MRCP(UK) and MRCP(I) Part I Best of Fives, Volume I

In writing this book, I have tried to focus on the most important updates in medicine that have been emerging during the past decade; novel diseases, novel investigations, and newly approved medications. Needless to say, COVID-19 and its SARS-CoV-2 will be encountered in each chapter, in addition to occupying a unique position in the chapter on infectious diseases. The other aspect that I think is very crucial to tackle is women’s health and pregnancy. Once again, such a topic has been addressed in each and every chapter. There are no separate chapters for geriatrics, clinical sciences, and pharmacology (including therapeutics and toxicology); their questions have been distributed throughout the book’s chapters. Each answer is followed by an explanation and a reference (source) and/or additional (further) reading. In this way, you can go there; skim the whole subject if you are interested to get more information. I did my best to avoid regurgitated subjects and themes (which have been encompassed by many books, including me, during the past 20 years). Although many questions appear to be difficult and may fit part II examinations, I believe these questions (and their explanation) will strengthen your background and help you prepare well for part II. Remember, the goal is to find and fill in the gaps in your knowledge.

1. ‘About the author:
Osama Shukir Muhammed Amin MBChB, MD, MRCP, FRCP(Edin),
FRCP(Glasg), FRCPIIFC), FRCP(Lond), FACP, FAHA, FCCP(USA), FRSA
Osama graduated from the Baghdad University, College of Medicine
and was a valedictorian student in internal medicine. He is
Board-certified in neurology, consultant neurologist, associate
professor of neurology, and director of the Kurdistan Board of
Neurology Sulaymaniyah. Osama is a question writer/contributor at
Medical MatesterClass of the Royal College of Physicians of London,
Formerly, he was a clinical associate professor at the School of
Medicine, International Medical University, Malaysia. He published 67
articles in international peer-reviewed neurology journals and 5
self-assessment books for the membership diploma of the Royal
Colleges of Physicians of the United Kingdom and Ireland. He was an
associate editor, guest editor, and reviewer in several international
peer-reviewed internal medicine and neurology journals, as well as
former Editor-in-Chief.

181458 | 349644

LLL

SOAL JO 1598 | Wed (I) dOHN PU (HN) dU

149944994 UlUIY W's eweso

Osama S. M. Amin FRCP, FRCPI

2. MRCP(UK) and MRCP(I) Part I
Best of Fives

3. This page wat intentionally lf blank

4. MRCP(UK) and MRCP(I) Part I
Best of Fives

Volume I
(Cardiovascular Medicine, Respiratory Medicine, Nephrology,
‘Acid-Base and Electrolytes Disturbances, Urology,
Gastroenterology and Hepatology, Neurology, Stroke Medicine,
Medical Ophthalmology, and Psychiatry)

Osama Shukir Muhammed Amin
MBChB, MD, MRCP, FRCP(Edin), FRCP(Glasg), FRCP(re), FRCP(Lond), FACP,
FAHA, FOCP(USA), FRSA.

Consultant Neurclogist and Director
‘The Kurdistan Board of Neurology Sulaymaniyah

Fotmeily, Clinical Associate Professor

Intemational Medical University
Kuala Lumpus, Malaysia.

(62122 Ora She mme Ain

5. This page wat intentionally lf blank

6. Copyright © 2022, Osama Shut Muhammed Amin.

Copyright Notice:
All ights sezesved No past of this publication may be reproduced or transmitted in
any fom or by any means, electronic, mechanical, photocopying, recording, or
‘otherwise, without prior permission of the copysight owner in wating:

Email: dcosamaamin@gmailcom

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

Published and distributed by Lulu Press, Inc. Nosthem Carolina, USA.

7. Dedication

To my lovely family
Sarah, Awan, and Nog,

8. Acknowledgments

I would like to incerely thank my deat patients; their clinical scénarios were used to
formulate and generate these questions

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

9. Preface

Listen our patient = hei ling on the iegrosia”, Six Wiliam Osler ( 1849, à 1919)

edicine is an evecchanging branch The COVID-19 global cis has
tefenatied cur concepts and perspectivas in the understanding of novel
isses and her treatment, including vaccinations. During the las decae,
hese hasbeen a but eevoition in smartphones and the intemet aces industry, and
according, both have been selected in the ways how postgrado mine get thee
information and study.

My previous books, “Get Through MRCP Part I; BO? (published by the Royal Society
of Medicine Press in London, 2008), “Mark Papers for MRCPI part I, 2nd Edition”
(published by Lulu Press, Inc, USA, 2016), and “SefAsseument 650 BOF: for
MRCP(UK) and MRCPA) Part P (published by Lulu Press, Inc, USA, 2017) have
already covered most of the classical examination scenacios and themes. Combined,
they have created a question bank of approximately 1600 questions.

In writing this book, I have tried to focus on the most important updates in medicine
that have been emerging during the past decade; novel diseases, novel investigations,
and newly approved medications. Needless to say, COVID-19 and its SARS-CoV-2,
‘ill be encountered in each chapter, in addition to occupying a unique position in the
chapter on infectious diseases.

“The other aspect that I hin ewer ec to tackle is women’s health and pregnancy
Once agian, much a topic has been adders in every chapter These ae no separate
chapter for peras clea sciences, and phacmacology (aching therapenics and
‘exicology) their questions have been tribut thoughout the books chapters, Each
sent followed by an explanation and a sefsmnce (sauce) and/or additional
the coding, Im Eas me, yous can go thew, sim. the whole subject if yon. ane
interested to get moxe information

1 did my best to avoid ngugitated cbc and themes (which have been encompassed by
many books, including mine, during the past 20 years). Although many questions
appear to be difficult and may fi part II examinations, I believe these questions (and
their explanations) rl strengthen your background and help you prepare well for the
past IT examination. Remember the goal isto find and Jl inthe gobs in your knee

Sul, after 27 yess, I ind Sir Davidson" textbook, “Danideon's Piles and Pract of
Medicine”, (by Elsevier Health Sciences) to be the best source to build up your solid
foundations. In addition, Medea (https://emedicinemedscapecom/, by WebMD
LLC), and StatPearls [Internet] (nttps:/ /www.ncbi.nlm.nih gov/ books /NBK430685/,
by StaPeadis Publishing, Treasure Island) are the best updated sources of information

10. ‘Thisis volume, which astses the candidate Inowledgein asdology,pulmonctogy,
nephccogy (a wal as aihbuse balance, deco, and uslog), gartoenteclogy
Ani Matos and. Sealy newology (as elles stoke medicos, medial
ophthulmelogy, and pay hat) encompassing 732 bests of fies

Undoubtedly, if you are well-prepared, you wll pass the examination very ess. No
need to panic when you haar your collsguer past [bad] experiences. Lack of
preparation isthe single most common reason for faze. Remember, practice makes
Perfect Read and sel-asees; thas 8
‘Volume I wil be availble in the half ofthe year 2022.
Good luck with your career and exams!

Osamafmin

OumaS M Amin
March 2022

11. Table of Content

Chapter 1; Cardiovascular Medicine
Quentin enum

Aron

Chapter 2 Respiratory Medicine

Questions

Chapter 3 Neplrology, Acid-Bate & Electrolytes Di

Questions
Aron eee eee = :

Chapter 4: Gastroenterology & Hepatology

Part Questions

AMON mn 7 Bun 7
Part B Questions sad aus a

AIO en An

Chapter 5: Nensology, Suoke Medicine, Medical Ophthalmology, & Paychiatry
Questions a q a sr
nos — u u -

More Books fiom the A

About the Author 7

59

as

„121

145

190

246
25
295

357

a3

ES

ss

12. (nama. M. Amin FRCP MRCP(UR, & MRCP() Prt I: 200 Cases
More Books from the Author:

1. MRCP(UK) end MRCPA) Part 11 200, Caves Case Historie, Data Interpretation, &>
Photographie Materials (2022)

In writing this book, I tried my best to guide you on how you approach part II wetten.
‘examinations, how to skim the data, and how to conclude your answer. The subjects I
have chosen apply the mule of “the common is common” I formulated the scenasios
and their explanation in a way that, I hope, wil inform you of the core feature of
decision-making, Ive an art. | have tied to focus on some important updates in
medicine that have been emerging during the past decade; novel diseases, novel
investigations, and newly approvedmedications, COVID-19 (andits SARS-CoV-2) and
‘women’s health will be encountered many times. Remember, th goal so find an fl in the

gape in your knowledge

2 Self Asariment 650 BOF: for MRCP(UK) and MRCPA) Part 1 (2017)

‘This is the 244 edition of my previous book, “Self-Assessment for MRCP(UK) part
17, which was publishedin 2009, The book has undesgone several changes and updates
‘The best initial step is to mad accredited textbooks. After then, selfassss yours
Read this book, chapter after chapter, ty to find out your mistakes and gape in
knowledge, and then sesead what you have missed. In wating this book, I tied my
best to inc the commonest examination themes.

3, Mock Paper for MRCPI Part I, 2nd edition (2016)

In this second edition, you will ind 3 mock papers. Each one contains 100 questions
in a Best of Five (BOF) format: Selfasses, ty to complete each paper within 3 hous,
check out your answers, read the explanation, and se-read accredited medicine
textbooks to fl in the gap in your knowledge. Each question has an “objective”; ty to
seview what the objective is about. This ie the only self assessment bock specifically
tte to imitate the MRCPI Pas examination. Each mock paper in the frst edition.
of this book contained 50 BOF: and 50 MCQe formats.

4. Get Through MRCP Part I: BOF: (2008)

“Get Through MRCP Patt 1: BOP” 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

13. 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. (nama. M. Amin FRCP MRCP(UR, & MRCP() Prt I: 200 Cases

About the Author:

Osama Shukir Muhammed Amin

Di ‘Amin graduated from the Baghdad
University, College of Medicine and
‘was a valedictotian student in intemal
medicine. He got membership diplomas from
the Royal Colleges of Physicians of Irland and
the UK and then became Boasd-certtied in
neurology. He is a Fellow of the Amesican
College of Physicians (FACP), Fellow of the Royal College of Physicians and Susgeons
of Glasgow (FRCP Glasg), Fellow of the Royal College of Physicians of Edinburgh
(FRCP Edin), Fellow of the Royal College of Physicians of Ireland (FRCP), Fellow of
the Royal College of Physicians of London (FRCP Lond), and Fallow of the American
Heat Associanon/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 a Clinical Associate Professor of
Neurology, Consultant Neurclogist, and Director of the Kurdistan Board of
Neurology, Sulaymaniyah. Fosmeily he was a Clinical Associate Professor at the
Intemational Medical University, Malaysia. He published 67 asticles in international
peesreviewed newzology and internal medicine joumals and 7 selfassesament books
for the membership diploma of the Royal Colleges of Physicians of the United
Kingdom and Ireland. In addition, he published more than 30,000 archaeological
‘lustrations and more than 40 articles in archueology. He was an associate editor, guest
editor, reviewer in several intemational peer-reviewed intemal medicine and neurology
joumals, and former Editor-in-Chief. He is a contibutor/team member of “Medical
Masters," the MRCP(UE)s educational amm of the Royal College of Physicians of
London, UK. Dr. Amin is an intemational juror for Wiki Science Competition 2017
and 2019, representing the Pan-Arab Would, Iran, and Aftica. He has contubuted quite
alot to Wikipedia

15. ‘This page war intentionally lf blank

16. (nama. M. Amin FRCP

MRCP(UR, & MRCP() Prt I: 200 Cases