Usage for hash tag: oldrecallmccqe1

#oldrecallmccqe1 A 46-year-old man is being treated for a pleural effusion. A chest drain has been sited just below the 4th rib in the mid-axillary line on his right side. What single structure is at particular risk of injury? (A) Arzygos vein (B) Diaphragm (C) Intercostal artery (D) Internal...

#oldrecallmccqe1 A male infant is brought to his pediatrician’s office for a well-child visit. He has a temperature of 37.2°C (99°F) and clear nasal drainage. Physical examination is otherwise unremarkable. The infant is able to lift his head when prone, track past the midline, and coo. His...

#oldrecallmccqe1 A 40-year-old man presents with numerous brown spots on the skin. He reports a history of chronic diarrhea and generalized itching, the latter manifesting frequently after he takes aspirin or drinks alcoholic beverages. He has noticed that slight rubbing on affected skin...

#oldrecallmccqe1 A 2-year-old girl is brought to the ED because of fevers that have been occurring daily for 3 weeks. Physical examination reveals a 1.2-kg (2.6-lb) weight loss since her last doctor’s visit 1 month earlier. She also has pallor, hepatomegaly, and splenomegaly. She is admitted to...

#oldrecallmccqe1 An obese 55-year-old man presents with mononeuritis multiplex. He is MOST LIKELY to have (A) infectious mononucleosis (B) lead poisoning (C) Guillain-Barré syndrome (D) diabetes mellitus (E) myxoedema

#oldrecallmccqe1 Four days ago a 7-year-old boy injured his left leg falling out of a tree. During the past two days he has been generally 'off colour' and has had a painful left leg. Apart from uncomplicated minor childhood illnesses, he had been previously healthy. The only positive findings...

#oldrecallmccqe1 A patient with AIDS and a CD4+ cell count <50/mm3 is suffering from an infection that affects his lungs, eyes, gastrointestinal tract, and central nervous system. Results of a biopsy are shown in the image. With what is the patient most likely infected? (A) Candida albicans...

#oldrecallmccqe1 An obese 66-year-old man has had increasing pain and tingling in his feet for more than 8 months. The patient has not seen a physician in more than 20 years. His only other symptoms are fatigue, blurry vision, and nocturia. He takes no medications. On examination, vital signs...

#oldrecallmccqe1 A 60-year-old woman presents with complaints of chronic fatigue and mild pruritus. She has a history of rheumatoid arthritis and autoimmune thyroiditis. On examination, her liver is modestly enlarged, firm, and nontender; skin xanthomas are noted. Routine serum chemistry...

#oldrecallmccqe1 A 30-year-old woman, in previously good health, is two weeks postpartum. She presents with acute painful defaecation associated with some fresh blood noted on the toilet paper. Which one of the following is the most likely diagnosis? (A) Acute perianal abscess (B) Acute anal...

#oldrecallmccqe1 A 24-year-old woman presents to your office with deep dyspareunia and severe pain in every cycle. What is the initial investigation? (A) Laparoscopy (B) Pelvic US (C) Hysteroscopy (D) Vaginal Swab

#oldrecallmccqe1 A 35-year-old woman is evaluated for a 5-day history of acute right knee pain that began when she hopped down from the bed of a truck, twisting her knee. She experienced a popping sensation and a gradual onset of knee joint swelling over the next several hours. Since then, she...

#oldrecallmccqe1 A 36-year-old man who works at an explosives factory comes to the clinic for an annual check-up. He is concerned about long-term exposure to industrial chemicals. He reports that although he is in excellent health otherwise, he experiences headaches, dizziness, and palpitations...

#oldrecallmccqe1 The physician on call is paged to the well-baby nursery because a full-term, 3-hour-old boy has had green emesis twice, once after each of his feedings. He is being breast-fed. He was born by spontaneous vaginal delivery following a pregnancy complicated by polyhydramnios. His...

#oldrecallmccqe1 A 35-year-old man with a history of chronic hepatitis B presents to the emergency department with severe abdominal pain. The patient states that he has had intermittent fevers and a 15-lb weight loss over the past 6 months. His temperature is 38 C (100.4 F), blood pressure is...

#oldrecallmccqe1 A woman goes to a restaurant for a friend’s birthday and eats a large meal. After the meal, a certain hormone is stimulated by acid entering her duodenum. This hormone inhibits stomach motility and stimulates bicarbonate secretion from the pancreas. Which of the following...

#oldrecallmccqe1 With time, blood stored in a blood bank tends to become relatively depleted of 2,3- diphosphoglycerate (2,3-DPG). What effect does this have on the hemoglobin-oxygen dissociation curve? (A) Shifts the curve to the left, so that the hemoglobin has a decreased oxygen affinity (B)...

#oldrecallmccqe1 A 79-year-old woman was hospitalized 4 days ago after sustaining a right hip fracture in a fall. She underwent surgical repair with right hip replacement 3 days ago and did not fully awake from general anesthesia until 12 hours after extubation. As her alertness has increased...

#oldrecallmccqe1 The lesion shown in the image was found in a 28-year-old female patient who had a successful renal transplant 1 year ago. Which of the following is the most appropriate treatment for her? (A) no active treatment and await resolution (B) surgical removal (C) radiotherapy (D)...

#oldrecallmccqe1 A 78-year-old lady on warfarin for atrial fibrillation lives in a care home. She presents with history of progressive confusion for three days. She was also noticed to have bruises on her arms. Her INR is 7. What is the most likely diagnosis? (A) Alzheimers disease (B) Delirium...