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#june2020mccqe1 A 28-year-old woman presents because of lethargy, dizzy spells and occasional syncope. During a dizzy spell the heart rate is 32 beats/min and the blood pressure is 85/60 mmHg. Which of the following is the most likely diagnosis? (A) Addison disease (B) Insulinoma (C) Structural...

#april2020mccqe1 A 62-year-old man is prescribed a pharmaceutical agent that inhibits the activity of the enzyme HMG-CoA reductase. This patient most likely has which of the following conditions? (A) Chronic inflammation (B) Familial hypercholesterolemia (C) Hypertension (D) Hyperuricemia (E)...

#january2020mccqe1 A 70-year-old man is brought to the emergency department by his family because of the rapid onset of rightsided weakness and confusion. On arrival, the patient is drowsy, but examination confirms a right hemiparesis associated with left deviation of the eyes. The patient is...

#june2020mccqe1 An 11-year-old boy complains of sudden onset of pain in the right side of the scrotum four hours ago, followed by nausea and vomiting. On examination, the right hemiscrotum is red and swollen and acutely tender, but no other abnormality is found. Which one of the following is...

#july2020mccqe1 A 47-year-old man who is a chronic alcoholic with established liver damage, has been brought to the hospital after an episode of heavy drinking. He is not able to walk straight and is complaining of double vision and is shouting obscenities and expletives. What is the most...

#may2020mccqe1 A 32-year-old woman presents to her primary care physician complaining of overwhelming fear and apprehension. The patient states that for the past 8 months she has been feeling anxious and worried about many things. She has difficulty concentrating and difficulty sleeping because...

#oldrecallmccqe1 The physician on call is paged to the well-baby nursery because a full-term, 3-hour-old boy has had green emesis twice, once after each of his feedings. He is being breast-fed. He was born by spontaneous vaginal delivery following a pregnancy complicated by polyhydramnios. His...

#august2020mccqe1 A 62-year-old woman is evaluated for a 3-day history of fever and left knee pain and swelling. She has a 30-year history of rheumatoid arthritis treated with methotrexate and nonsteroidal anti-inflammatory drugs. She has no other medical problems. On physical examination...

#june2020mccqe1 A 60-year-old man who has enjoyed good health complains of increasing breathlessness, abdominal discomfort and swelling of the feet for 3 weeks. His venous pressure is elevated, the liver is enlarged and there is gross ascites. The resting respiratory rate is 25/min and there...

#february2020mccqe1 A 5-year-old, mentally retarded boy is brought to the city from a rural community for evaluation. A careful history reveals mental retardation in a number of other family members, especially the males. Physical examination is remarkable for a long face with large ears, a...

#april2020mccqe1 A 60-year-old woman is hospitalized with a severe case of pneumonia that is treated with cephalosporins. Her condition improves over the course of therapy, and after 6 days, she develops loose stools that progresses to frequent bouts of foul-smelling, watery diarrhea with small...

#july2020mccqe1 A 12-year-old boy whose weight and height are on the 90th percentile complains of pain in the right hip for several days and his mother has noticed that he is limping. Which one of the following is the most likely diagnosis? (A) Slipped capital femoral epiphysis (B) Perthes...

#june2020mccqe1 A 32-year-old woman of 39 weeks gestation attends the antenatal day unit feeling very unwell with sudden onset of epigastric pain a/w nausea and vomiting. Temperature is 36.7C. On examination, RUQ tenderness is noted. On lab examination, mild anemia, low platelets, elevated LFT...

#august2020mccqe1 A 64-year-old man develops chronic renal failure. He has an extensive medical history, and also complains of increasingly poor vision in his right eye. After a kidney biopsy is taken (see image), his physician immediately starts him on a new medication. What pharmacologic...

#may2020mccqe1 A 68-year-old African-American man presents to his primary care physician for a check-up. He has not been to the physician’s office in over 15 years. He reports that he is fine but that his wife keeps telling him that he has to “go see the doctor.” He says he has never been sick...

#august2020mccqe1 A 32-year-old woman is evaluated in the emergency department for a 4-day history of pain and swelling of the right wrist and low-grade fever. She has a 7-year history of severe rheumatoid arthritis. She does not recall any specific trauma involving the wrist but has recently...

#february2020mccqe1 In the elderly, with mild systolic hypertension (170–180 mmHg), which of the following is correct? (A) Diastolic blood pressure rather than systolic blood pressure is a better predictor of cerebrovascular morbidity and mortality (B) Effective lowering of mild systolic...

#march2020mccqe1 Liver cells in culture were kept at 0 C (32.0 F) and treated with trypsin to digest the receptors on the cell surface. The temperature was then raised to 37.0 C (98.6 F), and radioactive LDL was added to the culture media. Several hours later, the labeled LDL was found to be...

#oldrecallmccqe1 A 35-year-old man with a history of chronic hepatitis B presents to the emergency department with severe abdominal pain. The patient states that he has had intermittent fevers and a 15-lb weight loss over the past 6 months. His temperature is 38 C (100.4 F), blood pressure is...

#february2020mccqe1 A 25-year-old woman presents with a two-month history of a painless mass appearing in the neck. Examination shows a 5cm fluctuant smooth round mass in the upper anterior triangle of the neck as illustrated, partly covered by the upper third of the sternomastoid. Which one of...