Usage for hash tag: march2020mccqe1

#march2020mccqe1 A 60-year-old man presents to the Emergency Department after vomiting a large amount of fresh blood. He is normally in good health and apart from some indigestion after meals, has never had anything like this before. He drinks the equivalent of 30g alcohol a day and is not on...

#march2020mccqe1 A 13-year-old boy is diagnosed with a hyperactive immune system. Normally an antigen will activate the immune system to trigger a proinflammatory response. Following the proinflammatory response, anti-inflammatory signals then dampen the immune response to prevent it from...

#march2020mccqe1 A pathologist is looking at slides of a lung that were removed during autopsy of a woman who died of lung cancer. On examination of the slide, the doctor orients herself to the respiratory zone of the lung. She identifies this area by which structure? (A) Goblet cells (B) Main...

#march2020mccqe1 A 55-year-old man is evaluated for fatigue that has been present for more than 1 year. He feels tired on awakening and requires at least one nap daily to accomplish his work tasks. He reports no other changes in his sleep pattern or symptoms of depression. He does not smoke...

#march2020mccqe1 A 60-year-old man presents with a very painful swollen right knee developing over the past two days. There is no history of trauma. His vital signs are normal. He has a painful tender knee effusion, with a fever of 38.1°C. He drinks five to six cans of beer daily and smokes 10...

#march2020mccqe1 A 27-year-old woman undergoes a laparoscopic appendicectomy for perforated appendicitis. About 200ml of frank pus is found in the pelvis and washed out. The patient is given a five-day course of antibiotics (gentamicin, amoxycillin and metronidazole). Her postoperative recovery...

#march2020mccqe1 A 72-year-old woman presents to her physician complaining of fatigue, malaise, weight loss, and salt cravings. The patient has chronic obstructive pulmonary disease and is intermittently treated with corticosteroids but is not using home oxygen. Her oxygen saturation is 97% on...

#march2020mccqe1 An 18-year-old man has had rhinorrhea and a sore throat for 2 days. He has no significant past medical history. His temperature is 39.3 C (102.6 F), pulse is 110/min, and respirations are 20/min. He has tender anterior and posterior cervical lymphadenopathy and an erythematous...

#march2020mccqe1 A 37-year-old man with asthma is evaluated for frequent episodes of wheezing and dyspnea unrelieved by short-acting β-agonist therapy. He uses his controller medications regularly, including an inhaled long-acting β-agonist and inhaled high-dose corticosteroids. He has symptoms...

#march2020mccqe1 A 40-year-old man with a history of type V hyperlipoproteinemia is brought to the emergency department 3 hours following the abrupt onset of severe deep epigastric pain, nausea, and vomiting. The pain is steady and radiates to the back. The patient is agitated and has cool...

#march2020mccqe1 A 56-year-old woman is evaluated for a 2-year history of episodic cough and chest tightness. Her symptoms began after a severe respiratory tract infection. Since then, she has had cough and chest discomfort after similar infections, typically lasting several weeks before...

#march2020mccqe1 A 45-year-old man presents with respiratory difficulty and right chest pain. His temperature is 37.7 C (99.9 F) and respirations are 24/min and shallow. Chest examination reveals decreased tactile fremitus over the right hemithorax, with an extensive area of dullness to...

#march2020mccqe1 An 18-year-old student presents with a five-day history of fevers, headaches, sore throat, malaise, and mild arthralgia of the hands and elbow joints. On examination, her temperature is 37.7°C, there is ulcerative pharyngitis, a fine maculopapular rash, generalised...

#march2020mccqe1 A 3-month-old infant has presented with recurrent infections. He has abnormal facies and CXR shows absent thymic shadow. What is the most likely diagnosis? (A) Downs syndrome (B) Fragile X syndrome (C) DiGeorge syndrome (D) Marfans syndrome

#march2020mccqe1 A 73-year-old woman steps on a rusty nail while gardening in her back yard. A neighbor drives her to the emergency department, where her wound is cleaned and bandaged. A complete history and review of her medical chart indicates that her vaccinations are not up to date, and she...

#march2020mccqe1 A 28-year-old woman presents with painful swelling of her right hand and fingers of 2 days’ duration. She has a low-grade fever and is currently menstruating. She denies a past history of sexually transmitted diseases. On examination, her temperature is 38.6 C (101.4 F), blood...

#march2020mccqe1 A 32-year-old man visits the physician for a periodic health maintenance examination. He has no complaints at this time. He is 170 cm (5 ft 7 in) tall and weighs 75 kg (165 lb). Physical examination is unremarkable. In this patient, the volumes of total body water...

#march2020mccqe1 A 50-year-old woman presents with sudden onset of chest pain, fever and a rigor. She had breast implants 15 years ago. Physical signs suggest consolidation and the chest X-ray is as illustrated. Oxygen saturation breathing room air is 86%, and pulse rate 102/min. BP 122/90mmHg...

#march2020mccqe1 A 30-year-old medical resident is evaluated for cough, right-sided chest pain, and fever of 3 weeks' duration. He has no significant medical history, and he takes no medications. Hemoglobin is 14 g/dL (140 g/L), and the leukocyte count is 8000/μL (8.0 × 109/L). Chest radiograph...

#march2020mccqe1 A hysterical patient is hyperventilating and doubles his alveolar ventilation. If his initial alveolar PAco2 was 40 mm Hg, and his CO2 production remains unchanged, what will his alveolar Pco2 be on hyperventilation? (A) 80 mm Hg (B) 60 mm Hg (C) 20 mm Hg (D) 10 mm Hg (E) 4 mm Hg