MCCQE1
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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 
Repet...
An 80-year-old woman comes to the urgent care clinic with dyspnoea on exertion. On physical examination, her blood pressure is 100/70, and her pulse is 75. She has no pulsus paradoxus. Her jugular veins are distended, and she has distant heart sounds. In addition, she has extra third and fourth heart sounds. Her liver is enlarged, and she has pedal oedema. She has occasional premature ventricular contractions on her electrocardiogram. A chest x-ray reveals clear lung fields with a dilated cardia...