MCCQE 1 Questions with CORRECT Answers (Grade
A+)
Question 1:
HERPETIC WHITLOW
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
Question 2:
ONYCHOCRYPTOSIS/ IN- GROWN NAILS
Answer:
Inflammation and soft tissue hypertrophy +/− secondary infection occurring when the lateral edge of
the nail plate impinges on the nail fold
Question 3:
ONYCHOCRYPTOSIS Cause: Onychomycosis Incorrect technique of nail cutting Repetitive trauma
Poor foot hygiene; poorly fitting shoes
Answer:
Treatment Barrier placement between nail plate and nail fold Excision of the portion of nail plate
pressing on the nail fold +/− Antibiotics
Question 4:
Biphasic Anaphylaxis
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 æ mediators and the late-phase response.
Question 5:
Protracted Anaphylaxis
Answer:
Refractory Resp distress or hypotension despite appropriate medical Rx.
,Question 6:
What Saves Lives? EPI, EPI, EPI
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
Question 7:
All patients presenting with signs or Sx of anaphylaxis get:
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
Question 8:
MINOR BURNS
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.
Question 9:
Parkland Formula
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
Question 10:
Anticholinergic
Answer:
Antihistamines, TCAs, phenothiazines, atropine
Question 11:
Cholinergic
Answer:
Insecticides, nerve agents, nicotine, pilocarpine, urecholine
, Question 12:
Sympathomimetic
Answer:
Cocaine, amphetamines, MDMA (ecstasy), ephedrine, theophylline
Question 13:
Opiate/sedative
Answer:
Heroin, morphine, benzodiazepines, barbiturates, meprobamate, EtOH
Question 14:
Hallucinogens
Answer:
LSD, mescaline, phencyclidine, psilocybin
Question 15:
CVS
Answer:
β-Blockers, CCBs
Question 16:
Serotonin
Answer:
MAOI, SSRI, meperidine, TCA, L-tryptophan
Question 17:
Cellular
Answer:
CO, H2S, cyanide
Question 18:
TCAs
Answer:
Amitriptyline, doxepin
A+)
Question 1:
HERPETIC WHITLOW
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
Question 2:
ONYCHOCRYPTOSIS/ IN- GROWN NAILS
Answer:
Inflammation and soft tissue hypertrophy +/− secondary infection occurring when the lateral edge of
the nail plate impinges on the nail fold
Question 3:
ONYCHOCRYPTOSIS Cause: Onychomycosis Incorrect technique of nail cutting Repetitive trauma
Poor foot hygiene; poorly fitting shoes
Answer:
Treatment Barrier placement between nail plate and nail fold Excision of the portion of nail plate
pressing on the nail fold +/− Antibiotics
Question 4:
Biphasic Anaphylaxis
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 æ mediators and the late-phase response.
Question 5:
Protracted Anaphylaxis
Answer:
Refractory Resp distress or hypotension despite appropriate medical Rx.
,Question 6:
What Saves Lives? EPI, EPI, EPI
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
Question 7:
All patients presenting with signs or Sx of anaphylaxis get:
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
Question 8:
MINOR BURNS
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.
Question 9:
Parkland Formula
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
Question 10:
Anticholinergic
Answer:
Antihistamines, TCAs, phenothiazines, atropine
Question 11:
Cholinergic
Answer:
Insecticides, nerve agents, nicotine, pilocarpine, urecholine
, Question 12:
Sympathomimetic
Answer:
Cocaine, amphetamines, MDMA (ecstasy), ephedrine, theophylline
Question 13:
Opiate/sedative
Answer:
Heroin, morphine, benzodiazepines, barbiturates, meprobamate, EtOH
Question 14:
Hallucinogens
Answer:
LSD, mescaline, phencyclidine, psilocybin
Question 15:
CVS
Answer:
β-Blockers, CCBs
Question 16:
Serotonin
Answer:
MAOI, SSRI, meperidine, TCA, L-tryptophan
Question 17:
Cellular
Answer:
CO, H2S, cyanide
Question 18:
TCAs
Answer:
Amitriptyline, doxepin
