Usage for hash tag: april2020mccqe1

#april2020mccqe1 A 27-year-old presents with abdominal pain, bleeding, vomiting and diarrhea. Her LMP was 7 weeks ago. On examination, abdominal tenderness, BP is 90/60mmHg. What is the next appropriate management? (A) Immediate laparotomy (B) Laparoscopy (C) Salpingotomy (D) Salpingectomy (E) MTX

#april2020mccqe1 A gene product thought to be involved in the downregulation of fetal hemoglobin expression is being investigated. Samples of primary tissue cultures of fetal, neonatal, and adult liver and bone marrow, as well as adequate amounts of a DNA probe believed to contain the studied...

#april2020mccqe1 A 60-year-old woman is evaluated for bilateral joint pain and swelling in her hands. She has 2 hours of morning stiffness that improves slightly with activity. Acetaminophen and nonsteroidal anti-inflammatory drugs provide only minimal symptom relief. She has no other medical...

#april2020mccqe1 A woman at 34-weeks gestation in her second pregnancy comes into spontaneous labour. Labour proceeds to a vaginal delivery of a male infant weighing 2100g. He has Apgar scores of 6 at one minute, 8 at five minutes. Over the next two to three hours he develops grunting...

#april2020mccqe1 A 67-year-old man presents with a history of progressive dysphagia and hoarseness over the preceding 24 h. On examination there is a right Horner syndrome and the right side of the palate does not elevate on phonation. The right gag reflex is absent and the patient cannot...

#april2020mccqe1 A 4-year-old boy with a past history of asthma presents with a severe attack of asthma following an upper respiratory infection. On examination he is afebrile, appears distressed with a respiratory rate of 48/min, and pulse rate of 130/min. Oximetry is 85% while breathing room...

#april2020mccqe1 A 28-year-old business man came to the sexual clinic. He was worried that he has HIV infection. Three HIV tests were done and all the results are negative. After a few months, he comes back again and claims that he has HIV. What is the most likely diagnosis? (A) Somatization...

#april2020mccqe1 A 22-year-old woman from sub-Saharan Africa comes to the clinic to be tested for HIV. She denies illicit drug use and has not been sexually active since she moved to the United States 3 years ago. Her initial enzyme-linked immunosorbent assay is positive. Which of the following...

#april2020mccqe1 A 24-year-old woman, who has previously had a normal vaginal delivery of a 3900g male infant at term, is found to have a breech presentation at 37 weeks gestation in her second pregnancy. Ultrasound examination has shown the fetus has extended legs. She is keen to deliver this...

#april2020mccqe1 Following a course of chemotherapy, a 5-year-old male oncology patient develops altered mental status, tachycardia, decreased blood pressure, flushing of the extremities, and decreased urine output. After 48 hours in the pediatric intensive care unit, the patient dies from...

#april2020mccqe1 A 32-year-old man with AIDS develops right-sided weakness over the course of 1 week. He is on a combined drug regimen of zidovudine (AZT) and a protease inhibitor, and his CD4 cell count is 190 cells/mL. MRI of the brain reveals a single 2-cm mass in the left cerebral white...

#april2020mccqe1 A 22-year-old woman presents with a fusiform swelling of the Achilles tendon, which, when biopsied, shows cholesterol-laden macrophages (foam cells) dispersed among the collagen fibers. She had been troubled with joint pains for several years. Both her mother and father...

#april2020mccqe1 A 37-year-old woman undergoes a gastric bypass procedure for morbid obesity. An epidural catheter is inserted immediately before the procedure to help with postoperative pain control. She is placed supine on the operating table and her right arm abducted to allow the surgeon...

#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...

#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

#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...

#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...

#april2020mccqe1 A 29-year-old male brought to ED in unconscious state. There is no significant past history. Which of the following should be done as the initial investigation? (A) CT (B) Blood glucose (C) ABG (D) MRI (E) CBC

#april2020mccqe1 A 35-year-old woman is evaluated in the office for a 5-month history of right-hand numbness and tingling. She says that these symptoms involve the entire hand, seem to be worse when she drives or holds a book or newspaper, and have been awakening her at night. She reports no...

#april2020mccqe1 A previously normal child begins deteriorating developmentally at about 6 months of age. She is seen by an ophthalmologist because she no longer responds to visual stimuli. A cherry-red spot on the macula is noted on ophthalmologic examination. The enzyme that is deficient in...