MCCQE1 Exam Questions With Verified Solutions

MCCQE1 Exam Questions With Verified Solutions Fitz-Hugh-Curtis syndrome - answerPerihepatic infection which results in liver capsule (aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea & chlamydia Rocephin - answerCeftriaxone 125mg Koilocytosis - answerNuclear enlargement with atypical peri nuclear halo Cefixime - answerFixime 400mg Fixime 400mg - answerCefixime U wave represents - answerrepolarization of the purkinje fibers. Seen in 1) Hypokalaemia. 2) Hypercalcaemia. 3) Thyrotoxicosis. 4) Digitalis use. 5) anti arrhythmics. Absolute Contradictions to HRT - answerA - acute liver disease. B - Bleeding, undiagnosed. C - Cancer of breast or uterus. D - DVT or PE procidentia - answerComplete protrusion of uterus through vagina Krukenberg tumor - answerMetastatic tumor (usually GIT or breast) to ovaries. "Signet-ring" cells. CIN - answercervical intraepithelial neoplasia CIN I - answerlow grade squamous intra-epithelial lesion (LSIL) LSIL - answerLow grade squamous intra-epithelial lesion (CIN I = Cervical intraepithelial neoplasia) HSIL - answerhigh-grade squamous intraepithelial lesion (CIN II OR III = Cervical intraepithelial neoplasia) ascus - answeratypical squamous cells of undetermined significance AGUS - answerAtypical Glandular Cells of Undetermined Significance CIS - answercarcinoma in situ LEEP - answerloop electrosurgical excision procedure Which cervical lesions can you repeat PAP in 6 months? - answerASCUS or CIN I (LSIL) . Rest require colposcopy Shagreen patches - answerDark leathery (orange-peel) patches on lower back. Found in tuberous sclerosis. A genetic neuroproliferative disorder. acrochordons - answer"skin tags"; overgrowths of normal skin that form a stalk and are polyp-like Stein-Leventhal syndrome - answerPCOS Crede's manouver - answerFundal pressure to assist with delivery Johnson's manouver - answerPost partum prolapsed uterus. Fist on fundus, pushing up through vagina. Hold fist in place until uterine contraction is felt. O'Sullivan's technique - answerPostpartum uterine prolapse. Warm saline is poured into the vagina to create increased hydrostatic pressure to force the uterus back into the pelvic area. Chandelier sign - answerPositive Cervical excitatory tenderness (CET) (I.e. PID) Tocolysis - answerAnti-uterine contraction. (Greek toko = childbirth and lysis - loosening) Chadwick's sign - answerBluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion. (6 weeks) Hegar's sign - answersoftening of the lower uterine segment or isthmus (6-8 weeks) Goodell's sign - answersoftening of the cervix and the vagina caused by increased vascular congestion (4-6 weeks) Kleihauer-Betke Test - answerQuantifies fetal cells in maternal circulation so appropriate dose of Rhogam can be given in Rh negative mothers Placenta accreta - answerPlacenta invades At myometrium Placenta Increta - answerPlacenta invades Into myometrium Placenta Percreta - answerPlacenta invades Passing through myometrium Dystocia - answerAbnormal progression of labour Cleidotomy - answerDeliberate fracture of clavicle (to aid in shoulder dystocia delivery) Zavanelli maneuver - answerReplacement of fetus into uterine cavity followed by Caesarian section Brant maneuver - answerFirm traction on umbilical cord with opposite hand applying Supra public pressure to prevent uterine prolapse. Lochia - answerNormal post partum vaginal discharge (rubric - serous - alba. Foul odor = infection) Keinbock's Disease - answerAvascular necrosis of the lunate carpal bone Mobius Syndrome - answerCongenital paralysis of face (Stone face) +/- limb defects due to intrauterine Misoprostol exposure (possibly BZD too) Indications for caesarean - answerCAMPO PVP CAMP (CaCx/Active HSV/Maternal comps eg eclampsia or AFLP/Previous uterine Surgery/Obstruction//Placenta Previa/ Veno Previa/ Placenta Abruptio/ Congenital abn's/Abnormal heart rate 110or160/Malpresentation/Prolapsed cord Maternal mortalities in Pregnancy - answerBEACHES (Bleeding/emboli- thrombotic/amniotic embolism/Cardiac/HELLP/Ectopic Pregnancy/Sepsis/Stroke Pre-eclampsia/eclampsia adverse signs - answerDROPCHILD = D - DBP100{110}. R - Renal comp (urine500). O - Oligohydramnios. P - Proreinuria {3-5g}. C - CVA. H- HELLP (Haemolysis, Elevated liver enzymes and low platelets). I - IUGR. L - Left Ventricular Failure. D - DIC CHARGE Syndrome - answerCongenital Abnormality = C - Coloboama, H - Heart abnormality, A - Atresia choanae. R - Retarded mentally, G - Genital abnormalities, E - Ear malformations Mentzer's index - answerIn microcytic hypochromic anaemia, the MCV:RBC ratio 13 = iron deficiency and 13 = Thalassemia Burton line - answerLead poisoning - Thin grey/blue line found on edge of gums WAGR syndrome - answerWilms' Tumour, Aniridia, Genital anomalies and Retardation (Mental) Beckwith-Wiedemann syndrome - answerWilms' tumour + enlargement of body organs, hemihypertrophy, renal medullary cysts and adrenal cytomegaly. Denys-Drash Syndrome - answerWilms' tumour + gonadal dysgenesis + nephroparhy — renal failure Wilms' tumour - answerNephroblastoma B Symptoms - answerFever, night sweats and unexplained weight loss Still's Disease - answerSystemic arthritis - fever 2/52 + salmon macular popular rash, LN's, HSM, Clinical manifestations of Cystic Fibrosis - answerCF PANCREAS = Chronic cough, Failure to thrive, Pancreatic insufficiency (3 days fecal fat collection), Alkalosis and hypotonic