Road To MRCP

Road To MRCP Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Road To MRCP, Medical and health, Gibson House (1st Floor) Northwest Associates Ltd, 800 High Road, Dhaka.

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27/04/2026

Bullet For MRCP Part-2

🔵 74 yrs old man known to have Ischaemic cardiomyopathy was admitted to E/D following a collapse due to 3 previous anterior myocardial infarctions + On exam: Pedal edema present + Pt is already on bisoprolol, Spironolactone, and furosemide + Ejection fraction: 25%, Wide QRS in ECG + Most appropriate intervention >> Cardiac Resynchronization therapy device with pacemaker.

🔵 72 yrs hypertensive pt on Ramipril now presented with tongue swelling, stridor, tachycardia, and HR: 110 bpm and systolic BP reduced by 50 mmHg + Medication is most likely to have contributed to this pt's symptoms >> Ramipril.

🔵 71 yrs known Hypertensive and diabetic pt was brought to ED following the sudden onset of Rt sided face, arm, and leg weakness for 2 hours + On exam: BP: 156/90 mmHg + CT scan shows: Lt sided middle cerebral artery infarct + Most appropriate intervention >> Alteplase (As within thrombolytic window)

26/04/2026

Bullet For MRCP Part-1

✅ Acromegaly Management:
44-year-old man with confirmed acromegaly is receiving treatment with lanreotide + Symptoms persist and he is switched to a receptor antagonist + On exam: Features of acromegaly persist despite initial medical therapy + Investigation shows: Insulin-like growth factor 1 levels remain elevated + What is the mechanism of action of pegvisomant >> Growth hormone receptor antagonist

✅ Hyperlipidaemia Treatment:
62-year-old man presents with persistently elevated non-HDL cholesterol levels + On maximum doses of atorvastatin and ezetimibe + On exam: High cardiovascular risk profile identified + Investigation shows: Lipid profile indicates need for PCSK9 inhibition + What is the mechanism of action of Alirocumab >> Proprotein convertase subtilisin/kexin type 9 inhibition

✅ Statin Pharmacology:
55-year-old man presents for a routine check-up for hyperlipidaemia + Currently taking atorvastatin for cholesterol management + On exam: Physical examination is unremarkable during the routine review + Investigation shows: Previous lipid profiles showed elevated low-density lipoprotein + What is the mechanism of action of atorvastatin >> Inhibition of HMG-CoA reductase

✅ Drug-Induced Liver Injury:
49-year-old woman presents to the department with clinical jaundice + Treated for a respiratory infection with antibiotics three weeks ago + On exam: Jaundice present with no significant past medical history + Investigation shows: Alkaline phosphatase is 650 IU/L and GGT is 480 IU/L + What is the most likely cause of her current condition >> Co-amoxiclav

🚀 Ready to crack MRCP Part-1 on your first attempt?Introducing MedMonarchy Road to MRCP Part-1Your complete revision par...
26/04/2026

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22/04/2026

🩺𝑪𝒐𝒎𝒎𝒖𝒏𝒊𝒄𝒂𝒕𝒊𝒐𝒏 𝑰𝒏𝒕𝒆𝒏𝒔𝒊𝒗𝒆 -𝑴𝒂𝒔𝒕𝒆𝒓 𝒕𝒉𝒆 𝑹𝒆𝒄𝒆𝒏𝒕 𝑫𝒊𝒆𝒕 𝑪𝒂𝒔𝒆𝒔

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19/04/2026

Bullet For MRCP Part-2

✅ Botulism:
46-year-old man has weakness, dysphagia and blurred vision after eating home-canned food + Ptosis + On exam: Diminished reflexes + Investigation shows: Clinical diagnosis + What is the most appropriate treatment for this condition >> Botulinum anti-toxin

✅ ACE Inhibitor Monitoring:
52-year-old man on ramipril has creatinine rise from 141 to 174 + Asymptomatic + On exam: BP 132/78 + Investigation shows: Potassium 4.9 + What is the most appropriate next step regarding his antihypertensive therapy >> Repeat renal function and potassium in one week

✅ Cerebral Amyloid Angiopathy:
68-year-old woman has sudden confusion and left weakness + History of AF + On exam: Confusion + Investigation shows: Lobar haemorrhage on CT + What is the most likely underlying cause of her condition >> Cerebral amyloid angiopathy

✅ COPD and Oxygen:
68-year-old smoker with hypoxic COPD (PaO2 6.3) seeks help + Still smokes + On exam: Sats 88% + Investigation shows: Hypoxia + What is the most appropriate management for this patient >> Recommend smoking cessation

🩺 Struggling to prepare for PACES with a busy schedule?Ward rounds, On-calls, No time for live classes?Don’t worry! MedM...
18/04/2026

🩺 Struggling to prepare for PACES with a busy schedule?
Ward rounds, On-calls, No time for live classes?

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17/04/2026

Bullet For MRCP Part-2

✅ Epididymo-orchitis:
27-year-old man has scrotal pain and swelling + Multiple partners + On exam: Tender epididymis + Investigation shows: STI risk + What is the most appropriate oral antibiotic to prescribe in addition to intramuscular ceftriaxone >> Doxycycline

✅ IgA Nephropathy:
27-year-old man has recurrent dark urine after sore throats + Hypertension + On exam: BP 152/94 + Investigation shows: Dysmorphic red cells + What is the most likely diagnosis >> IgA nephropathy

✅ Essential Tremor:
63-year-old woman has progressive bilateral hand tremor worse with action + Mild asthma + On exam: Kinetic tremor + Investigation shows: Normal + What is the most appropriate initial treatment >> Primidone

✅ Atrial Fibrillation in Heart Failure:
78-year-old man with COPD and HF (EF 35%) has AF with RVR + Breathless + On exam: HR 130 + Investigation shows: Reduced EF + What is the most appropriate pharmacological agent to control his ventricular rate >> Bisoprolol

✅ Scleroderma Pulmonary Hypertension:
56-year-old woman with scleroderma has breathlessness and clear lungs + Normal volumes + On exam: Loud P2 + Investigation shows: Low DLCO, normal spirometry + What is the most appropriate next step in her management >> Refer for echocardiography

16/04/2026

Bullet For MRCP Part-1

✅ Bell's Palsy Management:
35-year-old woman presents with a one-day history of facial droop + No other neurological signs noted on examination + On exam: Right-sided facial droop without other focal deficits + Investigation shows: Clinical features of idiopathic lower motor neuron facial palsy + What is the most appropriate management for her condition >> Oral prednisolone

✅ Conduction Aphasia:
62-year-old man presents with difficulty speaking and repeating phrases + Able to understand language and follow commands + On exam: Speech contains frequent paraphasic errors with fluent output + Investigation shows: Damage to the arcuate fasciculus connecting language areas + What is the most likely type of aphasia he is experiencing >> Conduction aphasia

✅ Cutaneous SCC Prognosis:
65-year-old man presents with a non-healing ulcer on his lower lip + Biopsy confirms a diagnosis of squamous cell carcinoma + On exam: Malignant ulceration identified during dermatological examination + Investigation shows: Presence of tumour cells surrounding or infiltrating nerves + Which feature of the tumour has the highest poor impact on his prognosis >> Perineural invasion

✅ Nasopharyngeal Carcinoma:
54-year-old man presents with disseminated nasopharyngeal carcinoma + History of recurrent sinus infections and nasal obstruction + On exam: Undifferentiated carcinoma revealed on biopsy + Investigation shows: Strong association with a common herpesvirus infection + Which virus is most likely associated with his condition >> Epstein-Barr virus

🚀 Your MRCP PACES Success Starts Here!Struggling with Long Clinical Consultation (LCC)? It doesn’t have to be overwhelmi...
15/04/2026

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🌐 Course link: https://medmonarchy.com/courses/details/adf63f2a

🌏 Join our facebook Group: https://www.facebook.com/share/g/17d5HGSsmf/

🔗 WhatsApp Channel: https://whatsapp.com/channel/0029VabYn3N3LdQOBUpiDo2p

📞 +44 7459 416899
🌐 Website: https://medmonarchy.com

13/04/2026

Bullet For MRCP Part-2

✅ Liver Capsule Pain:
58-year-old woman with liver metastases has RUQ pain and nausea + Poor appetite + On exam: Tender RUQ + Investigation shows: Multiple metastases + What is the most appropriate management to alleviate her pain >> Dexamethasone

✅ Hepatitis B Post-Exposure:
34-year-old nurse sustains needlestick from Hep C positive patient + Non-responder to vaccine + On exam: Site clean + Investigation shows: Anti-HBs > Administer hepatitis-B immunoglobulin and initiate hepatitis-B vaccination series

✅ Membranous Nephropathy:
41-year-old woman on penicillamine for RA has ankle swelling + Frothy urine + On exam: Oedema + Investigation shows: Albumin 24, Proteinuria 4+ + What is the most likely cause of her renal findings >> Membranous nephropathy

✅ Cluster Headache:
33-year-old woman has nightly excruciating unilateral headaches with eye watering + Agitated during attacks + On exam: Normal neurology + Investigation shows: Normal between attacks + What is the most appropriate initial treatment to abort her symptoms >> Sumatriptan

12/04/2026

Bullet For MRCP Part-1

✅ Haematology (Multiple Myeloma):
62-year-old man presents with persistent back pain, fatigue, and recurrent infections + On exam: pallor and mild hepatosplenomegaly + Investigation shows: Hb 98 g/l, ESR 75 mm/hr, Calcium 2.87 mmol/l + What is the most appropriate next investigation to confirm the diagnosis >> Serum protein electrophoresis

✅ Pharmacology (Anticoagulation):
67-year-old woman with AF + On exam: Recent initiation of dabigatran therapy + Investigation shows: New-onset abdominal pain + What is the mechanism by which dabigatran exerts its therapeutic effect >> Direct inhibition of thrombin

✅ Cardiology (MI Localization):
62-year-old man (smoker, hypertension, hyperlipidaemia) + sudden onset chest pain radiating to his left arm + On exam: N/A + Investigation shows: ECG shows ST elevation in leads II, III and aVF + Which coronary artery is most likely occluded >> Right coronary artery

✅ Nephrology (Metabolic):
49-year-old man presents with recurrent kidney stones + On exam: N/A + Investigation shows: hypercalciuria, hypokalaemia, and a normal serum calcium level + Which of the following is the most likely cause of his condition >> Distal renal tubular acidosis

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Gibson House (1st Floor) Northwest Associates Ltd, 800 High Road
Dhaka
N170DH

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+8801979411927

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