MCCQE1 EXAM QUESTIONS WITH CORRECT ANSWERS

MCCQE1 EXAM QUESTIONS WITH
CORRECT ANSWERS

HERPETIC WHITLOW - CORRECT ANSWER✔✔-Painful grouped vesicles on an
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erythematous base located on the distal finger
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Cause: Infection with HSV
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Treatment:
Self-limiting disease |




Antiviral (e.g., acyclovir) may be beneficial
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ONYCHOCRYPTOSIS/ INGROWN NAILS - CORRECT ANSWER✔✔-Inflammation and
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soft tissue hypertrophy +/− secondary infection occurring when the
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lateral edge of the nail plate impinges on the nail fold
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ONYCHOCRYPTOSIS Cause: |




Onychomycosis
Incorrect technique of nail cutting
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Repetitive trauma |




Poor foot hygiene; poorly fitting shoes - CORRECT ANSWER✔✔-Treatment
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Barrier placement between nail plate and nail fold
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Excision of the portion of nail plate pressing on the nail fold
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+/− Antibiotics
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,Biphasic Anaphylaxis - CORRECT ANSWER✔✔-Recurrence of Sx 4 to 32 h (mean
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10 h) after the initial episode.
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Occurs in up to 20% of patients | | | | | |




and is due to the release of 2◦
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mediators and the late-phase | | |




response.


Protracted Anaphylaxis - CORRECT ANSWER✔✔-Refractory Resp distress or
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hypotension despite appropriate | |




medical Rx. |




What Saves Lives? EPI, | | |




EPI, EPI - CORRECT ANSWER✔✔-Adults: 0.3 to 0.5 mg IM
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Children: 0.01 mg/kg IM | | |




I V EPI: 0.1 mg, dilute 0.1 mL
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1:1,000 in 10 mL N/S | | | |




Give 1 to 2 mL/min
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All patients presenting with signs or Sx of anaphylaxis get: - CORRECT
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ANSWER✔✔-• Measures to stop any continuing Ag exposure | | | | | | |




• Two large bore I Vs • Supplemental O2
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• Cardiac and O2 sat monitoring
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• EPI IM or I V
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,• Methylprednisolone 125 mg I V
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• Diphenhydramine 50 mg I V + ranitidine 50 mg I V
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MINOR BURNS - CORRECT ANSWER✔✔-• cleaning with soap and water or dilute
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antiseptic solution. | |




Td immunization prn
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| topical Abx: 1%silver sulfadiazine(Dermazine) , bacitracin (Baciguent),
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or bacitracin/neomycin/polymyxin B (Neosporin ointment).
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Occlusive, clean dressings should be applied regularly.
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Parkland Formula - CORRECT ANSWER✔✔-Fluid required (ml of RL) = 4 × kg body
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wt × TBSA | |




• 1/2 given in first 8 h from time of injury, 1/2 given in next 16 h
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Anticholinergic - CORRECT ANSWER✔✔-Antihistamines, TCAs, phenothiazines,
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atropine


Cholinergic - CORRECT ANSWER✔✔-Insecticides, nerve agents, nicotine,
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pilocarpine, urecholine |




Sympathomimetic - CORRECT ANSWER✔✔-Cocaine, amphetamines, MDMA | | | | | |


(ecstasy),
ephedrine, theophylline |

, Opiate/sedative - CORRECT ANSWER✔✔-Heroin, morphine, benzodiazepines,| | | | |




barbiturates, meprobamate, EtOH | |




Hallucinogens - CORRECT ANSWER✔✔-LSD, mescaline, phencyclidine, psilocybin
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CVS - CORRECT ANSWER✔✔-β-Blockers, CCBs
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Serotonin - CORRECT ANSWER✔✔-MAOI, SSRI, meperidine, TCA, L-tryptophan
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Cellular - CORRECT ANSWER✔✔-CO, H2S, cyanide
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TCAs - CORRECT ANSWER✔✔-Amitriptyline, doxepin
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Simple asphyxiants - CORRECT ANSWER✔✔-CO2, inert gases
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Drugs inducing metabolic acidosis
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(BP usually low) - CORRECT ANSWER✔✔-Ethanol, methanol, ethylene glycol, ASA,
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NSAID, tylenol |




Anticholinergic ''hot as a hare, dry as a bone, red as a beet, blind as a bat, and
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mad as a hatter''
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• ↑ Temperature
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• Possible ↑ HR
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• Dry mucous membranes
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