Usage for hash tag: may2020mccqe1

#may2020mccqe1 Which of the following statements is not correct? A third heart sound (A) is a diastolic filling sound (B) will disappear if atrial fibrillation occurs (C) can be normal in young people (D) is often a sign of left ventricular failure (E) may occur in mitral incompetence

#may2020mccqe1 A 58-year-old woman is admitted to the hospital with fever, abdominal cramps, and severe watery diarrhea. The symptoms began one day after attending a banquet. She was treated with ciprofloxacin, but her condition did not improve. PCR amplification and analysis of a gene region...

#may2020mccqe1 A 32-year-old woman presents to her primary care physician complaining of overwhelming fear and apprehension. The patient states that for the past 8 months she has been feeling anxious and worried about many things. She has difficulty concentrating and difficulty sleeping because...

#may2020mccqe1 A 68-year-old African-American man presents to his primary care physician for a check-up. He has not been to the physician’s office in over 15 years. He reports that he is fine but that his wife keeps telling him that he has to “go see the doctor.” He says he has never been sick...

#may2020mccqe1 A 23-year-old man with diabetes mellitus has a glomerular filtration rate (GFR) significantly greater that normal, especially when he consumes excessive amounts of sweets. A decrease in which of the following parameters would tend to increase the glomerular capillary hydrostatic...

#may2020mccqe1 A 70-year-old woman presents with weight loss of 3kg, vague headaches, aching all over the body and morning stiffness of the shoulder and hip girdles. These symptoms have been present for the past six months. Physical examination is normal, except for some tenderness in the...

#may2020mccqe1 A 50-year-old man comes to the physician with hemoptysis and diffuse joint pain. He states that both his father and cousin had similar symptoms and were diagnosed with microscopic polyangiitis, a disease affecting medium-to small-sized arteries that is believed to have an...

#may2020mccqe1 A 32-year-old man with Hodgkin’s lymphoma is scheduled to undergo a bone marrow transplant. HLA typing of his immediate family shows that his identical twin brother is a suitable match for harvesting an allogenic bone marrow graft. This type of graft can be classified as which of...

#may2020mccqe1 A 49-year-old mildly obese man with no history of heart disease is prescribed a diet and aerobic exercise regimen. Which of the following is most important for maintaining adequate cardiac output during exercise? (A) Decreased cardiac index (B) Decreased diastolic blood pressure...

#may2020mccqe1 A recently widowed 35-year-old woman who has an anxiety disorder, for which she has been treated with alprazolam and imipramine, is brought to the emergency department for a multiple drug overdose. Her daughter states that she may have taken 30-40 tablets of 50-mg imipramine and...

#may2020mccqe1 A 30-year-old woman who has been homeless for the past 10 years presents to the Emergency Department complaining of fatigue, nausea, vomiting and abdominal colic. She has been feeling unwell for four months. She admits to currently living in a derelict old house. Examination...

#may2020mccqe1 A 24-year-old woman is evaluated in the office for headache that occurs once or twice a week. The pain is a constant pressure in the back of the head. She has no nausea and can continue to work during the headaches. She has had these headaches since age 13 years and notes that...

#may2020mccqe1 A 28-year-old business executive presents at the GP asking for some help because she has been arguing with her boyfriend frequently. She is worried about her weight, and she thinks she may be fat. She has been on a diet and lost 7 kgs in the last 2 months on purpose. She is...

#may2020mccqe1 Women have about a 2.7 times greater lifetime risk of developing at least one autoimmune disease than men. Which of the following statements, if true, would support the higher rate of systemic lupus erythematosus in women than in men? (A) Androgens such as testosterone have an...

#may2020mccqe1 A 75-year-old woman is evaluated in the emergency department after she was witnessed driving erratically on a city street. Initially, the patient was unable to answer any questions and had difficulty with her speech. Twenty minutes later, her speech was fluid, and, although she...

#may2020mccqe1 A 50-year-old man presents to his clinician because of bilateral itching, burning, and redness of the lower extremities. He states that he wore shorts while gardening outside his house recently and could have come in contact with poison ivy. Which of the following statements...

#may2020mccqe1 A 27-year-old primigravida at 35 weeks’ gestation presents to her obstetrician because of a long bump on her leg. She denies ever having had a problem like this before. Her pregnancy has been without complication. Prior to her pregnancy she used only barrier protection. Age of...

#may2020mccqe1 A 47-year-old man met with a RTA. He has multiple injuries. Pelvic fracture is confirmed. He has not passed urine in the last 4 hours. What is the next appropriate management for this patient? (A) Urethral catheter (B) Suprapubic catheter (C) IV fluids (D) IV furosemide (E) Insulin

#may2020mccqe1 A 55-year-old man has a 1-year history of fatigue, chronic morning headache, daytime hypersomnolence, and frequent nighttime awakenings. The patient has hypertension and a 48-pack-year smoking history. His only medication is lisinopril. His family history is noncontributory. On...

#may2020mccqe1 A 38-year-old woman with a 4-year history of systemic sclerosis is evaluated for a 6-month history of dry cough and shortness of breath. She has no fever, sputum production, or orthopnea. The clinical manifestations of her systemic sclerosis include arthralgia, gastroesophageal...