MCCQE 1 Solved Papers - Questions with Complete Solutions HERPETIC WHITLOW - Correct Answers ✅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 Answers ✅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 Answers ✅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 Answers ✅Recurrence of Sx
- to 32 h (mean 1 / 4
MCCQE 1 Solved Papers - Questions with Complete Solutions 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 Answers ✅Refractory Resp distress or hypotension despite appropriate medical Rx.What Saves Lives? EPI,
EPI, EPI - Correct Answers ✅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 Answers ✅• Measures to stop any continuing Ag exposure • Two large bore I Vs • Supplemental O2 • Cardiac and O2 sat monitoring 2 / 4
MCCQE 1 Solved Papers - Questions with Complete Solutions • EPI IM or I V • Methylprednisolone 125 mg I V • Diphenhydramine 50 mg I V + ranitidine 50 mg I V MINOR BURNS - Correct Answers ✅• 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 Answers ✅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 Answers ✅Antihistamines, TCAs, phenothiazines, atropine Cholinergic - Correct Answers ✅Insecticides, nerve agents, nicotine, pilocarpine, urecholine 3 / 4
MCCQE 1 Solved Papers - Questions with Complete Solutions Sympathomimetic - Correct Answers ✅Cocaine, amphetamines, MDMA (ecstasy), ephedrine, theophylline Opiate/sedative - Correct Answers ✅Heroin, morphine, benzodiazepines, barbiturates, meprobamate, EtOH Hallucinogens - Correct Answers ✅LSD, mescaline, phencyclidine, psilocybin CVS - Correct Answers ✅β-Blockers, CCBs Serotonin - Correct Answers ✅MAOI, SSRI, meperidine, TCA, L-tryptophan Cellular - Correct Answers ✅CO, H2S, cyanide TCAs - Correct Answers ✅Amitriptyline, doxepin Simple asphyxiants - Correct Answers ✅CO2, inert gases Drugs inducing metabolic acidosis
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