupped metaphyses é widening
of the epiphyses on X-ray
34b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Amyloidosis ?
35a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Biopsy of the rectum +
Congo red stain amyloid
proteins appear apple-green
on microscopy
35b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Systemic Mastocytosis
(neoplastic proliferation of
mast cells) ?
36a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ↑serum tryptase levels
✯ Urinary histamine
36b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Syringomyelia ?
37a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MRI is the Ix of choice
37b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of Subclavian Steal
Syndrome ?
38a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Duplex ultrasound & MRA
38b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hereditary spherocytosis
39a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Osmotic fragility test
39b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
G6PD
40a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Heinz bodies on blood
films
✯ G6PD enzyme assay
40b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
insulin abuse
41a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
↑Insulin é ↓ C-Peptide
41b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hyperosmolar
Hyperglycaemic State
42a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Glucose > 33.3
Serum osmolality > 320
pH > 7.30
± Traces of ketonuria
42b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
DKA
43a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Blood glucose >13.8
✯ pH < 7.30
✯ Serum bicarbonate <18
✯ Anion gap > 10
✯ Ketonemia
43b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Insulinoma
44a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Supervised, prolonged
fasting (up to 72 hours)
✯ ↑insulin
✯ ↑C-peptide
✯ CT pancreas
44b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Metabolic syndrome
45a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ waist circumference: men > 102 cm, ♀>
88
✯ triglycerides: > 1.7
✯ HDL: < 1.03 ♂s,< 1.29 ♀s
✯ blood pressure: > 130/85 or active Rx of
HTN
✯ fasting plasma glucose > 5.6 or
previously diagnosed DM2
45b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
most important Dx test for
Achalasia ?
46a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
esophageal manometry
46b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Angiodysplasia
47a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Colonoscopy
✯ Mesenteric angiography if
acutely bleeding
47b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Paracentesis: neutrophil
count > 250 cells/ul
48a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Spontaneous bacterial
peritonitis
48b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-mitochondrial Abs (AMA)
M2 98% of Pts
Smooth muscle Abs
↑serum IgM
49a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Primary Biliary Cirrhosis
49b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Primary sclerosing
cholangitis
50a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ MRCP Ix of choice
✯ ERCP
✯ ± ANCA +ve
✯ limited role for liver biopsy
50b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
↓ serum ceruloplasmin
↑24hr urinary copper
excretion
51a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wilson's Disease
51b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cyanide-nitroprusside test
52a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cystinuria ,Homocystinuria
52b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Monoclonal proteins in the
serum & urine
↑plasma cells in the BM
Bone lesions on the skeletal
survey
Hypercalcemia
53a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Multiple Myeloma
✯ (Bence Jones proteins)
53b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ambulatory 24H BP monitor
54a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
When Dx of HTN is unclear
54b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mycoplasma
55a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mycoplasma serology
55b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dx of occupational Asthma
56a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Serial measurements of PEFR
at work & away from work
56b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hereditary Angioedema
57a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ C1-INH level is ↓
✯ ↓C2 & C4 levels are seen,
even bw attacks
57b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Α-1 Antitrypsin (A1AT) ↓
58a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
A1AT concentrations
58b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Subarachnoid Hge
59a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ CT: Diagnostic, may be -Ve
in 5%.
✯ LP: done after 12 Hrs
(allowing time for
xanthochromia to develop)
59b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wernicke Encephalopathy
60a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ↓ Red cell transketolase
✯ MRI
60b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
functional seizures
61a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Video telemetry is the gold
standard
61b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Myasthenia Gravis
62a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Tensilon test: IV edrophonium
↓ muscle weakness temporarily
✯ CT thorax to exclude thymoma
✯ CK normal
62b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acoustic Neuromas
63a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MRI of the cerebellopontine
angle is the Ix of choice
63b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HSV Encephalitis
64a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ CSF: lymphocytosis, elevated
protein
✯ PCR for HSV
✯ CT temporal changes (e.g. Petechial
Hges) (MRI is better)
✯ EEG lateralised periodic discharges
at 2 Hz
64b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Von Willebrand's disease
65a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Slightly elevated APTT
✯ ↓ factor VIII activity
✯ Prolonged bleeding time
✯ Defective platelet
aggregation é ristocetin
65b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Primary
Hyperparathyroidism
66a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ↑calcium, ↓phosphate
✯ PTH may be ↑or normal
66b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Diabetes Insipidus
67a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ↑plasma osmolarity,
↓urine osmolarity
✯ Water deprivation test
67b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Carcinoid syndrome
68a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Urinary 5-HIAA
68b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bacterial overgrowth
69a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
the gold standard Ix is small
bowel aspiration & culture.
69b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
GERD
70a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
24hr esophageal pH
monitoring is gold standard
Ix
70b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Gastric cancer
71a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
endoscopic ultrasound has
recently been shown to be
superior to CT
71b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chronic Pancreatitis
72a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Abdominal x-ray shows
pancreatic calcification in 30%
✯ CT is more sensitive at
detecting pancreatic calcification
72b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Crohn's disease
73a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Colonoscopy is the Ix of
choice
73b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Whipple's disease
74a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Jejunal biopsy deposition of
macrophages containing PAS
+ve
granules
✯ ↑CRP & ESR
✯ Hypoalbuminemia
74b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Renal artery stenosis
75a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MR angiography is now the
Ix of choice
75b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Renal biopsy: linear IgG deposits
along basement membrane
↑transfer factor secondary to
pulmonary Hges
76a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Goodpasture's syndrome
76b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
↓ Ca2, PO3,vitamin D】 ,
【↑ALP】
X-ray translucent bands
【Looser's zones or
pseudofractures】
77a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Osteomalacia
77b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Temporal Arteritis ,
Polymyalgia Rheumatica
78a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ESR > 50 mm/hr
✯ Temporal artery biopsy:
skip lesions
✯ CK & EMG normal
✯ ↓ CD8+ T cells
78b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sjogren's syndrome
79a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ (RF) +Ve in ≅ 100%
✯ ANA +Ve in 70%
✯ Anti-Ro (SSA) Abs in 70%
✯ Anti-La Abs in 30%
✯ Schirmer's test
✯ Biopsy ➜ focal lymphocytic
infiltration
79b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Arrhythmogenic Right
Ventricular Cardiomyopathy
80a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Inverted T-wave V1-3 (epsilon
wave)
✯ ECHO ➜ enlarged, hypokinetic
right ventricle é a thin free wall
✯ MRI ➜ fibrofatty tissue
80b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
PCP
81a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ CXR ➜ bilateral interstitial
pulmonary infiltrates
✯ BAL ➜ silver stain
81b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Allergic bronchopulmonary
aspergillosis
82a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Eosinophilia
✯ Flitting CXR changes
✯ +Ve radioallergosorbent
(RAST) test to aspergillus
82b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Aspergilloma
83a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ CXR containing a rounded
opacity
✯ ↑titres Aspergillus
precipitins
83b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chlamydia
84a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Traditional cell culture is
no longer widely used
✯ Nuclear Acid Amplification
Tests (NAATs) Ix of choice
84b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Toxoplasma Gondii
85a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Toxoplasma Ab test
✯ Sabin-Feldman dye test
85b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Polycystic ovarian syndrome
86a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Pelvic ultrasound Ix of choice
✯ ↑LH:FSH ratio is a 'classical' feature but
is no longer thought to be useful is Dx
✯ Prolactin may be normal or mildly
elevated.
✯ Testosterone may be normal or mildly
elevated
86b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Venous Ulceration
87a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ankle-brachial pressure
index
87b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Microcytic anemia
basophilic stippling
↑serum & urine levels of D-
ALA
↑Urinary coproporphyrin
88a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lead Poisoning
88b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screening for
hemochromatosis
89a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ General population: transferrin
saturation > ferritin
✯ transferrin saturation < 45% excludes
the diagnosis
✯ ferritin > 1000 a liver biopsy should be
performed and Rx initiated.
✯ Family members: HFE genetic testing
89b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening test for Acromegaly
90a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Serum IGF-1
✯ & is sometimes used to
monitor disease
90b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening test for Colorectal
cancer
91a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Fecal occult blood testing is the
only method to have been
proven to ↓ mortality (about
20%)
✯ sigmoidoscopy & colonoscopy
91b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HNPCC screening for ↑risk
group
92a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Colonoscopy every 2 years
from 20 to 40 years age ➜
annually
✯ Check mutation in DNA or
mismatched repair gene
92b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening for concomitant UC
& PSC
93a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ ↑risk of developing colonic
cancer, & it is recommended to be
screened annually é colonoscopy
✯ Pts post-liver transplant for PSC
still should have yearly screening
93b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening for extensive UC
94a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
should be screened 8 to10
years from the onset of Sx.
by Colonoscopy
94b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Coeliac disease screening in
IBS
95a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
antiendomysial Abs or tissue
transglutaminase
95b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening Hepatitis B & HIV
in pregnancy
96a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
All pregnant ♀are offered
screening for hepatitis B &
HIV
96b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HCC Screening for ↑risk
groups
97a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Screening é ultrasound (+/- α-
fetoprotein)
✯ cirrhosis secondary to
hepatitis B & C or
hemochromatosis,
alcohol
97b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screening for ADPKD
98a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ screening Ix for relatives is
abdominal ultrasound
✯ Associtaed conditions
✯ Colonic diverticula ➜ Screen
by barium enema
✯ MVP ➜ ECHO screening
98b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screening for DM
Nephropathy
99a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ All Pts should be screened
annually
✯ Albumin:Creatinine ratio
✯ ACR > 2.5 =
microalbuminuria
99b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dermatomyositis & Screening
100a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screen for malignancy by U/S
abdomen + pelvis-
(♀)/+PSA(♂) - CT chest might
be needed
100b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
modt accurate Screening for
TB ?
101a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mantoux test
101b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screening for Chlamydia
102a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
all sexually active Pts aged
15-24 years
102b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Asymptomatic bacteriuria in
routine Screening of
pregnancy ?
103a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
should be Rx é an antibiotic
for 7 days
103b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screening in Pelvic
inflammatory disease
104a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Screen for Chlamydia &
Gonorrhoea
104b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MUGA
105a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ measure left ventricular
ejection fraction. Typically
used before & after
cardiotoxic drugs are used
105b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cardiac CT
106a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ useful for assessing suspected
IHD
✯ Calcium score
✯ Contrast enhanced CT ➜
visualization of the coronary
artery lumen
106b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cardiac MRI
107a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ congenital heart disease
✯ cardiomyopathy
107b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-Ro Ab
108a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sjogren's syndrome, SLE,
congenital heart block
108b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-La Ab
109a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sjogren's syndrome
109b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-Jo 1 Ab
110a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
polymyositis
110b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-SCL-70 Ab
111a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
diffuse cutaneous systemic
sclerosis
111b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-centromere Ab
112a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
limited cutaneous systemic
sclerosis
112b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Primary CNS lymphoma
113a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CT: usu. single ring
enhancing lesions
113b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cerebral Toxoplasmosis
114a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CT: usu.multiple ring
enhancing lesions
114b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cerebral Tuberculosis
115a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CT: Single enhancing lesion
115b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
screening for Hematuria
116a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Current evidence ➜ NO screening
for hematuria.incidence of non-
visible hematuria = Pts taking
aspirin/warfarin to the general
population ➜ should be Ix for
bladder cancer if there's hematuria
116b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lyme disease -
117a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ELISA test for antibodies to
Borrelia burgdorferi
117b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pulmonary embolism (history
of CKD stage 4),Best Ix
118a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ventilation-perfusion scan
118b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pulmonary embolism (no
past medical history),Best Ix
119a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CTPA
119b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
high LH and normal/high
testosterone
120a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Androgen insensitivity
syndrome
120b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
low LH and low testosterone
121a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Kallman's syndrome
121b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
High LH and low testosterone
122a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ Klinefelter's syndrome
✯ XXY in chromosome
analysis
122b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Low LH and High
testosterone
123a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Testosterone-secreting
tumour
123b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
fluid deprivation causes a
urine osmolality > 300
mOsm/kg
124a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ psychogenic (primary)
polydipsia
✯ in DI there's inability to
concentrate the urine
124b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
benign paroxysmal positional
vertigo Ix of choice
125a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dix-Hallpike manoeuvre
125b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hyposplenism
126a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Howell-Jolly bodies
target cells
Pappenheimer bodies
siderotic granules
acanthocytes
126b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Thalassaemia
127a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✯ basophilic stippling
✯ target cells
✯ Heinz bodies
127b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Apple-green birefringence on
Congo red staining
128a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
amyloidosis
128b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Thickened basement
membrane with subepithelial
electron dense deposits
creating a 'spike and dome'
appearance
129a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
membranous
glomerulonephritis
129b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
diagnosis of haemochronnatosis
as suggested by the presentation
and laboratory investigations
including elevated ferritin.
The next investigation would be
measurement of
130a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
transferrin saturation, if elevated
(above 45%),then
genotyping (homozygosity for C282y
mutations) would be expected to
clinch the diagnosis.
In rarer mutations confirmation with
liver biopsy may be required.
130b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
unprovoked VTE event ➜ Ix for
an underlying malignancy in all
patient groups. This should be
done with
131a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
◒ Hx & examination.
◒ chest x-ray
◒ calcium levels and liver function,
◒ a urinalysis
Thrombophilia screen isn't the 1st Ix.
131b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Contrast induced
nephropathy definition ?
132a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✼ a 25% increase in serum creatinine
within 48-72 hours of contrast injection.
✼ Cholesterol atheroemboli may present
in a similar way, but associated with
multiorgan and skin involvement, and the
renal impairment is progressive.
132b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
multiple sclerosis pt, MRI of
the brain is inconclusive (NO
demyelination plaques of
MS), next step ?
133a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✼ MRI spinal cord ➜ look for
demyelination plaquesquite
specific for MS
✼ NOT CSF examination for
oligoclonal bands ➜ less specific
than MRI spinal cord
133b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Duration for Cholesterol
embolization to occur post
coronary angiography ?
134a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cholesterol embolization had
been reported to occur FOR
SEVERAL MONTHS following
coronary angiography.
134b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
anti-saccharomyces
cerevisiae antibodies +ve in ?
135a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Crohns disease
135b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
How to DD bw pleural thickening,
organised empyema or
mesothelioma, and also to
obtain tissue to DD
mesothelioma from other
primary or metastatic cancers ?
136a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Video assisted thoracoscopic
biopsy (VATS)
136b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
PCOS is associated with
androgen excess and ↑LH to
FSH ratio, BUT NOT ?
137a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
not associated with rises in
estradiol or progesterone.
137b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Extrinsic allergic alveolitis
synonym name ?
138a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hypersensitivity pneumonitis
138b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
alarm bells in this history
which should make you think
about Viral Haemorrhagic
Fever:
139a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✺ Travel to endemic region
✺ Onset of symptoms within 21
days of return
✺ Attendance at funeral
✺ Other deaths and hospital
closures
139b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute rejection timing ?
140a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
✱ occurs within 6 months
✱ typically presents with S &
S of infection
✱ Chronic rejection is after 6
months from transplant.
140b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CP of Acute portal vein
thrombosis ?
141a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
RUQ pain, vomiting, ±fever. It is unlikely
to have any features of portal
hypertension and the LFTs are only mildly
deranged.
141b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
If there is a 'white-out' of a hemithorax
it is useful to assess the position of
the
trachea - is it central, pulled or pushed
from the side of opacification ?
142a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
142b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cryoglobulinaemic
peripheral neuropathy ?
143a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
dt a small-vessel vasculitis
sensorimotor, or purely
sensory.
143b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
causes of Type 4 RTA
(hyperkalaemic) ?
144a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
DM, hypoaldosteronism (a
deficiency of aldosterone, or
to a resistance to its effects)
144b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Councilman bodies in the
liver, Think ?
145a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Yellow Fever
145b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Karyotyping of Turner's
syndrome ?
146a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
45X0
146b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
In the Ix of amenorrhoea, LH
and FSH may be reduced in ?
147a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
young ♀ with excessive weight
loss ➜ can cause decreased
levels of gonadotrophins. This is
often the case with athletes or
patients with anorexia
147b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
DD bw MND & MMN
(multifocal motor
neuropathy) ?
148a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
❀ Both cause weakness, wasting, and
fasciculation + preserved reflexes, and normal
sensation.
❀ bulbar weakness in MND but not in MMN
❀ MND may have upper motor neuron signs but
MMN is a purely lower motor neuron
❀ MND fatal within 5 years, MMN is slowly
progressive over decades and no respiratory
failure
148b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Diagnosis of asymptomatic
myeloma
both of the following are
needed ?
149a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
1) Monoclonal plasma cells in
BM: at least 10%, OR monoclonal
protein at least 30 g/L
2) Absence of myeloma related
organ/tissue dysfunction
149b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
diagnosis of symptomatic
myeloma ?
All three of the following are
needed
150a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
1) Monoclonal plasma cells in BM: at least
10%
2) Monoclonal protein in serum or urine
(but if non-secretory at least 30%
monoclonal plasma cells in BM)
3) Myeloma-related organ impairment
(hypercalcaemia, anaemia and lytic bone
lesions)
150b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
eaton - Lambert syndrome ?
151a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Abs to voltage gated calcium
channels
151b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pulsus parodoxus
152a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ severe asthma
★ cardiac tamponade
152b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bartter's syndrome
153a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HYPOKALEMIA +
normotension
153b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Colorectal cancer +
endocarditis
154a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Streptococcus bovis
154b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Slow-rising/plateau pulse
155a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
aortic stenosis
155b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bisferiens pulse
156a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
mixed aortic valve disease
156b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Perseveration
157a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
frontal lobe lesion
157b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wernicke's aphasia
158a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
temporal lobe lesion
158b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Third heart sound
159a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
left ventricular failure
159b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Jerky pulse
160a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HOCM
160b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Howell-Jolly bodies -
161a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hyposplenism
161b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
chronic lymphocytic
leukaemia
162a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hypogammaglobulinaemia
162b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Type 1 renal tubular acidosis
163a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
renal stones
163b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Transformation to high-
grade lymphoma
164a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
chronic lymphocytic
leukaemia
164b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Small bowel lymphoma
165a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
coeliac disease
165b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Collapsing pulse -
166a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ patent ductus arteriosus
★ aortic regurgitation
166b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
widely split S2
167a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Deep inspiration
★ RBBB
167b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
reversed split S2
168a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ LBBB
★ PDA
168b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ischaemic changes in leads I,
aVL +/- V5-6
169a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
left circumflex
169b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pulsus alternans
170a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
severe LVF
170b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Loud S1
171a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
mitral stenosis
171b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Schistocytes ('helmet cells') -
172a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
intravascular haemolysis
172b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Gerstmann's syndrome
173a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
parietal lobe lesion
173b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Prosopagnosia (difficulty
recognising faces)
174a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
temporal lobe lesion
174b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
S2
fixed split S2
175a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Atrial septal defect
175b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
soft S2 - a
176a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ortic stenosis
176b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Tall R waves V1-2
177a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Usually left circumflex, also
right coronary
177b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hypersegmented neutrophils
-
178a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
megaloblastic anaemia
178b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Salicylate poisoning (initial
stages) -
179a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
respiratory alkalosis
179b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pulmonary haemorrhage
have on (TLCO)
180a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
raised TLCO
180b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Extravascular haemolysis -
181a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
warm AIHA
181b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Type 2 renal tubular acidosis
182a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
osteomalacia
182b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Heinz bodies -
183a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
G6PD
183b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Target cells -
184a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ hyposplenism
★ liver disease
★ Sickle-cell anaemia
184b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
C5-9 deficiency
185a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Neisseria meningitidis
infection
185b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
C5 deficiency
186a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Leiner disease
186b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hepatitis B vaccine type
187a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
extracts of the
organism/virus
187b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
deficiency of cystathionine
beta synthase
188a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Homocystinuria
188b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
disinhibition
189a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Frontal lobe lesion
189b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Variable intensity of S1 -
190a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
complete heart block
190b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Podocyte fusion on electron
microscopy
191a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
minimal change disease
191b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mesangial hypercellularity
192a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
IgA nephropathy
192b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
t(9:22)
193a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chronic myeloid leukaemia -
193b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Epithelial crescents in
Bowman's capsule
194a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Wegener's granulomatosis
★ Goodpasture's syndrome
194b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Type 4 renal tubular acidosis
195a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Diabetes mellitus
195b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute epiglottitis -
196a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Haemophilus influenzae
196b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Left-to-right shunts
197a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
loud S1
197b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pencil poikilocytes -
198a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
iron-deficiency anaemia
198b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
expressive (Broca's) aphasia
199a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Frontal lobe lesions
199b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cryoglobulinaemia
200a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hepatitis C complication -
200b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
A paradoxical rise in the JVP
during inspiration
201a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
constrictive pericarditis
201b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lymphogranuloma
venereum -
202a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chlamydia trachomatis
202b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Psoriasis may be worsened
by
203a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
beta-blockers
203b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
squamous cell carcinoma of
the bladder cancer
204a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Schistosomiasis
204b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
homonymous hemianopia
(with macula sparing)
205a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Occipital lobe lesions
205b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blood pressure target (> 80
years, clinic reading) -
206a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
150/90 mmHg
206b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blood pressure target (< 80
years, clinic reading) -
207a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
140/90 mmHg
207b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blood pressure target (> 80
years, ABPM / HBPM
reading)
208a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
145/85 mmHg
208b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blood pressure target (< 80
years, ABPM / HBPM
reading)
209a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
135/85 mmHg
209b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
PR depression -
210a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pericarditis
210b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
defect in the HNF-1 alpha
gene
211a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MODY 3 -
211b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Auditory agnosia
212a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
temporal lobe lesion
212b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
a non-pulsatile raised JVP
213a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
SVC obstruction
213b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
an absent A wave in the JVP
214a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Atrial fibrillation
214b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acalculia
215a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
parietal lobe lesion
215b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Coeliac disease complication
-
216a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
osteoporosis
216b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
atrial septal defect murmur
217a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ejection systolic murmur
217b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
T-cell disorder -
218a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
DiGeorge syndrome
218b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Giant V waves in the JVP
219a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tricuspid regurgitation
219b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
C3 deficiency
220a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Recurrent bacterial infections
220b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cobble-stone appearance on
endoscopy
221a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Crohn's disease
221b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sensory inattention
222a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
parietal lobe lesion
222b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
WPW type B
223a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
reversed split S2
223b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mismatched blood
transfusion
224a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
intravascular haemolysis
224b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
homonymous hemianopia
with macula sparing
225a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Occipital cortex lesion
225b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cannon A waves in the JVP
226a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ventricular tachycardia
226b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
massive splenomegaly
227a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Chronic myeloid leukaemia
★ Gaucher's syndrome
★ Malaria
★ Visceral leishmaniasis
★ Myelofibrosis
227b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Alexia
228a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
parietal lobe lesion
228b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
NICE guidelines on
hypertension, the criteria for
considering immediate
treatment
229a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
180/110 mmHg
229b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pappenheimer bodies -
230a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hyposplenism
230b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Friedreich's ataxia
231a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Hypertrophic obstructive
cardiomyopathy
★ Diabetes mellitus
231b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Axillary/groin freckles
232a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
neurofibromatosis
232b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
alpha-synuclein cytoplasmic
inclusions in the substantia
nigra, paralimbic and
neocortical areas
233a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lewy body dementia -
233b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Apraxias
234a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
parietal lobe lesion
234b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Common variable
immunodeficiency
235a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
B-cell disorder
235b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wiskott-Aldrich syndrome
236a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
combined B- and T-cell
disorder
236b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Granuloma inguinale -
237a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Klebsiella granulomatis
237b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ghrelin -
238a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
increased appetite
238b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Gram-negative cocci
239a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Neisseria meningitidis
★ Neisseria gonorrhoeae
★ Moraxella catarrhalis
239b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Warm AIHA
240a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
chronic lymphocytic
leukaemia
240b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Siderotic granules -
241a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hyposplenism
241b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
linear IgG deposits along
basement membrane
242a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Goodpasture's syndrome -
242b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Holosystolic murmur, 'harsh'
in character
243a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ventricular septal defect
243b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Holosystolic murmur, high-
pitched and 'blowing' in
character
244a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ mitral regurgitation
★ tricuspid regurgitation
244b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Loud S2 -
245a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ hyperdynamic states
★ hypertension (pulmonary
& systemic)
★ ASD without pulmonary
hypertension
245b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
t(8:14)
246a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Burkitt's lymphoma -
246b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
antibodies directed against
pre-synaptic voltage gated
calcium channel in the
peripheral nervous system
247a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lambert-Eaton myasthenic
syndrome -
247b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
defect in the glucokinase
gene
248a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
MODY 2 -
248b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Deficiency of homogentisic
acid
249a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
alkaptonuria
249b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Defect in the ATP7B gene
250a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wilson's disease
250b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
spotty skin pigmentation,
myxoma, endocrine tumours
251a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Carney complex
251b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hemiballism
252a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
subthalamic nucleus of the
basal ganglia lesion
252b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
substantia nigra of the basal
ganglia
253a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Parkinson's disease
253b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Kantor's string sign
254a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Crohn's disease -
254b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
medial thalamus and
mammillary bodies of the
hypothalamus
255a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wernicke and Korsakoff
syndrome
255b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Rheumatic fever ECG
256a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
a prolonged PR interval
256b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Atrial septal defect (ostium
secundum) ECG
257a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ right axis deviation
★ right bundle branch block
257b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
chancroid
258a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Haemophilus ducreyi.
258b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Infective endocarditis
Streptococcus mitis
259a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
patients who've had dental
procedures
259b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Coxiella burnetti
260a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Q fever
260b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
burr cells (echinocytes)
261a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pyruvate kinase deficiency
261b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
basophilic stippling + target
cells + Heinz bodies
262a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Thalassaemia
262b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bartonella henselae
263a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cat scratch disease -
263b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mid-late diastolic murmur,
'rumbling' in character
264a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ mitral stenosis
★ Austin-Flint murmur
(severe aortic regurgitation)
264b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bombesin Tumour marker of
265a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ small cell lung carcinoma
★ neuroblastoma
265b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Duodenal atresia
266a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Down syndrome
266b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
B cell lymphoma of MALT
tissue
267a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Helicobacter pylori
267b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Burkitt's lymphoma
268a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Epstein-Barr virus
268b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Meconium ileus
269a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cystic fibrosis
269b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Breakdown of large
molecules such as proteins
and polysaccharides
270a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
lysosome
270b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Modifies, sorts, and packages
these molecules that are
destined for cell secretion
271a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Golgi apparatus
271b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cyanide-nitroprusside test
272a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cystinuria
272b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Urinary 5-HIAA
273a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
carcinoid syndrome
273b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CA 19-9
274a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pancreatic cancer
274b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
CA 125
275a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ovarian cancer
275b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
a large A wave in the JVP
276a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Tricuspid stenosis
★ Pulmonary hypertension
276b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Parainfluenza viruses
277a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
croup
277b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Treponema pallidum
278a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
syphilis
278b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
vinyl chloride
279a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hepatic angiosarcoma
279b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Respiratory syncytial virus
280a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
bronchiolitis
280b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Rhinovirus
281a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
common cold
281b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
visual agnosia
282a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Occipital lobe lesion
282b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acanthocytes -
283a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hyposplenism
283b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Auer rods
284a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute promyelocytic
leukaemia (M3) -
284b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Rhabdomyomas of the heart
285a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tuberous sclerosis
285b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cerebellar haemangiomas
286a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
von Hippel-Lindau syndrome
286b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Left subclavicular thrill
287a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
patent ductus arteriosus
287b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Erythema chronicum
migrans
288a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lyme disease
288b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
C1q, C1rs, C2, C4 deficiency
289a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Immune complex diseases
289b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-La
290a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ SLE
★ Sjogren's syndrome
290b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Anti-Mi-2 antibodies
291a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
dermatomyositis
291b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Intermittent claudication
292a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Buerger's disease
292b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Coronary artery aneurysm
293a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Kawasaki disease
293b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
HLA-A3
294a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
haemochromatosis
294b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Kyphoscoliosis + ataxia
295a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Friedreich's ataxia
295b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hair thinning
296a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Isotretinoin
296b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Has a good prognosis and is
most common Hodgkin's
lymphoma
297a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(nodular sclerosing)
297b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ataxic telangiectasia
298a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
combined B- and T-cell
disorder
298b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pseudopolyps seen on
endoscopy
299a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ulcerative colitis
299b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Roughened patches of skin
over lumbar spine (Shagreen
patches)
300a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tuberous sclerosis
300b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hypothermia ECG
301a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ J waves
★ a long QT interval
★ U waves
301b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
striatum (caudate nucleus) of
the basal ganglia lesion
302a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Huntington chorea
302b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chromosome 6
303a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
haemochromatosis
303b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chromosome 7
304a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cystic fibrosis
304b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Depigmented 'ash-leaf' spots
305a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tuberous sclerosis
305b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lisch nodules in the iris
306a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
neurofibromatosis
306b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Atrial septal defect (ostium
primum) ECG
307a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ left axis deviation
★ right bundle branch block
307b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mesothelioma and bronchial
carcinoma
308a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
asbestos
308b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
aniline dyes
309a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Transitional cell carcinoma
309b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Haemolytic anaemia
(infectious diseases)
310a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Malaria
★ Mycoplasma pneumoniae
★ infectious mononucleosis
310b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Heart block (infectious
diseases)
311a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lyme disease
311b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
P53 -
312a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tumour suppressor gene
312b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bilateral acoustic neuromas
313a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
neurofibromatosis type 2
313b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
S-100 Tumour marker
314a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ melanoma
★ schwannoma
314b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Alpha-feto protein Tumour
marker
315a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ hepatocellular carcinoma
★ teratoma
315b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
stains with India ink
316a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cryptococcus neoformans -
316b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hyposplenism
317a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
coeliac disease
317b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chediak-Higashi syndrome
318a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
neutrophil disorder
318b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
genetic disorders with Nasal
polyps
319a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cystic fibrosis
319b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
genetic disorders with Acute
lymphoblastic leukaemia
320a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Down syndrome
320b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
IgA deficiency
321a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
B-cell disorder
321b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Definition of stage 1
hypertension (Clinic reading)
-
322a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
140/90 mmHg
322b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
an example includes the
initial HIV test
323a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ELISA -
323b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
an example includes the
confirmatory HIV test
324a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Western Blotting
324b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
S1
325a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Lateral foot, small toe
★ S1 = the smallest one
325b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
L5
326a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Big toe, dorsum of foot
(except lateral aspect)
★ L5 = Largest of the 5 toes
326b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
L4
327a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Knee caps
★ Down on aLL fours - L4
327b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
L1
328a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Inguinal ligament
★ L for ligament, 1 for
1nguinal
328b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
T10
329a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Umbilicus
★ BellybuT-TEN
329b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
T4
330a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Nipples
★ T4 at the Teat Pore
330b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
C5, C6
331a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Thumb + index finger
★ Make a 6 with your left
hand by touching the tip of
the thumb & index finger
together - C6
331b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Antibodies directed against
desmoglein 3
332a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
pemphigus vulgaris
332b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
IgA mediated small vessel
vasculitis
333a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Henoch-Schonlein purpura
333b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Subacute sclerosing
panencephalitis
334a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
measles
334b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Antibodies directed against
the glycoprotein IIb/IIIa or Ib-
V-IX complex
335a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ITP
335b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Deficiency of the glycoprotein
Ib/IX/V complex
336a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bernard-Soulier disease
336b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Tumour suppressor gene
examples
337a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ p53
★ APC
★ BRCA1
★ BRCA2
★ NF1
★ Rb
★ WT1
★ multiple tumor suppressor 1 (MTS-1, p16)
337b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Oncogene examples
338a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ ABL
★ c-MYC
★ n-MYC
★ BCL-2
★ RAS
★ erb-B2 (HER2/neu)
★ RET
338b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Aflatoxin
339a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
hepatocellular carcinoma
339b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Deletion of the long arm of
chromosome 13
340a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
chronic lymphocytic
leukaemia
340b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
anti-Ro
341a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Sjogren's syndrome -
341b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
opening snap
342a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mitral stenosis -
342b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Gardnerella vaginalis
343a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
bacterial vaginosis
343b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Trypanosoma gambiense
and Trypanosoma
rhodesiense
344a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
African sleeping sickness
344b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
T(15:17)
345a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
acute promyelocytic
leukaemia (M3)
345b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Learning difficulties
346a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ tuberous sclerosis
★ homocystinuria
346b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
T(11:14)
347a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
mantle cell lymphoma
347b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blue lines on gum margin
348a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
lead poisoning
348b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Maculopapular rash appears
48 hours after high fever
349a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
roseola infantum
349b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
persistent fever following a
myocardial infarction
350a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Dressler's syndrome -
350b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mutation in the fibroblast
growth factor receptor 3
(FGFR-3) gene
351a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
achondroplasia
351b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Defect in the fibrillin-1 gene
352a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Marfan's syndrome
352b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Short stature (genetic
disorders)
353a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ cystic fibrosis
★ Down syndrome
★ McCune-Albright
syndrome
★ Turner's syndrome
353b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
amygdala lesion
354a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Kluver-Bucy syndrome
354b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
t(14:18)
355a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Follicular lymphoma -
355b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Inhibits protein synthesis by
catalyzing ADP-ribosylation of
elongation factor EF-2
356a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Corynebacterium
diphtheriae
356b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Stains with silver stain
357a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Pneumocystis jiroveci
★ Legionella pneumophilia
357b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
over-expression of cyclin D1
358a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mantle cell lymphoma -
358b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hypoxanthine-guanine
phosphoribosyl transferase
(HGPRTase) deficiency
359a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lesch-Nyhan syndrome
359b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Palpable purpuric rash over
buttocks
360a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Henoch-Schonlein purpura
360b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
nitrosamines or Helicobacter
pylori
361a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Gastric carcinoma
361b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Defect in porphobilinogen
deaminase
362a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
acute intermittent porphyria
362b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chromosome 4
363a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Huntington's disease
★ autosomal dominant
polycystic kidney disease
type 2
363b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chromosome 22
364a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
neurofibromatosis type 2
364b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
X-linked dominant
365a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Alport's syndrome
★ vitamin D resistant rickets
★ Rett syndrome
365b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Basal ganglia degeneration
366a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wilson's disease
366b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bronze skin pigmentation
367a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
haemochromatosis
367b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Shield chest with widely
spaced nipples
368a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Turner's syndrome
368b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(hepatobiliary disorders) +
An association with ulcerative
colitis
369a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
primary sclerosing
cholangitis
369b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
PML/RAR fusion gene
370a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acute promyelocytic
leukaemia (M3) -
370b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Trypanosoma cruzi
371a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chagas' disease -
371b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Absence of UDP-glucuronyl
transferase
372a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Crigler-Najjar syndrome (type
1)
372b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Meningitis organism by age
group,3 months - 6 years
373a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Haemophilus influenzae
373b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Meningitis organism by age
group,6 years - 60 years
3 months - 6 years
> 60 years
374a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Neisseria meningitidis
374b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Chromosome 3
375a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
von Hippel-Lindau syndrome
375b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Pronounced 'sandal gap'
between big and first toe
376a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Down syndrome
376b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Rocker bottom feet
377a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
★ Edward's syndrome
(trisomy 18)
★ Patau syndrome (trisomy
13)
377b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Lymphoedema in neonates
378a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Turner's syndrome
378b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
nitrosamines
379a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Oesophageal carcinoma
379b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
calf pseudohypertrophy
380a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Duchenne muscular
dystrophy -
380b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Precocious puberty
381a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
McCune-Albright syndrome
381b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
webbed neck
382a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Turner's syndrome -
382b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blue nails
383a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Wilson's disease
383b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Human papilloma virus
16,18 & 33
384a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cervical cancer
384b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Unopposed oestrogen
385a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
endometrial cancer
385b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
ST elevation
inverted T waves
right bundle branch block
386a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Brugada syndrome
386b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Short stature
387a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
cystic fibrosis
Down syndrome
McCune-Albright syndrome
Turner's syndrome
387b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Classically causes a cyclical
fever every 48 hours
388a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Plasmodium vivax
Plasmodium ovale
388b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Subungual fibromata
389a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tuberous sclerosis
389b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
may cause disulfiram-like
reaction with alcohol
390a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Metronidazole
390b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Acanthocytes -
391a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
abetalipoproteinemia
391b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Bullous myringitis
392a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Mycoplasma pneumoniae
392b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
'wire-loop' appearance on
light microscopy
393a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
SLE nephropathy (class IV)
393b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
globally reduced uptake on
iodine-131 scan
394a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Subacute thyroiditis -
394b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Overlapping of fingers
395a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Edward's syndrome (trisomy
18)
395b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Decreased appetite
396a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
leptin
396b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(genetic disorders)
Upslanting palpebral fissures
397a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Down syndrome
397b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(genetic disorders)
Precocious puberty
398a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
McCune-Albright syndrome
398b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(infectious diseases)
Suboccipital and
postauricular
lymphadenopathy
399a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
rubella
399b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Abnormality in type III
collagen
400a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Ehler-Danlos syndrome
400b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
(genetic disorders)
Polyostotic fibrous dysplasia
401a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
McCune-Albright syndrome
401b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Stains with Ziehl-Neelsen
stain
402a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cryptosporidium spp.
Mycobacterium tuberculosis
402b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Renal cysts
403a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
tuberous sclerosis
von Hippel-Lindau syndrome
403b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Blue sclera
404a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
osteogenesis imperfecta
Marfan's syndrome
404b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Slapped-cheek rash
405a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
erythema infectiosum
(parvovirus B19)
405b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
thin skin + loss of SC fat
406a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Cushing's syndrome
406b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Hydatid cyst liver CT
407a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
delineated wall + fluid filled ±
Calcification
407b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
associated with onycholysis?
408a
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy
Raynaud's disease
408b
MRCP Classical Diagnostics & Keywords
Dr.Sherif Badrawy

MRCP Classical Diagnostics and Keywords.