Usage for hash tag: august2020mccqe1

#august2020mccqe1 A 62-year-old woman is evaluated for a 3-day history of fever and left knee pain and swelling. She has a 30-year history of rheumatoid arthritis treated with methotrexate and nonsteroidal anti-inflammatory drugs. She has no other medical problems. On physical examination...

#august2020mccqe1 A 64-year-old man develops chronic renal failure. He has an extensive medical history, and also complains of increasingly poor vision in his right eye. After a kidney biopsy is taken (see image), his physician immediately starts him on a new medication. What pharmacologic...

#august2020mccqe1 A 32-year-old woman is evaluated in the emergency department for a 4-day history of pain and swelling of the right wrist and low-grade fever. She has a 7-year history of severe rheumatoid arthritis. She does not recall any specific trauma involving the wrist but has recently...

#august2020mccqe1 A 26-year-old G2P1 woman at 19 weeks’ gestation comes into the clinic for her scheduled prenatal visit. She complains only of mild fatigue. Past obstetric history is notable for a prior pregnancy 2 years ago. Although that pregnancy was without complications, the child has...

#august2020mccqe1 A 56-year-old woman is known case of pernicious anemia. She refuses to take hydroxycobalamin IM as she is needle shy. She asks for oral medication. Why will oral meds be not effective? (A) Intrinsic factor deficiency (B) Malabsorption (C) Irritated gastric mucosa (D) Lack of...

#august2020mccqe1 A 26-year-old man receives a concussion from a car accident. The brain edema that follows causes compression of the cerebral arteries to such an extent that he needs to be placed on mechanical ventilation to control his breathing. His respiratory drive is diminished mainly...

#august2020mccqe1 A 25-year-old man presents to his doctor with a 2-day history of blood in his urine. A kidney biopsy is obtained. When the tissue is stained with fluorescent anti-IgG antibodies, the staining reveals a linear pattern. Which of the following is the most likely diagnosis? (A)...

#august2020mccqe1 A previously healthy 42-year-old woman is evaluated in the emergency department for the sudden onset of a severe occipital headache during defecation 8 hours ago, followed by two episodes of vomiting. The headache reached maximum intensity within seconds. She has never had a...

#august2020mccqe1 Muscle tone is usually increased in lesions of all the following structures EXCEPT (A) spinal cord (B) corticospinal pathways (C) cerebellum (D) basal ganglia (E) internal capsule

#august2020mccqe1 A 65-year-old woman consults a physician with complaints of severe pain and stiffness of the neck, shoulders, and hips. These symptoms are worst in the morning and after inactivity. The woman has also been experiencing a variety of systemic symptoms, including malaise, low...

#august2020mccqe1 A 49-year-old woman comes to the clinic complaining of fatigue. She denies fever, vomiting, or diarrhea, but physical examination shows dry mucous membranes. Her blood pressure is 90/60 mm Hg. Laboratory studies show a plasma sodium level of 129 mEq/L and a potassium level of...

#august2020mccqe1 A 23-year-old man presents with a 3-month history of cough with blood-tinged sputum, shortness of breath, and gross hematuria. His temperature is 37.5 C (99.5 F), blood pressure is 158/94 mm Hg, pulse is 87/min, and respirations are 22/min. Examination reveals bilateral...

#august2020mccqe1 A 12-year-old girl is brought to the pediatrician by her mother because of a fever. The physician notes that the girl has features of albinism and the mother states that her daughter has always looked the way she does. The physician diagnoses the girl with a staphylococcal...

#august2020mccqe1 A 3010-g (6.6-lb) boy was born to a 37-year-old primagravida by spontaneous vaginal delivery after an uncomplicated pregnancy. On examination he has cyanotic extremities and a significant right precordial heave, a single S2, and a harsh systolic ejection murmur along the...

#august2020mccqe1 A 35-year-old man with a history of chronic heroin abuse comes to the physician because of progressive swelling of his feet and hands. His blood pressure is 155/90 mm Hg. Laboratory studies show: Blood, serum - Creatinine 1.6 mg/dL BUN 20 mg/dL Urinalysis - Protein 4+...

#august2020mccqe1 A 63-year-old man with essential hypertension has gone several weeks without taking his medications. He arrives at the emergency department after falling on his outstretched right hand. He has a heart rate of 90 min and a blood pressure of 170/115 mm Hg. Which of the following...

#august2020mccqe1 A 65-year-old woman presents with 3 months of unintentional weight loss, jaundice, and upper abdominal pain that radiates to her back. Her gallbladder is palpable on physical examination, and an ultrasound demonstrates dilated bile ducts with no visible stones. Which of the...

#august2020mccqe1 A 72-year-old man with end-stage renal disease secondary to hypertension presents with several months of back pain. He denies fever, weight loss, difficulty walking, altered sensation in his legs, or incontinence. He was diagnosed with renal disease 20 years ago and was...

#august2020mccqe1 A 28-year-old man decides to donate a kidney to his brother, who is in chronic renal failure, after HLA typing suggests that he would be a suitable donor. He is admitted to the hospital, and his right kidney is removed and transplanted into his brother. Which of the following...

#august2020mccqe1 A 33-year-old man is hit by a car. He loses consciousness but is found to be fine by the paramedics. When awaiting doctors review in the ED he suddenly becomes comatose. What is the most likely diagnosis? (A) SAH (B) Subdural hemorrhage (C) Intracerebral hemorrhage (D)...