Usage for hash tag: june2020mccqe1

#june2020mccqe1 A 27-year-old woman has hit her neck in an RTA without complains of tingling or motor loss. What is the next most appropriate investigation? (A) MRI (B) XR (C) CT cervical (D) Diagonal XR

#june2020mccqe1 A 45-year-old man presents seeking a prescription for oral antifungal treatment for self-diagnosed systemic candidiasis. He says that he has recently visited a naturopath who told him that he has had multiple food allergies and yeast sensitivity ever since he was given...

#june2020mccqe1 A 23-year-old man is evaluated in the emergency department because of the acute onset of uncontrolled head turning to one side and tongue protrusion. He was recently diagnosed with schizophrenia and had haloperidol treatment started 3 days ago. He has no other medical problems...

#june2020mccqe1 A 65-year-old woman presents with a sudden, persisting visual loss in the right eye. She had a history of continual ipsilateral headache for the past 12 months of progressively increasing severity prior to the acute episode. She has a 45 pack-year smoking history. Which one of...

#june2020mccqe1 A 75-year-old woman with a history of chronic obstructive pulmonary disease is evaluated in the intensive care unit for delirium. She had a median sternotomy and repair of an aortic dissection and was extubated uneventfully on postoperative day 4. Two days later she developed...

#june2020mccqe1 A 40-year-old man is admitted for chemotherapy for treatment of acute myelogenous leukemia. A central line through his subclavian vein is inserted to facilitate infusion of chemotherapeutic agents. Ten days after this procedure, he develops a temperature of 39.4 C (103.0 F)...

#june2020mccqe1 A 26-year-old recently married woman, who has always had very irregular menstrual cycles varying between four and ten weeks duration, returns to the clinic one week after her previous routine review. At that time she indicated her last period had occurred six weeks previously...

#june2020mccqe1 A 47-year-old Aborigine complains of blurring of vision. His blood pressure is normal, he smokes 40 cigarettes per day and drinks 100 grams of alcohol per day. There is no history of chest pain. On examination his blood pressure is 140/80 mmHg. The fundus is shown in the image...

#june2020mccqe1 A 33-year-old woman is evaluated in the emergency department for paresthesia that began in the left face and spread over 30 minutes to the left arm and leg, clumsiness of the left hand that began 30 minutes ago, and a subsequent right-sided throbbing headache and nausea. This is...

#june2020mccqe1 A 52-year-old man with a 30-pack-year history of cigarette smoking presents to a physician after moving to a new city. He was told that he had “high cholesterol” about 2 years ago, and he has a history of mild hypertension for which he has never been treated. He had a myocardial...

#june2020mccqe1 A 17-year-old boy of Jewish descent is taken to the emergency department by his mother because of bloody diarrhea. Over the past 2 weeks, the boy has reported frequent urges to defecate that are accompanied by abdominal cramping. Over the past several days, the stools have...

#june2020mccqe1 A 32-year-old man with AIDS has a CD4+ T-cell count of 40/mm. He complains of a gradual onset of decreased vision in his right eye over the past few days. He is afebrile and has temporal wasting. There is a thick, cheesy, white exudate on his tongue and oropharynx, and there are...

#june2020mccqe1 A 67-year-old woman goes to her primary care physician because of muscle weakness, frequent urination, and increased thirst. On examination, her blood pressure is 180/90 mm Hg. On prior visits she has been normotensive. Laboratory studies show that she is hypernatremic and...

#june2020mccqe1 A 4-year-old boy was seen by his general practitioner with an acute otitis media of his right ear. He has a known allergy to penicillin and was started on erythromycin Suspension four times daily. Four days later he now presents with poor appetite, central abdominal pain and...

#june2020mccqe1 A 52-year-old man presents to the primary care clinic for the first time. He states that he has been in good health throughout his life and takes no medications. He was once athletic but has noted a dramatic decrease in his muscle strength and exercise tolerance over the past...

#june2020mccqe1 A type B blood group, Rh-positive recipient is mistakenly transplanted with a kidney from a type A blood group, Rh-negative donor. Which of the following best describes the mechanism of transplant rejection that is most likely to ensue in this recipient? (A) Acute rejection...

#june2020mccqe1 A 25-year-old man has returned from a mission trip. He has been home for 30 days. He has developed a fever, abdominal pain, constipation, and weakness. On physical exam, a rose-colored rash is seen on the chest. Which of the following is the most likely cause of the patient's...

#june2020mccqe1 A 2-year-old patient presents with colicky pain which radiates from loin to groin. He complains of similar episodes in the past. Investigation has been done and 7mm stone was found in the ureter. What is the most appropriate management? (A) Percutaneous nephrolithotomy (B) Open...

#june2020mccqe1 A 28-year-old man comes to the emergency department complaining of abdominal pain. He has no significant past medical history, has had no recent illnesses, and denies any alcohol or drug abuse. He reports that 3 days ago, he developed acute pain in his right upper quadrant. The...

#june2020mccqe1 A patient undergoes a total gastrectomy because of a proximally located gastric cancer. After the surgery, which of the following digestive enzymes will be produced in reduced amounts? (A) Amylase (B) Chymotrypsin (C) Lipase (D) Pepsin (E) Trypsin