100 Free MCCQE1 Questions With Complete Solutions

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 cardiac silhouette. Her echocardiogram reveals ventricular walls with a "speckled pattern". Which of the following is the most likely diagnosis? - Alcoholic cardiomyopathy - Amyloidosis - Haemochromatosis - Tuberculosis - Viral myocarditis - ️️Amyloidosis Restrictive cardiomyopathy with 'speckled' left ventricular wall Primary cardiac amyloidosis usually develops into diastolic dysfunction Alcoholic cardiomyopathy: biventricular dilated cardiomyopathy A 92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the ICU because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. Although the inspired fraction of oxygen is 100%, the patient's pO2 remains at 57 mmHg. Positive-end expiratory pressure (PEEP) is added to allow the inspired fraction of oxygen. Twelve hours after the introduction of PEEP the patient suddenly become hypotensive. At the same time, his oxygen saturation drops from 92% to 61%. On physical examination, his BP is 80/50 mmHg and his pulse is 124/min. He has distended neck veins and distant heart sounds. Which of the following would also most likely be seen on this patient's physical examination? - Absence of breath sounds in the right hemithorax - High amplitude carotid artery upstroke - A pleural friction rub - Pulsus alternans