![]() The patient is referred to an endocrinologist for further assessment and CT. Small nodules are observed on his buccal mucosa and tongue. His heart rate is tachycardic with normal rhythm and his lungs are clear to auscultation bilaterally. On physical exam, he appears quite anxious and uncomfortable. At the clinic, his blood pressure is 140/90 mm Hg, his heart rate is 120/min, his respiratory rate is 18/min, and his temperature is 36.6 ☌ (98.0 ☏). Several family members seem to suffer from similar spells. He takes levothyroxine and a multivitamin every day. His past medical history is significant for a total thyroidectomy 10 years ago for carcinoma. He has had similar dizzy spells on three separate occasions. He also mentions that he was sweating a lot at that time. Earlier today he was in his normal state of health when symptoms started, and he reports that symptoms lasted about 20 minutes. Which of the following is likely to be seen with pulmonary function testing?Ī. Increased FEV1: FVC and decreased total lung capacityī. Decreased FEV1: FVC and increased total lung capacityĬ. Increased FEV1: FVC and normal total lung capacityĭ. Decreased FEV1: FVC and decreased total lung capacityĮ. Normal FEV1: FVC and decreased total lung capacityĪ 45-year-old man walks into an urgent care clinic complaining of a headache and dizziness. Physical examination is notable for coarse wheezing bilaterally. A chest X-ray shows flattening of the diaphragm bilaterally. Her blood pressure today is 128/84 mm Hg. She has a 70-pack-year history of cigarette smoking and drinks 3–4 alcoholic beverages per week. Her medical history is significant for hypertension, for which she takes amlodipine daily. She denies any weight loss, lightheadedness, or fever. Her symptoms are worsened even with light activities like climbing up a flight of stairs. She also complains of chronic cough that has lasted for 10 years. Students: Educators’ Pro Tips for Tough TopicsĪ 60-year-old woman presents to the clinic with a 3-month history of shortness of breath that worsens on exertion.Maternity Nursing and Care of the Childbearing Family.Sign up here for more information on application periods as well as info/tips on revision/preparation resources and more. 100 multiple-choice ( best of five) questions per paper.Wherever appropriate, clinical science questions will include a clinical stem, although this will not invariably be the case if such a stem would not be justified due to the nature of the question. Part 1 is a valuable milestone during training, and helps to prepare you for the more challenging Part 2 Written and Clinical Examinations.Ĭlinical science forms the basis of all medical practice, and so it is an important component of the Part 1 exam. Success in the Part 1 indicates you not only retained the knowledge acquired during undergraduate training, but that your knowledge of medicine has expanded and kept pace with developments that have occurred since graduation, and continues to provide an appropriate basis for clinical decision making. Knowledge and understanding of UK national guidelines is also required. Knowledge is vital as a basis for learning during postgraduate training, to develop understanding of disease processes and their treatment. Building on knowledge of basic medical science gained in undergraduate education, the purpose of Part 1 is to test knowledge and understanding of common and important disorders, as outlined in the UK curriculum, as well as clinical science. Knowledge as an essential base for the practice of clinical reasoning Part 1 is the first component of a sequence of assessments intended to match the progression of trainees undertaking the Core Medical Training / Internal Medical Training programme in the UK, adding unique information and building on previous assessments. MRCP(UK) tests the acquisition of a representative sample of medical knowledge, skills and behaviour as specified in the UK Specialty Training Curriculum for Core Medical Training / Internal Medicine Training. It covers a broad range of topics to ensure the level of knowledge is appropriate to physicians at the beginning of postgraduate training. The MRCP(UK) Part 1 is the entry-level exam accessible to doctors with a minimum of 12 months' postgraduate experience in medical employment.
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