Usage for hash tag: june2020usmle2ck

#june2020amc1 Which of the following is an incorrect statement about pancreatic carcinoma: a) most pancreatic cancers are incurable b) palliation can be achieved with a biliary stent c) palliation can be achieved by surgical bypass of the tumour d) ampullary cancer has a worse prognosis than...

#june2020amc1 Which one of the following is correct regarding nonalcoholic fatty liver disease? a) It is considered a benign condition b) It is not associated with cirrhosis c) It is associated with type 2 diabetes mellitus d) Isolated alkaline phosphatase elevation is the most common...

#june2020amc1 A 48 year old female presents suffering from left lower quadrant pain with non-bloody stool. Tenderness is present over the area. She is afebrile and has a normal rectal examination. Diverticulum is seen in a barium enema study. What is the appropriate intervention? a) Give...

#june2020amc1 Treatment for Helicobacter pylori infection will reduce or improve which one of the following? a) The risk of peptic ulcer bleeding from chronic NSAID therapy b) The risk of developing gastric cancer in asymptomatic patients c) Symptoms of nonulcer dyspepsia d) Symptoms of...

#june2020amc1 A slender 22-year-old female is concerned about a recent weight loss of 10 lb, frequent mild abdominal pain, and significant diarrhea of 2 months‟ duration. Her physical examination is unremarkable, and laboratory studies reveal only a moderate microcytic, hypochromic anemia...

#june2020amc1 A previous healthy 23yo presented a week hx of bloody diarrhea and abdominal pain with cramps and fever. Exam: tenderness in lower abdomen. What is the most appropriate dx? a. Celiac disease b. Colorectal polyps c. UC d. Laxative abuse e. Gastroenteritis

#june2020amc1 A 60yo male is admitted with a 2d hx of lower abdominal pain and marked vomiting. On examination he has abdominal swelling, guarding and numerous audible bowel sounds. What is the likely dx? a. Gallstone ileus b. Ischemic colitis c. Large bowel obstruction d. Sigmoid volvulus e...

#june2020amc1 An asymptomatic 40-year-old male presents for a routine examination and is found to have a total bilirubin level of 1.8 mg/dL (N < 1.0) and an indirect bilirubin level of 1.3 mg/dL. He drinks 3-6 beers/week. An examination and laboratory tests, including a CBC and serum liver...

#june2020amc1 An 80-year-old man who normally walks short distances with a frame and has a past medical history of angina and diabetes, falls and sustains a displaced intracapsular hip fracture. Which of the following is the most appropriate definitive management for him? A. Bed rest and...

#june2020amc1 A 52-year-old insulin-dependant diabetic patient presents following a trivial injury to the mid-foot whilst gardening. 24 hours later his foot is very warm and swollen. He has been bearing weight normally. Inflammatory markers are normal. His HbA1c is 80. On examination, the foot...

#june2020amc1 A 57-year-old woman presents with a three month history of leg ulceration. On examination there is a 6x3 cm superficial ulcer above the left medial malleolus. There is healthy granulation tissue in the floor of the ulcer. There is pigmentation in the surrounding skin, signs of...

#june2020amc1 You assess a patient preoperatively who has been diagnosed with carcinoma of the colon and is to undergo a Hartmann's procedure. Which one of the following do you advise the patient? A. The left side of the colon will be removed and a permanent colostomy will be fashioned. B. The...

#june2020amc1 You see a 56-year-old man in clinic who has presented with left submandibular swelling related to eating. He has had an ultrasound scan which shows a 1.5 cm stone within the substance of the left submandibular gland and you discuss the management options with him, including...

#june2020amc1 A 60-year-old man with acromegaly undergoes a trans-sphenoidal procedure to resect a pituitary adenoma. 48 hours post-operatively he develops severe thirst, and passes volumes of urine exceeding 5 litres/24h. His sodium level is 166 mmol/l. Which one of the following is the most...

#june2020amc1 A 60-year-old man with acromegaly undergoes a trans-sphenoidal procedure to resect a pituitary adenoma. 48 hours post-operatively he develops severe thirst, and passes volumes of urine exceeding 5 litres/24h. His sodium level is 166 mmol/l. What is the most likely explanation for...

#june2020amc1 A 25-year-old man sustains an anterior skull base fracture. He had a CSF leak for 36 hours after the injury and was admitted for observation. Four days after injury he reports thirst and a frequent need to pass urine. On examination, the following is found: Blood pressure: 110/70...

#june2020amc1 A 25-year-old woman presents with a 2-week history of a mass in the upper outer quadrant of her right breast. On examination she has a mobile firm mass, ovoid in shape and measuring 3 x 1.5 cm with a lobulated surface. There are no palpable axillary lymph nodes. Ultrasound...

#june2020amc1 A 16-year-old boy presents with bilateral diffuse gynaecomastia. He has small testicles and delayed appearance of his secondary sexual characteristics. Chromosomal analysis is requested. Which one of the following chromosomal abnormalities is most likely to be present? A. Trisomy...

#june2020amc1 You examine a 35-year-old patient with hearing loss in the left ear. Weber's Test lateralises to the right ear. Rinnes's test shows air conduction to be better than bone conduction (AC>BC) in the left ear. Which one of the following is most likely to account for the loss of...

#june2020amc1 A 33-year-old man is seen in the Emergency Department with a hot red swollen right knee. He is normally fit and well with no significant past medical history. He admits to drinking at least 40 units of alcohol per week. He has a temperature of 37.7 C, there are two white nodules...