Usage for hash tag: oldrecallmccqe1

#oldrecallmccqe1 A 65-year-old man presents with a 1-day history of hematuria and sharp flank pain (rated 10 of 10) radiating toward the groin on the right side. Past medical history is significant for three prior episodes of nephrolithiasis over the past 5 years, all of which presented with a...

#oldrecallmccqe1 A 42-year-old man presents with a chief complaint of severe, sharp chest pain that started suddenly while lifting heavy objects. The pain began in a midsternal location, then radiated to both shoulders as well as to his back. It has been constant for 18 hours but started to get...

#oldrecallmccqe1 A 60-year-old man is evaluated for progressive exertional dyspnea. For the past year, he has been unable to walk three blocks without stopping twice because of shortness of breath. He has a daily cough productive of a small amount of white sputum. He has smoked 1 pack per day...

#oldrecallmccqe1 A 69-year-old alcoholic has had severe, progressively increasing epigastric pain for the past 24 hours. He has been nauseous, and he vomited three times. Laboratory studies show hypocalcemia and metabolic hypochloremic alkalosis. The primary metabolic effect of the principal...

#oldrecallmccqe1 A 60-year-old woman recently diagnosed with type 2 DM complains of daily headaches and double vision that have gradually worsened over the previous month. An MRI shows a large pituitary adenoma. Which of the following is most likely being secreted by this tumor? (A) ACTH (B)...

#oldrecallmccqe1 Which one of the following would be most in keeping with an obstructing stone in the (common) bile duct? (A) Urobilinogen in the urine, no bilirubin in the urine (B) Urobilinogen in the urine, bilirubin in the urine (C) Conjugated hyperbilirubinemia, bilirubin in the urine, no...

#oldrecallmccqe1 A young footballer has collapsed during a game. During an initial evaluation, RR is 14/min, pulse is 88bpm, BP is 110/70mmHg. He seems to be sweating and muttering some incomprehensible words. What is the most important next step? (A) CT (B) MRI (C) Blood sugar (D) Body...

#oldrecallmccqe1 A 47-year-old Brazilian immigrant presents with fatigue and dyspnea. He has been healthy for the past 10 years. The patient denies fever, cough, chills, or weight loss. On physical examination there are no murmurs, the pulse and the rhythm are regular, S1 is normal, and S2 is...

#oldrecallmccqe1 A 33-year-old woman is evaluated in the emergency department for a 6-hour history of worsening asthma symptoms. Her medications include albuterol and an inhaled corticosteroid. She is treated with intravenous corticosteroids and albuterol. After 4 hours of treatment, she...

#oldrecallmccqe1 A 39-year-old man presents to the emergency department with acute onset of shortness of breath, hemoptysis, and left-sided pleuritic chest pain. His past medical history includes medication-controlled asthma, peptic ulcer disease, and a recent onset of idiopathic nephrotic...

#oldrecallmccqe1 A 45-year-old woman with systemic lupus erythematosus (SLE) comes to the physician for a routine checkup. Her condition has been stable for several years, and she currently is not taking any medication. Blood chemistry studies and hematologic parameters are remarkable for a...

#oldrecallmccqe1 A 4-year-old girl is found to have bounding pulse and continuous machinery murmur. What is the most probable diagnosis? (A) TOF (B) ASD (C) VSD (D) PDA (E) CoA

#oldrecallmccqe1 A 3-month-old infant is rushed to the emergency department in respiratory distress. Her mother notes that she is “always sick.” She has had multiple hospitalizations over the past months, including one for a severe bout of pneumonia with Pneumocystis jiroveci (formerly carinii)...

#oldrecallmccqe1 A patient presents to the emergency department after sustaining a laceration of the first web space of his hand in a rock-climbing accident. Which of the following structures is also likely to be injured? (A) Deep branch of radial nerve (B) Opponens pollicis (C) Radial artery...

#oldrecallmccqe1 A 40-year-old woman consults a physician about a “mole” on her neck. The lesion is 2 cm in diameter and slightly irregular, and has a variegated dark red to brown to black color. Wide excision of the lesion demonstrates a malignant neoplasm that extends to a depth of 3 mm. This...

#oldrecallmccqe1 An otherwise healthy 28-year-old woman has had two episodes of acute cystitis within the past 6 months. The patient is sexually active and has intercourse with her husband on average 2 times per week and says her cystitis does not seem to be intercourse related. Each time...

#oldrecallmccqe1 A 24-year-old woman is evaluated during a new patient visit. She is not currently sexually active, but has been in the past; she has had two lifetime partners, and has always used condoms. She has no medical problems and takes no medications. She was last seen by a physician 3...

#oldrecallmccqe1 While examining a newborn baby in the nursery, a physician notes that urine is draining from the umbilicus. Contrast dye is introduced into the bladder through the urethra, and it is confirmed radiologically that dye is passing to the umbilicus. Which of the following...

#oldrecallmccqe1 A 38-year-old man is admitted to the hospital with a 1-week history of progressive dyspnea, cough, and low-grade fever. He has a history AIDS and has found it difficult to take all of his medications. His CD4 count measured 6 months ago was 80/μL. He has no allergies. On...

#oldrecallmccqe1 A 45 year old gentleman presents with black stools for the last 2 days. He is asymptomatic otherwise. On examination there is evidence of peripheral stigmata of liver disease. His heart rate is 105 and although his blood pressure is satisfactory he has a significant postural...