Usage for hash tag: april2020mccqe1

#april2020mccqe1 A 65-year-old woman receives 3 liters of 0.9% saline following a minor surgical procedure. This results in increased right atrial filling and contraction. Which of the following is most likely to be secreted in response? (A) Aldosterone (B) Antidiuretic hormone (ADH) (C) Atrial...

#april2020mccqe1 A 22-year-old woman experiences sudden onset of chest pain on the right side and shortness of breath. Admission chest imaging shows a significant 20% pneumothorax on the right side. Which one of the following is the most appropriate treatment of her condition? (A) Bed rest...

#april2020mccqe1 A 68-year-old man is evaluated for memory difficulty that, according to his wife, began insidiously 3 or 4 years earlier. He has difficulty remembering recent events. For example, he forgets appointments and recent conversations and forgot that a close relative had recently...

#april2020mccqe1 A 62-year-old woman with a long-standing history of diabetes and hypertension presents for evaluation of hyperkalemia. Her room air arterial blood gas (ABG) and electrolytes are the following: pH 7.38/PCO2 34/PO2 89 Na 140, Cl 106, BUN 51 K 5.9, CO2 20, Cr 2.8 Which of the...

#april2020mccqe1 A 72-year-old man has the sudden onset of suprapubic pain and oliguria. His temperature is 38.0°C (100.4°F), pulse is 100/min, respiration rate is 12/min, and BP is 110/72 mmHg. Abdominal examination is remarkable only for a tender, distended urinary bladder. Which of the...

#april2020mccqe1 A 67-year-old man comes to the physician because of insomnia, irritability, and palpitations for 3 months. He is currently taking amiodarone for cardiac arrhythmias, fluoxetine for depression, and enalapril for hypertension. His blood pressure is 130/70 mm Hg, and his pulse is...

#april2020mccqe1 An unconscious 35-year-old man is brought to the emergency department by his wife. She explains that the patient takes phenytoin for chronic epilepsy. An hour ago, the patient had a seizure but did not regain consciousness. Physical examination reveals that his temperature is...

#april2020mccqe1 A 75-year-old woman is admitted to the hospital from her home for treatment of community-acquired pneumonia because of extreme weakness and nausea. She has a history of hypertension and compensated heart failure. Medications are metoprolol, lisinopril, and hydrochlorothiazide...

#april2020mccqe1 A 54-year-old man is evaluated in the emergency department for a 1-hour history of chest pain and dyspnea. The patient had been hospitalized 1 week ago for a colectomy for colon cancer. His medical history also includes hypertension and nephrotic syndrome secondary to...

#april2020mccqe1 A 57-year-old woman is evaluated in the emergency department for a 1-week history of swelling and pain in the left leg. She has had two normal pregnancies and no miscarriages. There is no family or personal history of thromboembolic disease. The patient is otherwise healthy. A...

#april2020mccqe1 A 40-year-old woman comes to the physician because of a 6-month history of increasing respiratory difficulty that occurs during mild exercise, such as walking uphill. She is 165 cm (65 in) tall and weighs 58 kg (129 lb), but says that she has lost 4 kg (9 lb) over the past 3...

#april2020mccqe1 A 24-year-old woman comes into the emergency department with recurrent episodes of palpitations, headache, and tremor. Her blood pressure is 155/95 mm Hg, heart rate is 135/ min, temperature is 37.9°C (100.2°F), and respiratory rate is 12/min. A CT of the abdomen shows a...

#april2020mccqe1 A 25-year-old woman presents with progressive deafness over the past few months She is currently pregnant with her first child at six months of gestation and her antenatal progress has thus far been normal. She has had some associated tinnitus of mild degree. She has noted that...

#april2020mccqe1 A 38-year-old woman presents with a three-month history of agitation, palpitations and weight loss of 6kg. Her husband reports that she has been rather moody recently and that she has had difficulty sleeping due to feeling hot. On examination she appears anxious and has an...

#april2020mccqe1 A 32-year-old G2P1 woman at 16 weeks’ gestation presents to her obstetrician complaining of fatigue, anxiety, and palpitations. She says she has been feeling warm, even in her air-conditioned home, and has been having three or four loose stools per day, as compared to one or...

#april2020mccqe1 A 19-year-old G1P0 woman at 32 weeks’ gestation presents for scheduled prenatal appointment. The pregnancy has been uncomplicated to date. However, she mentions that she recently noticed a hard lump on her neck. She denies pain or difficulty swallowing, speaking, or breathing...

#april2020mccqe1 A 34-year-old woman newly diagnosed with HIV infection is unable to access antiretroviral medications. She is aware that if untreated, her disease will progress and make her susceptible to different infections. She inquires about the natural course her disease may take and the...

#april2020mccqe1 A 64-year-old man with a history of chronic obstructive pulmonary disease is evaluated in the emergency department for increased dyspnea over the past 48 hours. There is no change in his baseline production of white sputum, but he has increased nasal congestion and sore throat...

#april2020mccqe1 A medical student decides to conduct a neurochemical experiment to measure extracellular neurotransmitter levels in the brain following electrical stimulation of the raphe nuclei. Which of the following neurotransmitter levels would be expected to rise? (A) Acetylcholine (B)...

#april2020mccqe1 Due to a recent and sudden death of a rival college football player, a local university wishes to implement changes in its health care policies. The school is particularly concerned about the risk for sudden cardiac death in players with previously undiagnosed heart conditions...