Usage for hash tag: january2020mccqe1

#january2020mccqe1 An 18-year-old female university student who has not previously been sexually active, presents requesting advice on contraception as she intends to commence sexual activity. Which one of the following contraceptive options would be most suitable? (A) A spermicide preparation...

#january2020mccqe1 A 55-year-old man comes to his physician with a tender, swollen, and erythematous left knee. He has limited range of motion in his leg. On aspiration of the synovial fluid from his knee, the fluid is found to be yellow and cloudy and has 150,000 neutrophils/mm . Gram stain of...

#january2020mccqe1 A family who recently emigrated from Romania brings their 7-year-old child to the pediatrician with complaints of conjunctivitis and periorbital swelling. The child has had coughing with a runny nose and high fever for 3 days. Small lesions with blue-white centers are seen in...

#january2020mccqe1 A 31-year-old man is admitted to the hospital for suspicion of gastrointestinal bleeding. He has no significant past medical history but takes daily nonsteroidal antiinflammatory agents for pain in his knee. He presented to the hospital 6 hours ago after he noticed melanotic...

#january2020mccqe1 A young boy presents with failure to thrive. Biochemical analysis of a duodenal aspirate after a meal reveals a deficiency of enteropeptidase (enterokinase). The levels of which the following digestive enzymes would be affected? (A) Amylase (B) Colipase (C) Lactase (D) Pepsin...

#january2020mccqe1 A 28-year-old man comes to the physician because of worsening muscle weakness that began in his legs and feet 3 days ago, and has now spread to his arms and hands. Other than having a flu-like illness 2 weeks ago, the patient has been in good health. Cerebrospinal fluid...

#january2020mccqe1 A 65-year-old man attends his local doctor for a repeat prescription for an antihypertensive medication. The doctor notices that the patient's left pupil is smaller than the right and is associated with a drooping of the eyelid as illustrated. The patient comments that he has...

#january2020mccqe1 A 16-year-old girl is admitted after taking a paracetamol OD 4 h ago. She has consumed large amounts of alcohol. Her plasma paracetamol concentration is just below the concentration level that would suggest treatment. What should be the treatment option for her? (A) Refer to...

#january2020mccqe1 A 69-year-old man presents with unilateral hearing loss. A lesion in which of the following structures could be responsible for this loss? (A) Inferior colliculus (B) Lateral lemniscus (C) Medial geniculate body (D) Medial lemniscus (E) Organ of Corti (F) Superior olivary nucleus

#january2020mccqe1 After a long camping trip in the woods, a 29-year-old man comes to the physician complaining of fever and general malaise. His physical examination is significant for a well-demarcated skin lesion with a black base on his arm. The patient recalls that earlier during his...

#january2020mccqe1 A 64-year-old woman is hospitalized because of a nonpainful draining ulcer on the plantar aspect of the left foot. She has a 10-year history of type 2 diabetes mellitus. The ulcer is chronic and nonhealing but over the past 3 days has begun draining foul-smelling material...

#january2020mccqe1 A 65-year-old man is evaluated in the emergency department for a 3-day history of gradually worsening low back pain and fever. On physical examination, temperature is 38.0°C (100.4°F); other vital signs are normal. General examination, including neurologic examination, is...

#january2020mccqe1 This is the photograph of a 17-year-old girl. The swelling visible in her neck has been present for several months, is painless and is slowly increasing in size. She has not noticed any voice changes, nor has she experienced any difficulty in swallowing or breathing. The lump...

#january2020mccqe1 A researcher is studying the substance para-aminohippuric acid (PAH) and its interaction with the kidneys. She injects a volunteer with the substance. She finds that which of the following can be determined by calculating the clearance of PAH? (A) Extracellular fluid (ECF)...

#january2020mccqe1 A 28-year-old woman at 39 weeks gestation is in labor. She develops abdominal pain and vital signs are as follow: heart rate is 125bpm, blood pressure is 100/42mmHg, temperature is 37.2C and oxygen saturation is 99%. On examination her lower abdomen is exquisitely tender. CTG...

#january2020mccqe1 A 64-year-old man presents to the emergency department after a motor vehicle crash and receives a CT of the abdomen that shows a finding of a unilateral mass in the left adrenal gland. He is unharmed from the accident, feels well, and has never smoked. His blood pressure is...

#january2020mccqe1 A previously healthy 30-year-old man who is a lifelong nonsmoker is evaluated in the emergency department for sudden onset of right-sided chest pain and shortness of breath. On physical examination, vital signs are normal. There are decreased breath sounds over the posterior...

#january2020mccqe1 A solitary nodule is detected on a chest x-ray film in an otherwise healthy 25-year-old man. The patient has been smoking 10 cigarettes daily for 3 years. The nodule is located in the right middle lobe and measures approximately 1.5 cm. Previous chest x-ray films are not...

#january2020mccqe1 A 3-year-old girl has had fever and swelling of her right eye for 24 hours. On examination, she looks unwell, has a fever of 38.8℃, right periorbital edema, with Swollen erythematous eyelids. Extraocular eye movements are full with no evidence of chemosis or proptosis. She...

#january2020mccqe1 A 35-year-old man goes to the emergency department because he has developed a severe case of hives. He has never had hives before. Physical examination demonstrates multiple wheals and erythematous patches over his body, which respond to subcutaneous epinephrine. The...