Usage for hash tag: august2020mccqe1

#august2020mccqe1 A 64-year-old man is brought to the emergency department because of sudden onset of tearing chest pain that seems to originate in the anterior chest and radiate to the back in the interscapular region. A few weeks ago, he had a dental abscess, which resolved with extraction...

#august2020mccqe1 A 28-year-old woman and a 25-year-old man present for genetic counseling. Both are white and have one sibling affected with cystic fibrosis. The most appropriate method to assess the risk of transmitting cystic fibrosis to a potential child would be (A) biochemical testing (B)...

#august2020mccqe1 After a 63-year-old man with a progressive, chronic movement disorder dies, the family requests an autopsy. On gross inspection of the patient’s brain, the pathologist notes the presence of a deep brain stimulator electrode. The pathologist then obtains a tissue specimen of...

#august2020mccqe1 A 17-year-old high-school student comes to the school health clinic. She has missed her last menstrual period and is worried about being pregnant. In the past history, it is noted that she has sickle-cell trait and mild asthma but is otherwise healthy. She has never been...

#august2020mccqe1 A 75-year-old woman with an 8-hour history of aphasia and right-sided weakness is admitted to the hospital. She has a 35-year history of hypertension treated with chlorthalidone and a 10-year history of hyperlipidemia treated with simvastatin. Her medical history is otherwise...

#august2020mccqe1 A 50-year-old man presents with a 2 year history of burning pains in the feet, pins and needles in the fingers and toes and weakness and unsteadiness of the legs. There is a wasting and weakness in all limbs, areflexia and glove and stocking sensory loss to all modalities...

#august2020mccqe1 A 36-year-old Greek man with viral pneumonia has a self-limiting episode of hemolysis. Over the next week, he has an increased rate of reticulocytosis. Which of the following compounds serves as a precursor to heme in the reticulocytes? (A) α-Ketoglutarate (B) Fumarate (C)...

#august2020mccqe1 A 74-year-old woman is admitted to the hospital after sustaining a severe left hemispheric ischemic stroke while alone at home. She was last known to be normal 8 hours ago. The patient has hypertension for which she takes enalapril but no history of ischemic heart disease or...

#august2020mccqe1 An 87-year-old man with prostate cancer, Gleason grade 9, is now receiving palliative care following failure of hormonal therapy and chemotherapy. He has severe bone pain from multiple metastases, despite receiving both bisphosphonate and radiation therapy. His oxygenation is...

#august2020mccqe1 A patient with a three-month history of anorexia and weight loss is found to have a carcinoma of the stomach. Surgery involving a gastric resection has been recommended. The patient has been advised by the attending surgeon that as he, the surgeon, is about to go overseas for...

#august2020mccqe1 A 12-year-old boy has a particular genetic disease. His mother is a carrier of the mutated gene, but his father is not clinically affected and is not a carrier. The man has four siblings: a sister and a brother who are not clinically affected and are not carriers; a sister who...

#august2020mccqe1 A 60-year-old woman presented to OPD with dysphagia. There is no history of weight loss or heartburn, no change in bowel habits. While doing endoscopy there is some difficulty passing through the LES, but no other abnormality is noted. What is the single most useful...

#august2020mccqe1 A 32-year-old woman presents to her primary care physician’s office complaining of dysuria, urgency, and frequency. The physician quickly scribbles a prescription for antibiotics, and the patient takes it to the pharmacist, saying, “Darn urinary tract infection again.” A few...

#august2020mccqe1 A 73-year-old woman complains of pain mainly in the limb girdles, associated with marked stiffness. Her symptoms are worse in the early hours of the morning and on waking. There no abnormality on examination apart from mild generalised stiffness of the shoulder and hip joints...

#august2020mccqe1 A 59-year-old man is hospitalized after suffering a severe myocardial infarction. He is initially treated with nitrates, β-blockers, and aspirin, and subsequently undergoes cardiac catheterization with placement of two stents. Following the procedure he is hemodynamically...

#august2020mccqe1 A 75-year-old man is in a persistent vegetative state following a large intracranial bleed secondary to an arteriovenous malformation. Two advance directives are in the chart. One is a living will stating that the patient requests withdrawal of life-sustaining treatment if he...

#august2020mccqe1 A 32-year-old female with 3 prv 1st trimester miscarriages is diagnosed with antiphospholipid syndrome. Anticardiolipin antibodies +ve. She is now 18wks pregnant. What would be the most appropriate management? (A) Aspirin (B) Aspirin & warfarin (C) Aspirin & heparin (D)...

#august2020mccqe1 A 37-year-old man who is HIV-positive recently started on a highly active antiretroviral regimen. The patient’s CD4+ cell count subsequently fell below 200/mm3. Over the course of the next 3 months, he develops diarrhea and notices a redistribution of fat on his body. Which of...

#august2020mccqe1 A 67-year-old man presents with a two-month history of increasing tiredness and muscle weakness. His past history includes hypertension, diabetes and a myocardial infarction complicated by cardiac failure. He takes an oral hypoglycaemic and medications for his hypertension of...

#august2020mccqe1 Cardiac auscultation reveals accentuation of the first heart sound at the apex, accentuation of the second pulmonary sound and a presystolic murmur at the apex. What is the most likely diagnosis? (A) pulmonary stenosis (B) mitral stenosis (C) aortic stenosis (D) mitral...