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MRCP(UK)
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Try real questions
Two in every topic, marked straight away, with the guideline named. Get a plan when you are ready.
Pick an exam and a topic. 2 questions in every topic are open, marked straight away, each with the guideline it comes from. Nothing you type is stored.
Cancer and oncology
A 70-year-old woman with myeloma is brought to the emergency department by her daughter. She has had three days of vomiting, increasing thirst, constipation and new drowsiness. She is oriented to person only. Her pulse is 108/min, blood pressure 98/60 mmHg, and her mucous membranes are dry. Her blood results are shown in the table.
| Test | Result | Reference range |
|---|---|---|
| Adjusted calcium | 3.6 mmol/L | 2.20–2.60 |
| Creatinine | 172 µmol/L | 60–110 |
| Urea | 15.8 mmol/L | 2.5–7.0 |
| Sodium | 141 mmol/L | 137–144 |
| Potassium | 3.8 mmol/L | 3.5–4.9 |
What is the most appropriate initial action?