Usage for hash tag: february2020mccqe1

#february2020mccqe1 A 52-year-old woman from Southeast Asia comes to medical attention because of slowly growing nodular lesions on her nose and auricles. Examination also reveals bilateral hypoesthesia in the upper extremities along the ulnar nerve distribution. Biopsies of the skin lesions...

#february2020mccqe1 A 35-year-old woman had an uneventful lap chole 18h ago. She has a pulse of 108bpm, temperature of 37.8C. There are signs of reduced air entry at the right base but the CXR doesn’t show an obvious abnormality. What is the most appropriate management strategy? (A) Cefuroxime...

#february2020mccqe1 A 26-year-old woman (gravida 3, para 2), whose only Papanicolaou (Pap) smear test was done five years ago and was normal, is admitted to hospital at 33 weeks of gestation, following an antepartum hoemorhage of 300ml. The bleeding has now ceased. Vital signs are as follows...

#february2020mccqe1 A 4-year-old boy presents to the pediatric emergency department with the classic meningitis triad of fever, headache, and nuchal rigidity. A lumbar puncture is performed and analysis of the fluid shows an increase in polymorphonuclear cells, an increased protein level, and a...

#february2020mccqe1 A 32-year-old man presents to his doctor with painful urination and a purulent urethral discharge. The image shows cells that have been cultured from this discharge. Which of the following is the treatment of choice for this infection? (A) Azithromycin (B) Ceftriaxone (C)...

#february2020mccqe1 A 40-year-old man with sleep apnea participates in a sleep study. During his evaluation, normal sawtooth waves are observed on his EEG tracing. This pattern is associated with which period of sleep? (A) REM (B) Stage 1 (C) Stage 2 (D) Stage 3 (E) Stage 4

#february2020mccqe1 A 70-year-old woman undergoes a gastrectomy for Zollinger-Ellison syndrome. Her physician informs her that she will need to take intramuscular vitamin B12 shots for the rest of her life. Absence of which of the following cell types is responsible for this vitamin replacement...

#february2020mccqe1 A 32-year-old previously healthy woman has developed pain and swelling of both knees and ankles with nodular rash over her shins. As part of the investigation a CXR has been performed. What is the single most likely CXR appearance? (A) Apical granuloma (B) Bilateral hilar...

#february2020mccqe1 A 58-year-old woman presents to her physician because of neck discomfort and difficulty swallowing. She first began to have difficulty with swallowing solids 2 years ago, but the problem is getting progressively worse. She denies hemoptysis, hematemesis, abdominal pain, or...

#february2020mccqe1 A 42-year-old woman presents to her physician with complaints of fever (38.2°C [100.8°F]) and mild-to-moderate anterior neck pain. On examination the physician finds her to be tachycardic and sweating, and to have an exquisitely tender thyroid gland. Her blood work shows a...

#february2020mccqe1 An unlabeled container of blood product is left in a laboratory. The technician must determine whether the sample is serum or plasma. An elevated level of which of the following substances would identify the specimen as plasma? (A) Albumin (B) Erythrocytes (C) Fibrinogen (D)...

#february2020mccqe1 While walking across a road a 21-year-old man is struck by a car. His pelvis is found to be fractured with diastasis of the symphysis pubis and sacroiliac joint distortion. Vital signs are as follows. BP 110/70mmHg, Pulse 95/min, Respiratory rate 22/min. He is unable to void...

#february2020mccqe1 A 38-year-old woman presents with several months of decreased libido and a 4.5-kg (10-lb) weight gain. She has not had her menstrual period for the past 3 months. Physical examination is unremarkable except that a small amount of white discharge is manually expressed from...

#february2020mccqe1 A 54-year-old man presents to the clinic with scleral icterus, hepatosplenomegaly, ascites, and a history of episodes of jaundice over the past 3 years. He was involved in an auto accident when he was 21 years old, for which he required surgery and blood transfusions...

#february2020mccqe1 An 8-year-old girl presents with recurrent headaches for the past three months. These have been occuring every three to four weeks, are described as throbbing, felt across the forehead and are associated with nausea, vomiting, photophobia and visual disturbance with spots in...

#february2020mccqe1 A term baby born to a 30-year-old woman of blood group A-ve develops severe jaundice within the first 24 hours of birth. What is the most likely diagnosis? (A) Hereditary spherocytosis (B) G6PD deficiency (C) ABO incompatibility (D) Rh incompatibility (E) Physiological jaundice

#february2020mccqe1 An 18-year-old girl, who had her menarche at 13 years, presents because of severe pain during each of her periods for the last two years. She has tried treatment with aspirin, panadeine and indomethacin, but little relief has been achieved, She convinced there is something...

#february2020mccqe1 After a motor vehicle accident, a patient is brought to the emergency room. X-rays reveal that she has fractures of her left ninth and tenth ribs. She has a rapid heart rate and low blood pressure. Peritoneal lavage reveals free blood in the peritoneal cavity. A surgeon is...

#february2020mccqe1 A 32-year-old woman who had a multiload (Cu375) intrauterine device (IUCD) inserted six months ago, now presents with six weeks of amenorrhoea and a positive pregnancy test. On examination, the strings of the device, which would be expected in normal circumstances to be...

#february2020mccqe1 A 32-year-old woman had a normal vaginal delivery 10 days ago. Her uterus has involuted normally. Choose the single most likely predisposing factor for PPH? (A) Retained product (B) DIC (C) Uterine infection (D) Von Willebrand disease (E) Primary PPH