MEDICAL COUNCIL OF CANADA MCCQE RELIABLE TEST ONLINE, FREE MCCQE BRAINDUMPS

Medical Council of Canada MCCQE Reliable Test Online, Free MCCQE Braindumps

Medical Council of Canada MCCQE Reliable Test Online, Free MCCQE Braindumps

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Medical Council of Canada MCCQE Part 1 Exam Sample Questions (Q30-Q35):

NEW QUESTION # 30
An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

  • A. Order symptomatic LTC staff to stay home.
  • B. Ask all visitors to wear a mask.
  • C. Ensure that all visitors are immunized.
  • D. Enforce mandatory influenza vaccination for LTC staff.

Answer: A

Explanation:
During an outbreak in a long-term care facility, prompt control measures include keeping symptomatic staff at home to prevent spread. Staff are often vectors of infection, and exclusion is a key public health intervention.
Toronto Notes 2023 - Infectious Diseases, "Infection Control and Prevention":
"During influenza outbreaks in institutional settings, exclusion of symptomatic staff is critical to controlling spread." MCCQE1 Objectives (Population Health > 63-2: Outbreak Management):
"Candidates must understand outbreak control, including staff exclusion, cohorting, and surveillance in congregate settings." Vaccination (B) is preventive but not immediately effective during an outbreak. Masking and visitor vaccination are supportive but secondary measures.


NEW QUESTION # 31
A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

  • A. Admit the patient and start antibiotic therapy
  • B. Prescribe an oral antibiotic and reassess in 48 hours
  • C. Recommend lacrimal sac massage
  • D. Reassure the parents and prescribe a topical antibiotic
  • E. Advise warm compresses every 2 to 3 hours until discharge is cleared

Answer: A


NEW QUESTION # 32
A 25-year-old woman who is at 8 weeks' gestation plans to travel to rural Cambodia to care for her ill mother.
Which one of the following treatments should be provided to her before the trip?

  • A. Hepatitis B immunoglobulin
  • B. Ciprofloxacin for travellers' diarrhea
  • C. Antimalarial chemoprophylaxis
  • D. Tetanus and diphtheria booster if last received more than 5 years ago

Answer: C

Explanation:
Comprehensive and Detailed Explanation:
Travel to rural Cambodia poses a high risk of malaria, which can be life-threatening in pregnancy.
Antimalarial prophylaxis is strongly recommended for pregnant women traveling to endemic regions.
Chloroquine or mefloquine (depending on resistance patterns) may be used in pregnancy under specialist guidance.
Toronto Notes 2023 - Infectious Disease / Travel Medicine:
"Malaria prophylaxis is indicated in pregnant women traveling to endemic regions. The risk of severe malaria and poor fetal outcomes is high." MCCQE1 Objectives (Public Health > 65-3: Travel Medicine and Pregnancy):
"Candidates must provide preventive care to pregnant travelers including vaccination and malaria prophylaxis." Tetanus boosters (D) are given every 10 years. Hep B Ig (B) is for acute post-exposure prophylaxis.
Ciprofloxacin (C) is contraindicated in pregnancy.


NEW QUESTION # 33
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. Bilateral angiography of the lower legs.
  • B. Bilateral Doppler ultrasonography of the legs.
  • C. Surgical fixation of the patient's hip fracture.
  • D. Compartment pressure measurements of the lower legs.
  • E. Myoglobin urine test.

Answer: D

Explanation:
This patient presents with signs of acute compartment syndrome (pain out of proportion, paresthesia, pallor, swelling, decreased pulses, and dark urine indicating rhabdomyolysis). Measuring compartment pressures is the diagnostic test of choice to confirm the diagnosis and guide urgent surgical fasciotomy.
Toronto Notes 2023 - Orthopedics:
"Acute compartment syndrome should be suspected in any patient with severe extremity pain, swelling, sensory deficits, and tense compartments. Confirm with compartment pressure measurements. Fasciotomy is indicated if pressure is >30 mmHg or within 30 mmHg of diastolic pressure." MCCQE1 Objectives (Surgery > 51-2: Limb Trauma):
"Candidates must diagnose acute compartment syndrome and initiate appropriate surgical referral after confirming with pressure measurements." Angiography and Doppler studies assess vascular compromise but are not the first step in suspected compartment syndrome. Fixing the hip (C) and testing myoglobin (E) are not diagnostic steps.


NEW QUESTION # 34
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 increasinglypreoccupied 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. Share that you would have prescribed a medication after the first assessment.
  • B. Encourage the son to file a complaint.
  • C. Explain that you will now assess the father and that your goal is to treat him.
  • D. Acknowledge your physician colleague's mistake and apologize.
  • E. Point out that exercise and meditation have been proven useful in managing bipolar I disorder.

Answer: C

Explanation:
The most appropriate and professional response is to focus on the current clinical situation and reassure the family that you will take responsibility for assessment and treatment. Criticizing a colleague (A, B, E) or deflecting to generalities (D) is unprofessional and unhelpful in crisis management.
Toronto Notes 2023 - Psychiatry, Physician-Patient-Family Communication:
"In emotionally charged or crisis situations, the physician must remain focused, empathetic, and professional.
Avoid blaming colleagues; instead, offer a concrete plan of care."
MCCQE1 Objectives - Psychiatry > Ethics and Professionalism:
"Candidates must demonstrate professionalism in managing conflicts, focusing on patient care while maintaining collegial respect."


NEW QUESTION # 35
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