Usage for hash tag: july2020usmle2ck

#july2020amc1 A 41-year-old man is admitted as an emergency to the plastic surgery ward with cellulitis of the perineal area. It rapidly spreads, resulting in Fournier's gangrene (necrotising fasciitis) and widespread sepsis. This necessitates multiple trips to theatre and admission to ITU...

#july2020amc1 A 38-year-old man presented to his general practitioner five days ago with fever, malaise and cervical lymphadenopathy. He was correctly diagnosed with a Streptococcal bacterial throat infection, for which he received a course of oral antibiotics. He now presents to the Emergency...

#july2020amc1 Which cells in males are responsible for producing SRY protein that causes medullary sex cords to become presumptive seminiferous tubules? A. Leydig cells B. Sertoli cells C. Primordial germ cells D. None of the above Explanatory Note: Sertoli cells. Leydig cells produces...

#july2020amc1 A 55-year-old post-menopausal woman has undergone a mastectomy and sentinel lymph node biopsy for a multi-focal invasive carcinoma of the left breast. She had two 2.5 cm diameter grade 2 invasive ductal carcinomas. Both tumors are strongly ER positive and her sentinel node was...

#july2020amc1 A child who suffered a low energy fracture has a skeletal survey. This identified the following features: osteopenia, sabre tibia, coxa vara and wormian bones on skull radiographs. Which one of the following is the most likely diagnosis? A. Cushing's disease B. Hypothyroidism C...

#july2020amc1 A patient presents with a spinal metastasis. Ignoring the sex of the patient, which one of the following primary cancers is the patient most likely to have? A. Breast B. Kidney C. Lung D. Prostate E.Thyroid Explanatory Notes: The most common primary malignancies predominantly...

#july2020amc1 A 5-year-old child is admitted with suspected Osteomyelitis of the tibia. The organism that causes this can also lead to which one of the following conditions? A. A bacterial throat infection B. A gastrointestinal infection C. A localized infection in the foot following puncture...

#july2020amc1 Which of the following chemical used in sunscreens has been found in human urine in National Health and Nutrition Examination Survey (NHANES) during 2003–2004 and is an emerging human and environmental contaminant? A. Camphor derivative B. Benzophenone-3 (BP-3) C. Octocrylene D...

#july2020amc1 A 9-year-old boy presents with a non-retractile foreskin. He does not currently have any urinary symptoms. On examination the foreskin is thickened, white and stiff. Which one of the following is the most appropriate next step? A. Circumcision B. Oral steroids C. Topical betnovate...

#july2020amc1 A 10-year-old boy presents to the Emergency Department. Last week he had an upper respiratory tract infection, following which he quickly developed swelling around his right eye and was unable to open it. Now he has bilateral periorbital swelling, a temperature of 40oC and a...

#july2020amc1 A 1-year-old girl presents with shortness of breath. Her parents have also noticed that her eyes no longer look symmetrical. The right pupil is smaller than the left and the right eyelid appears droopy. A chest X-ray shows increased opacification in the right hemi-thorax...

#july2020amc1 A 25-year-old woman presents with sensory symptoms in the upper limbs and a headache that is worse on coughing. An MRI scan shows a Chiari malformation of the hindbrain and syringomyelia in the cervical spine. Which one of the following nerve tracts are most vulnerable to damage...

#july2020amc1 An 85-year-old diabetic patient suffers a displaced intra-capsular fracture of the femoral neck. The proposed treatment plan is for a hemi-arthroplasty due to the increased risk of which one of the following? A. Avascular necrosis B. Hip arthritis C. Infection D. Non-union E...

#july2020amc1 A 38-year-old woman is referred to the out patients with pain and non-specific lumpiness in the lower quadrant of her left breast. The pain begins in the latter half of her menstrual cycle and then lessens after the first day of menstruation. Examination of her left breast reveals...

#july2020usmle2ck Regulation of which of the following regions is mostly dependent on extrinsic nerves? A- Large intestine B- Lower esophagus C- Small intestine D- Upper esophagus

#july2020usmle2ck Which of the following is a serious complication of ergotamine? A- Depression B- Headache C- Hypotension D- Prolonged vasospasm

#july2020usmle2ck Which of the following is responsible for the wrinkled appearance of the scrotum? A- Dartos fascia B- Pampiniform plexus C- Thickened keratinized epithelium D- Tunica albuginea

#july2020usmle2ck Which of the following conditions is most likely caused by over-secretion of growth hormone in adults (acromegaly)? A- Carpal tunnel syndrome B- Gastric adenocarcinoma C- Hypothyroidism D- Malignant melanoma

#july2020usmle2ck Which of the following conditions is associated with the presence of non-inflammatory follicular papules (comedones)? A- Acne vulgaris B- Atopic dermatitis C- Bullous pemphigoid D- Pemphigus vulgaris

#july2020usmle2ck Risk of rupture of abdominal aortic aneurysm (AAA) is increased by all the following factors EXCEPT? A- Male gender B- Increased aortic wall stress C- Smoking D- Uncontrolled hypertension