EXAM MCCQE OVERVIEW & VALID DUMPS MCCQE EBOOK

Exam MCCQE Overview & Valid Dumps MCCQE Ebook

Exam MCCQE Overview & Valid Dumps MCCQE Ebook

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Tags: Exam MCCQE Overview, Valid Dumps MCCQE Ebook, MCCQE Latest Exam Labs, Reliable MCCQE Braindumps Files, MCCQE Reliable Exam Simulations

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Medical Council of Canada MCCQE Part 1 Exam Sample Questions (Q142-Q147):

NEW QUESTION # 142
One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

  • A. Review your clinic's filing procedures and make any needed improvements.
  • B. Send a letter of complaint to the radiology department for not sending a report.
  • C. Remind the patient that they are responsible for calling for outstanding test results.
  • D. Reassure the patient that this is a rare occurrence in your clinic.

Answer: A

Explanation:
When an error in the system is identified (e.g., test result not properly followed up), the most responsible approach is to analyze and improve internal clinic processes. Patient safety depends on reliable result tracking systems.
Toronto Notes 2023 - ELOM, "Medical Errors and Quality Improvement" Section:
"When an error or near miss is identified, root cause analysis and system-level interventions are required to prevent recurrence. Blaming the patient or others without review of internal processes is inappropriate." MCCQE1 Objectives (ELOM > 99-1: Medical Error and Disclosure):
"Candidates must recognize the importance of continuous quality improvement in health care. System-level changes should be implemented when safety lapses occur." Option A shifts responsibility improperly onto the patient. Option C deflects blame without assessing one's own clinic. Option D minimizes the error and does not lead to improvement.


NEW QUESTION # 143
A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man's lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

  • A. The woman must have a cesarean delivery
  • B. The woman should take acyclovir throughout her pregnancy
  • C. The woman should have viral cultures of her cervix
  • D. The man needs herpes simplex virus type-specific serology
  • E. The man should avoid performing oral sex during her pregnancy

Answer: E

Explanation:
The patient shows signs of herpes labialis (HSV-1), which can transmit genital herpes via oral sex. This poses a risk to the fetus if maternal infection occurs during pregnancy, especially near delivery. Preventing new genital HSV infection during pregnancy is critical.
Toronto Notes 2023 - Obstetrics:
"HSV-1 can cause genital herpes via oral-genital transmission. Avoid oral sex during outbreaks in pregnancy to prevent primary maternal infection." MCCQE1 Objectives (Obstetrics > 80-3: Infectious Disease in Pregnancy):
"Candidates must understand the importance of preventing new HSV infection during pregnancy and counsel appropriately." Culture (A) is not useful unless symptomatic. Serology (B) is not needed in this context. Cesarean (D) is not indicated unless active genital lesions at delivery. Acyclovir (C) is for infected mothers or near delivery.


NEW QUESTION # 144
A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

  • A. #-Blocker
  • B. Echocardiogram
  • C. Treadmill exercise test
  • D. Holter monitoring

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
The most appropriate next step for a patient with intermittent palpitations and a normal ECG is Holter monitoring (or event monitoring). This can capture and correlate symptoms with cardiac rhythm.
Toronto Notes 2023 - Cardiology, "Palpitations":
"Holter or event monitoring is indicated when the initial ECG is normal but the patient has episodic symptoms such as palpitations." MCCQE1 Objectives (Cardiology > 34-2: Arrhythmia):
"Candidates must use ambulatory ECG monitoring to investigate intermittent palpitations when resting ECG is unremarkable." Echocardiogram (A) assesses structural issues but not rhythm. #-blockers (B) should not be started without diagnosis. Stress testing (D) is for ischemia.


NEW QUESTION # 145
Three months ago, a physician colleague approached you in the hospital corridor for advice regarding one of his patients. You are now being named by this patient in a malpractice action. Which one of the following is the most likely reason why you may be found liable?

  • A. You advised the physician to consult one of your colleagues
  • B. You were given confidential patient health information
  • C. You gave advice on how to treat the patient
  • D. You were given the patient's name
  • E. You did not see the patient

Answer: C

Explanation:
Comprehensive and Detailed Explanation:
Providing clinical advice (particularly treatment advice) without formally seeing or evaluating the patient creates a physician-patient relationship, potentially establishing a duty of care. If the advice leads to harm, you could be found liable, even if you never saw the patient directly.
Toronto Notes 2023 - Legal Medicine:
"Giving specific medical advice about diagnosis or treatment may imply a physician-patient relationship and establish duty of care." MCCQE1 Objectives (ELOM > 90-2: Legal Risk Management):
"Candidates must understand that liability can arise from informal consultations where medical advice is given." Providing advice (D) is riskier than simply hearing about a case or patient (A, C). Recommending consultation (B) does not establish duty of care. Not seeing the patient (E) does not automatically shield from liability if treatment advice was given.
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NEW QUESTION # 146
A 25-year-old man presents to the Emergency Department with diffuse abdominal pain and anorexia. He was tackled in a football game yesterday. He reports a 3-week history of sore throat and fatigue. Vital signs are as follows:
Blood pressure: 95/45 mm Hg
Heart rate: 96/min
Temperature: 37.6°C
Which one of the following is the most likely diagnosis?

  • A. Pyelonephritis
  • B. Appendicitis
  • C. Ruptured spleen
  • D. Ruptured duodenum
  • E. Pneumonia

Answer: C

Explanation:
This patient presents with hypotension, diffuse abdominal pain, and a history of contact sports injury with preceding symptoms of infectious mononucleosis (sore throat, fatigue). The spleen is commonly enlarged in mononucleosis, making it vulnerable to rupture after even minor trauma.
Toronto Notes 2023 - General Surgery and Infectious Diseases Sections:
"Splenic rupture is a known complication of mononucleosis, particularly after trauma. Symptoms may include diffuse abdominal pain, hypotension, and signs of hemorrhagic shock." MCCQE1 Objectives (Surgery > 84-1: Abdominal Trauma):
"Candidates should identify splenic rupture as a cause of hypotension and abdominal pain following blunt abdominal trauma, especially in patients with splenomegaly." Appendicitis (B) would present with localized right lower quadrant pain. Pneumonia (C) and pyelonephritis (D) would present with respiratory or urinary symptoms. Ruptured duodenum (E) is much less likely without specific trauma to that region or signs of peritonitis.


NEW QUESTION # 147
......

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