다운로드 Medical Council of Canada : MCCQE 질문 & 답 PDF & Test Software

Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

• A. Decline to send her daughter for consultation and explain your decision.
• B. Call the ENT consultant on call to discuss your dilemma.
• C. Explain that there is no indication for the surgery but refer her daughter for consultation.
• D. Ask another family physician to see the daughter due to a conflict of interest.
• E. Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.

A 26-year-old woman, gravida 3, para 2, presents for her 1st antenatal visit. She states she is at 26 weeks ' gestation and is healthy. On abdominal examination, her fundus is palpated at the umbilicus. Which one of the following is the most likely explanation for this finding?

• A. Oligohydramnios
• B. Bicornuate uterus
• C. Intrauterine growth restriction
• D. Partial hydatidiform mole
• E. Dating error

You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

• A. 101/163.
• B. 37/101.
• C. 37/163.
• D. 17/101.

A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

• A. Retinal vein occlusion.
• B. Age-related macular degeneration.
• C. Cataracts.
• D. Diabetic retinopathy.
• E. Open-angle glaucoma.

A 53-year-old man with a history of bipolar I disorder is brought to the office by his family. Recently, he has been sleeping for 4 to 5 hours per night, has been fidgety, and is increasingly preoccupied with his granddaughter ' s safety. Five days ago, he consulted with your physician colleague and was instructed to exercise and meditate. Last night, he was found running in the street and attempted to hit a relative who was trying to calm him down. His son is dissatisfied with your physician colleague ' s management. Which one of the following is the most appropriate response?

• A. Explain that you will now assess the father and that your goal is to treat him.
• B. Point out that exercise and meditation have been proven useful in managing bipolar I disorder.
• C. Encourage the son to file a complaint.
• D. Share that you would have prescribed a medication after the first assessment.
• E. Acknowledge your physician colleague ' s mistake and apologize.