Usage for hash tag: may2020mccqe1

#may2020mccqe1 A 26-year-old G1P0 woman at 12 weeks’ gestation presents to her obstetrician for her first visit. Her pregnancy thus far has been notable only for some mild nausea and vomiting that lasted throughout her first trimester. She reports feeling overly tired lately and very weak. Her...

#may2020mccqe1 A 60-year-old man is hospitalized because of progressive dyspnea during the past month. He has a 45-pack-year smoking history, but he has no other medical problems. On physical examination, he is cyanotic and has paradoxical respiratory movements of his rib cage and abdomen...

#may2020mccqe1 A 57-year-old woman with a 30-year history of alcoholism and liver disease visits her physician complaining of abdominal swelling and shortness of breath. The physician determines that she has severe ascites. Which of the following factors contributes to the accumulation of fluid...

#may2020mccqe1 A 30-year-old man presents with deep penetrating knife wound. He said he had TT when he left school. What will you do for him now? (A) Human Ig only (B) Human Ig and TT (C) Full course of tetanus vaccine only (D) Human Ig and full course of tetanus vaccine (E) Antibiotic

#may2020mccqe1 Twenty-four hours after placement of a catheter, a hospitalized patient develops a fever and chills. Within 1 hour her systolic blood pressure falls 30 points and she develops swelling in her extremities. Despite valiant efforts by the hospital staff, the patient dies. X-ray of...

#may2020mccqe1 A 31-year-old pregnant woman comes to the physician because of painful vesicular lesions that have recently appeared on her genitalia. A positive result on which of the following diagnostic tests would mean that her baby is at risk for congenital anomalies? (A) Anti-hepatitis B...

#may2020mccqe1 A man presents with scrotal swelling, the swelling is cystic and is non-tender. It is located in the upper pole of the posterior part of the testis. What is the most likely diagnosis? (A) Epididymal cyst (B) Testicular cancer (C) Hydrocele (D) Teratoma (E) Testicular torsion

#may2020mccqe1 A 55-year-old man is found to have a pleural effusion after a 2-week history of cough, sputum production, dyspnea, chills, and pleuritic chest pain. Upright and lateral decubitus chest x-rays confirm that the effusion is free flowing (without evidence of loculation). He has...

#may2020mccqe1 A 22-year-old woman presents to the physician with vaginal itching and burning. On examination, she has a foul-smelling greenish discharge. A swab sample is taken and a wet mount slide is prepared; results are shown in the image. Which of the following medications should be...

#may2020mccqe1 A 37-year-old female had a fall with outstretched hand, presented with dinner fork deformity and tenderness over the right arm. What is the single most associated nerve injury? (A) Axillary nerve (B) Radial nerve (C) Musculocutaneous nerve (D) Median nerve (E) Ulnar nerve

#may2020mccqe1 A 68-year-old man with widely disseminated small cell carcinoma which originated in the left lung is in considerable pain. He and his family have expressed their wish for him to die peacefully at home. You suggest opiates for adequate pain relief. Which one of the following...

#may2020mccqe1 An 18-year-old woman has been brought to the Emergency Department for assessment from the international airport, where she had felt unwell while waiting in the transit queue to check in for her return flight to an Asian country. She had been in the country for three weeks only...

#may2020mccqe1 A 60-year-old man with a history of congestive heart failure presents to his physician. He has a 5-year history of excessive daytime sleepiness and snoring. He also admits to three drinks of alcohol per day. His temperature is 36.6°C (98.0°F), pulse is 85/min, blood pressure is...

#may2020mccqe1 A 35-year-old man visits a fertility specialist with his 27-year-old wife. They have been trying to conceive for more than 13 months but have been unsuccessful. The husband has no previous children but the wife has two children from a prior marriage. Their past medical history is...

#may2020mccqe1 A 19-year-old homosexual college freshman presents to the student health clinic complaining of diarrhea of 2 days’ duration. He returned 9 days ago from a spring break trip to Mexico. His diarrhea is accompanied by prominent bloating, flatulence, nausea, and general malaise. On...

#may2020mccqe1 A 25-year-old woman presented to her GP on a routine check up. Upon vaginal exam, she was fine except for finding of cervical ectropion which was painless but mild contact bleeding on touch. What is the next management? (A) Endometrial ablation (B) Cervical smear (2nd line) (C)...

#may2020mccqe1 A 5-year-old girl is brought to her pediatrician because her mother says she is frequently bumping into stationary objects while playing. Visual field examination shows bilateral peripheral vision defects. CT of the head reveals calcifications in the pituitary fossa. Which of the...

#may2020mccqe1 A newborn infant is found to have a congenital urethral abnormality in which the urethral meatus opens on the ventral side of the penis, resulting in difficulty directing the urine stream and ventral curvature of the penis. Which of the following is the cause of this...

#may2020mccqe1 A full-term neonate presents to the pediatrician with failure to pass meconium. Digital examination of the rectum results in a gush of retained fecal material. Which of the following is the most likely diagnosis in this infant? (A) Carcinoma of the colon (B) Chagas’ disease (C)...

#may2020mccqe1 A newborn boy is brought to the pediatrician for further evaluation of an extensive skin rash. Physical examination shows that this child has microcephaly, hearing loss, and a petechial skin rash. The abdominal examination reveals hepatosplenomegaly. Further questioning of the...