Usage for hash tag: january2020mccqe1

#january2020mccqe1 An old man comes to the doctor complaining that a part of his body is rotten and he wants it to be removed. What is the most likely diagnosis? (A) Guilt (B) Hypochondriasis (C) Munchausen’s (D) Nihilism (E) Capgras syndrome

#january2020mccqe1 A 70-year-old man is brought to the emergency department by his family because of the rapid onset of rightsided weakness and confusion. On arrival, the patient is drowsy, but examination confirms a right hemiparesis associated with left deviation of the eyes. The patient is...

#january2020mccqe1 A 60-year-old male has had three episodes of transient left monocular blindness and right hemianaesthesia. There is a soft bruit in the neck on the left and Doppler studies show a 25% stenosis of the internal carotid artery at the bifurcation. What is the most appropriate...

#january2020mccqe1 A 48-year-old man is admitted to the hospital with fulminant hepatitis leading to liver failure following consumption of raw oysters. He is treated with immediate liver transplantation, which is performed successfully. Following a prolonged hospital stay he is discharged in...

#january2020mccqe1 A construction worker has a serious accident in which his rib cage and abdominal muscles become completely paralyzed. He is still able to breathe, however, because his diaphragm continues to contract. At which level might his spinal cord injury have occurred? (A) C2 (B) C7...

#january2020mccqe1 A pediatrician becomes concerned after learning the family and medical history of an infant who is currently suffering from pneumonia, with a presumed diagnosis of Streptococcus pneumoniae infection. Over the past year, the patient has suffered from erysipelas as well as a...

#january2020mccqe1 Carcinoma of the breast is discovered at 22 weeks of gestation in the second pregnancy of a 32-year-old woman. The tumour is 1.5cm in size, is located in the upper outer quadrant of the left breast, and produces dimpling of the overlying skin. A core biopsy has confirmed...

#january2020mccqe1 A 1-week-old infant has a coarctation of the aorta just distal to the subclavian arteries. The blood pressure distal to the constriction is 50% lower than normal. Which of the following is increased in this infant? (A) Blood flow in the lower body (B) Glomerular filtration...

#january2020mccqe1 Which of the following is the most commonly found as a palpable and apparently solitary nodule in the thyroid? (A) a solitary cyst (B) part of a multinodular goitre (C) an adenoma of the thyroid (D) a thyroid carcinoma (E) localised Hashimoto disease

#january2020mccqe1 In a stroke, a clear distinction between haemorrhage and thrombosis can be made on which of the following points? (A) The degree of loss of consciousness (B) The progress of clinical features (C) The abruptness of onset (D) The presence or absence of headache (E) None of the...

#january2020mccqe1 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...

#january2020mccqe1 A 3-year-old girl is brought to the pediatrician’s office because of an abdominal mass. Physical examination reveals short stature, coarse facial features, a protruding tongue, and an easily reducible umbilical hernia. The girl has difficulty walking and knows six words...

#january2020mccqe1 A 55-year-old woman stopped menstruating approximately 3 months ago. Worried that she may be pregnant, she decides to have a pregnancy test. The result is negative. Which of the following series of test results will confirm that the woman is postmenopausal? (A) Decreased LH...

#january2020mccqe1 A 26-year-old librarian presents with chronic daytime somnolence, which has frequently caused him to fall asleep at work. He does not smoke but drinks 1 to 2 glasses of wine daily. He says he frequently awakens at night but denies any visual or auditory hallucinations on...

#january2020mccqe1 A 53-year-old woman presents to the clinic for her yearly physical. She is concerned about heart disease because her mother recently had a myocardial infarction at age 74 years and her father passed away from heart disease at the age of 63 years. She is a high school teacher...

#january2020mccqe1 A 70-year-old man presents with balance difficulties, vomiting and nausea. Which of the following is the best investigation? (A) MRI cerebellum (B) CT cerebellum (C) Skull XR (D) Lumbar puncture (E) Blood culture

#january2020mccqe1 A 34-year-old woman presents to a surgeon to discuss the possibility of an elective splenectomy. Several weeks ago she was diagnosed with idiopathic thrombocytopenic purpura. At that time her platelet count was 24,000/mm3. Her primary care doctor started her on oral...

#january2020mccqe1 An 80-year old woman living in a nursing home with history of dementia is admitted to the hospital with pneumonia. In the emergency department, a peripheral intravenous line was inserted, appropriate antibiotics were initiated, she was given oxygen by nasal cannula, and a...

#january2020mccqe1 A 48-year-man with chronic renal failure undergoes a cadaveric renal transplant. One week later, the patient has an elevated creatinine level. The surgical team is concerned about the possibility of acute transplant rejection. The cell type shown in the image is believed to...

#january2020mccqe1 A 23-year-old girl presented with perioral paresthesia and carpopedal spasm 20 mins after a huge argument with her boyfriend. What is the next step for this patient? (A) SSRI (B) Diazepam (C) Rebreath into a paper bag (D) Propranolol (E) Alprazolam