Mock Papers for MRCPI part I, 3rd Edition (2023)

In this book, you will find 4 mock papers. Each one contains 100 questions in a Best of Five (BOF) format. Self-assess, try to complete each paper within 3 hours, check out your answers, read the explanation, and re-read accredited medicine textbooks to fill in the gap in your knowledge. Each question has an “objective”; try to review what the objective is about. This is the only self-assessment book specifically written to imitate the MRCPI part I examination. The first 3 mock papers have been updated; COVID-19 can be found in every paper. The 4th mock paper is a complete addition, concentrating on COVID-19, women’s health, novel subjects, new examination themes, updated guidelines, and recently approved treatments.

2. Mock Papers for MRCPI part I

Four Mock Tests With 400 BOFs


Third Edition

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4. iii


Third Edition





Mock Papers for MRCPI Part I

Four Mock Tests With 400 BOFs







Osama Shukir Muhammed Amin
MBChB, MD, MRCP, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA,
FCCP(USA), FRSA

- Senior Consultant Neurologist
- Formerly, Director of the Kurdistan Board of Neurology, Sulaymaniyah
- Formerly, Clinical Associate Professor
International Medical University
Kuala Lumpur, Malaysia













Copyright © 2023. Osama Shukir Muhammed Amin.

5. iv

Copyright © 2023. Osama Shukir Muhammed Amin.

Copyright Notice:
All rights reserved. No part of this publication may be reproduced or
transmitted in any form or by any means, electronic, mechanical,
photocopying, recording, or otherwise, without the prior permission of the
copyright owner in writing:


Email: [email protected]

First Edition: 2009.
Second Edition: 2016.
Third Edition: 2023.
ISBN: 978-1-4478-5111-0


Disclaimer:
This book was written depending on reliable sources. However, while every
effort has been made to ensure its accuracy, no responsibility for loss, damage,
or injury occasioned on any person acting or refraining from action as a result
of information contained herein can be accepted by the author or publisher.

Distributed by Lulu Press, Inc. Northern Carolina, USA.

6. v
Dedication



To my lovely wife Sarah, daughter Awan, and baby girl Naz. Without their kind help and patience,
this book would not have been published.

7. vi
Table of Contents
Mock paper number one ...................................................................... 1
QUESTIONS ....................................................................................................... 2
Answers ........................................................................................................ 25
Mock paper number two ..................................................................... 51
QUESTIONS ..................................................................................................... 52
Answers ........................................................................................................ 77
Mock paper number Three ............................................................... 103
QUESTIONS ................................................................................................... 104
Answers ...................................................................................................... 129
Mock paper number Four ................................................................ 153
QUESTIONS ................................................................................................... 154
Answers ...................................................................................................... 179

8. vii
Acknowledgments


I would like to sincerely thank my dear patients; their real clinical scenarios were used
to formulate and generate these questions.

Special gratitude goes to my other half, my wife Sarah, for her endless support and
encouragement, and of course her extreme patience.


Osama

9. viii
Preface

“The very first step towards success in any occupation is to become interested in it”,
Sir William Osler (1849-1919).

n this book, you will find 4 mock papers. Each one contains 100 questions in a
Best of Five (BOF) format. Self-assess, try to complete each paper within 3 hours,
check out your answers, read the explanation, and re-read accredited medicine
textbooks to fill in the gap in your knowledge. Each question has an “objective”; try to
review what the objective is about. This is the only self-assessment book specifically
written to imitate the MRCPI part I examination. The first 3 mock papers have been
updated; COVID-19 can be found in every paper. The 4
th mock paper is a complete
addition, concentrating on COVID-19, women’s health, novel subjects, new
examination themes, updated guidelines, and recently approved treatments.
As of February 7, 2023, and according to the Royal College of Physicians of Ireland’s
website, the MRCPI General Medicine Part I examination consists of one paper with
100 Single Best Answer (i.e., best of five) questions. You have three hours to complete
the exam. There is no negative marking and each question is equally weighted. Single
Best Answer questions consist of a “vignette” (clinical scenario) followed by five
possible answers. You must select the single best answer. Questions in Part I are
selected to achieve a balanced spread across medical specialties, the sciences underlying
evidence-based medical practice, and the basic skills required in general medicine.
Questions will be on common or important diseases in the hospital or community
practice as outlined in the curriculum for Basic Specialist Training in General Internal
Medicine. At least 75% of the questions will concern direct clinical care of inpatients
and outpatients in hospital medical practice. Correct answers will be within up-to-date
guidelines for diagnosis and management. Basic science questions may cover anatomy,
bacteriology, biochemistry, ethics, genetics, immunology, metabolism, physiology,
principles of evidence-based practice, and statistics.
In writing this book, I have tried my best to include the most commonly encountered
examination themes. Good luck with your career and exams!

OsamaAnin
Osama S. M Amin
February 2023






I

10. ix
Recommended Reading

1. Penmen et al. Davidson's Principles and Practice of Medicine, 24
th edition. London:
Churchill Livingstone; 2022.

2. Feather et al. Kumar and Clark's Clinical Medicine, 10
th edition. Philadelphia:
Saunders Ltd.; 2020.

3. Loscalzo et al. Harrison’s Principles of Internal Medicine, 21
st edition. New York:
McGraw-Hill Professional, 2022.

4. Goldman et al. Goldman-Cecil Medicine, 2-Volume Set (Cecil Textbook of Medicine),
26
th Edition. New York: Elsevier; 2019.

5. Barrett et al. Ganong’s Review of Medical Physiology, 26
th edition. New York:
McGraw-Hill Education/Medical; 2019.

6. Lang TA, Secic M (eds.). How to Report Statistics in Medicine, Annotated Guidelines
for Authors, Editors, and Reviewers, 2
nd edition. Philadelphia: The American
College of Physicians; 2006.

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12. Osama S. M. Amin FRCP MRCP(UK) & MRCP(I) Part I BOFs

223
More Books by the Author:

MRCP(UK) and MRCP(I) Part II 200 Cases: Case Histories, Data Interpretation, &
Photographic Materials (2022 and 2023):

I tried my best to guide you on how you approach part II written examinations, how
to skim the data, and how to conclude your answer. The subjects I have chosen apply
the rule of “the common is common”. I formulated the scenarios and their explanation
in a way that, I hope, will inform you of the core features of decision-making. It’s an
art. I have tried to focus on some important updates in medicine that have been
emerging during the past decade, novel diseases, novel investigations, and newly
approved medications. COVID-19 (and its SARS-CoV-2) and women’s health will be
encountered many times. Remember, the goal is to find and fill in the gaps in your
knowledge. Undoubtedly, if you are well-prepared, you will pass the examination very
easily. No need to panic when you hear about your colleagues’ past [bad] experiences.
Lack of preparation is the single most common reason for failure. Remember, practice
makes perfect. Read, practice, and self-assess; that’s it!


Self-Assessment: BOFs for MRCP(UK) and MRCP(I) Part I, 3
rd
Edition (2023):

This is the third edition of my book, “Self-Assessment for MRCP(UK) part 1”, which
was published in 2009. The second edition, entitled “Self-Assessment: 650 BOFs for
MRCP(UK) and MRCP(I) Part I” was published in late 2016. It has been six years! The
third edition has undergone several changes and updates. COVID-19 strikes every
chapter. In authoring this book, I tried my best to include the most common
examination themes. You may encounter negative or positive stems. The questions’
objective is to teach, i.e., a rapid review of every subject and theme. This book differs
from my book “Get Through MRCP part I; BOFs,” which was published in the year
2008 by the Royal Society of Medicine Press in London, and my book “MRCP(UK)
and MRCP(I) Part I Best of Fives, Volume I”, which was published in 2022. The former
concentrates mainly on the diagnosis and management, i.e., what is the diagnosis, what
is the next best step, what feature is consistent with your preliminary diagnosis, and so
on. The latter concentrates on several updates in the management of many diseases,
addresses some novel diseases and topics, and focuses on COVID-19. Undoubtedly, if
you are well-prepared, you will pass the examination very easily. No need to panic when
you hear about your colleagues’ experiences. Lack of preparation is the single most
common reason for failure. Remember, practice makes perfect. Read and self-assess;
that’s it!

13. About the author |books

224
Get Through MRCP Part I: BOFs (2008)

Get Through MRCP Part 1: BOFs provides over 600 questions and answers,
allowing the reader to test their knowledge in preparation for the MRCP Part 1
examination. Questions are presented in the style used in the real examination,
and answers are supplemented with useful additional explanatory material to
help the reader understand why their answer was right, or wrong. The book
offers a useful review of all elements of the syllabus, so the reader can feel fully
prepared when they enter the examination room.

14. Osama S. M. Amin FRCP MRCP(UK) & MRCP(I) Part I BOFs

225
About the Author:

Osama Shukir Muhammed Amin

rofessor Amin graduated from the Baghdad
University, College of Medicine, and was a
valedictorian student in internal medicine. He
got membership diplomas from the Royal Colleges of
Physicians of Ireland and the UK and then became
Board-certified in neurology. He is a Fellow of the
American College of Physicians (FACP), Fellow of the
Royal College of Physicians and Surgeons of Glasgow
(FRCP Glasg), Fellow of the Royal College of
Physicians of Edinburgh (FRCP Edin), Fellow of the
Royal College of Physicians of Ireland (FRCPI), Fellow
of the Royal College of Physicians of London (FRCP
Lond), and Fellow of the American Heart Association/American Stroke Association
(FAHA). In recognition of his contribution to ancient history and archaeology, he was
elected a Fellow of the Royal Society of Arts (FRSA) in London. Dr. Amin is an
associate professor of neurology and senior consultant neurologist, and former director
of the Kurdistan Board of Neurology, Sulaymaniyah. Formerly, he was a clinical
associate professor at the International Medical University, Malaysia. He published 67
articles in international peer-reviewed neurology and internal medicine journals and 7
self-assessment books for the membership diploma of the Royal Colleges of Physicians
of the United Kingdom and Ireland. In addition, he published more than 40,000
archaeological illustrations and more than 40 articles in archaeology/history. He was
an associate editor, guest editor, reviewer in several international peer-reviewed internal
medicine and neurology journals, and former Editor-in-Chief. He is a contributor/team
member of “Medical MasterClass,” the MRCP(UK)’s educational arm of the Royal
College of Physicians of London, UK. Dr. Amin is an international juror for Wiki
Science Competition 2017 and 2019, representing the Pan-Arab World, Iran, and
Africa. He has contributed quite a lot to Wikipedia.











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15. About the author |books

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