MRCP(UK) Part 1 case studies
MRCP(UK) Part 1 · Put your knowledge to work in context.
MRCP(UK) Part 1 is the entry examination of the Royal College of Physicians' three-part membership assessment, and it sits alongside Part 2 and PACES within the Federation's examinations portfolio. It is a written examination, taken by doctors who are building a career in hospital medicine - most often those in core medical training, internal medicine training or equivalent posts - as the first formal hurdle on the route to full MRCP(UK) and entry into higher specialty training. The MRCP(UK) Part 1 case studies are 5 cases and about 3,434 words.
1Exertional syncope with a low-gradient murmur
An 82-year-old man is referred with two episodes of exertional syncope over the past month. He has a three-year history of breathlessness on climbing one flight of stairs (NYHA III).
693 words, about 3 min2Suspected pulmonary embolism in a patient who cannot have contrast
A 58-year-old woman presents five days after an uncomplicated total knee replacement with sudden pleuritic chest pain and breathlessness. She is normally independent and has no prior VTE.
673 words, about 3 min3Confusion and worsening renal function in a patient with cirrhosis and ascites
A 61-year-old man with alcohol-related cirrhosis and ascites is admitted with three days of worsening confusion and vague abdominal discomfort. He takes spironolactone 100 mg daily and furosemide 40 mg daily.
699 words, about 3 min4Metabolic acidosis after surgery in a patient taking an SGLT2 inhibitor
A 54-year-old woman with type 2 diabetes treated with metformin and empagliflozin undergoes elective laparoscopic cholecystectomy. Two days later she develops vomiting, abdominal pain and drowsiness.
686 words, about 3 min5Acute stroke in a patient already anticoagulated
A 74-year-old man is brought in 60 minutes after the sudden onset of right-sided weakness and inability to speak. He has atrial fibrillation and takes warfarin; his last dose was yesterday and he has not missed any doses.
683 words, about 3 min