Usage for hash tag: january2020mccqe1

#january2020mccqe1 A 67-year-old man is evaluated in the office for acute right knee pain that developed 6 days ago after working on his car. The pain is worse when he walks or climbs stairs and improves when he rests. He has no fever and denies knee stiffness. He has minimal pain relief with...

#january2020mccqe1 The accompanying illustration is a technetium isotope scan of the thyroid in a patient in her 20s. The patient most likely presented with which one of the following symptoms? (A) Pathological fracture (B) Lump in the neck (C) Weight loss and tremor (D) Pain in the neck (E)...

#january2020mccqe1 A 28-year-old G1P0 woman is 37 weeks pregnant. Her maternal prenatal screening was unremarkable, and her pregnancy has been uneventful thus far. She has several questions regarding what to expect for herself and her child during the first few days after delivery. Which of the...

#january2020mccqe1 An 89-year-old man has had a lesion on his left cheek for two years (see image). It has not undergone any recent change. Which one of the following is the most likely diagnosis? (A) Lentigo maligna melanoma (Hutchinson melanotic freckle) (B) Squamous cell carcinoma (C)...

#january2020mccqe1 A 29-year-old woman who was diagnosed to have migraine presents with severe onset of occipital headache. She lost her consciousness. CT and neurological examinations are normal. What is the most appropriate management? (A) Repeat CT (B) MRI (C) LP (D) XR (E) No investigation...

#january2020mccqe1 A 24-year-old man presents with notably slurred speech, stating, “I don’t want to live anymore, I just want to take pills and make the pain go away.” A psychiatric history reveals that the patient has suffered from major depression for 9 years, has had numerous psychiatric...

#january2020mccqe1 A 74-year-old man is brought to the emergency department by ambulance 1 hour after he had an acute witnessed onset of aphasia and right hemiparesis. He has a history of hypertension. His current medications are hydrochlorothiazide and metoprolol. On physical examination...

#january2020mccqe1 A 74-year-old woman with dementia has been in the intensive care unit (ICU) for 14 days following acute respiratory decompensation and renal failure. She is receiving continuous hemodialysis, and her electrolytes have been stable. Her oxygen saturation has been maintained on...

#january2020mccqe1 A 23-year-old, single, unemployed woman in her eighth month of pregnancy is seen in a volunteer-staffed obstetrics clinic. Her first child, born at home and exclusively breastfed, had prolonged diarrhea and died from an intracranial hemorrhage at 1 month of age. To help...

#january2020mccqe1 A 26-year-old pregnant woman complains of persistent, dry, ulcerated skin over her knees and elbows. Examination of her eyes reveals small, gray plaques on the conjunctiva. Which of the following is the most likely diagnosis? (A) Ascorbic acid deficiency (B) Excessive...

#january2020mccqe1 A 37-year-old woman is being counselled on the need for intravenous nutrition after sustaining an oesophageal perforation. She has been advised that a central venous catheter will be inserted percutaneously, using the infraclavicular route. When discussing the potential...

#january2020mccqe1 A 60-year-old woman has noted recurrent, right elbow pain. The pain occurs mainly with the use of the arm and hand, not with bending the elbow. She has noted no pain or tenderness in other joints. Examination of the right arm shows marked tenderness over the lateral...

#january2020mccqe1 A 52-year-old man presented four days ago when a diagnosis was made of typical acute gout in his left great toe metatarsophalangeal joint as shown in the image. He has no past history of joint problems. He has responded to indomethacin 50mg t.d.s. and his serum uric acid...

#january2020mccqe1 Following the ingestion of glyburide, a type 2 diabetic patient begins to experience anxiety, diaphoresis, and hunger. The patient subsequently ingests a health food bar containing glucose. The glycolytic degradation of the ingested glucose commences with the action of which...

#january2020mccqe1 A 3-year-old boy is seen because of the onset of nonspecific central abdominal pain of two days duration. On examination, he has a large firm mass just to the left of the midline in the upper abdomen. He is also noted to be hypertensive and, on urine testing, he has...

#january2020mccqe1 Finger clubbing in the adult is most frequently associated with which of the following conditions? (A) Pulmonary tuberculosis (B) Cor pulmonale secondary to chronic airflow limitation (C) Obstructive sleep apnoea (D) Squamous cell carcinoma of the lung (E) Recurrent pulmonary...

#january2020mccqe1 A 23-year-old presents with vomiting, nausea and dizziness. She says her menstrual period has been delayed 4 weeks as she was stressed recently. There are no symptoms present. What is the next appropriate management? (A) Refer to OP psychiatry (B) Refer to OP ENT (C) CT brain...

#january2020mccqe1 A 59-year-old woman is evaluated for a 3-week history of pain in the right upper scapula and trapezius areas. There are no paresthesias. On physical examination, the shoulder has full range of motion without eliciting worse pain or altering the character of the pain. There is...

#january2020mccqe1 A 32-year-old woman is referred to a neurologist for evaluation of unsteady gait and numbness in the right foot. Examination reveals weakness of the right lower extremity with muscle spasticity and decreased vibratory sensation. MRI studies show cerebral and spinal cord...

#january2020mccqe1 A 24-year-old woman presents for her annual checkup and Pap smear. Her partner is using condoms for contraception. She has no symptoms suggesting a problem within her genital tract. Her menstrual cycles are each four weeks long. Her last menstrual period was two weeks ago. On...