Hash tag usage

#march2020mccqe1 A 44-year-old woman complains of heavy bleeding per vagina. Transvaginal US was done and normal. Which of the following would be the most appropriate investigation for her? (A) Hysterectomy (B) Endometrial biopsy (C) CBC (D) High vaginal swab (E) Coagulation profile

#february2020mccqe1 A 66-year-old woman has an autosomal recessive disease with multiple sequelae, including diabetes mellitus and arthritis. Physical examination reveals hepatomegaly and skin hyperpigmentation. A biopsy of her liver is shown in the image. What is the most likely explanation...

#may2020mccqe1 A 93-year-old man is transferred to the emergency department after staff at the long-term care facility note confusion and agitation. He takes many medications, including insulin and a glipizide for diabetes and a β-blocker for hypertension. On examination the patient mumbles...

#january2020mccqe1 A 60-year-old woman has noted recurrent, right elbow pain. The pain occurs mainly with the use of the arm and hand, not with bending the elbow. She has noted no pain or tenderness in other joints. Examination of the right arm shows marked tenderness over the lateral...

#may2020mccqe1 Osteoarthritis (A) commonly affects the metacarpophalangeal joints (B) is a disease of subchondral bone with cartilage abnormalities appearing later (C) is usually associated with more than 30 min of early morning stiffness (D) can occur secondary to rheumatoid arthritis (E) is...

#august2020mccqe1 A 12-year-old boy has a particular genetic disease. His mother is a carrier of the mutated gene, but his father is not clinically affected and is not a carrier. The man has four siblings: a sister and a brother who are not clinically affected and are not carriers; a sister who...

#oldrecallmccqe1 A 60-year-old woman presents with complaints of chronic fatigue and mild pruritus. She has a history of rheumatoid arthritis and autoimmune thyroiditis. On examination, her liver is modestly enlarged, firm, and nontender; skin xanthomas are noted. Routine serum chemistry...

#oldrecallmccqe1 A 30-year-old woman, in previously good health, is two weeks postpartum. She presents with acute painful defaecation associated with some fresh blood noted on the toilet paper. Which one of the following is the most likely diagnosis? (A) Acute perianal abscess (B) Acute anal...

#august2020mccqe1 A 60-year-old woman presented to OPD with dysphagia. There is no history of weight loss or heartburn, no change in bowel habits. While doing endoscopy there is some difficulty passing through the LES, but no other abnormality is noted. What is the single most useful...

#july2020mccqe1 A 37-year-old HIV-positive man presents for evaluation of anogenital lesions. He states that the lesions have been present for years, but have recently grown in size and become pruritic and tender. On examination he is circumcised and has multiple hyperkeratotic papules on his...

#june2020mccqe1 A 10-year-old boy is brought into the emergency department after an injury and is bleeding profusely. His parents arrive soon afterward, and state that they are Jehovah’s Witnesses and do not consent to giving blood to their child, even though to fail to do so threatens the...

#may2020mccqe1 A 45-year-old woman is evaluated in the office for a 3-month history of pain, stiffness, and swelling of the small joints of the hands and feet. She also has increasing fatigue that has caused her to miss work at least 1 day per week. She has no other medical problems. On...

#april2020mccqe1 All of the following radiological changes are frequently found in osteoarthritis EXCEPT (A) joint space narrowing (B) periarticular osteoporosis (C) osteophyte formation (D) increased density of bone ends (E) occasional subchondral cysts

#march2020mccqe1 A newborn vomits after each feeding of milk-based formula and does not gain weight. Biochemical testing reveals a severe deficiency of galactose-1-phosphate uridyltransferase, consistent with homozygosity. If this condition goes untreated, which of the following is the likely...

#february2020mccqe1 A 62-year-old man comes to the physician because of episodic chest pain that manifests as a sensation of precordial tightness, occurs after physical exertion, and is relieved promptly by rest. The patient has noted that the amount of activity sufficient to trigger the pain...

#january2020mccqe1 A 52-year-old man presented four days ago when a diagnosis was made of typical acute gout in his left great toe metatarsophalangeal joint as shown in the image. He has no past history of joint problems. He has responded to indomethacin 50mg t.d.s. and his serum uric acid...

#oldrecallmccqe1 A 24-year-old woman presents to your office with deep dyspareunia and severe pain in every cycle. What is the initial investigation? (A) Laparoscopy (B) Pelvic US (C) Hysteroscopy (D) Vaginal Swab

#february2020mccqe1 A 64-year-old retired shipyard worker has been experiencing shortness of breath, a cough, and chest pain for 5 months. In that time he has lost 14.5 kg (32 lb). He develops progressive ascites, and ultimately dies due to a pulmonary embolus. Autopsy results are shown in the...

#august2020mccqe1 A 32-year-old woman presents to her primary care physician’s office complaining of dysuria, urgency, and frequency. The physician quickly scribbles a prescription for antibiotics, and the patient takes it to the pharmacist, saying, “Darn urinary tract infection again.” A few...

#february2020mccqe1 A 78-year-old obese woman is evaluated because right hip pain that worsens when she goes up and down stairs. She says that she cannot sleep on her right side because of pain over the hip and can localize the pain by pointing the lateral aspect of her hip. She has been...