Usage for hash tag: april2020usmle2ck

#april2020amc1 A 32yo man presented with slow progressive dysphagia. There is past hx of retro-sternal discomfort and he has been treated with prokinetics and H2 blockers. What is the probably dx? a. Foreign body b. Plummer vinson syndrome c. Pharyngeal puch d. Peptic stricture e. Esophageal Ca

#april2020amc1 A young male whose sclera was noted to be yellow by his colleagues has a hx of taking OTC drugs for some pain. Tests showed raised bilirubin, ALT and AST normal. The provocation test with IV nicotinic acid is positive and produces further rise in the serum bilirubin levels. What...

#april2020amc1 Which one of following physical signs is not usually found in a patient with portal hypertension? a caput medusae b hepatomegaly c ascites d splenomegaly e lower limb varicose veins

#april2020amc1 Primary hepato-cellular carcinoma may be caused by all of the following except: a alcohol b haemochromatosis c hepatitis B virus d steroids e gallstones

#april2020amc1 Liver metastases may be treated by all of the following except: a arterial embolisation b cryotherapy c laparoscopic resection d open lobectomy e regional chemotherapy

#april2020amc1 Primary sclerosing cholangitis is not associated with: a inflammatory bowel disease b carcinoma of the bile duct c gallstones d multifocal biliary strictures e hepatocellular carcinoma

#april2020amc1 A 26 year old male presents with a history of recent bilious vomiting followed by a large volume of bright red hematemesis. He is pale, sweaty and anxious, complaining of mild epigastric pain. Blood pressure is 80/50 mm Hg, pulse 128/minute. All of the following steps are...

#april2020amc1 A 68 year old male suffers sudden mid abdominal pain. He is pale and diaphoretic but elicits no intensity of pain during abdominal palpation. What is the most likely diagnosis? a) Intestinal ischemia b) Cecal volvulus c) Diverticulitis d) Appendicitis e) Colon cancer

#april2020usmle2ck A 27 year old man presents with a 3 month history of heartburn and epigastric discomfort. His symptoms are exaggerated after meals especially if he eats spicy food. He takes no medications, doesn’t smoke or drink alcohol. He exercises regularly and has an active lifestyle. On...

#april2020usmle2ck A 76 year old woman comes to your office for a consultation. Yesterday, she had left hemiparesis for 30 minutes. She thought it was a stroke but now she is completely asymptomatic. She has a history of atrial fibrillation, angina and hypertension. She takes aspirin 81 mg and...

#april2020usmle2ck A 65 year-old farmer presents to your clinic complaining of shortness of breath for 6 months. Last 2 weeks he noticed that he has to get up several times during the night to be able to breath. He proudly tells you that he had never visited a doctor before although he smokes...

#april2020usmle2ck A 46 year-old man underwent a kidney transplantation last week due to chronic renal failure. The surgery was successful and the transplanted kidney started to produce urine during the operation. Today, his urine examination shows high creatinine and low urinary output. He has...

#april2020usmle2ck A 38 year old man is brought to the emergency room because of palpitation and shortness of breath for 4 hours. He travelled to Brazil two years ago on a business trip. He was bitten there by a fly and was treated by analgesics for a few weeks due to fever and headaches. On...

#april2020usmle2ck A 76 year old woman comes to your office for a consultation. Yesterday, she had left hemiparesis for 30 minutes. She thought it was a stroke but now she is completely asymptomatic. She has a history of atrial fibrillation, angina and hypertension. She takes aspirin 81 mg and...

#april2020usmle2ck A 30 year-old woman with a history of Grave’s disease presents to her physician for a routine evaluation. She was treated 2 years ago with radioactive iodine. Three months later, she was prescribed levothyroxine 0.125 mg. On her last evaluation, six months ago, her doctor...