Hash tag usage

#march2020mccqe1 An 18-year-old youth presents with the changes shown in the photograph. This condition has been present for many weeks and is the sixth acute episode he has suffered over the previous three months. Which one of the following would be the most effective treatment to offer the...

#april2020mccqe1 A 27-year-old presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7 weeks ago. On examination, abdominal tenderness, BP is 90/60mmHg. What is the next appropriate management? (A) Immediate laparotomy (B) Laparoscopy (C) Salpingotomy (D) Salpingectomy (E) MTX

#october2020mccqe1 A 68-year-old man comes to the emergency department because of a 5-hour history of palpitations and light-headedness. He states that he has experienced shorter episodes of palpitations before, but nothing so severe. After admission to the hospital, the patient receives a full...

#june2020mccqe1 A full-term 5-day-old African-American girl is taken to the pediatrician because her “eyes look yellow.” She is being exclusively formula-fed with an iron-rich formula. She has six wet diapers a day and stools twice a day. The pregnancy was uncomplicated and she was delivered by...

#february2020mccqe1 A 60-year-old woman is evaluated for wrist pain of 6 months' duration. The pain is located at the base of the right thumb at the wrist. She is a watercolor artist and a graphic designer and is right handed. The pain is described as a persistent ache for which she takes...

#november2020mccqe1 A patient with arterial blood gas analysis showing a PaCO2 of 55 mmHg and a PaO2 of 50 mmHg (A) may have hyperventilation as a cause (B) must be cyanosed (C) needs urgent mechanical ventilation (D) needs controlled oxygen therapy (E) must have a reduced diffusing capacity

#april2020mccqe1 A gene product thought to be involved in the downregulation of fetal hemoglobin expression is being investigated. Samples of primary tissue cultures of fetal, neonatal, and adult liver and bone marrow, as well as adequate amounts of a DNA probe believed to contain the studied...

#august2020mccqe1 A 64-year-old man is brought to the emergency department because of sudden onset of tearing chest pain that seems to originate in the anterior chest and radiate to the back in the interscapular region. A few weeks ago, he had a dental abscess, which resolved with extraction...

#september2020mccqe1 A 65-year-old man presents with a three-day history of a rash on his feet. He had just completed a course of trimethoprim for an attack of prostatitis. He woke up with the feet reddened and hot and both feet seemed equally involved. Over the next two days his rash persisted...

#june2020mccqe1 A myocardial infarction patient who is already on aspirin no longer smokes and his cholesterol, ECG, echo and BP are all in normal level. Which of the following is the best option for this patient? (A) Give statin (B) Give statin&warfarin (C) Low cholesterol diet (D) Statin&ACEi

#may2020mccqe1 A 33-year-old immigrant from Peru comes to a women’s health clinic because she has missed her period for the past 2 months. Already a mother of four, she explains that she can’t afford to have another child. When her pregnancy test comes back positive, she becomes obviously...

#february2020mccqe1 A 76-year-old man who has had multiple episodes of pancreatitis presents to his physician’s office with mild epigastric pain and 9.1-kg (20.0-lb) weight loss over the past 6 months. The patient also describes daily foul-smelling stools that “float” in the toilet bowl. The...

#january2020mccqe1 A 67-year-old man is evaluated in the office for acute right knee pain that developed 6 days ago after working on his car. The pain is worse when he walks or climbs stairs and improves when he rests. He has no fever and denies knee stiffness. He has minimal pain relief with...

#october2020mccqe1 Which one of the following disorders is most likely to be associated with retention of carbon dioxide? (A) An acute asthmatic attack (B) Lobar pneumonia (C) Exacerbation of chronic bronchitis (D) 'Pure' (uncomplicated) emphysema (E) Chronic pulmonary tuberculosis

#august2020mccqe1 A 28-year-old woman and a 25-year-old man present for genetic counseling. Both are white and have one sibling affected with cystic fibrosis. The most appropriate method to assess the risk of transmitting cystic fibrosis to a potential child would be (A) biochemical testing (B)...

#march2020mccqe1 A 25-year-old man is admitted to a burn unit after an automobile accident in which he lost consciousness and then was burned over 65% of his body. Two days after his accident, the nurse notices that small amounts of blood are returned through his nasogastric tube when she...

#may2020mccqe1 A 67-year-old man presents with two episodes of weakness of his left hand. He had been unable to use the fingers of his left hand for several hours and then the power and movements slowly returned. At the same time he had experienced blurring of vision in his right eye. He is now...

#oldrecallmccqe1 A 46-year-old man is being treated for a pleural effusion. A chest drain has been sited just below the 4th rib in the mid-axillary line on his right side. What single structure is at particular risk of injury? (A) Arzygos vein (B) Diaphragm (C) Intercostal artery (D) Internal...

#march2020mccqe1 A 40-year-old man has been diagnosed with glioblastoma multiforme. The patient’s neurologist must choose an appropriate cancer drug to treat this tumor. Which of the following can cross the blood–brain barrier for effective treatment of brain tumors? (A) Cytarabine (B)...

#july2020mccqe1 A 62-year-old woman is transferred to the medical service with an appendiceal mass serendipitously picked up at the edge of an x-ray taken of a broken femur in the emergency department. Otherwise, the patient has no significant past medical history and no current symptoms. Which...