10/08/2026
Pearl For MRCP Part-2
Revise your MRCP Part-2 preparation with 7200 Pearl-based premium content. In this course, we arranged the previous year's questions in bullet form with high-resolution pictures with Clickable links. We prepared the entire course in a way that we hope will make your MRCP part -2 journey easier and smoother along with your tight schedule.
Section-1: Past paper Pearl
Section 2: System-wise Pearl
Section 3: Image Gallery: All pictures in one platform
Section-4: Mnemonics ( Alphabetical Mnemonics, word Mnemonics, Numerical Mnemonics)
Section-5: Last hour revision
We are adding more information and images (ECG, X-RAY, CT scan, MRI, Dermatology pic) to make it a complete preparation package. You will get all updated and upcoming information throughout the subscription period.
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10/08/2026
Drop Your Answer In The Comments.
08/08/2026
A 28-year-old man is referred to the Clinical Pharmacology Clinic for management of his hypertension. He is
currently treated with ramipril 10 mg and amlodipine 5 mg daily, but his blood pressure is still elevated at
155/90 mmHg. He takes no other regular medication and is otherwise well. His body mass index is 23 kg/m2
and his abdomen is soft and non-tender, with no masses.
What is the most useful next investigation?
A. Contrast computed tomography (CT) abdomen
B. Genetic testing
C. 12-lead electrocardiogram (ECG)
D. Stop Ramipril and do Spot renin and aldosterone measurement
E. Urine sodium excretion
02/08/2026
A 65-year-old man with chronic obstructive pulmonary disease (COPD) is reviewed on the Respiratory Ward
some five days after admission with a left pneumothorax. He has a chest drain in situ. However, the lung has
not inflated despite high-volume, low-pressure suction.
What is the most appropriate next step?
A. Continue suction for a further seven days
B. Heimlich valve
C. Chemical pleurodesis
D. Replace the chest drain with one with a larger diameter
E. Referral for surgical pleurodesis
01/08/2026
Drop Your Answer in the Comments.
30/07/2026
A 34-year-old woman who has essential hypertension presents to the Pre-pregnancy Clinic for advice. She
has no medical illnesses, apart from hypertension. Her blood pressure is 144/95 mmHg and her body mass
index is 23kg/m2.
What is the best way to manage the patient’s blood pressure pre-pregnancy?
A. Bendroflumethiazide
B. Labetalol
C. Methyldopa
D. Ramipril
E. Valsartan
29/07/2026
Pearl For MRCP Part-2
Mnemonic: "A.B.C.D.S."
Antiplatelets
Beta-blockers
Cholesterol control (statins)
Diet and lifestyle changes
Stabilize with ACE inhibitors.
★ MI Complications
Common Complications:
VSD: Pansystolic murmur
Mitral Regurgitation: Rupture of papillary muscles
Tamponade: Free wall rupture
Heart Failure or Cardiogenic Shock
Most Confirmatory Investigation: Echocardiography
Most Appropriate Next Step: Stabilize hemodynamics
Most Appropriate Intervention: Urgent surgical repair for mechanical complications
Mnemonic: "C.R.A.S.H."
CHF or cardiogenic shock
Rupture (VSD, free wall)
Arrhythmias
Stabilize with supportive care
Hemodynamic collapse = surgery.
★ Marfan Syndrome and Aortic Dissection
Marfan Syndrome:
Scenario: Tall stature, arachnodactyly, and lens dislocation + On exam: high-arched palate, pectus deformity + Investigation shows: aortic root dilation on echocardiography >>
Most Likely Dx: Marfan Syndrome
Most Common Cause: FBN1 gene mutation
Most Confirmatory Investigation: Genetic testing
Most Appropriate Next Step: Echocardiography screening for aortic complications
Most Appropriate Intervention: Beta-blockers or losartan; prophylactic aortic surgery
Aortic Dissection:
Scenario: Tearing chest pain radiating to the back + On exam: unequal BP in limbs + Investigation shows: widened mediastinum on CXR >>
Most Likely Dx: Aortic Dissection
Most Common Causes: Hypertension, connective tissue disorders
Most Confirmatory Investigation: CT angiography
Most Appropriate Next Step: Control BP with IV beta-blockers
Most Appropriate Intervention: Type A → urgent surgery; Type B → medical management
