MCCQEc Questions with CORRECT Answers (Grade
A+)
Question 1:
Native valve endocarditis
Answer:
S. Viridans is most common in native valve endocarditis; enterococci
Question 2:
IDVU endocarditis
Answer:
Staph aureus most common
Question 3:
treatment to prevent cluster headaches
Answer:
Subcutaneous sumatriptan Intranasal zolmitriptan
Question 4:
Which TB drug requires acidic pH to work?
Answer:
Pyrazinamide
Question 5:
How to reduce renal stones?
Answer:
Hydrochlorthiazide and potassium citrate
Question 6:
BPPV (benign paroxysmal positional vertigo) Otoliths in posterior semicircular canal
Answer:
not provided in source.
,Question 7:
Widal test used for
Answer:
Typhoid fever
Question 8:
encephalitis vs meningitis
Answer:
Cerebral function altered in encephalitis
Question 9:
Prostate mets to bone vs multiple myeloma
Answer:
Prostate mets = osteoblastic MM= osteolytic lesions
Question 10:
Scabies treatment
Answer:
Permethrin If large outbreak give ivermectin
Question 11:
acute prostatitis tx
Answer:
Oral trimethoprim or ciprofloxacin Don't give trimeth in sulfonamide allergy
Question 12:
Test to confirm diagnosis of CLL
Answer:
Flow cytometry of peripheral blood cells
Question 13:
Hypothermia ECG signs
Answer:
J wave
,Question 14:
Pt with hx of kidney stones or taking vitamin c, don't give which seizure medication?
Answer:
Topiramate
Question 15:
How to confirm factor V Leiden ?
Answer:
Activated protein c resistance assay
Question 16:
food poisoning
Answer:
1-6 hrs: stash aureus, bacillus 8-16 hrs: clost. Perfinges >16 hrs: e.coli, salmonella, shigella,
campylobacter
Question 17:
Treatment for bacterial meningitis for adults Ceftriaxone+ vanc+ ampicillin
Answer:
not provided in source.
Question 18:
Positive noble test
Answer:
Iliotibial band syndrome
Question 19:
ALS does NOT affect
Answer:
Bowel and bladder function
Question 20:
Most ideal site for HIV replication
Answer:
GI tract
, Question 21:
Acute rhinosinusitis treatment
Answer:
1st line= amox 2nd line= amoxiclav or levoflox (fluoroquinolone)
Question 22:
Interstitial cystitis tx
Answer:
Oral pentosan polysulphate or intravesical dimethylsulfoxide
Question 23:
Sjogren syndrome diagnosis
Answer:
Minor salivary gland biopsy
Question 24:
Management for von Willebrand disease
Answer:
1. Desmopressin 2. Blood products containing factor vIII & vWF Patient has normal platelets
Question 25:
Antibodies in Crohn's disease
Answer:
Antisacchoromyces cervistae antibodies
Question 26:
AAA, when to do surgery?
Answer:
5-5.5 cm men (4.5 women)
Question 27:
If patient has pneumonia + hyponatremia. Likely due to which organism?
Answer:
Legionella
A+)
Question 1:
Native valve endocarditis
Answer:
S. Viridans is most common in native valve endocarditis; enterococci
Question 2:
IDVU endocarditis
Answer:
Staph aureus most common
Question 3:
treatment to prevent cluster headaches
Answer:
Subcutaneous sumatriptan Intranasal zolmitriptan
Question 4:
Which TB drug requires acidic pH to work?
Answer:
Pyrazinamide
Question 5:
How to reduce renal stones?
Answer:
Hydrochlorthiazide and potassium citrate
Question 6:
BPPV (benign paroxysmal positional vertigo) Otoliths in posterior semicircular canal
Answer:
not provided in source.
,Question 7:
Widal test used for
Answer:
Typhoid fever
Question 8:
encephalitis vs meningitis
Answer:
Cerebral function altered in encephalitis
Question 9:
Prostate mets to bone vs multiple myeloma
Answer:
Prostate mets = osteoblastic MM= osteolytic lesions
Question 10:
Scabies treatment
Answer:
Permethrin If large outbreak give ivermectin
Question 11:
acute prostatitis tx
Answer:
Oral trimethoprim or ciprofloxacin Don't give trimeth in sulfonamide allergy
Question 12:
Test to confirm diagnosis of CLL
Answer:
Flow cytometry of peripheral blood cells
Question 13:
Hypothermia ECG signs
Answer:
J wave
,Question 14:
Pt with hx of kidney stones or taking vitamin c, don't give which seizure medication?
Answer:
Topiramate
Question 15:
How to confirm factor V Leiden ?
Answer:
Activated protein c resistance assay
Question 16:
food poisoning
Answer:
1-6 hrs: stash aureus, bacillus 8-16 hrs: clost. Perfinges >16 hrs: e.coli, salmonella, shigella,
campylobacter
Question 17:
Treatment for bacterial meningitis for adults Ceftriaxone+ vanc+ ampicillin
Answer:
not provided in source.
Question 18:
Positive noble test
Answer:
Iliotibial band syndrome
Question 19:
ALS does NOT affect
Answer:
Bowel and bladder function
Question 20:
Most ideal site for HIV replication
Answer:
GI tract
, Question 21:
Acute rhinosinusitis treatment
Answer:
1st line= amox 2nd line= amoxiclav or levoflox (fluoroquinolone)
Question 22:
Interstitial cystitis tx
Answer:
Oral pentosan polysulphate or intravesical dimethylsulfoxide
Question 23:
Sjogren syndrome diagnosis
Answer:
Minor salivary gland biopsy
Question 24:
Management for von Willebrand disease
Answer:
1. Desmopressin 2. Blood products containing factor vIII & vWF Patient has normal platelets
Question 25:
Antibodies in Crohn's disease
Answer:
Antisacchoromyces cervistae antibodies
Question 26:
AAA, when to do surgery?
Answer:
5-5.5 cm men (4.5 women)
Question 27:
If patient has pneumonia + hyponatremia. Likely due to which organism?
Answer:
Legionella