Usage for hash tag: june2020mccqe1

#june2020mccqe1 A 36-year-old man has developed a rash on his buttocks (see image), back and, to a lesser extent, on his arms and legs over the past four weeks. It has been mildly pruritic. He has recently been commenced on atenolol for hypertension and allopurinol for recurrent gout. As a...

#june2020mccqe1 An otherwise healthy 22-year-old woman presents to her physician because of daily headaches over the past 2 weeks. The headaches have a vise-like character, seem to be more intense in the back of the head, and are often precipitated by emotional stress. Physical examination...

#june2020mccqe1 A 24-year-old woman suffers from epistaxis, gingival bleeding, and menorrhagia. Her mother and grandmother have similar symptoms, and her brother has incisional bleeding after surgery and dental extractions. They all have similar laboratory findings, including a prolonged...

#june2020mccqe1 A 77-year-old male presents with a history of enuresis and change in behavior. On examination he has waddling gait. What is the most likely diagnosis? (A) Subdural hemorrhage (B) Brain tumor (C) Normal pressure hydrocephalus (D) Psychotic depression

#june2020mccqe1 A 16-year-old obese Hispanic girl presents to her physician’s office complaining of “ugly skin around my neck” and having to wear turtlenecks. On examination the physician notes darkening and thickening of the skin, which has a velvety appearance. Which of the following is the...

#june2020mccqe1 A patient who is diagnosed with Hodgkin disease. Which of the following is the diagnosis cells of Hodgkin disease? (A) T-cells (B) R-S cells (C) B-cells (D) Macrophages (E) Auer rods

#june2020mccqe1 A 61-year-old woman develops purple striae on her abdomen and a rounded facial appearance. She has smoked two packs of cigarettes a day for the past 40 years. Chest x- ray shows a 4-cm, centrally located lung mass. This mass is most likely producing a hormone that promotes the...

#june2020mccqe1 Over the course of a month, a 75-year-old man has two episodes of bluring of vision affecting the right eye. Each lasted around five minutes with gradual complete resolution. Ocular examination on presentation to his general practitioner shows normal eye movements and pupil...

#june2020mccqe1 A 75-year-old man has a 2-month history of gradually increasing severe low back pain that is not related to trauma. The patient often feels warm and diaphoretic. He has no urine or stool incontinence. Ten weeks ago, he was discharged from the hospital after a prolonged intensive...

#june2020mccqe1 A 23-year-old lady presents with headache. On examination she has photophobia and generalized rash that doesn’t blanch on pressure. What must be done immediately? (A) IV benzylpenicillin (B) Isolate patient (C) Gown and mask (D) Blood culture

#june2020mccqe1 After his baby sister was born, a 6-year-old boy began sucking his thumb and wetting his bed, behaviours he had 'grown out of long before. His behaviour is an example of which one of the following? (A) Reaction formation (B) Regression (C) Acting out (D) Jealousy (E) Compensation

#june2020mccqe1 A 4-year-old baby has generalized tonic-clonic seizure and fever of 39C. His mother informs you that this has happened 3-4 times before. What is the most likely diagnosis? (A) Febrile convulsion (B) Absence seizures (C) Epilepsy (D) Partial complex seizure

#june2020mccqe1 A 55-year-old, homeless, alcoholic man who has recently been binging complains of 2 weeks of fever, malaise, productive cough, and pain on deep inspiration. He has smoked two packs of cigarettes per day for the past 30 years. A chest x-ray film reveals an infiltrate of the...

#june2020mccqe1 A 25-year-old primigravid patient at 40 weeks of gestation presented because she had not felt any fetal movements for 24 hours. The fetal heart beats were clearly audible on auscultation at a rate of 140/min, and the cardiotocograph (CTG) was normal and reactive. Her cervix was...

#june2020mccqe1 A 63-year-old man is evaluated for a 1-year history of dyspnea that has gradually worsened during the past 6 months. He has dyspnea at rest, but has no orthopnea. The patient reports his breathing is better when lying flat and is worse when sitting upright. He previously abused...

#june2020mccqe1 A 33-year-old man complains that his chest hurts when he eats, especially when he eats meat. An x-ray film shows a dilated esophagus, and achalasia is suspected. Esophageal manometry is used to confirm the diagnosis. Swallowing induced relaxation is reduced at which anatomic...

#june2020mccqe1 A 60-year-old woman is evaluated for an 18-month history of progressive dyspnea on exertion and a 3-month history of orthopnea. She is otherwise well and takes no medications. On examination, she is afebrile, blood pressure is 110/85 mm Hg, pulse rate is 100/min, and respiration...

#june2020mccqe1 A 26-year-old woman at 36 weeks of gestation in her first pregnancy presents because of headache and right-sided upper abdominal pain of two days duration. The pregnancy has been normal until now. Her BP is 145/90mmHg, her ankles are slightly swollen and urinalysis shows protein...

#june2020mccqe1 A 65-year-old woman is admitted with a 3-week history of headache over the right temporal region, malaise, fever, morning stiffness, and weight loss. On physical examination, scalp tenderness is appreciated. Her temperature is 38.5 C (101.3 F), blood pressure is 142/84 mm Hg...

#june2020mccqe1 A 13-year-old girl who returned a few days ago from a school camping trip in North Carolina is home ill from school. She tells her parents that she has a headache and the chills. Over the next few days, she develops a rash that begins on her palms and soles, but spreads inward...