Usage for hash tag: february2020mccqe1

#february2020mccqe1 A 60-year-old woman is evaluated for wrist pain of 6 months' duration. The pain is located at the base of the right thumb at the wrist. She is a watercolor artist and a graphic designer and is right handed. The pain is described as a persistent ache for which she takes...

#february2020mccqe1 A 76-year-old man who has had multiple episodes of pancreatitis presents to his physician’s office with mild epigastric pain and 9.1-kg (20.0-lb) weight loss over the past 6 months. The patient also describes daily foul-smelling stools that “float” in the toilet bowl. The...

#february2020mccqe1 A patient presents with complete anuria following prolonged hypotension and shock who bled profusely from a placental abruption. What is the most probable diagnosis? (A) Post viral infection (B) Acute papillary necrosis (C) Acute cortical necrosis (D) HUS (E) Renal vein...

#february2020mccqe1 A newborn presents with severe acidosis, vomiting, hypotonia, and neurologic deficits. Laboratory analysis reveals elevated levels of lactate and alanine. These observations suggest a deficiency of which of the following enzymes? (A) Alanine aminotransferase (B) Glutamate...

#february2020mccqe1 Several members of a family have an autosomal recessive disease characterized by intellectual deterioration, weakness, ataxia, seizures, and death at a young age. Special studies demonstrate a deficiency of cytochrome C oxidase activity. Which of the following subcellular...

#february2020mccqe1 A 65-year-old man presents to the office with complaints regarding his urine. He states that he has recently had bloody urine, but does not have any urinary pain, hesitation, dribbling, or increased frequency. He also says he has lost 4.5 kg (10 lb) over the past 2 months. A...

#february2020mccqe1 A 65-year-old woman is evaluated for a 1-day history of fever, headache, and altered mental status. Medical history includes type 2 diabetes mellitus and hypertension treated with glipizide and hydrochlorothiazide. She has no allergies. On physical examination, the patient...

#february2020mccqe1 A 26-year-old woman visits her physician with complaints of vaginal bleeding after sexual intercourse. She started menses at age 14 years and has 32-day cycles. She acknowledges having unprotected sex with multiple partners. Cytologic specimens are taken from the cervix and...

#february2020mccqe1 A baby born at 34 weeks with a heart murmur is kept in the incubator for almost 4 weeks. There is no murmur at discharge. What is the most likely cause of this murmur? (A) PDA (B) TOF (C) Aneurysm of sinus of Valsalva (D) Aorto-pulmonary septal defect (E) AVM

#february2020mccqe1 A 35-year-old woman develops weakness of the legs over a period of 7 days. On examination the only abnormalities are generalised weakness of the legs and suppressed reflexes. What is the most likely diagnosis? (A) hysterical paralysis (B) motor neuron disease (C) multiple...

#february2020mccqe1 A 35-year-old man is brought to the emergency department after he faints and cannot be revived. Stat chemistries are notable for a plasma glucose of 23 mg/dL. The patient is promptly given IV glucose and recovers consciousness. Careful questioning reveals that he has a...

#february2020mccqe1 The pregnant mother of a 6-year-old son with glucose-6-phosphate dehydrogenase deficiency is very worried that her female fetus will have the disease. The father and mother are clinically normal. Which of the following is true about her baby? (A) The baby has a 25% chance of...

#february2020mccqe1 A patient in the clinic has a positive HIV test, first by enzyme-linked immunosorbent assay antibody assay and then confirmed by Western blot. She is married, has three children, and is sexually active with her husband. After explaining what the results mean, she is advised...

#february2020mccqe1 A genetics researcher is trying to identify a potential gene from a gene signature/motif that encodes a sevenhelix transmembrane domain. Which of the following is an example of a glycosylated, integral membrane protein with seven transmembrane segments? (A) Adenylate cyclase...

#february2020mccqe1 A 45-year-old woman comes to the physician because of persistent blurred vision for the past month. She also reports three episodes of Candida vaginitis during the past year. She is 167 cm (66 in) tall, and weighs 84 kg (185 lb). Her blood pressure is 130/84 mm Hg...

#february2020mccqe1 A 66-year-old woman has an autosomal recessive disease with multiple sequelae, including diabetes mellitus and arthritis. Physical examination reveals hepatomegaly and skin hyperpigmentation. A biopsy of her liver is shown in the image. What is the most likely explanation...

#february2020mccqe1 A 62-year-old man comes to the physician because of episodic chest pain that manifests as a sensation of precordial tightness, occurs after physical exertion, and is relieved promptly by rest. The patient has noted that the amount of activity sufficient to trigger the pain...

#february2020mccqe1 A 64-year-old retired shipyard worker has been experiencing shortness of breath, a cough, and chest pain for 5 months. In that time he has lost 14.5 kg (32 lb). He develops progressive ascites, and ultimately dies due to a pulmonary embolus. Autopsy results are shown in the...

#february2020mccqe1 A 78-year-old obese woman is evaluated because right hip pain that worsens when she goes up and down stairs. She says that she cannot sleep on her right side because of pain over the hip and can localize the pain by pointing the lateral aspect of her hip. She has been...

#february2020mccqe1 A 30-year-old man has been fasting for religious reasons for several days. His blood glucose level is now about 60% of its normal value, but he does not feel lightheaded because his brain has reduced its need for serum glucose by using which of the following substances as an...