Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Prüfungsthemen:

Medical Council of Canada MCCQE Part 1 MCCQE Prüfungsfragen mit Lösungen

Frage #1
A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

A. Record his directives in the chart.
B. Advise him to reconsider his decision and to allow the examination to proceed.
C. Ask permission to learn more about his distress in a subsequent appointment.

Frage #2
An 18-month-old girl is brought in with a 3-day history of frequently passing loose stools. The stools are not bloody, but when she passes the stools, she is in obvious pain. She started vomiting earlier today, but she is still wetting diapers. On examination, she is mildly dehydrated but active and alert. Physical examination findings are otherwise normal. Which one of the following is the best management of this patient's case?

A. No dairy for 2 weeks.
B. Combination of apple juice and chicken broth.
C. Regular diet only when the diarrhea is resolved.
D. Oral rehydration solution.
E. Loperamide.

Frage #3
A physician attending a sporting event with his family provides emergency treatment to a 65-year-old man who suffers a seizure followed by a cardiac arrest. The patient is successfully resuscitated by the physician on the scene and transported to a hospital, where he is found to have critically low blood sugar and subsequently suffers irreversible brain damage. Which one of the following statements is most accurate?

A. The Good Samaritan laws require physicians to provide care to anyone in need.
B. Professional ethics require physicians to render reasonable assistance to anyone in need.
C. The physician had a legal duty to accompany the patient in the ambulance.
D. The physician will be found negligent by the regulatory body.
E. The physician ' s medical licence requires him to treat anyone in need.

Frage #4
A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A. Increase the frequency of follow-up visits
B. Discontinue take-home doses
C. Slowly taper and discontinue the opioid agonist
D. Taper the dosage of the opioid agonist
E. Prescribe a cannabinoid

Frage #5
A 45-year-old man presents to your family practice for follow-up because he has had repeated transient ischemic attacks and had been advised not to drive. During the interview, you find out that he is still driving.
He explains that he only drives to the grocery store and his wife, who also has a driver ' s license, is always a passenger with him. He insists he can drive. You think that he should no longer be driving a car. Which one of the following is the best next step?

A. Discuss this further with him.
B. Consult a neurologist to assess whether the patient is fit to drive.
C. Refuse to treat him further unless he stops driving.
D. Physically take away his license.
E. Communicate your concerns to the motor vehicle licensing authority.

Fragen und Antworten: