Rheumatology: 100 BOFs for MRCP(UK) and MRCP(I) Part I, an Update

This book was supposed to be part (chapter one) of Volume II of my book “MRCP(UK) and MRCP(I) Part I Best of Fives”; Volume I was published in March 2022. For certain reasons, I couldn’t complete Volume II, which was supposed to be published in the 2nd half of the year 2022. However, this rheumatology chapter was almost complete. I decided to update it. In writing this book, I have tried to focus on the most important updates in rheumatology that have been emerging during the past decade. COVID-19, women’s health, and pregnancy will be encountered. In addition, the most important examination themes have been targeted. Read every question very well. Check out your answer; each question has an objective. Each answer is followed by an explanation and a reference and/or additional (further) reading. In this way, you can go there; skim the whole subject if you are interested in getting more information. I did my best to avoid regurgitated subjects and themes (which have been encompassed by many books, including mine, during the past 20 years). I believe these questions (and their explanation) will strengthen your background and help you prepare well for the part II written examination. Remember, the goal is to find and fill in the gaps in your knowledge.

1. This book was supposed to be part (chapter one) of Volume II of my
book “MRCP(UK) and MRCP(I) Part I Best of Fives”; Volume I was
published in March 2022. For certain reasons, I couldn’t complete
Volume II, which was supposed to be published in the 2nd half of the
year 2022. However, this rheumatology chapter was almost complete.
I decided to update it.

In writing this book, I have tried to focus on the most important
updates in rheumatology that have been emerging during the past
decade. COVID-19, women’s health, and pregnancy will be
encountered. In addition, the most important examination themes
have been targeted.
Read every question very well. Check out your answer; each question
has an objective. Each answer is followed by an explanation and a
reference and/or additional (further) reading. In this way, you can go
there; skim the whole subject if you are interested in getting more
information.
Rheumatology: 100 BOFs for MRCP(UK) and MRCP(I) Part I Osama Shukir Muhammed Amin MRCP, FRCPE, FRCPG, FRCPI, FRCPL
Rheumatology: 100
BOFs for MRCP(UK)
and MRCP(I) Part I
An Update
Osama Shukir Muhammed Amin MRCP, FRCPE,
FRCPG, FRCPI, FRCPL

2. Rheumatology: 100 BOFs for
MRCP(UK) and MRCP(I) Part I


An Update

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4. Rheumatology: 100 BOFs for
MRCP(UK) and MRCP(I) Part I

An Update


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

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



















©2023. Osama Shukir Muhammed Amin

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6. 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 prior permission of the copyright owner in writing:

Email: [email protected]

First Edition: 2023.
ISBN: 978-1-4467-7704-6

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.

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

7. vi


Dedication


To my lovely family
Sarah, Awan, and Naz

8. Acknowledgments

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

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

9. viii


Preface

“The teacher's life should have three periods, study until twenty-five, investigation until forty, profession
until sixty, at which age I would have him retired on a double allowance..”, Sir William Osler (b.
1849, d. 1919)

This book was supposed to be part (chapter one) of Volume II of my book
“MRCP(UK) and MRCP(I) Part I Best of Fives”; Volume I was published in March
2022. For certain reasons, I couldn’t complete Volume II, which was supposed to be
published in the 2
nd half of the year 2022. However, this rheumatology chapter was
almost complete. I decided to update it.

In writing this book, I have tried to focus on the most important updates in
rheumatology that have been emerging during the past decade. COVID-19, women’s
health, and pregnancy will be encountered. In addition, the most important
examination themes have been targeted.

Read every question very well. Check out your answer; each question has an objective.
Each answer is followed by an explanation and a reference and/or additional (further)
reading. In this way, you can go there; skim the whole subject if you are interested in
getting more information.

I did my best to avoid regurgitated subjects and themes (which have been encompassed by
many books, including mine, during the past 20 years). I believe these questions (and
their explanation) will strengthen your background and help you prepare well for the
part II written examination. 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 your colleagues’ past (bad) experiences. Lack of
preparation is the single most common reason for failure. Remember, practice makes
perfect. Read and self-assess; that’s it!

Good luck with your career and exams!







Osama S. M. Amin
August 5, 2023

10. Table of Contents:


Chapter 1:
Questions .......................................................................................................................................... 1
Chapter 2:
Answers ............................................................................................................................................ 25
Chapter 3:
More books by the author ............................................................................................................ 73
About the author ....................................................................................................................... 74

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73

More Books by the Author:


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

2. MRCP(UK) and MRCP(I) Part I Best of Fives, Volume I (2022 and 2023).

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

4. Neurology: Self-Assessment for MRCP(UK) Neurology SCE, 2
nd
Edition
(2023).

5. Mock Papers for MRCPI Part I, 3
rd
Edition (2023):

6. Get Through MRCP Part I: BOFs (2008).

13. | Osama Shukir Muhammed Amim FRCP, FRCPI


74

About the Author:

Osama Shukir Muhammed Amin



r. Amin graduated from 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 8 self-
assessment books for the membership diploma of the Royal Colleges of
Physicians of the United Kingdom and Ireland.

D

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75

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.

15. | Osama Shukir Muhammed Amim FRCP, FRCPI


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