Usage for hash tag: march2020mccqe1

#march2020mccqe1 An 82-year-old woman is evaluated for a flare of polymyalgia rheumatica manifested by aching in the shoulders and hips that began 2 weeks ago. She also has fatigue and malaise. She was diagnosed with polymyalgia rheumatica 8 months ago. At that time, she was prescribed...

#march2020mccqe1 Liver cells in culture were kept at 0 C (32.0 F) and treated with trypsin to digest the receptors on the cell surface. The temperature was then raised to 37.0 C (98.6 F), and radioactive LDL was added to the culture media. Several hours later, the labeled LDL was found to be...

#march2020mccqe1 Antibodies are one of the major players in the adaptive immune response. All antibody molecules consist of two heavy chains and two light chains, and the specific type of heavy and light chain will determine the antigen binding site. In all antibodies, the two heavy chains and...

#march2020mccqe1 A 45-year-old man with alcoholism is admitted with a diagnosis of acute pancreatitis. He requires large volumes of fluid to maintain blood pressure and urine output, but 24 hours after admission, he appears in stable condition. On the fourth hospital day, the patient develops...

#march2020mccqe1 The most appropriate treatment for the lesions on the face and neck of the patient shown in the image, which have been unresponsive to conventional therapy, would be (A) benzyl peroxide (B) isotretinoin (Roaccutane) (C) tetracycline (D) 0.5% cortisone cream (E) occlusive mascara

#march2020mccqe1 A 28-year-old female presents with a 3 months history of diarrhea. She complains of abdominal discomfort and passing stool 20 times per day. On examination she is febrile. Barium enema shows cobblestone mucosa. What is the most likely diagnosis? (A) Amoeba (B) Colon Carcinoma...

#march2020mccqe1 A 78-year-old woman in otherwise good health schedules a visit with her primary care physician because she has been experiencing blood in her stool that she describes as “maroon.” Her past medical history is significant for psoriasis and mild degenerative joint disease. In...

#march2020mccqe1 A 36-year-old woman is evaluated in the emergency department for a 3-day history of confusion and falls. The patient lives alone and is accompanied by her neighbor who says that the patient's symptoms seem to be getting worse. The patient has a 10-year history of chronic...

#march2020mccqe1 A 73-year-old man is evaluated for confusion that began 2 weeks ago. He wanders aimlessly in the house, sometimes not recognizing his wife and mistaking the newspaper for his hat. He has visual hallucinations and believes he sees mice in the refrigerator. His medical history...

#march2020mccqe1 A 35-year-old man complains of difficulty eating food and drinking liquids. On history he reveals that he can swallow the food but feels as though what he eats and drinks does not “go anywhere” after he swallows. He has recently begun to vomit undigested food, and he has a...

#march2020mccqe1 A 34-year-old man was diagnosed with type 2 diabetes mellitus as a child and has been presenting for annual examinations since he was in his early 20s. Which of the following screening tests is indicated more than once a year? (A) Hemoglobin A1c (B) Lipid profile (C)...

#march2020mccqe1 A 32-year-old woman comes to the emergency department complaining of sudden blindness. On obtaining a thorough history, it is learned that the patient’s right leg has “given out” from time to time, causing the patient to have episodes of weakness and falling. Periventricular...

#march2020mccqe1 A 37-year-old man who has many convictions and has been imprisoned many times has a history of many unsuccessful relationships. He has 2 boys but doesn’t contact them. What is the most probable diagnosis? (A) Borderline personality disorder (B) Schizophrenia (C) Avoidant...

#march2020mccqe1 A 2-year-old boy is brought to the physician by his parents because of recurrent sinus infections. The parents also state that the boy has had multiple lung infections. Which of the following results would most likely be found on further testing? (A) A deficit in IgA level (B)...

#march2020mccqe1 A child presents with blue marks on the sclera, short stature and heart murmur. What is the most likely diagnosis? (A) Osteogenesis imperfect (B) Hypopituitarism (C) VSD (D) Achondrogenesis (E) Dwarfism

#march2020mccqe1 A 32-year-old woman undergoes a cesarean section because of failure of labor to progress, and delivers a healthy baby boy. The procedure is complicated by significant intraoperative blood loss and hypotension, but the patient is successfully resuscitated. Postoperatively she...

#march2020mccqe1 A 49-year-old patient presents with right hypochondriac pain. Investigation shows a big gallstone. What is the most appropriate management? (A) Laparoscopic Cholecystectomy (B) Reassure (C) Low fat diet (D) Ursodeoxycholic acid (E) Emergency laparotomy

#march2020mccqe1 Haemophilus influenzae and Neisseria meningitidis both possess a polysaccharide outer capsule. Effective vaccination against these species results in the generation of antibodies that recognize this polysaccharide capsule. Which of the following best explains why the childhood...

#march2020mccqe1 A 48-year-old high school teacher with no prior medical history presents to his primary care physician after feeling extremely fatigued for >1 month. Previously an avid runner, he has recently experienced dyspnea on moderate exertion. Although he denies vomiting, he admits to...

#march2020mccqe1 Hyper-IgM syndrome usually presents with severe pyogenic infections. The typical immunoglobulin profile in a patient with this disease shows an elevated level of IgM in contrast to the other immunoglobulin isotypes. Which of the following is the etiology behind the increased...