Hash tag usage

#january2020mccqe1 A 23-year-old presents with vomiting, nausea and dizziness. She says her menstrual period has been delayed 4 weeks as she was stressed recently. There are no symptoms present. What is the next appropriate management? (A) Refer to OP psychiatry (B) Refer to OP ENT (C) CT brain...

#july2020mccqe1 A 68-year-old woman with type 2 diabetes mellitus and a 13.6-kg (30-lb) weight loss over the past 2 months presents to the physician with a history of nausea and bloating. Symptoms are most prominent following a meal. An outpatient gastric emptying study shows esophageal...

#june2020mccqe1 A 46-year-old man with advanced pancreatic cancer is hospitalized following a pancreatic duct stent placement. He has recently been told that he is not a candidate for a Whipple procedure. His previously marked jaundice has improved, but he is experiencing ongoing 8 of 10...

#may2020mccqe1 A 47-year-old man is evaluated for right lateral shoulder pain. He has been pitching during batting practice for his son's baseball team for the past 2 months. He has shoulder pain when lifting his right arm overhead and also when lying on the shoulder while sleeping...

#august2020mccqe1 Cardiac auscultation reveals accentuation of the first heart sound at the apex, accentuation of the second pulmonary sound and a presystolic murmur at the apex. What is the most likely diagnosis? (A) pulmonary stenosis (B) mitral stenosis (C) aortic stenosis (D) mitral...

#march2020mccqe1 A 2-year-old boy has a past medical history significant for mental retardation, hepatosplenomegaly, foam cells in the bone marrow, and neurologic deficits. The boy dies by the age of 3. Which of the following enzymes was most likely deficient in this child? (A)...

#june2020mccqe1 A 61-year-old man is hospitalized after receiving an implantable cardiac defibrillator (ICD). The patient has a long history of coronary disease and sustained an anterior wall myocardial infarction 3 years ago. Two weeks ago, he had an episode of pulseless ventricular...

#april2020mccqe1 A 55-year-old man has made a serious attempt at suicide by cutting his throat. He had been depressed for some time and had chronic pain from an osteoarthritic hip, which has prevented him from working as a taxi driver. His wife says that as a result of the loss of income he...

#march2020mccqe1 A 36-year-old man walks into a bank and demands money claiming he owns the bank. On being denied, he goes to the police station to report this. What kind of delusions is he suffering from? (A) Delusion of reference (B) Delusion of control (C) Delusion of guilt (D) Delusion of...

#april2020mccqe1 A 33-year-old woman with a history of Graves’ disease is brought to the emergency department unresponsive following a bout of confusion and agitation. On physical examination her temperature is 39.2° C (102.5° F), her blood pressure is 100/70 mm Hg, and her pulse is 165/min. A...

#july2020mccqe1 A 54-year-old man presents to his primary care provider with the complaint of upper abdominal fullness and pain. He states that he has lost 2.3-4.6 kg (5-10 lb), but denies other symptoms. Physical examination reveals a firm mass in the epigastric area. Ultrasonography reveals a...

#january2020mccqe1 A 59-year-old woman is evaluated for a 3-week history of pain in the right upper scapula and trapezius areas. There are no paresthesias. On physical examination, the shoulder has full range of motion without eliciting worse pain or altering the character of the pain. There is...

#may2020mccqe1 Which of the following statements is not correct? A third heart sound (A) is a diastolic filling sound (B) will disappear if atrial fibrillation occurs (C) can be normal in young people (D) is often a sign of left ventricular failure (E) may occur in mitral incompetence

#may2020mccqe1 A 58-year-old woman is admitted to the hospital with fever, abdominal cramps, and severe watery diarrhea. The symptoms began one day after attending a banquet. She was treated with ciprofloxacin, but her condition did not improve. PCR amplification and analysis of a gene region...

#january2020mccqe1 A 32-year-old woman is referred to a neurologist for evaluation of unsteady gait and numbness in the right foot. Examination reveals weakness of the right lower extremity with muscle spasticity and decreased vibratory sensation. MRI studies show cerebral and spinal cord...

#january2020mccqe1 A 24-year-old woman presents for her annual checkup and Pap smear. Her partner is using condoms for contraception. She has no symptoms suggesting a problem within her genital tract. Her menstrual cycles are each four weeks long. Her last menstrual period was two weeks ago. On...

#january2020mccqe1 An old man comes to the doctor complaining that a part of his body is rotten and he wants it to be removed. What is the most likely diagnosis? (A) Guilt (B) Hypochondriasis (C) Munchausen’s (D) Nihilism (E) Capgras syndrome

#oldrecallmccqe1 A 36-year-old man who works at an explosives factory comes to the clinic for an annual check-up. He is concerned about long-term exposure to industrial chemicals. He reports that although he is in excellent health otherwise, he experiences headaches, dizziness, and palpitations...

#february2020mccqe1 A 55-year-old white man with a 20-year history of gastroesophageal reflux visits the clinic for worsening reflux symptoms over the past 18 months. His last visit was 7 years ago and he claims to be otherwise in good health. He has been compliant with his antireflux...

#march2020mccqe1 An 82-year-old woman is evaluated for a flare of polymyalgia rheumatica manifested by aching in the shoulders and hips that began 2 weeks ago. She also has fatigue and malaise. She was diagnosed with polymyalgia rheumatica 8 months ago. At that time, she was prescribed...