By Philip Kelly
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Extra info for MRCP 2 Practice Questions Book 2
He had always enjoyed wine while studying politics at university. However, because of the recurrent abdominal pain, he has not drunk for the last year. He has lost a little weight. He is not married. 88 m tall. There is no spinal tenderness. 0 x 10'VL 97 fL 150 x 107L 42 pmol/L 36g/L 200 U/L 20 U/L 100 U/L 35 nmol/L (NR 45-90 nmol/L) 200 nmol/L I lis spinal X-ray is shown overleaf. 37 ENDOCRINOLOGY AND METABOLISM - QUESTIONS 1 What is the diagnosis? ÿ ÿ ÿ A B ÿ ÿ 38 Bone metastases Osteomalacia C Chronic pancreatitis D Carcinoma of the head of the pancreas E Tuberculous adrenalitis ENDOCRINOLOGY AND METABOLISM - QUESTIONS Case 12 You see a 22-year-old man for a second opinion regarding his endocrinology investigations for lassitude, weakness and cramps after exercise.
The CP is concernedthat there is something he is missing. The patient is not wheezy but has hada cough productive ofgreen sputum for the last 2 days that has not responded to amoxicillin as well as normally; the CP had treated him for several infections, including pneumonia twice and urinary tract infections over the preceding months. He normally has a cough productive of white sputum. He has lost 5 kg in weight over the last 3 months and on direct questioning says he lost his appetite, is not sleeping and is feeling frankly miserable.
4 mmol/L 40 g/L What is the correct cause? 1 CD A Exogenous insulin administration f j B Non-islet-cell hypoglycaemia I j C Insulinoma ÿ D ÿ E 64 Multiple endocrine neoplasia type 1 (MEN 1) Sulphonylurea or nate/repa-glinide administration GASTROENTEROLOGY - QUESTIONS Case 1 A 55-year-old man diagnosed with total ulcerative colitis at the age of 20 presented with a 3-month history of rectal bleeding. He was opening his bowels twice a day, passing formed stool. His colitis hadbeen well-controlled for the last 10 years with oral mesalazine 400 mg bd.