Medical Council of Canada MCCQE

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MCCQE試験勉強資料は試験の情報に従って常に更新を行います。お客様に購入日から一年以内の更新サービスを無料に提供します。更新があると、我々社のシステムはMCCQE試験勉強資料のアップデート版をタイムリーに送信します。

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初心者であっても、我が社のMCCQE Part 1 Exam試験勉強資料の学習ガイドは適合です。20から40までの時間を費やして認定試験専門知識を掌ります。自信満々に試験に参加して高いポイントを得られます。

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Medical Council of Canada MCCQE Part 1 認定 MCCQE 試験問題:

1. A 76-year-old man is brought to the emergency department in an unresponsive state. He has a history of chronic kidney disease with a baseline serum creatinine level of 300 µmol/L (49-93) and a history of dilated cardiomyopathy with an ejection fraction of 30%. On assessment, he has no pulse or blood pressure. Cardiac monitor demonstrates a wide complex tachycardia. Which one of the following recently started medications is the most likely cause of this arrhythmia?

A) Diltiazem
B) Spironolactone
C) Hydrochlorothiazide
D) Clopidogrel
E) Metoprolol

2. A 79-year-old woman is brought by a long-term care (LTC) facility staff member to your clinic with concerning behaviours. On history, she was admitted to an LTC facility 6 months ago with vascular dementia.
Three days ago, she became very aggressive towards her caregivers. There is no clear pattern to her aggression. Some staff members report that she is quieter than usual, whereas others report that she is agitated, talks to herself, and picks at her clothes. On examination, she appears very confused. She does not finish her answers and seems to "drift off" during conversation. Which one of the following is the most likely diagnosis?

A) Lewy body dementia.
B) Worsening of the patient's vascular dementia.
C) Late-onset delusional disorder.
D) Major depressive disorder.
E) Delirium.

3. A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nausea after completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He has been sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takes no medications. His vital signs on arrival are as follows:
Blood pressure
85/57 mm Hg
Heart rate
120/min
Respiratory rate
18/min
Temperature
40.1 °C
Oxygen saturation
95%, room air
-
On physical examination, the patient ' s skin is dry, flushed, and warm to the touch. He has a diffuse erythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. An electrocardiogram shows sinus tachycardia. Which one of the following is the best next step?

A) Serum C-reactive protein test
B) Computed tomography of the head
C) Serum thyrotropin (thyroid-stimulating hormone)
D) Blood cultures
E) Serum creatine kinase test

4. A 66-year-old woman suffering from a progressive neurological disease is admitted to a long-term care centre. Her husband does not wish to participate in discussions about the seriousness of his wife ' s disease and is convinced that she will soon come back home. During his 2nd visit to the centre, he gives you a cheque for a substantial sum made out to you, the treating physician, for your own research. Which one of the following is the best response to your patient ' s husband?

A) Accept the money as a contribution to the long-term care centre ' s fundraising campaign
B) Inform him you would only be able to accept a smaller amount of money
C) Decline to accept the cheque
D) Suggest he donate to your medical group
E) Refer the husband to the centre ' s social worker

5. A 29-year-old woman presents with vaginal spotting after 6 weeks of amenorrhea. She is asymptomatic otherwise. Serum #-hCG is 2150 IU/L, and pelvic ultrasound shows an empty uterus. She has been trying to conceive for 7 months. Which one of the following is the best next step?

A) Arrange exploratory laparoscopy.
B) Repeat serum #-hCG test in 48 hours.
C) Administer intramuscular methotrexate.
D) Repeat pelvic ultrasonography in 10 days.
E) Perform dilatation and curettage for chorionic villi.

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