Usage for hash tag: august2020mccqe1

#august2020mccqe1 A 29-year-old teacher is involved in a tragic RTA. After that incident, he has been suffering from nightmares and avoided driving on the motorway. He has been diagnosed with PTSD. What is the most appropriate management? (A) CBT (B) Diazepam (C) Citalopram (D) Dosalepin (E)...

#august2020mccqe1 A 17-year-old girl had an episode of seizure. Contraction of muscles started from around the interphalangeal joints, which spread to the muscles of wrist and elbow. Choose possible type of seizure? (A) Grand mal (B) Tonic clonic (C) Myoclonic (D) Absent

#august2020mccqe1 A 56-year-old man presents to the emergency department with sharp retrosternal pain radiating to his back and arms. The patient is sitting up and leaning forward. He states that the pain is less severe in this position and worsens when he lies down and takes a deep breath. He...

#august2020mccqe1 A young girl complains of episodic headaches preceded by fortification spectra. Each episode last for 2-3 days. During headache patient prefers quiet, dark room. What is the treatment of choice for acute stage? (A) Paracetamol (B) Aspirin (C) Sumatriptan (D) Gabapentin (E)...

#august2020mccqe1 A 42-year-old obese woman experiences episodic abdominal pain. She notes that the pain increases after the ingestion of a fatty meal. The action of which of the following hormones is responsible for the postprandial intensification of her symptoms? (A) Cholecystokinin (CCK)...

#august2020mccqe1 A 60-year-old man presents to his primary care physician for routine medical care. He has no complaints, takes no medications, and has a family history of DM. Examination is unremarkable. A screening laboratory test reveals a fasting blood glucose level of 152 mg/dL. One week...

#august2020mccqe1 A 64-year-old woman has been on HRT for 9 years. She had regular withdrawal bleeds until 3 years ago and since then has been taking a no bleed prep. Recently she noticed a brown vaginal discharge. Choose the single most appropriate initial investigation? (A) Cervical smear (B)...

#august2020mccqe1 A 21-year-old man is competing in a weight-lifting competition. He lifts 325 lb over his head and holds it there for 5 seconds. Suddenly, his arms give way and he drops the weight to the floor. Which of the following receptors is responsible for this sudden muscle relaxation...

#august2020mccqe1 A 16-year-old type 1 diabetic is noncompliant with his required insulin therapy and develops hyperglycemia after eating several pieces of hard candy. The release of which of the following intestinal hormones would most likely be stimulated? (A) Gastric inhibitory peptide (GIP)...

#august2020mccqe1 An 8-month-old infant presented with FTT and constipation. On examination large tongue is noticed, and there is a family history of prolonged neonatal jaundice. What is the most likely diagnosis? (A) Down syndrome (B) Fragile X syndrome (C) Praderwilli syndrome (D) DiGeorge...

#august2020mccqe1 A 43-year-old man presents with flu-like symptoms, fevers, chills, and a productive cough. Physical examination is remarkable for pleuritic chest pain. On questioning, the patient says that he has just spent the last week on vacation in Central America. Cultures taken from the...

#august2020mccqe1 A 28-year-old patient with known Addison’s disease presents with abdominal pain and is hypotensive to a systolic pressure of 88 mm Hg. He has a 2-week history of progressively worse nonproductive dry cough, sore throat, malaise, and headache. He has not checked his temperature...

#august2020mccqe1 A neonate’s chest X-ray shows double bubble sign. On examination this patient has low set ears, flat occiput. What is the most likely diagnosis? (A) Downs syndrome (B) Fragile X syndrome (C) Turner’s syndrome (D) DiGeorge syndrome

#august2020mccqe1 A 53-year-old obese man with poorly controlled non-insulin-dependent diabetes mellitus presents with fever to 39.6° C (103.2° F), jaundice, hypotension, and acute onset of right upper quadrant pain. Right upper quadrant imaging shows multiple gallstones and cholecystitis...

#august2020mccqe1 An otherwise healthy 60-year-old man undergoes a health maintenance examination. Physical examination and medical history are unremarkable. A blood chemistry panel is normal except for a serum calcium level of 11 mg/dL when corrected for serum albumin. The measurement is...

#august2020mccqe1 A 40-year-old man is evaluated for shortness of breath and left-sided chest discomfort without cough, fever, or hemoptysis. The patient has a history of lymphoma that is now in remission. Examination of the chest shows dullness to percussion and decreased breath sounds on the...

#august2020mccqe1 A 42-year-old woman with no significant past medical history presents for a routine health maintenance visit. On physical examination a solitary nodule is palpated in the thyroid. She denies pain, dysphagia, or hoarseness. She also denies fatigue, weight change, heat or cold...

#august2020mccqe1 A 25-year-old woman with T1DM has delivered a baby weighing 4.5kg. Her uterus is well contracted. Choose the single most likely predisposing factor for PPH from the options? (A) Atonic uterus (B) Cervical/vaginal trauma (C) Retained POC (D) Large placental site (E) Rupture uterus

#august2020mccqe1 A 49-year-old man presents to the clinic for a health maintenance visit. He has no complaints, but he requests a prescription for his “pressure pills,” as he lost his original prescription. On physical examination his blood pressure is 220/130 mm Hg. Physical examination is...

#august2020mccqe1 During an interview, a 34-year-old psychiatric patient suddenly becomes aggressive. The patient is quickly taken to a quiet, private room and given an intramuscular injection of haloperidol in the upper outer quadrant of the buttock. The injection is given at this specific...