MCCQE Part 1| 159 Questions| With Complete Solutions
5 views 0 purchase
Course
MCCQE1
Institution
MCCQE1
SPIKES correct answer: Setting up interview, assessing patient Perception, obtaining patient's Invitation to disclose information, giving Knowldege and information to patient, addressing patient's Emotions, Strategy and Summary
Canada Health Act correct answer: Accessibility, Comprehensiveness...
mccqe part 1| 159 questions| with complete solutio
Written for
MCCQE1
All documents for this subject (84)
Seller
Follow
Classroom
Reviews received
Content preview
MCCQE Part 1| 159 Questions| With
Complete Solutions
SPIKES correct answer: Setting up interview, assessing patient
Perception, obtaining patient's Invitation to disclose information,
giving Knowldege and information to patient, addressing
patient's Emotions, Strategy and Summary
Canada Health Act correct answer: Accessibility,
Comprehensiveness, Portability, Public administration,
Universality
HTN correct answer: 135/85 on 3 separate occasions,
>=180/110 on dedicated office visit, or diabetes >= 130/80
ACR for DM and CKD correct answer: ACR > 30 mg/mmol is
abnormal
When to start management of HTN correct answer:
BP>160/100 or >140/90 when pt has other RF like diabetes and
smoking
Malignant HTN correct answer: HTN emergency: BP >180/120
with retinal hemorrhages, excudates or papilledema. May also
have malignant nephrosclerosis
Hypertensive encephalopathy correct answer: HTN emergency:
BP >180/120 with cerebral edema
Mx of malignant HTN correct answer: Reduce dBP to 100-105
over 2-6 hours (initial fall in BP should not exceed 25% of
current BP)
Hypovolemic shock Mx correct answer: Crystalloids 1-2L IV
bolius. Maintain MAP of 60 or maintain sBP>90, urine output
>0.5ml/kg/h. If hemorrhagic, transfuse in addition to crystalloid.
Maintain Hct 30-35%
, Distributive shock Mx correct answer: Rapid fluid repletion (4-
6 L N/S) +/- dopamine if no response
Distributive shock Mx (sepsis) correct answer: Third generation
cephalosporin + aminoglycoside OR imipenem alone. Gram
positive = add vancomycin or naficillin. Anaerobes suspected =
clindamycin or metronidazole. Legionella = erythromycin.
Fungemia = amphotericine B
Distributive shock (anaphylaxis) correct answer: ABCs, IM
epinephrine every 3-5 min, 100% O2, rapid infusion of N/S,
cetirizine (or diphenhydramine if IV), consider corticosteroid.
IV epi if needed
Cardiogenic shock correct answer: ACLS, dopamine, IV
furosemide and morphine to treat pulmonary edema if applicable
HR for exercise stress test correct answer: HR must achieve
>=85% maximial predicted HR (220-age) for exercise stress test
to be diagnostic
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
