Hash tag usage

#april2020mccqe1 A 6-year-old girl who has previously been well presented with a history of tonic-clonic seizures lasting 4 mins. Her mother brought her to the hospital and she appeared well. She is afebrile and didn’t lose consciousness during the episode of seizure. She has no neurologic...

#july2020mccqe1 A 35-year-old woman presents with dull, persistent flank and abdominal pain, polyuria, nocturia, and frequent urinary tract infections. Physical examination is notable for blood pressure of 150/90 mm Hg and multiple bilateral abdominal masses. Urinalysis is notable for...

#may2020mccqe1 A 45-year-old woman is scheduled to undergo elective bilateral tubal ligation. The gynecology resident, covering for a colleague, greets the patient in the preoperative area with the consent paper, which outlines the nature and indications of intervention, risks and benefits, and...

#june2020mccqe1 A 73-year-old retired woman is evaluated in the emergency department 6 hours after experiencing the sudden, explosive onset of a severe headache. The patient has hypertension controlled by diet and exercise. There is no relevant family history. She has no allergies and takes no...

#oldrecallmccqe1 An obese 55-year-old man presents with mononeuritis multiplex. He is MOST LIKELY to have (A) infectious mononucleosis (B) lead poisoning (C) Guillain-Barré syndrome (D) diabetes mellitus (E) myxoedema

#january2020mccqe1 A 26-year-old pregnant woman complains of persistent, dry, ulcerated skin over her knees and elbows. Examination of her eyes reveals small, gray plaques on the conjunctiva. Which of the following is the most likely diagnosis? (A) Ascorbic acid deficiency (B) Excessive...

#february2020mccqe1 A 35-year-old man is brought to the emergency department after he faints and cannot be revived. Stat chemistries are notable for a plasma glucose of 23 mg/dL. The patient is promptly given IV glucose and recovers consciousness. Careful questioning reveals that he has a...

#june2020mccqe1 A 17-year-old male presents with the physical sign as shown in the illustration. Which one of the following is the most likely cause of the problem? (A) Idiopathic (B) A normal physiological change (C) Testicular neoplasm (D) Obesity (E) Drug-related

#march2020mccqe1 A 60-year-old woman was found by her son. She was confused and had urinary incontinence. She has recovered fully after 6h with no neurological complaints. What is the most likely diagnosis? (A) Stroke (B) Vestibular insufficiency (C) TIA (D) Intracranial hemorrhage

#may2020mccqe1 A mother brings her 5-year-old son to his pediatrician’s office. The boy has been experiencing frequent falls as well as progressive difflculty with walking, jumping, and hopping. Laboratory testing reveals a creatine kinase level of 2840 U/L. Muscle biopsy reveals variation in...

#august2020mccqe1 An 87-year-old man with prostate cancer, Gleason grade 9, is now receiving palliative care following failure of hormonal therapy and chemotherapy. He has severe bone pain from multiple metastases, despite receiving both bisphosphonate and radiation therapy. His oxygenation is...

#june2020mccqe1 A 34-year-old woman is evaluated in the office for right-sided facial paralysis that she noticed on awakening 1 hour ago. She has a 10-pack-year smoking history. Personal and family medical history is noncontributory. Her only medication is a daily oral contraceptive. On...

#april2020mccqe1 Which of the following is of proven benefit in the treatment of established post-herpetic neuralgia? (A) Corticosteroids (B) Acyclovir (C) Amitriptyline (D) Cimetidine (E) Phenytoin

#february2020mccqe1 The pregnant mother of a 6-year-old son with glucose-6-phosphate dehydrogenase deficiency is very worried that her female fetus will have the disease. The father and mother are clinically normal. Which of the following is true about her baby? (A) The baby has a 25% chance of...

#april2020mccqe1 A 45-year-old man presents to a physician because of repeated episodes of fainting. The radial pulse is erratic, with multiple skipped beats at a rate of 45 beats/min. An ECG shows a normal sinus rhythm at a rate of 60/min. An echocardiogram reveals a 2-cm mass that is acting...

#oldrecallmccqe1 Four days ago a 7-year-old boy injured his left leg falling out of a tree. During the past two days he has been generally 'off colour' and has had a painful left leg. Apart from uncomplicated minor childhood illnesses, he had been previously healthy. The only positive findings...

#april2020mccqe1 A 65-year-old woman presents with headache. She also complains of dizziness and tinnitus. She has recently realized she has visual problems. There is history of burning sensation in fingers and toes. On examination splenomegaly, itchy after hot bath are noted. On laboratory...

#june2020mccqe1 A 55-year-old recent immigrant from Taiwan presents to the clinic with a 3-month history of worsening nasal congestion, epistaxis, and recurrent ear infections. Physical examination reveals painless firm lymph node enlargement in the neck. CT of the head reveal a large mass...

#february2020mccqe1 A patient in the clinic has a positive HIV test, first by enzyme-linked immunosorbent assay antibody assay and then confirmed by Western blot. She is married, has three children, and is sexually active with her husband. After explaining what the results mean, she is advised...

#march2020mccqe1 A 53-year-old woman is evaluated in the office for a 1-week history of paresthesias that began symmetrically in the feet and progressed to involve the distal legs and, more recently, the hands. She is unsteady when walking, has lower limb weakness, and has difficulty going...