SAQs and answers are ONLINE for RCP fellows and collegiate membersFormatCandidates are asked to choose the best answer from the five possible answers. This best of five format is used in many medical examinations; however, the questions are not intended to be representative of those used in the MRCP(UK) Part 1 or Part 2 Written Examinations.The answering process Go to www.rcplondon.ac.uk/SAQLog on using your usual RCP username and passwordSelect the relevant CME question paperAnswer all 10 questions by selecting the best answer from the options providedOnce you have answered all the questions, click on SubmitRegistering your external CPD creditsCarrying out this activity allows you to claim two external CPD credits. These will be automatically transferred to your CPD diary, where you can review the activity and claim your points.1. A 26-year-old man was admitted with a 2-day history of pleuritic left-sided chest pain. Acute pericarditis was considered.Which of the following clinical features is not a diagnostic criterion for acute pericarditis?chest painfeverpericardial effusionpericardial rubwidespread ST-elevation and/or PR-depression.2. A 53-year-old woman was seen in the emergency department with a 2-week history of increasing breathlessness, and left-sided pleuritic chest pain. Electrocardiography showed widespread ST-elevation, and acute pericarditis was considered.Which of the following clinical features should not necessarily prompt consideration of hospital admission?a 22 mm pericardial effusion on echoa temperature of 38.1°Cabrupt/rapid onset of symptomsconcomitant treatment with warfarinraised jugular venous pressure with quiet heart sounds on auscultation.3. A 32-year-old woman was found to have a low-density lipoprotein cholesterol of 5.8 mmol/L. She had a strong family history of elevated cholesterol and her father suffered a myocardial infarction at the age of 42 years.Which of the following statements concerning familial hypercholesterolaemia is correct?diagnosis should be confirmed by genetic testingezetimibe has no role in therapyinheritance is autosomal recessiveit affects 1 in 600 of the populationit should be treated with a proprotein convertase subtilisin kexin 9 inhibitor..4. A 51-year-old man was admitted with an acute ST elevation myocardial infarction and was due to be commenced on statin therapy.Which of the following statements concerning statin therapy is correct?atorvastatin 20 mg nocte is a reasonable choice for secondary prevention patientscreatine kinase should be measured pre- and post initiationintolerance is defined as the inability to take five different statinsshould be replaced by ezetimibe in patients who are genuinely statin intolerantthere is no need to check liver function tests prior to initiation.5. A 26-year-old woman was seen in the emergency department with acute palpitations. Electrocardiography showed a narrow complex tachycardia.In the acute management of a narrow complex tachycardia, which of the following statements is correct?adenosine is absolutely contraindicated in patients with a history of asthmaatrial tachycardia is the likely diagnosis if successfully terminated with adenosinebeta-blockers are highly efficacious at terminating supraventricular tachycardiascalcium channel blockers should be avoided in patients with a history of left ventricle dysfunctionthe mean dose of adenosine required for termination is 12 mg.6. A 30-year-old man presented with palpitations to the emergency department. His rhythm strip is shown in the figure below.
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