Hash tag usage

#august2020mccqe1 A 73-year-old woman complains of pain mainly in the limb girdles, associated with marked stiffness. Her symptoms are worse in the early hours of the morning and on waking. There no abnormality on examination apart from mild generalised stiffness of the shoulder and hip joints...

#january2020mccqe1 Following the ingestion of glyburide, a type 2 diabetic patient begins to experience anxiety, diaphoresis, and hunger. The patient subsequently ingests a health food bar containing glucose. The glycolytic degradation of the ingested glucose commences with the action of which...

#april2020mccqe1 A 49-year-old man with acute pancreatitis develops severe shortness of breath 15 minutes after undergoing placement of a catheter in his subclavian vein. His blood pressure is 100/60 mm Hg, pulse is 124/min, and respirations are 50/min. He is cyanotic and in obvious distress...

#january2020mccqe1 A 3-year-old boy is seen because of the onset of nonspecific central abdominal pain of two days duration. On examination, he has a large firm mass just to the left of the midline in the upper abdomen. He is also noted to be hypertensive and, on urine testing, he has...

#march2020mccqe1 A 38-year-old woman, 10 days postpartum presents to the GP with a history of passing blood clots per vagina since yesterday. On examination, BP is 90/40mmhg, pulse is 110bpm, temperature is 38C, uterus tender on palpation and fundus 2cm above umbilicus, blood clots +++. Choose...

#august2020mccqe1 A 59-year-old man is hospitalized after suffering a severe myocardial infarction. He is initially treated with nitrates, β-blockers, and aspirin, and subsequently undergoes cardiac catheterization with placement of two stents. Following the procedure he is hemodynamically...

#august2020mccqe1 A 75-year-old man is in a persistent vegetative state following a large intracranial bleed secondary to an arteriovenous malformation. Two advance directives are in the chart. One is a living will stating that the patient requests withdrawal of life-sustaining treatment if he...

#oldrecallmccqe1 A 35-year-old woman is evaluated for a 5-day history of acute right knee pain that began when she hopped down from the bed of a truck, twisting her knee. She experienced a popping sensation and a gradual onset of knee joint swelling over the next several hours. Since then, she...

#june2020mccqe1 Which of the following statements regarding non-steroidal anti-inflammatory drugs is correct? (A) They are first line drugs in the treatment of osteoarthritis (B) Anti-ulcer therapy should be administered at the same time because of the risk of gastrointestinal haemorrhage (C)...

#july2020mccqe1 A 24-year-old woman with phenylketonuria (PKU) gives birth to her first child. Although there is no history of PKU in the father’s family, the couple could not afford genetic testing of the father or consistent prenatal care. At birth, the child is small, microcephalic, and has...

#july2020mccqe1 A 31-year-old Asian American man presents to the clinic for an annual physical. He has a 19-year history of type 1 diabetes, requiring 10 units NPH insulin each morning and 8 units NPH in the evening, with frequent blood glucose checks and regular insulin dosing throughout the...

#july2020mccqe1 A 6-month-old female infant is found to have a heart murmur at the routine six-month check. She has previously been healthy apart from infantile colic. Her weight is on the 25th percentile, height is on the 10th percentile, she is not cyanosed, has no chest deformity and her...

#august2020mccqe1 A 32-year-old female with 3 prv 1st trimester miscarriages is diagnosed with antiphospholipid syndrome. Anticardiolipin antibodies +ve. She is now 18wks pregnant. What would be the most appropriate management? (A) Aspirin (B) Aspirin & warfarin (C) Aspirin & heparin (D)...

#august2020mccqe1 A 37-year-old man who is HIV-positive recently started on a highly active antiretroviral regimen. The patient’s CD4+ cell count subsequently fell below 200/mm3. Over the course of the next 3 months, he develops diarrhea and notices a redistribution of fat on his body. Which of...

#may2020mccqe1 A primary care physician is caring for a patient with stage IV ovarian cancer. The woman, who has chosen to participate in hospice care, asks the physician to give her “something to end it all.” Which of the following is the most appropriate next step for the physician? (A) Call...

#may2020mccqe1 A 66-year-old woman is evaluated because of right knee pain of 4 weeks' duration. Although the knee is stiff for 20 to 30 minutes in the morning, she does not have much pain at work. Walking up the stairs in her house, however, causes a good deal of pain, which is not relieved by...

#january2020mccqe1 Finger clubbing in the adult is most frequently associated with which of the following conditions? (A) Pulmonary tuberculosis (B) Cor pulmonale secondary to chronic airflow limitation (C) Obstructive sleep apnoea (D) Squamous cell carcinoma of the lung (E) Recurrent pulmonary...

#february2020mccqe1 A 30-year-old man has been fasting for religious reasons for several days. His blood glucose level is now about 60% of its normal value, but he does not feel lightheaded because his brain has reduced its need for serum glucose by using which of the following substances as an...

#april2020mccqe1 A 55-year-old patient presents with chronic cough. In addition to the cough, the patient has gained weight recently with development of a “buffalo hump” and Cushingoid features. A chest x-ray film demonstrates a mass involving the central area of the chest. Bronchoscopy is...

#august2020mccqe1 A 67-year-old man presents with a two-month history of increasing tiredness and muscle weakness. His past history includes hypertension, diabetes and a myocardial infarction complicated by cardiac failure. He takes an oral hypoglycaemic and medications for his hypertension of...