Usage for hash tag: july2020mccqe1

#july2020mccqe1 A clinician is concerned that an Rh-negative mother may be pregnant with an Rh-positive fetus. The potential pathology that the clinician is concerned about is classified as which of the following immune reactions? (A) Graft-versus-host disease (B) Type I hypersensitivity (C)...

#july2020mccqe1 Which of the following is LEAST likely to be a complication of chronic otitis media? (A) Cholesteatoma (B) Decreased auditory acuity (C) Meningitis (D) Otosclerosis (E) Thrombosis of the lateral venous sinus

#july2020mccqe1 A 54-year-old woman presents with a two-month history of an intermittent dark discharge from her right nipple. She has no other breast symptoms. Examination is normal apart from the production of a small volume of dark brown discharge from a single duct as illustrated when the...

#july2020mccqe1 A 34-year-old G4P3 woman presents to the clinic with her husband desiring contraception. She has a past medical history of endometriosis, for which she was prescribed oral contraceptive pills as a teenager. Her past surgical history includes an exploratory laparotomy with laser...

#july2020mccqe1 A 5-year-old boy is brought to the emergency department 4 hours after sudden onset of fever and chills. He was bitten in his right hand by the family’s dog 24 hours ago. Examination reveals superficial lacerations of the ulnar aspect of the right hand consistent with a history...

#july2020mccqe1 A 70-year-old woman presents with a vesicular rash associated with burning pain. The rash has been present for the past ten days, and is increasingly painful. Her other medical conditions are osteoarthritis affecting the knees, hips and shoulders, for which she takes paracetamol...

#july2020mccqe1 A 60-year-old Caucasian female farm worker presented with a supraclavicular left-sided neck lump, gradually increasing in size over a three-month period. Over the past month she had noted weakness and clumsiness of the left hand, and some numbness over the inner aspect of the...

#july2020mccqe1 A 71-year-old man presents with coarse tremor. He is on some medications. Which one of the following medication can be the reason for the tremor? (A) Lithium (B) Diazepam (C) Fluoxetine (D) Imipramine (E) Haloperidol

#july2020mccqe1 A 60-year-old post-menopausal woman presents with fatigue, mild jaundice, and tingling in the lower extremities. Laboratory studies show elevated serum levels of homocysteine and methyl malonic acid, and complete blood cell count shows a mild thrombocytopenia. Which of the...

#july2020mccqe1 A 7-year-old boy presents to the clinic with a staphylococcal infection. He is well known at the clinic because he has had recurrent staphylococcal infections for most of his life. He is started on an antibiotic regimen and the infection subsides. Three weeks later, the boy is...

#july2020mccqe1 A 57-year-old man presents with a one-year history of increasing difficulty in swallowing. He is found on manometric and contrast studies to have the characteristic picture of oesophageal achalasia. He is otherwise in good health and is not on any medications. Which one of the...

#july2020mccqe1 The lesions shown in the image were observed on the chest wall of a 6-year-old child. The skin in other areas appears normal. What is the most likely diagnosis? (A) warts (B) herpes simplex (C) chicken pox (D) molluscum contagiosum (E) an allergic reaction

#july2020mccqe1 The skin lesions in the accompanying photograph would be best treated by which of the following? (A) moisture and wet dressing (B) hot bathing (C) oral steroids (D) tar cream (E) salicylic acid cream

#july2020mccqe1 A 42-year-old man with AIDS presents with a chief complaint of persistent watery, non- bloody diarrhea. He is not on any medications and denies recent travel or fever. On physical examination, his abdomen is slightly bloated, with mild tenderness to palpation. There is no...

#july2020mccqe1 A 19-year-old man comes to the physician with a bacterial infection. Without treatment, the patient’s immune system will most likely be able to fight off the infection within a few days. One of the tools the patient’s body uses against the organism is the membrane attack...

#july2020mccqe1 A 65-year-old man with chronic obstructive pulmonary disease is evaluated in the emergency department for a 4-day history of worsening dyspnea, cough, and increased production of purulent sputum. His albuterol inhaler has been ineffective in relieving his symptoms. On physical...

#july2020mccqe1 A 6-year-old boy presents to his pediatrician for a routine physical examination. His mother reports no problems over the past year except that he seems to be shorter than the other boys in his class. His mother is 163 cm (5'4") tall and experienced menarche at age 12 years, and...

#july2020mccqe1 A 25-year-old woman involved in an automobile accident is admitted as an emergency patient. A major artery severed in her leg caused an estimated 600 mL blood to be lost. Her blood pressure is 90/60 mm Hg. Which of the following would be expected to increase in response to...

#july2020mccqe1 A 5-year-old child presents with fever. He looks pale. His parents say he always feels tired. On examination he has orchidomegaly and splenomegaly. On laboratory examination WBC is 1.7, Hb is 7.1, Platelet is 44. What is the most likely diagnosis? (A) ALL (B) CLL (C) AML (D) CML...

#july2020mccqe1 A 35-year-old mother of an 8-year-old child is considering a second pregnancy. Her previous pregnancy was complicated by puerperal psychosis, for which she had electroconvulsive therapy (ECT) and from which she made a prompt recovery and has remained well since. Her physical...