Usage for hash tag: may2020usmle2ck

#may2020amc1 A 60yo man presents with mass in the groin. Exam: mass lies below the midpoint of the inguinal ligament and is pulsatile. What is the most probable dx? a. Direct inguinal hernia b. Saphenavarix c. Femoral hernia d. Irreducible hernia e. Femoral aneurysm

#may2020amc1 2h after an appendectomy, a pt complains of a rapid HR and fever. He says there is also abdominal pain and pain in the shoulder area. What is happening to this pt? a. Intra-abdominal bleeding b. Anastomotic leak c. Sepsis d. Intestinal obstruction

#may2020amc1 A 57yo male presents with sudden onset severe abdominal pain and rigidity against a 4d background of LIF pain and pyrexia. He has no PM/SHx of note and isn’t on any meds. What is the most likely dx? a. Intussusception b. Ischemic colon c. Sigmoid volvulus d. Perforated...

#may2020amc1 A man has a BP of 160/90mmHg, proteinuria++. KUB US are equally reduced in size with smooth borders and normal pelvic calyceal system. What is the cause of HTN in the pt? a. Chronic glomerulonephritis b. Chronic pyelonephritis c. Bilateral renal artery stenosis d. Essential HTN e...

#may2020amc1 A 28 yo female presents with a 3m hx of diarrhea. She complains of abdominal discomfort and passing stool 20x/day. Exam=febrile. Barium enema shows cobblestone mucosa. What is the most likely dx? a. Ameoba b. Colon Ca c. GE d. CD e. UC

#may2020amc1 A 6wk child is brought in with vomiting, constipation and decreased serum K+. What is the dx? a. Pyloric stenosis b. Duodenal atresia c. Hirschsprung disease d. Achalasia cardia e. Tracheo-esophageal fistula

#may2020amc1 A 45yo woman has had severe epigastric and right hypochondrial pain for a few hours. She has a normal CBC, serum ALP is raised, normal transaminase. 3 months ago she had a cholecystectomy done. What is the most appropriate inv? a. US abdomen b. ERCP c. MRCP d. CT abdomen e. Upper...

#may2020amc1 A 35yo male builder presented with sudden onset of severe abdominal pain. He was previously fit and well other than taking ibuprofen for a long term knee injury. On examination he is in severe pain, pulse=110bpm, BP=110/70mmHg and has a rigid abdomen. What is the most likely dx...

#may2020amc1 A 56-year-old woman with an eight year history of rheumatoid arthritis (RA) is admitted to the orthopaedic service with a hot swollen left elbow. She is taking oral methotrexate and subcutaneous etanercept for her RA. She has been well and enjoyed some gardening recently. On...

#may2020amc1 A patient is diagnosed as suffering from hypoparathyroidism. Which one of the following statements is most likely? A. Decrease serum phosphate levels may occur B. Hypercalcaemia may result C. Increased urinary excretion of...

#may2020amc1 You review a patient on the High Dependancy Unit two days following a low anterior resection for ischaemic colitis. The patient is in mild renal failure, has a low Hb requiring transfusion, but is otherwise stable. He is mildly hypothyroid and diet controlled type II diabetic...

#may2020amc1 A 21-year-old woman presents to the colorectal clinic with a change of bowel habit and mucus diarrhoea. At sigmoidoscopy you note mucosal inflammation. A biopsy is taken which identifies scanty epithelioid cells, abscess formation, copious mucus and blood. Which of the above...

#may2020amc1 A 75-year-old man is admitted to the vascular surgery ward with a pale, cold and painful right foot. The pain is worse on elevation of the foot. Four weeks ago he was commenced on prednisolone 15 mg daily by his General Practitioner for polymyalgia rheumatica. He is also...

#may2020amc1 A 41-year-old man presents with a history of right lower limb sciatica. Pain and numbness are reported in the sole and lateral border of the foot. The ankle reflex is absent. At which one of the following levels is the disc prolapse most likely to have occurred? A. L2/3 B. L3/4 C...

#may2020amc1 A 48 hour term, male infant presents with a 12 hour history of green vomiting. The parents state that there have been some wet nappies but that the child has not opened his bowels since birth. The abdomen is distended, full but not tense and not tender. The anus is normally sited...

#may2020amc1 Which of the following antimicrobials is not appropriate in the treatment of pyelonephritis? a Ciprofloxacin b Nitrofurantoin c Ceftriaxone d Trimethoprim/Sulfamethoxazole

#may2020amc1 Which of the following is the mechanism of action of levofloxacin? a Inhibition of cell wall synthesis b Inhibition of DNA gyrase c Inhibition of protein synthesis d Inhibition of folic acid synthesis

#may2020usmle2ck A 56- year-old man visits his physician complaining of lower back pain for 1 week. He was moving to a new house and carrying a lot of furniture during the last 2 weeks. He does not remember any injury or trauma to his back. His pain is not radiating, improving by rest and...

#may2020usmle2ck A 4-year-old boy visits you in the clinic with his mother for evaluation of an increasing size of his genitalia. She tells you that her boy had aggressive behavior for the last six months. Besides progressive increase of the length of his penis, he has excessive pubic hair. On...

#may2020usmle2ck A 56-year-old man presents to the clinic due to recurrent attacks of severe pain in his right big toe for the last few weeks. During the attacks, his toe becomes painful, red, warm and swollen. Significant improvement occurs after treatment with colchicine. Synovial fluid...