Usage for hash tag: april2020mccqe1

#april2020mccqe1 A 72-year-old man complains of malaise and easy fatigability for the past 3 weeks. His past medical history is significant for gout and pneumonia. He lives alone and usually drinks two six-packs of beer daily. His temperature is 36.9 C (98.4 F), blood pressure is 160/90 mm Hg...

#april2020mccqe1 A 56-year-old woman presents to the outpatient clinic for a routine visit. On physical examination a 1-cm nodule is palpated in her thyroid. Her physical examination is otherwise unremarkable. Her heart rate is 70/min and regular, blood pressure is 126/82 mm Hg, and temperature...

#april2020mccqe1 An 87-year-old man is hospitalized after falling and breaking his hip. After 6 days in the hospital, he develops burning on urination. Urinalysis shows leukocytosis and many gram-positive cocci. The patient is treated with trimethoprim-sulfamethoxazole, but his fever persists...

#april2020mccqe1 An obese 18-year-old woman is brought to the emergency department by her mother, who noted that she had been lethargic all day, and suffered a brief, seizure-like episode. One month earlier, the patient had been started on medication for type 2 DM. Lactic acid levels are...

#april2020mccqe1 A 52-year-old African-American woman with type 2 diabetes mellitus (DM) presents to her physician’s office and states that she has been “feeling lousy in the morning.” She notes that she reliably checks her blood glucose levels, and is frustrated at the fact that she often has...

#april2020mccqe1 An 83-year-old woman presents with a 1-year history of increasing forgetfulness and inattentiveness. She has had episodes of confusion, usually occurring at night when she wanders around in her house, disoriented to time and place. According to a family member, she has recently...

#april2020mccqe1 A 50-year-old man develops nonbloody watery diarrhea while working as an aid worker in a refugee camp in Bangladesh. He arrived in the area 2 days ago. A stool smear shows no WBCs. He subsequently develops dehydration and electrolyte abnormalities leading to cardiac and renal...

#april2020mccqe1 A 20-year-old woman is evaluated in the emergency department for an acute episode of wheezing and dyspnea without cough or sputum production. She has had frequent evaluations in emergency departments for similar episodes. In between these episodes, findings on physical...

#april2020mccqe1 A 49-year-old woman presents to her physician’s office with a long-standing history of polydipsia, polyuria, central obesity, and hyperlipidemia. She is currently taking metformin, a sulfonylurea, and an angiotensin-converting enzyme (ACE) inhibitor. ACE inhibitors are most...

#april2020mccqe1 A 71-year-old woman undergoes an elective sigmoid resection for recurrent diverticulitis. On the second postoperative day, it is noted that her urinary output is averaging only 35 to 45 mL/h. She is receiving 5% dextrose in half normal saline at a rate of 100 mL/h. The...

#april2020mccqe1 A 45-year-old waitress complains of pelvic pain which worsens pre-menstrually and on standing and walking. She also complains of post-coital ache. Select the most likely cause leading to her symptoms? (A) PID (B) Endometritiosis (C) Pelvic congestion syndrome (D) Adenomyosis...

#april2020mccqe1 A 40-year-old man goes on a camping vacation with his family. One day after swimming in a freshwater lake near the camp site, he develops nausea and vomiting and starts to behave irrationally. His family takes him to the emergency department, where blood samples are taken and a...

#april2020mccqe1 A 35-year-old lady who has been using IUCD for one year now complains of pelvic pain and heavy painful periods. Select the most likely cause leading to her symptoms? (A) PID (B) Endometriosis (C) Adenomyosis (D) Fibroids (E) Asherman syndrome

#april2020mccqe1 A 75-year-old man with type 2 diabetes mellitus is evaluated in the emergency department for a draining chronic ulcer on the left foot, erythema, and fever. Drainage initially began 3 weeks ago. Current medications include metformin and glyburide. On physical examination, he...

#april2020mccqe1 A 20-year-old man is stabbed immediately to the left of the body of the sternum at the fifth intercostal space. The knife most likely penetrated the (A) left atrium (B) left ventricle (C) right atrium (D) right ventricle (E) stomach

#april2020mccqe1 A 32-year-old woman is evaluated for a 2-day history of fever, urinary frequency, left-sided flank pain, and nausea without vomiting. She also has diet-controlled type 2 diabetes mellitus. On physical examination, temperature is 38.3°C (100.9°F), blood pressure is 122/82 mm Hg...

#april2020mccqe1 A football player experiences an anterior dislocation of the shoulder. Cutaneous sensation over the lower half of the deltoid muscle is impaired. These findings suggest damage to which of the following nerves? (A) Axillary (B) Median (C) Musculocutaneous (D) Radial (E) Ulnar

#april2020mccqe1 A 67-year-old man presents with palpitations. ECG shows an irregular rhythm and Heart rate is 140bpm. He is otherwise stable, Blood pressure is 124/80mmHg. What is the most appropriate management? (A) Bisoprolol (B) ACEI (C) Ramipril (D) Digoxin

#april2020mccqe1 A 20-year-old woman books in at the antenatal clinic at 13 weeks of gestation. She had a Papanicolaou (Pap) smear done one week previously which showed grade three cervical intraepithelial neoplasia (CIN3). Which one of the following is the most appropriate next step in...

#april2020mccqe1 An infant girl presents with cyanosis 4 hours after birth. A physician diagnoses her with a condition that develops due to a failure of neural crest cell migration that results in a nonspiraling aorticopulmonary septum. A careful interview of the mother reveals that she has a...