MCCQEGastroenterology
Upper Gastrointestinal Bleeding: MCCQE Notes
Resuscitate, risk-stratify, scope within 24 hours — and know which patients get antibiotics and a vasoactive drug before the endoscope.
5 min readTopic Note
Revision notes
Structured the way you revise — mechanism, discriminators, first-line management, and the details that separate the right answer from the plausible one.
58 notes
MCCQEPsychiatry
Delirium versus Dementia: MCCQE Notes
Acute onset with fluctuating attention is delirium until proven otherwise — and it is a medical emergency, not a behavioural problem.
5 min readTopic Note
MCCQENeurology
First Seizure and Status Epilepticus: MCCQE Notes
A first unprovoked seizure does not automatically mean antiepileptic drugs; status is a timed protocol you should know by heart.
5 min readTopic Note
MCCQENephrology
Acute Kidney Injury: MCCQE Notes
Pre-renal, renal, post-renal — and an ultrasound plus a urinalysis will usually tell you which.
5 min readTopic Note
MCCQEEthics & Public Health
Preventive Screening in Canada: MCCQE Notes
The CTFPHC recommendations differ from the American ones in ways the exam deliberately targets — breast, cervical and prostate especially.
6 min readTopic Note
MCCQERespiratory
COPD: Diagnosis and Exacerbations — MCCQE Notes
Post-bronchodilator spirometry makes the diagnosis, and only three interventions change mortality.
5 min readTopic Note
MCCQERespiratory
Pulmonary Embolism: Work-Up — MCCQE Notes
Pretest probability comes first. Order a D-dimer without it and you have made the problem worse.
5 min readTopic Note
MCCQENeurology
Acute Stroke and TIA: MCCQE Notes
Non-contrast CT first, then the two time windows — thrombolysis and thrombectomy — and the secondary prevention that starts the same admission.
6 min readTopic Note
MCCQEEndocrinology
Type 2 Diabetes: Diagnosis and Management — MCCQE Notes
Four diagnostic tests, an individualised A1C target, and drug choice driven by cardiovascular and renal disease rather than by glucose alone.
6 min readTopic Note
MCCQEEndocrinology
Diabetic Ketoacidosis: MCCQE Notes
Fluid first, then insulin, and never start insulin before you know the potassium.
5 min readTopic Note
MCCQEEndocrinology
Interpreting Thyroid Function Tests: MCCQE Notes
TSH plus free T4 resolves nearly every stem — once you know the four patterns and the two traps.
5 min readTopic Note
MCCQEEthics & Public Health
Confidentiality and the Duty to Warn: MCCQE Notes
Confidentiality is the rule; the exceptions are a short, memorisable list. Knowing which are mandatory and which are discretionary is the whole question.
5 min readTopic Note
MCCQEEthics & Public Health
Consent and Capacity: MCCQE Notes
Capacity is decision-specific, not a label on a patient — and in Canada a capable minor can consent for themselves. The two ideas the exam tests hardest.
5 min readTopic Note
MCCQEGastroenterology
Complications of Cirrhosis: MCCQE Notes
Ascites, SBP, encephalopathy, varices and hepatorenal syndrome — each with a treatment the exam expects verbatim.
6 min readTopic Note
MCCQEEthics & Public Health
Biostatistics You Actually Need: MCCQE Notes
Sensitivity and specificity, predictive values that move with prevalence, and the difference between relative and absolute risk.
6 min readTopic Note
MCCQENephrology
Hyponatraemia: A Working Approach — MCCQE Notes
Volume status plus urine sodium and osmolality gets you to the cause, and the rate of correction is what keeps the patient safe.
6 min readTopic Note
MCCQEHaematology
Approach to Anaemia: MCCQE Notes
The MCV splits the differential three ways, and the reticulocyte count tells you whether the marrow is trying.
5 min readTopic Note
MCCQECardiology
Hypertension: Diagnosis and Targets — MCCQE Notes
Diagnostic thresholds depend on how the pressure was measured, and the treatment target depends on the patient. Both are commonly examined.
5 min readTopic Note
MCCQECardiology
Acute Coronary Syndrome: MCCQE Notes
The first decision is STEMI or not, because it changes the clock. Everything else follows from that fork.
6 min readTopic Note
MCCQEEmergency Medicine
Acetaminophen Overdose: MCCQE Notes
The nomogram, the eight-hour window, and the King's College criteria — and why a normal patient at four hours proves nothing.
5 min readTopic Note
MCCQEPaediatrics
Fever in the Young Infant: MCCQE Notes
Under 28 days, fever means a full septic work-up and admission — no exceptions, however well the baby looks.
5 min readTopic Note
MCCQEObstetrics & Gynaecology
Contraception: Choosing and Counselling — MCCQE Notes
Efficacy in typical use, the absolute contraindications to oestrogen, and emergency contraception — the three things reliably examined.
5 min readTopic Note
MCCQECardiology
Heart Failure with Reduced Ejection Fraction: MCCQE Notes
Four drug classes change mortality and everything else treats symptoms. Knowing which is which answers most questions.
5 min readTopic Note
MCCQERespiratory
Asthma: Diagnosis and Control — MCCQE Notes
Diagnosis needs demonstrated variable airflow obstruction, and escalation decisions are driven by a short list of control questions.
5 min readTopic Note
MCCQEObstetrics & Gynaecology
Hypertensive Disorders of Pregnancy: MCCQE Notes
Preeclampsia no longer requires proteinuria, magnesium is for seizures rather than blood pressure, and delivery is the only cure.
6 min readTopic Note
MCCQEPsychiatry
Depression and Suicide Risk Assessment: MCCQE Notes
Diagnosis by criteria, treatment by evidence, and a risk assessment that asks directly rather than inferring.
5 min readTopic Note
MRCP Part 2Infections
Leptospirosis (Weil's Disease): MRCP Part 2 Notes
Fever, jaundice and acute kidney injury after freshwater or occupational exposure — the classic Weil's disease vignette.
4 min readTopic Note
MRCP Part 2Infections
Legionella Pneumonia: MRCP Part 2 Notes
Atypical pneumonia with hyponatraemia, deranged LFTs and confusion after foreign travel or air-conditioning exposure — diagnosed on a urinary antigen.
4 min readTopic Note
MRCP Part 2Infections
Hepatitis B Serology & Management: MRCP Part 2 Notes
The serology table is the exam. Learn to read HBsAg, anti-HBc and anti-HBs and every hepatitis B question becomes a pattern match.
6 min readTopic Note
MRCP Part 2Nephrology
Polyuria: MRCP Part 2 Notes
Large urine volumes with a short differential — sort them into osmotic, water diuresis and drug causes.
3 min readTopic Note
MRCP Part 2Nephrology
Plasma Exchange (Plasmapheresis): MRCP Part 2 Notes
Removing pathogenic antibodies and immune complexes from plasma — key in anti-GBM disease, TTP and severe vasculitis.
4 min readTopic Note
MRCP Part 2Nephrology
Peritoneal Dialysis: MRCP Part 2 Notes
Home dialysis using the peritoneum as a membrane — with peritonitis as its defining complication.
4 min readTopic Note
MRCP Part 2Nephrology
Renal Papillary Necrosis: MRCP Part 2 Notes
Ischaemic death of the renal papillae — think analgesic nephropathy, diabetes and sickle cell disease.
3 min readTopic Note
MRCP Part 2Nephrology
Contrast-Induced Nephropathy: MRCP Part 2 Notes
An acute kidney injury a few days after iodinated contrast — largely preventable with hydration and risk-factor control.
3 min readTopic Note
MRCP Part 2Nephrology
Nephrotic Syndrome Complications: MRCP Part 2
Heavy urinary protein loss brings predictable complications — thrombosis, infection and hyperlipidaemia chief among them.
4 min readTopic Note
MRCP Part 2Nephrology
Membranoproliferative GN (MPGN): MRCP Part 2 Notes
A mixed nephritic-nephrotic glomerulonephritis with 'tram-track' basement membranes and low complement — think hepatitis C and complement dysregulation.
4 min readTopic Note
MRCP Part 2Nephrology
Measuring Clearance, Renal Blood Flow & GFR: MRCP
The physiology of clearance — inulin for GFR, PAH for renal plasma flow, and why creatinine clearance overestimates GFR.
4 min readTopic Note
MRCP Part 2Nephrology
IgA Nephropathy (Berger Disease): MRCP Part 2
The world's commonest glomerulonephritis — visible haematuria a day or two after an upper respiratory infection.
4 min readTopic Note
MRCP Part 2Nephrology
Hypokalaemia: MRCP Part 2 Notes
Low potassium sorted by whether it comes with alkalosis or acidosis — plus the classic U-wave ECG and safe replacement.
4 min readTopic Note
MRCP Part 2Nephrology
Hydronephrosis: MRCP Part 2 Notes
Dilatation of the renal pelvis and calyces from obstruction — with useful mnemonics for the unilateral and bilateral causes.
3 min readTopic Note
MRCP Part 2Nephrology
HIV-Associated Nephropathy (HIVAN): MRCP Part 2
A collapsing FSGS of advanced HIV — heavy proteinuria, large echogenic kidneys and rapid progression, best treated with antiretrovirals.
3 min readTopic Note
MRCP Part 2Nephrology
Haemolytic Uraemic Syndrome (HUS): MRCP Part 2
A thrombotic microangiopathy with a classic triad — usually following Shiga-toxin E. coli, occasionally from complement dysregulation.
5 min readTopic Note
MRCP Part 2Nephrology
Glomerulonephritides Overview: MRCP Part 2 Notes
A framework for the glomerular diseases — splitting them along the nephritic-to-nephrotic spectrum.
4 min readTopic Note
MRCP Part 2Nephrology
Fluid Therapy in Adults: MRCP Part 2 Notes
The NICE framework for prescribing IV fluids — resuscitation, routine maintenance, replacement, redistribution and reassessment.
4 min readTopic Note
MRCP Part 2Nephrology
Fanconi Syndrome: MRCP Part 2 Notes
Generalised proximal tubular failure — leaking glucose, amino acids, phosphate and bicarbonate into the urine.
4 min readTopic Note
MRCP Part 2Nephrology
Erectile Dysfunction: MRCP Part 2 Notes
Often the first warning sign of cardiovascular disease — with a useful organic-versus-psychogenic split guiding assessment.
4 min readTopic Note
MRCP Part 2Nephrology
Diabetes Insipidus: MRCP Part 2 Notes
Polyuria from ADH deficiency (cranial) or ADH resistance (nephrogenic) — distinguished by the water deprivation test.
5 min readTopic Note
MRCP Part 2Nephrology
Cystinuria: MRCP Part 2 Notes
An inherited defect in dibasic amino-acid reabsorption causing recurrent, poorly soluble cystine stones from a young age.
3 min readTopic Note
MRCP Part 2Nephrology
Chronic Prostatitis: MRCP Part 2 Notes
Persistent pelvic pain and urinary symptoms — most cases are non-bacterial chronic pelvic pain syndrome rather than infection.
3 min readTopic Note
MRCP Part 2Nephrology
CKD Anaemia: MRCP Part 2 Notes
A normochromic normocytic anaemia driven by erythropoietin deficiency — correct iron first, then use ESAs to a modest haemoglobin target.
4 min readTopic Note
MRCP Part 2Nephrology
ARPKD: MRCP Part 2 Notes
The childhood form of polycystic kidney disease — presenting antenatally or in infancy, with congenital hepatic fibrosis.
3 min readTopic Note
MRCP Part 2Nephrology
Anti-GBM Disease (Goodpasture): MRCP Part 2 Notes
A pulmonary-renal syndrome from antibodies against type IV collagen — rapidly progressive glomerulonephritis with lung haemorrhage.
5 min readTopic Note
MRCP Part 2Nephrology
The Anion Gap: MRCP Part 2 Notes
A simple calculation that splits metabolic acidosis into raised-gap and normal-gap causes — and points you to the diagnosis.
4 min readTopic Note
MRCP Part 2Nephrology
Amyloidosis: MRCP Part 2 Notes
Extracellular deposition of misfolded protein causing nephrotic syndrome, cardiac and multi-system disease — diagnosed by Congo red staining.
5 min readTopic Note
MRCP Part 2Nephrology
TINU Syndrome: MRCP Part 2 Notes
A rare syndrome combining acute interstitial nephritis with anterior uveitis, classically in young women.
3 min readTopic Note
MRCP Part 2Nephrology
Acute Interstitial Nephritis: MRCP Part 2 Notes
An immune-mediated cause of acute kidney injury — usually drug-induced — with eosinophilia, sterile pyuria and white cell casts.
5 min readTopic Note
MRCP Part 1Infections
Giardiasis: MRCP Part 1 Essentials
A flagellate protozoan causing non-bloody, fatty diarrhoea and malabsorption — diagnosed by stool antigen assay and treated with metronidazole.
4 min readTopic Note
MRCP Part 2Nephrology
Membranous Nephropathy: MRCP Part 2 Essentials
The commonest cause of nephrotic syndrome in older Caucasian adults — with a signature anti-PLA2R antibody and subepithelial deposits.
6 min readTopic Note