Usage for hash tag: january2020mccqe1

#january2020mccqe1 A baby born at 37 weeks gestation weighing 2.55kg has many clinical features suggestive of Down syndrome. Eight hours after birth he starts vomiting milk and bile- stained material. He is noted to have mild upper abdominal distension. Which one of the following is the most...

#january2020mccqe1 An elderly man returns to New York after spending the winter in Arizona. Over the course of the next several weeks, he develops breathing difficulty, productive cough, and joint pain. He visits his physician, who orders an x-ray of the chest, which reveals infiltrates in the...

#january2020mccqe1 A 67-year-old man is evaluated in the surgical intensive care unit. He underwent laparotomy and diverting colostomy for a ruptured diverticulum 72 hours ago, and now has a temperature of 40.0°C (104.0°F) and a heart rate of 135/min. In the past 3 hours his mean arterial blood...

#january2020mccqe1 A 58-year-old woman comes to the physician because of persistent joint aches affecting hands and hips in an asymmetric distribution. The pain is slow in onset and is aggravated by activity. She reports a brief (less than 30 minutes) phase of morning stiffness relieved by heat...

#january2020mccqe1 A 12-year-old girl with episodes of sudden bluish discoloration and brief loss consciousness. On physical examination, she has clubbing, central cyanosis, systolic thrill with systolic ejection murmur in 2nd left ICS. What is the most probable diagnosis? (A) TOF (B) ASD (C)...

#january2020mccqe1 A 20-year-old student attends the OPD with complaint of breathlessness on and off, cough and sputum. His sleep is disturbed and skin is very dry in flexural areas of the body. On examination, he has tachypnea, hyperresonant percussion and wheezing on auscultation. What is...

#january2020mccqe1 A physician is asked to evaluate a 5-year-old girl who has developed a mass in her neck. During the interview, he learns that the mass appeared within the past few months and has been enlarging; however, it causes no pain or discomfort. The mass is in the midline of the neck...

#january2020mccqe1 A neonate is found to have strong, bounding pulses in both upper extremities and carotids, but her femoral pulses are very weak. She is diagnosed with coarctation of the aorta and is taken to surgery to correct the defect. Subsequent follow-up examinations show no further...

#january2020mccqe1 An 18-year-old woman is evaluated in the emergency department because of a 3-day history of lower abdominal pain. She does not have urinary frequency, dysuria, flank pain, nausea, or vomiting. Her only medication is an oral contraceptive agent. On physical examination...

#january2020mccqe1 A 42-year-old lawyer presents with an eight-week history of pervasive sadness, bouts of crying, anorexia and weight loss, a feeling that his life is not worth living, fatique and disrupted sleep. Of which one of the following abnormal sleep patterns is he most likely to...

#january2020mccqe1 A 70-year-old man comes to his primary care physician for his annual check-up. He has a history of hypertension, hyperlipidemia, and coronary artery disease, and had coronary artery bypass grafting 6 years ago. On examination the physician notes a right carotid bruit. Which...

#january2020mccqe1 A 78-year-old man is depressed after his wife’s death. He has been neglecting himself. His son found him in a miserable state when he went to visit. The son can’t deal with his father. What is the appropriate management? (A) Voluntary admission to psychiatry ward (B) Hand...

#january2020mccqe1 A 60-year-old diabetic complains of pain in thigh and gluteal region on walking up the stairs for the last 6 months. She is a heavy smoker and has ischemic heart disease. What is the most appropriate diagnosis? (A) Thromboangitis Obliterans (B) Sciatica (C) DVT (D)...