MCCQE 1 PRACTICE EXAM| 122 QUESTIONS|
WITH COMPLETE SOLUTIONS
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
WITH COMPLETE SOLUTIONS
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
