Usage for hash tag: june2020mccqe1

#june2020mccqe1 A full-term 5-day-old African-American girl is taken to the pediatrician because her “eyes look yellow.” She is being exclusively formula-fed with an iron-rich formula. She has six wet diapers a day and stools twice a day. The pregnancy was uncomplicated and she was delivered by...

#june2020mccqe1 A myocardial infarction patient who is already on aspirin no longer smokes and his cholesterol, ECG, echo and BP are all in normal level. Which of the following is the best option for this patient? (A) Give statin (B) Give statin&warfarin (C) Low cholesterol diet (D) Statin&ACEi

#june2020mccqe1 A 45-year-old woman with a history of heavy alcohol use is evaluated in the emergency department for a headache and altered mental status of 2-day's duration. One week earlier she had a diarrheal illness that quickly resolved. On physical examination, she is lethargic and unable...

#june2020mccqe1 A 7-year-old boy is brought by his mother who says that he was well at birth but has been suffering from repeated chest and GI infections since then. She also says that he is not growing well for this age. What is the single most likely condition of this child? (A) Cystic...

#june2020mccqe1 A 45-year-old African American man is taken to the emergency department because he is vomiting fresh blood. His temperature is 37 C (98.6 F), blood pressure is 65/30 mm Hg, pulse is 120/min, and respirations are 24/min. The patient is stabilized, then taken for emergency...

#june2020mccqe1 A 73-year-old retired woman is evaluated in the emergency department 6 hours after experiencing the sudden, explosive onset of a severe headache. The patient has hypertension controlled by diet and exercise. There is no relevant family history. She has no allergies and takes no...

#june2020mccqe1 A 17-year-old male presents with the physical sign as shown in the illustration. Which one of the following is the most likely cause of the problem? (A) Idiopathic (B) A normal physiological change (C) Testicular neoplasm (D) Obesity (E) Drug-related

#june2020mccqe1 A 34-year-old woman is evaluated in the office for right-sided facial paralysis that she noticed on awakening 1 hour ago. She has a 10-pack-year smoking history. Personal and family medical history is noncontributory. Her only medication is a daily oral contraceptive. On...

#june2020mccqe1 A 55-year-old recent immigrant from Taiwan presents to the clinic with a 3-month history of worsening nasal congestion, epistaxis, and recurrent ear infections. Physical examination reveals painless firm lymph node enlargement in the neck. CT of the head reveal a large mass...

#june2020mccqe1 A 65-year-old male immigrant from Africa presents to the emergency department after an episode of gross hematuria. He states that he has seen small amounts of blood in his urine from time to time over the past several months. His physical examination is remarkable only for mild...

#june2020mccqe1 Rheumatoid factor (A) is highly specific for rheumatoid arthritis (B) is present in more than 95% of patients with rheumatoid nodules (C) titres are useful to monitor disease activity in rheumatoid arthritis (D) is positive in more than 80% of patients with rheumatoid arthritis...

#june2020mccqe1 A 61-year-old woman presents with complaints of 2 months of low-grade fevers and malaise. She states that she has been having frequent right-sided headaches without any other associated neurologic symptoms. On physical examination, she has a temperature of 37.9 C (100.2 F), and...

#june2020mccqe1 A 10-year-old boy is brought into the emergency department after an injury and is bleeding profusely. His parents arrive soon afterward, and state that they are Jehovah’s Witnesses and do not consent to giving blood to their child, even though to fail to do so threatens the...

#june2020mccqe1 Which of the following statements regarding non-steroidal anti-inflammatory drugs is correct? (A) They are first line drugs in the treatment of osteoarthritis (B) Anti-ulcer therapy should be administered at the same time because of the risk of gastrointestinal haemorrhage (C)...

#june2020mccqe1 A 46-year-old man with advanced pancreatic cancer is hospitalized following a pancreatic duct stent placement. He has recently been told that he is not a candidate for a Whipple procedure. His previously marked jaundice has improved, but he is experiencing ongoing 8 of 10...

#june2020mccqe1 A 61-year-old man is hospitalized after receiving an implantable cardiac defibrillator (ICD). The patient has a long history of coronary disease and sustained an anterior wall myocardial infarction 3 years ago. Two weeks ago, he had an episode of pulseless ventricular...

#june2020mccqe1 A 28-year-old woman presents because of lethargy, dizzy spells and occasional syncope. During a dizzy spell the heart rate is 32 beats/min and the blood pressure is 85/60 mmHg. Which of the following is the most likely diagnosis? (A) Addison disease (B) Insulinoma (C) Structural...

#june2020mccqe1 An 11-year-old boy complains of sudden onset of pain in the right side of the scrotum four hours ago, followed by nausea and vomiting. On examination, the right hemiscrotum is red and swollen and acutely tender, but no other abnormality is found. Which one of the following is...

#june2020mccqe1 A 60-year-old man who has enjoyed good health complains of increasing breathlessness, abdominal discomfort and swelling of the feet for 3 weeks. His venous pressure is elevated, the liver is enlarged and there is gross ascites. The resting respiratory rate is 25/min and there...

#june2020mccqe1 A 32-year-old woman of 39 weeks gestation attends the antenatal day unit feeling very unwell with sudden onset of epigastric pain a/w nausea and vomiting. Temperature is 36.7C. On examination, RUQ tenderness is noted. On lab examination, mild anemia, low platelets, elevated LFT...