Usage for hash tag: march2020mccqe1

#march2020mccqe1 An 18-year-old youth presents with the changes shown in the photograph. This condition has been present for many weeks and is the sixth acute episode he has suffered over the previous three months. Which one of the following would be the most effective treatment to offer the...

#march2020mccqe1 A 25-year-old man is admitted to a burn unit after an automobile accident in which he lost consciousness and then was burned over 65% of his body. Two days after his accident, the nurse notices that small amounts of blood are returned through his nasogastric tube when she...

#march2020mccqe1 A 40-year-old man has been diagnosed with glioblastoma multiforme. The patient’s neurologist must choose an appropriate cancer drug to treat this tumor. Which of the following can cross the blood–brain barrier for effective treatment of brain tumors? (A) Cytarabine (B)...

#march2020mccqe1 A 61-year-old man underwent a surgery in which ileal resection had been done. He complains of fatigue, headache, and heart racing. On laboratory examinations, MCV is 108fL, Hgb is 8.9g/dL. Which of the following is the most likely diagnosis? (A) Vitamin B12 deficiency (B) Iron...

#march2020mccqe1 A 29-year-old man approaches a physician to ask about his target cholesterol level. He has no personal or family history of cardiac disease. He does not smoke, denies high blood pressure and diabetes, and has a body mass index of 26 kg/m2. The man says he has heard there are...

#march2020mccqe1 A 21-year-old man is brought by his roommate to the emergency department because of abrupt onset of shortness of breath, mild chest pain, and a sensation of rapid heart beating. The patient says that in the past he had similar episodes, which resolved with the Valsalva maneuver...

#march2020mccqe1 A 38-year-old builder had acute back pain which subsided over 24 h. He now complains of increasing numbness and tingling in both legs and poor bladder and bowel control. Which of the following should be your first step in management? (A) Physiotherapy (B) Strict bed rest with...

#march2020mccqe1 A 4-week-old boy presents with a 10-day history of vomiting that has increased in frequency and forcefulness. The vomitus is not bile-stained but has a coffee-ground appearance. The child feeds avidly and looks well, but he has been losing weight. Which one of the following is...

#march2020mccqe1 A 65-year-old man presents to the physician’s office with his daughter, who is a resident in internal medicine. She encouraged her father to come in because he has experienced a 4.5-kg (10-lb) weight loss in 2 months, as well as decreased appetite and occasional night sweats...

#march2020mccqe1 A 68-year-old woman complains of 2 days of cough and purulent sputum and right-sided chest pain exacerbated by breathing. She has had middle back pain unassociated with trauma for the past 2 months. One month ago, she was hospitalized briefly for pneumonia. On physical...

#march2020mccqe1 A 60-year-old woman was found by her son. She was confused and had urinary incontinence. She has recovered fully after 6h with no neurological complaints. What is the most likely diagnosis? (A) Stroke (B) Vestibular insufficiency (C) TIA (D) Intracranial hemorrhage

#march2020mccqe1 A 53-year-old woman is evaluated in the office for a 1-week history of paresthesias that began symmetrically in the feet and progressed to involve the distal legs and, more recently, the hands. She is unsteady when walking, has lower limb weakness, and has difficulty going...

#march2020mccqe1 A diabetic patient is undergoing a routine physical examination. During the review of systems, the patient comments that he has been having pain on swallowing. He localizes the pain to below his sternum. Barium swallow shows slightly raised plaques throughout the esophagus...

#march2020mccqe1 A 45-year-old woman presents with a 12-hour history of right upper quadrant (RUQ) pain, fever and nausea. She has recently had two other episodes of less severe RUQ pain. She had a successful renal transplant 20 years ago and is on a stable dose of cyclosporin and steroids...

#march2020mccqe1 A 24-year-old patient presented with anaphylactic shock. What would be the dose of adrenaline? (A) 0.5ml of 1:1000 (B) 0.5ml of 1:10000 (C) 1ml of 1:500 (D) 5ml of 1:1000 (E) 0.05ml of 1:100

#march2020mccqe1 A 44-year-old woman complains of heavy bleeding per vagina. Transvaginal US was done and normal. Which of the following would be the most appropriate investigation for her? (A) Hysterectomy (B) Endometrial biopsy (C) CBC (D) High vaginal swab (E) Coagulation profile

#march2020mccqe1 A newborn vomits after each feeding of milk-based formula and does not gain weight. Biochemical testing reveals a severe deficiency of galactose-1-phosphate uridyltransferase, consistent with homozygosity. If this condition goes untreated, which of the following is the likely...

#march2020mccqe1 A 38-year-old woman, 10 days postpartum presents to the GP with a history of passing blood clots per vagina since yesterday. On examination, BP is 90/40mmhg, pulse is 110bpm, temperature is 38C, uterus tender on palpation and fundus 2cm above umbilicus, blood clots +++. Choose...

#march2020mccqe1 A 2-year-old boy has a past medical history significant for mental retardation, hepatosplenomegaly, foam cells in the bone marrow, and neurologic deficits. The boy dies by the age of 3. Which of the following enzymes was most likely deficient in this child? (A)...

#march2020mccqe1 A 36-year-old man walks into a bank and demands money claiming he owns the bank. On being denied, he goes to the police station to report this. What kind of delusions is he suffering from? (A) Delusion of reference (B) Delusion of control (C) Delusion of guilt (D) Delusion of...