Usage for hash tag: may2020mccqe1

#may2020mccqe1 A 33-year-old immigrant from Peru comes to a women’s health clinic because she has missed her period for the past 2 months. Already a mother of four, she explains that she can’t afford to have another child. When her pregnancy test comes back positive, she becomes obviously...

#may2020mccqe1 A 67-year-old man presents with two episodes of weakness of his left hand. He had been unable to use the fingers of his left hand for several hours and then the power and movements slowly returned. At the same time he had experienced blurring of vision in his right eye. He is now...

#may2020mccqe1 A 50-year-old man has a 12 month history of episodes of severe vertigo and vomiting: between episodes he is asymptomatic. He has noticed progressively increasing deafness in his right ear with mild tinnitus. Examination reveals that, except for a nerve deafness in one ear, there...

#may2020mccqe1 A 19-year-old-woman who is a sophomore in college is evaluated in December for a 24-hour history of fever and headache. She lives in a dormitory on campus. Her medical history is unremarkable. She takes no medications and is up to date with all of her immunizations, including the...

#may2020mccqe1 A 20-year-old female college student is evaluated in December because of a 12-hour history of fever, myalgia, headache, and a rash. She takes no medications. On physical examination, the patient appears ill. Temperature is 38.8°C (101.8°F), blood pressure is 90/45 mm Hg, pulse...

#may2020mccqe1 A prokaryotic operon codes for two enzymes and one regulatory protein. The operon is expressed only in the presence of a particular sugar. Initial mapping of the operon has differentiated the nontranscribed sequences from the transcribed sequences. Deletion of 10 nucleotides from...

#may2020mccqe1 A 19-year-old man has been happier and more positive than usual, with more energy than he has ever felt before for no particular reason. He has been getting more work done at the office today and has been socializing with his friends as usual. What is the most likely diagnosis...

#may2020mccqe1 A 64-year-old woman complains of dragging her right foot and numbness and paraesthesia in that leg. On examination there is foot-drop, with weakness of dorsiflexion, inversion and eversion of the ankle. The reflexes are normal and there is loss of appreciation of pinprick on the...

#may2020mccqe1 A 36-year-old woman with a family history of hereditary nonpolyposis colon cancer (HN- PCC) presents to her gastroenterologist for her annual examination. Because of a strong family history of colon cancer, she undergoes yearly colonoscopy. However, she has shown no signs and...

#may2020mccqe1 A 38-year-old woman is complaining of shortness of breath that started suddenly on the morning of presentation. She is an otherwise healthy woman. She takes oral contraceptive pills, and she has a 10-year history of smoking a pack of cigarettes daily. She appears anxious and is...

#may2020mccqe1 A 45-year-old woman is scheduled to undergo elective bilateral tubal ligation. The gynecology resident, covering for a colleague, greets the patient in the preoperative area with the consent paper, which outlines the nature and indications of intervention, risks and benefits, and...

#may2020mccqe1 A mother brings her 5-year-old son to his pediatrician’s office. The boy has been experiencing frequent falls as well as progressive difflculty with walking, jumping, and hopping. Laboratory testing reveals a creatine kinase level of 2840 U/L. Muscle biopsy reveals variation in...

#may2020mccqe1 A 60-year-old woman who has had rheumatoid arthritis for 35 years and has been managed on corticosteroids for the past 10 years, now complains of sudden onset of pain and swelling in the right knee which is warm and very tender. There is no other evidence of synovitis. What is...

#may2020mccqe1 An 89-year-old woman is diagnosed with metastatic breast cancer to the lungs, bone, and brain. Four months after diagnosis, the patient is admitted to the hospital with excruciating bone pain and changes in her mental status. What term refers to the administration of morphine to...

#may2020mccqe1 A 93-year-old man is transferred to the emergency department after staff at the long-term care facility note confusion and agitation. He takes many medications, including insulin and a glipizide for diabetes and a β-blocker for hypertension. On examination the patient mumbles...

#may2020mccqe1 Osteoarthritis (A) commonly affects the metacarpophalangeal joints (B) is a disease of subchondral bone with cartilage abnormalities appearing later (C) is usually associated with more than 30 min of early morning stiffness (D) can occur secondary to rheumatoid arthritis (E) is...

#may2020mccqe1 A 45-year-old woman is evaluated in the office for a 3-month history of pain, stiffness, and swelling of the small joints of the hands and feet. She also has increasing fatigue that has caused her to miss work at least 1 day per week. She has no other medical problems. On...

#may2020mccqe1 A primary care physician is caring for a patient with stage IV ovarian cancer. The woman, who has chosen to participate in hospice care, asks the physician to give her “something to end it all.” Which of the following is the most appropriate next step for the physician? (A) Call...

#may2020mccqe1 A 66-year-old woman is evaluated because of right knee pain of 4 weeks' duration. Although the knee is stiff for 20 to 30 minutes in the morning, she does not have much pain at work. Walking up the stairs in her house, however, causes a good deal of pain, which is not relieved by...

#may2020mccqe1 A 47-year-old man is evaluated for right lateral shoulder pain. He has been pitching during batting practice for his son's baseball team for the past 2 months. He has shoulder pain when lifting his right arm overhead and also when lying on the shoulder while sleeping...