MCCQE 무료 덤프문제 온라인 액세스

While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?

• A.Anemia of chronic disease.
• B.Iron deficiency anemia.
• C.Thalassemia.
• D.Leukemia.
• E.Myelodysplasia.

A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

• A.Ventricular septal defect
• B.Renal artery thrombosis
• C.Aortic coarctation
• D.Essential hypertension
• E.Reflux nephropathy

An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, " I cannot let him go. That would be murder. " As the attending physician looking after her husband, which one of the following is the best next course of action?

• A.Encourage her to imagine what her husband would have wanted
• B.Seek advice from the provincial or territorial public guardian
• C.Say nothing further and wait until she comes around to accepting his state
• D.Emphasize that the duration of his stay in the Intensive Care Unit will be limited
• E.Remove him from life support as this would not be murder

A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10#/L (normal 130-400). Which one of the following is most likely to induce this side effect?

• A.Pantoprazole
• B.Lithium carbonate
• C.Acetaminophen
• D.Olanzapine
• E.Valproic acid

A 39-year-old man presents to a psychiatrist. He says, " It often seems to me that I am not part of this world.
My voice sounds strange to me, and other people seem like figures in a dream. " He has had these feelings intermittently for about 2 years. There is no history of hallucinations, and there are no current indications of disorganized thinking. Which one of the following is the most likely diagnosis?

• A.Depersonalization/derealization disorder.
• B.Delusional disorder.
• C.Persistent depressive disorder.
• D.Schizophrenia.
• E.Conversion disorder.