Usage for hash tag: july2020mccqe1

#july2020mccqe1 A 62-year-old woman is transferred to the medical service with an appendiceal mass serendipitously picked up at the edge of an x-ray taken of a broken femur in the emergency department. Otherwise, the patient has no significant past medical history and no current symptoms. Which...

#july2020mccqe1 An 18-year-old man comes to clinic for evaluation of weakness and fatigue lasting 6 weeks. Before these past 6 weeks, he reports being fairly healthy. He did, however, have a recent case of “the flu.” On reviewing his medical records, it seems that approximately 2 months ago the...

#july2020mccqe1 A 40-year-old woman presents complaining of difficulty with swallowing. Examination shows she has a nasal speech, weakness of facial and neck muscles, receding hairline and a weak and slow hand grip. The patient is most likely be suffering from which of the following? (A)...

#july2020mccqe1 A 64-year-old man complains of 6 months of increasing stiffness in his legs and difficulty with walking. On examination there is wasting of the right biceps brachii with depression of the tendon reflex, spasticity in both legs with weakness of hip flexion and bilateral brisk...

#july2020mccqe1 A 35-year-old woman presents with dull, persistent flank and abdominal pain, polyuria, nocturia, and frequent urinary tract infections. Physical examination is notable for blood pressure of 150/90 mm Hg and multiple bilateral abdominal masses. Urinalysis is notable for...

#july2020mccqe1 A 14-year-old boy arrives for an athletic check-up. Physical examination reveals needle tracks on his arms. On questioning, the patient admits to recent heroin use. When asked if he would consider treatment, he says yes, but only if he can tell his parents that he is going to an...

#july2020mccqe1 Ankylosing spondylitis (A) is commonly associated with a reduced lung vital capacity (B) rarely involves the cervical spine (C) is associated with sacroiliitis in 30-50% of patients (D) is more common in females (E) is characterised radiographically by a marked loss of...

#july2020mccqe1 A 37-year-old HIV-positive man presents for evaluation of anogenital lesions. He states that the lesions have been present for years, but have recently grown in size and become pruritic and tender. On examination he is circumcised and has multiple hyperkeratotic papules on his...

#july2020mccqe1 A 24-year-old woman with phenylketonuria (PKU) gives birth to her first child. Although there is no history of PKU in the father’s family, the couple could not afford genetic testing of the father or consistent prenatal care. At birth, the child is small, microcephalic, and has...

#july2020mccqe1 A 31-year-old Asian American man presents to the clinic for an annual physical. He has a 19-year history of type 1 diabetes, requiring 10 units NPH insulin each morning and 8 units NPH in the evening, with frequent blood glucose checks and regular insulin dosing throughout the...

#july2020mccqe1 A 6-month-old female infant is found to have a heart murmur at the routine six-month check. She has previously been healthy apart from infantile colic. Her weight is on the 25th percentile, height is on the 10th percentile, she is not cyanosed, has no chest deformity and her...

#july2020mccqe1 A 68-year-old woman with type 2 diabetes mellitus and a 13.6-kg (30-lb) weight loss over the past 2 months presents to the physician with a history of nausea and bloating. Symptoms are most prominent following a meal. An outpatient gastric emptying study shows esophageal...

#july2020mccqe1 A 54-year-old man presents to his primary care provider with the complaint of upper abdominal fullness and pain. He states that he has lost 2.3-4.6 kg (5-10 lb), but denies other symptoms. Physical examination reveals a firm mass in the epigastric area. Ultrasonography reveals a...

#july2020mccqe1 A 47-year-old man who is a chronic alcoholic with established liver damage, has been brought to the hospital after an episode of heavy drinking. He is not able to walk straight and is complaining of double vision and is shouting obscenities and expletives. What is the most...

#july2020mccqe1 A 12-year-old boy whose weight and height are on the 90th percentile complains of pain in the right hip for several days and his mother has noticed that he is limping. Which one of the following is the most likely diagnosis? (A) Slipped capital femoral epiphysis (B) Perthes...

#july2020mccqe1 An 84-year-old man is evaluated for the gradual onset of progressive memory loss over the past 2 years. In the past 4 months, he has twice been unable to find his way home after going to the local supermarket. His wife has assumed responsibility for the household finances after...

#july2020mccqe1 A 50-year-old woman experiences an episode of shimmering lights, which spread over her left visual field during a 10 min period, leaving her with blurred vision that resolves after approximately 30 min. Which is the MOST LIKELY diagnosis? (A) Migrainous aura (B) Transient...

#july2020mccqe1 A 22-year-old Greek man presents with rapid anaemia and jaundice following treatment of malaria. He is noted to have Heinz bodies. What is the most likely cause of his anaemia? (A) Iron deficiency anaemia (B) Sickle cell anaemia (C) Pernicious anaemia (D) Thalassaemia (E)...

#july2020mccqe1 A 45-year-old woman with rheumatoid arthritis develops pain, erythema, and swelling of the cartilaginous portion of both of her external ears. This is accompanied by pain localized to the costochondral joints. Which of the following is the most likely diagnosis? (A) Ankylosing...

#july2020mccqe1 A 25-year-old woman was brought to the ED by her boyfriend. She has many superficial lacerations on her forearm. She is so distressed and constantly says her boyfriend is going to end the relationship. She denies trying to end her life. What is the most likely diagnosis? (A)...