::mrcgp sample questions::June 2005

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

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

1.  Regarding Section 2 of the Mental Health Act 1983 (England and Wales), “Admission for assessment”, which of the following statements is correct?  Select ONE answer only

 

1. Allows for admission to hospital for assessment for 72 hours
2. Allows for admission to hospital for assessment for 7 days
3. Allows for admission to hospital for assessment for 14 days
4. Allows for admission to hospital for assessment for 28 days

 

2. Regarding Section 2 of the Mental Health Act 1983 (England and Wales), “Admission for assessment”, which TWO of the following statements are correct?  Select TWO answers only

 

1. Application is normally by a social worker or nearest relative
2. The applicant must have seen the patient within 7 days prior to the application
3. Treatment can also be given during the assessment period
4. Requires medical recommendation from 1 doctor (usually the GP).

 

 

3.  Regarding Section 4 of the Mental Health Act 1983 (England and Wales), “Admission in an emergency”, which TWO of the following statements are correct?  Select TWO answers only

 

1. Requires medical recommendation from 1 doctor.
2. The application is valid for 48 hours
3. The patient should be admitted within 24 hours of the medical recommendation
4. Allows admission for 48 hours only

 

 

4.  Regarding medical exemptions to prescription charges, which THREE categories of patients are eligible for exemption from prescription charges?  Select THREE answers only

 

1. Patients with Hyperthyroidism
2. Patients with Hypothyroidism
3. Patients with Diabetes controlled with diet
4. Patients with Diabetes requiring oral hypoglycaemics
5. Patients with Myasthenia gravis
6. Patients with Hypertension requiring treatment

 

 

5.  Regarding Controlled Drugs, which THREE of the following are controlled drugs (marked [CD] in the BNF).  Select THREE answers only

 

1. Dihydrocodeine
2. Temazepam
3. Nitrazepam
4. Buprenorphine
5. Pethidine
6. Ketamine

 

 

6.  Regarding controlled drug prescriptions, which TWO of the following statements are true?  Select TWO answers only

 

1. The dose must be written in words and figures
2. All parts of the prescription must be handwritten
3. The total quantity or number of dose units to be supplied must be written in words and figures

d.  Full handwriting rules do not apply to all controlled drugs

 

 

7.  Regarding controlled drug [CD] prescriptions, which ONE of the following statements is correct?  Select ONE answer only

 

1. [CD] prescriptions are valid for 4 weeks from the date on the script
2. [CD] prescriptions are valid for 8 weeks from the date on the script
3. [CD] prescriptions are valid for 13 weeks from the date on the script
4. [CD] prescriptions are valid for 26 weeks from the date on the script

 

8.      Regarding the laboratory diagnosis of UTI in children, which ONE of the following statements is correct?  Select ONE answer only

 

1. A significant positive result is when there are greater than 10² colony forming units per litre present
2. A significant positive result is when there are greater than 10³colony forming units per litre present
3. A significant positive result is when there are greater than 10⁴ colony forming units per litre present
4. A significant positive result is when there are greater than 10⁵ colony forming units per litre present
5. A significant positive result is when there are greater than 10⁶ colony forming units per litre present

 

 

9.      Children aged 1-5 years old that present with a UTI should have an ultrasound and DMSA scan 3-6 months after infection if risk factors are present at time of presentation.  Risk factors include which TWO of the following?  Select TWO answers only.

 

a)     Lower abdominal pain

b)     Loin pain

c)      Dysuria

d)     Nocturnal enuresis

e)     Fever

 

 

10. Regarding investigations in primary care,

 

a.      ANCA

b.     Serum urate levels

c.      Rheumatoid Factor

d.     ANA

e.      Anti TTG

f.        Haematinics

g.     ESR

h.     LFTs

 

For each of the following presentations, which laboratory investigation is the MOST useful in aiding diagnosis?  You may use each option ONCE, MORE than ONCE, or not at all

 

10.1  A 45 year old man presents with severe pain and swelling in his left knee.  There is no history of trauma, although he does admit a heavy drinking session on the weekend.  The knee is warm and tender, although flexion is only mildly reduced.

 

10.2  A 30 year old woman who is 14 weeks pregnant presents with a three month history of fatigue, intermittent fever and general malaise.  This started soon after she became pregnant.  She complains of occasional joint pains, and a facial rash after sun exposure.

 

10.3 A 4 year old boy attends surgery with his mother.  She is worried that he has frequent bouts of diarrhoea lasting days to weeks.  This has been going on for more than two years, but has got worse more recently.  The mother is worried that he is also very small for his age.  He is on the 5^th centile for height, and the 10^th centile for weight. 

 

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

 

1. Diabetics are 10 times more likely to become blind than non diabetics
2. Diabetic retinopathy is a rare cause of blindness in patients aged 20 to 65.
3. Good glycaemic control can slow the progression of retinopathy.
4. Diabetics should be screened for retinopathy at diagnosis and every two years thereafter.
5. Diabetics should be screened for retinopathy at diagnosis and every year thereafter.

 

 

12.  Regarding treatment of UTI in pregnancy, which ONE of the following antibiotics is the most suitable?  Select ONE answer only

 

1. Trimethoprim
2. Nitrofurantoin
3. Ciprofloxacin
4. Augmentin
5. Vancomycin

 

 

13.  Regarding treatment of infections

a.      oral flucloxacillin

b.     oral erythromycin

c.      oral penicillin V

d.     topical fucidic acid

e.      topical clotrimazole (as a pessary)

f.        oral fluconazole one off treatment

g.     oral itraconazole

 

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

 

13.1 A 22 year old woman on the progestogen only pill presenting with a purulent tonsillitis with swollen glands and fever.

 

13.2 A 26 year old mother who is breastfeeding presents with vulvovaginal itching and discharge.  There is no bleeding.  She has not had similar symptoms in the past.

 

13.3 A 6 year old child presents with a golden coloured, crusting rash made up of several discrete vesicles and bullae on the face.  It is itchy, and has begun to spread.

 

14. Regarding the diagnosis of pathological amenorrhoea (i.e. in the absence of pregnancy and during normal reproductive life), which ONE of the following statements is correct?  Select ONE answer only

 

1. Pathological amenorrhoea is the failure to menstruate for at least 3 months (or 3 cycles)
2. Pathological amenorrhoea is the failure to menstruate for at least 4 months (or 4 cycles)
3. Pathological amenorrhoea is the failure to menstruate for at least 5 months (or 5 cycles)
4. Pathological amenorrhoea is the failure to menstruate for at least 6 months (or 6 cycles)
5. Pathological amenorrhoea is the failure to menstruate for at least 12 months (or 12 cycles)

 

 

15.  Regarding the causes of pathological amenorrhoea (i.e. in the absence of pregnancy and during normal reproductive life), which THREE of the following can cause amenorrhoea?  Select THREE answers only

 

1. Kallman’s syndrome
2. Klinefelter’s syndrome
3. Lynch I syndrome
4. Lynch II syndrome
5. Sheehan's syndrome
6. Turner's syndrome

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