Medical Council of Canada MCCQE Part 1 認定 MCCQE 試験問題:
1. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?
A) Order a technetium 99m pertechnetate scan
B) Discharge with analgesics
C) Order ultrasonography of the scrotum
D) Plan surgical exploration
E) Observe for 24 hours and discharge if stable
2. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?
A) Immunize the younger siblings with varicella vaccine.
B) Provide prophylactic antiviral agents for the siblings.
C) No prevention is required as this condition is not contagious.
D) Avoid direct contact with oral secretions.
E) Treat the 7-year-old with antibiotics.
3. An 84-year-old woman is brought by ambulance to the emergency department after she was found by a neighbour. She had fallen, sustained a hip fracture, and was unable to move for the past 2 days. After starting rehydration, she reports hip pain and numbness and tingling in both her legs. Physical examination reveals faint pulses in both legs and severely swollen lower legs that are painful to palpation. The urine in the Foley catheter bag seems to be darker than normal. Which one of the following is the best next step?
A) Compartment pressure measurements of the lower legs.
B) Surgical fixation of the patient ' s hip fracture.
C) Bilateral Doppler ultrasonography of the legs.
D) Myoglobin urine test.
E) Bilateral angiography of the lower legs.
4. An otherwise healthy 21-year-old college student is brought to the Emergency Department after falling from the rooftop terrace of a night club. A grade III splenic laceration measuring 3 cm is identified on computed tomography scan. You elect to manage the patient non-operatively with close monitoring, repeat examinations and hemoglobin levels. A repeat computed tomography at 48 hours shows no deterioration. Diet is resumed and over the next few days, the patient resumes ambulation. Which one of the following do you discuss with your patient prior to discharge?
A) Recommend avoidance of vigorous activity for 3 months.
B) Organize an angiography with possible embolization.
C) Vaccinate against encapsulated organisms.
D) Plan an interval laparoscopic splenectomy within the next 6 weeks.
E) Arrange weekly outpatient follow-up with repeat hemoglobin measurement.
5. A patient ' s mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?
A) Not accounting for all potential confounders during recruitment
B) Parental recall of vaccine administration
C) Vaccine company sponsorship of study
D) Reporting standard error with point estimates of difference
E) Recruitment of study families at an autism seminar
質問と回答：
| 質問 # 1 正解： C | 質問 # 2 正解： D | 質問 # 3 正解： A | 質問 # 4 正解： A | 質問 # 5 正解： E |
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