MCCQE 1 UPDATED ACTUAL Exam
Questions and CORRECT Answers
HERPETIC WHITLOW - CORRECT ANSWER - Painful grouped vesicles on an
erythematous base located on the distal finger
Cause: Infection with HSV
Treatment:
Self-limiting disease
Antiviral (e.g., acyclovir) may be beneficial
ONYCHOCRYPTOSIS/ INGROWN NAILS - CORRECT ANSWER - Inflammation and
soft tissue hypertrophy +/− secondary infection occurring when the
lateral edge of the nail plate impinges on the nail fold
ONYCHOCRYPTOSIS Cause:
Onychomycosis
Incorrect technique of nail cutting
Repetitive trauma
Poor foot hygiene; poorly fitting shoes - CORRECT ANSWER - Treatment
Barrier placement between nail plate and nail fold
Excision of the portion of nail plate pressing on the nail fold
+/− Antibiotics
Biphasic Anaphylaxis - CORRECT ANSWER - Recurrence of Sx 4 to 32 h (mean
10 h) after the initial episode.
Occurs in up to 20% of patients
and is due to the release of 2◦
mediators and the late-phase
response.
,Protracted Anaphylaxis - CORRECT ANSWER - Refractory Resp distress or
hypotension despite appropriate
medical Rx.
What Saves Lives? EPI,
EPI, EPI - CORRECT ANSWER - Adults: 0.3 to 0.5 mg IM
Children: 0.01 mg/kg IM
I V EPI: 0.1 mg, dilute 0.1 mL
1:1,000 in 10 mL N/S
Give 1 to 2 mL/min
All patients presenting with signs or Sx of anaphylaxis get: - CORRECT ANSWER -•
Measures to stop any continuing Ag exposure
• Two large bore I Vs • Supplemental O2
• Cardiac and O2 sat monitoring
• EPI IM or I V
• Methylprednisolone 125 mg I V
• Diphenhydramine 50 mg I V + ranitidine 50 mg I V
MINOR BURNS - CORRECT ANSWER - • cleaning with soap and water or dilute
antiseptic solution.
Td immunization prn
topical Abx: 1%silver sulfadiazine(Dermazine) , bacitracin (Baciguent),
or bacitracin/neomycin/polymyxin B (Neosporin ointment).
Occlusive, clean dressings should be applied regularly.
Parkland Formula - CORRECT ANSWER - Fluid required (ml of RL) = 4 × kg body wt ×
TBSA
, • 1/2 given in first 8 h from time of injury, 1/2 given in next 16 h
Anticholinergic - CORRECT ANSWER - Antihistamines, TCAs, phenothiazines,
atropine
Cholinergic - CORRECT ANSWER - Insecticides, nerve agents, nicotine,
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
CVS - CORRECT ANSWER - β-Blockers, CCBs
Serotonin - CORRECT ANSWER - MAOI, SSRI, meperidine, TCA, L-tryptophan
Cellular - CORRECT ANSWER - CO, H2S, cyanide
TCAs - CORRECT ANSWER - Amitriptyline, doxepin
Simple asphyxiants - CORRECT ANSWER - CO2, inert gases
Drugs inducing metabolic acidosis
Questions and CORRECT Answers
HERPETIC WHITLOW - CORRECT ANSWER - Painful grouped vesicles on an
erythematous base located on the distal finger
Cause: Infection with HSV
Treatment:
Self-limiting disease
Antiviral (e.g., acyclovir) may be beneficial
ONYCHOCRYPTOSIS/ INGROWN NAILS - CORRECT ANSWER - Inflammation and
soft tissue hypertrophy +/− secondary infection occurring when the
lateral edge of the nail plate impinges on the nail fold
ONYCHOCRYPTOSIS Cause:
Onychomycosis
Incorrect technique of nail cutting
Repetitive trauma
Poor foot hygiene; poorly fitting shoes - CORRECT ANSWER - Treatment
Barrier placement between nail plate and nail fold
Excision of the portion of nail plate pressing on the nail fold
+/− Antibiotics
Biphasic Anaphylaxis - CORRECT ANSWER - Recurrence of Sx 4 to 32 h (mean
10 h) after the initial episode.
Occurs in up to 20% of patients
and is due to the release of 2◦
mediators and the late-phase
response.
,Protracted Anaphylaxis - CORRECT ANSWER - Refractory Resp distress or
hypotension despite appropriate
medical Rx.
What Saves Lives? EPI,
EPI, EPI - CORRECT ANSWER - Adults: 0.3 to 0.5 mg IM
Children: 0.01 mg/kg IM
I V EPI: 0.1 mg, dilute 0.1 mL
1:1,000 in 10 mL N/S
Give 1 to 2 mL/min
All patients presenting with signs or Sx of anaphylaxis get: - CORRECT ANSWER -•
Measures to stop any continuing Ag exposure
• Two large bore I Vs • Supplemental O2
• Cardiac and O2 sat monitoring
• EPI IM or I V
• Methylprednisolone 125 mg I V
• Diphenhydramine 50 mg I V + ranitidine 50 mg I V
MINOR BURNS - CORRECT ANSWER - • cleaning with soap and water or dilute
antiseptic solution.
Td immunization prn
topical Abx: 1%silver sulfadiazine(Dermazine) , bacitracin (Baciguent),
or bacitracin/neomycin/polymyxin B (Neosporin ointment).
Occlusive, clean dressings should be applied regularly.
Parkland Formula - CORRECT ANSWER - Fluid required (ml of RL) = 4 × kg body wt ×
TBSA
, • 1/2 given in first 8 h from time of injury, 1/2 given in next 16 h
Anticholinergic - CORRECT ANSWER - Antihistamines, TCAs, phenothiazines,
atropine
Cholinergic - CORRECT ANSWER - Insecticides, nerve agents, nicotine,
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
CVS - CORRECT ANSWER - β-Blockers, CCBs
Serotonin - CORRECT ANSWER - MAOI, SSRI, meperidine, TCA, L-tryptophan
Cellular - CORRECT ANSWER - CO, H2S, cyanide
TCAs - CORRECT ANSWER - Amitriptyline, doxepin
Simple asphyxiants - CORRECT ANSWER - CO2, inert gases
Drugs inducing metabolic acidosis
