Usage for hash tag: april2020mccqe1

#april2020mccqe1 A 30-year-old vegetarian presents to his physician complaining of diminished sensation in his lower extremities. He has not eaten meat for the past 15 years. A complete blood count reveals hypersegmented neutrophils and elevated mean corpuscular volume. Which of the following...

#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

#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...

#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...

#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...

#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...

#april2020mccqe1 A 62-year-old man is prescribed a pharmaceutical agent that inhibits the activity of the enzyme HMG-CoA reductase. This patient most likely has which of the following conditions? (A) Chronic inflammation (B) Familial hypercholesterolemia (C) Hypertension (D) Hyperuricemia (E)...

#april2020mccqe1 A 60-year-old woman is hospitalized with a severe case of pneumonia that is treated with cephalosporins. Her condition improves over the course of therapy, and after 6 days, she develops loose stools that progresses to frequent bouts of foul-smelling, watery diarrhea with small...

#april2020mccqe1 A group of researchers at the state university conducts a study investigating the relationship between cigarette smoking and vascular dementia. Retrospective data are obtained from a cross-sectional survey on smoking habits and later neurologic symptoms as observed by close...

#april2020mccqe1 A 23-year-old woman comes to the physician for a routine checkup. She has generally been well over the past year, although she notes that she has “had a few falls lately.” On physical examination, the lesion shown in the image is found on her skin. Blood is drawn for laboratory...

#april2020mccqe1 A 65-year-old man presents with a sudden, persisting monocular visual loss. There is a history of continual ipsilateral headache for the past 12 months. What laboratory test is most relevant to the likely diagnosis? (A) Urinalysis (B) Complete blood count (C) Erythrocyte...

#april2020mccqe1 A 40-year-old multigravid woman (gravida 4, para 3) has noted that severe varicose veins have become evident in her legs and vulva at about 28 weeks of gestation and are causing considerable discomfort. These have not been such a problem to her in the previous pregnancies...

#april2020mccqe1 A 2-year-old girl with a lifelong history of malabsorptive and foul-smelling diarrhea, weakness, and general failure to thrive has just undergone a small intestine biopsy (see image). Her parents believe her problems began at 6 months of age, when she started eating solid...

#april2020mccqe1 A 63-year-old woman develops pain and swelling of her left calf five days after a laparotomy for perforated diverticular disease. On examination there is some swelling around the ankle and dorsum of the foot and tenderness in the soleus. Which one of the following would be the...

#april2020mccqe1 The lesions shown in the image are likely to be associated with which of the following? (A) liver disease (B) small bowel tumours (C) anaemia (D) polycythaemia (E) consumption of photosensitising drugs

#april2020mccqe1 A woodworker operating a bandsaw accidently injures his wrist, severing his radial artery and producing severe hemorrhage. As he loses blood, his body tries to compensate for the developing hypotension by increasing sympathetic outflow. The postganglionic signals carrying the...

#april2020mccqe1 A lady presented to the hospital with severe liver disease and hematemesis. Her INR is >10. What should she be given? (A) Fresh frozen plasma (B) Steroids (C) Whole blood (D) IV fluids (E) Vit K

#april2020mccqe1 A 65-year-old overweight man complains of recent misty vision on sunny days. His vision, when tested, is 6/18 right and left. Which of the following is the most likely basis of his complaint? (A) Chronic simple glaucoma (B) Myopia (C) Cataract (D) Macular degeneration (E)...

#april2020mccqe1 A 14-year-old boy presents to the physician with recurrent pyogenic infections. Physical examination shows that the boy has pruritic papulovesicular dermatitis. Blood is drawn and sent for laboratory evaluation of platelets and immunoglobulin levels. The results show a markedly...

#april2020mccqe1 A 57-year-old man comes to his primary care physician complaining of increasing fatigue in the past few months. He is unable to walk up to his third floor apartment without becoming short of breath. His WBC count is 5000/mm3, hemoglobin is 10.2 g/dL, hematocrit is 37%, platelet...