Usage for hash tag: february2020mccqe1

#february2020mccqe1 A 55-year-old white man with a 20-year history of gastroesophageal reflux visits the clinic for worsening reflux symptoms over the past 18 months. His last visit was 7 years ago and he claims to be otherwise in good health. He has been compliant with his antireflux...

#february2020mccqe1 A 5-year-old, mentally retarded boy is brought to the city from a rural community for evaluation. A careful history reveals mental retardation in a number of other family members, especially the males. Physical examination is remarkable for a long face with large ears, a...

#february2020mccqe1 In the elderly, with mild systolic hypertension (170–180 mmHg), which of the following is correct? (A) Diastolic blood pressure rather than systolic blood pressure is a better predictor of cerebrovascular morbidity and mortality (B) Effective lowering of mild systolic...

#february2020mccqe1 A 25-year-old woman presents with a two-month history of a painless mass appearing in the neck. Examination shows a 5cm fluctuant smooth round mass in the upper anterior triangle of the neck as illustrated, partly covered by the upper third of the sternomastoid. Which one of...

#february2020mccqe1 A 71-year-old man with a long history of poorly controlled hypertension presents to the emergency department with headache and visual changes. His blood pressure is 220/130 mm Hg. Current medications include atenolol, nifedipine, thiazide, and clonidine. An IV sodium...

#february2020mccqe1 A 31-year-old single man lives with his mother. He usually drives to work. He always thinks when the traffic lights change, his mother is calling him, so he drives back home. What is the most likely diagnosis? (A) OCD (B) GAD (C) Schizophrenia (D) Bipolar disorder (E)...

#february2020mccqe1 An 81-year-old woman is evaluated in the office for increasing difficulty with activities of daily living, including dressing and feeding herself, over the past 6 months. She has had gradually progressive cognitive decline for the past 5 years and now needs 24-hour help from...

#february2020mccqe1 A 47-year-old woman comes to the physician because she has had several episodes of severe chest pain that awoke her in the early morning. She has no history of major physical illness or drug abuse, drinks alcohol only occasionally, and does not smoke. Her temperature is 37.0...

#february2020mccqe1 A 36-year-old woman has recently spent a lot of money on buying clothes. She goes out almost every night with her friends. She believes that she knows better than her friends, so she should choose the restaurant for eating out. She gave history of having low mood at...

#february2020mccqe1 A 21-year-old woman comes to the clinic for a health check-up. She has been sexually active since she was 17 years old and has never seen a gynecologist before. The physician discusses the importance of health screening with the patient and performs a Papanicolaou (or Pap)...

#february2020mccqe1 An otherwise healthy 40-year-old woman comes to the physician because she discovered a painless nodule in her neck. On physical examination, palpation reveals a firm 1-cm nodule in the left cervical region, which moves upward as the patient swallows. Thyroid function tests...

#february2020mccqe1 A 5-year-old boy is brought to his pediatrician because he has been complaining of fatigue and headache for several weeks. On examination he has enlarged lymph nodes and is sent for a bone marrow biopsy. The biopsy shows large lymphoblasts with prominent nucleoli and light...

#february2020mccqe1 A 53-year-old man presents to his physician’s office in tears. A close friend of his was recently diagnosed with lung cancer, so the patient is concerned because he has smoked a pack of cigarettes daily for 39 years and his father died of lung cancer. He recalls that he had...

#february2020mccqe1 A 38-year-old woman visits the clinic because of oral tenderness and soreness in her jaw for the past 2 months. She admits that swallowing food has become more painful. She notices that her mouth is chronically dry and that drinking lots of fluids seems to reduce the pain...

#february2020mccqe1 After eating a cookie at a garden party, a child began to cough and went blue. The mother also noticed that there were swollen patches on the skin. What is the initial management? (A) OTC antihistamine (B) Oxygen (C) Bronchodilators (D) IM Epinephrine (E) Nebulized epinephrine

#february2020mccqe1 A research physiologist decides to use a marker to measure the volume of total body water in a volunteer medical student. Which of the following substances would he most likely use? (A) Tritium (B) Cresyl violet (C) Evans blue (D) 131I-albumin (E) Inulin

#february2020mccqe1 A 60-year-old man has a pathological rib fracture. He also complains of recurrent infection. Bone marrow aspiration is done. On laboratory examination Ca2+ level is 3.9mmol/L and ALP is 127u/L. What type of cell would be found in abdundance in the marrow smear? (A) Plasma...

#february2020mccqe1 A 27-year-old woman has hit her neck in an RTA without complains of tingling or motor loss. What is the next most appropriate investigation? (A) MRI (B) XR (C) CT cervical (D) Diagonal XR

#february2020mccqe1 To assess the risk of erythroblastosis fetalis occurring during the future pregnancy of an Rh-negative woman, a clinician sends a sample of serum for detection of anti Rh-blood group antibodies. The laboratory performs an indirect Coombs’ test by mixing the patient’s serum...

#february2020mccqe1 A 64-year-old woman is evaluated for a 6-week history of dyspnea, dry cough, fever, chills, night sweats, and fatigue, which have not responded to treatment with azithromycin and levofloxacin; she has lost 2.2 kg (5 lb) during that time. The patient had an examination 6...