MCCQE I (PART 1) QUEDTIONS WITH
COMPLETE SOLUTIONS
Pt is competent and agrees to a procedure but his proxy refuses,
what do you do ? correct answer: Do procedure, PT is
competent and overrides the proxy
CPSS (Canadian perinatal surveillance system) correct answer:
Abuse during preggy results in poor fetal and maternal outcome
Violence was measured on the basis of the conflicts tactics scale
low birth weight and early birth
Pt O/D on opiates, what should you set up before discharge?
correct answer: Next day meeting with her own PCP
MCC hearing loss in children? correct answer: Bacterial
meningitis
Lady with HTN on CCB, what side effect can she have? correct
answer: Galactorrhea....PRL
Referral to an audiologist in child when: correct answer: No
babbling sound by 12
no rxn to sound by 3 months
no resposne to smiles or interactions by 6 months
no single words by 16 months
no two word phrases by 24 months
speech hard for strangers to understand
no following of directions by 4-5 years
, In terms of breast masses, what would you think of a coarse
popcorn type calcification correct answer: Not malignant, most
likely fibroadenoma
What are scary calcifications to see? correct answer:
Microcalcifications less than 0.5 mm in size
fine or branching
Wing scapula after mastectomy correct answer: LTN
Tamoxifen effect on osteoporosis? Side effects? correct answer:
In breast it's an antagonist of ER, elsewhere it is an agonist of
ER:
osteoprotective
Increases risk of DVT, endometrial carcinoma, hot flushes
increased risk of CATARACTS
When to use Tamoxifen vs Anastrozole correct answer: before
and after menopause
ovary vs fat estrogen (aromatase)
What receptor is a negative prognostic factor in breast Ca?
correct answer: HER-2/neu
ER is a positive prognostic factor
Mild vs severe preecclampsia difference? correct answer:
Severe has pulmonary edema, fetal growth restrictions,
thrombocytopenia, headache, abd pain, visual changes
(basically severe has Sx`s whereas mild is detected only by
tests)
COMPLETE SOLUTIONS
Pt is competent and agrees to a procedure but his proxy refuses,
what do you do ? correct answer: Do procedure, PT is
competent and overrides the proxy
CPSS (Canadian perinatal surveillance system) correct answer:
Abuse during preggy results in poor fetal and maternal outcome
Violence was measured on the basis of the conflicts tactics scale
low birth weight and early birth
Pt O/D on opiates, what should you set up before discharge?
correct answer: Next day meeting with her own PCP
MCC hearing loss in children? correct answer: Bacterial
meningitis
Lady with HTN on CCB, what side effect can she have? correct
answer: Galactorrhea....PRL
Referral to an audiologist in child when: correct answer: No
babbling sound by 12
no rxn to sound by 3 months
no resposne to smiles or interactions by 6 months
no single words by 16 months
no two word phrases by 24 months
speech hard for strangers to understand
no following of directions by 4-5 years
, In terms of breast masses, what would you think of a coarse
popcorn type calcification correct answer: Not malignant, most
likely fibroadenoma
What are scary calcifications to see? correct answer:
Microcalcifications less than 0.5 mm in size
fine or branching
Wing scapula after mastectomy correct answer: LTN
Tamoxifen effect on osteoporosis? Side effects? correct answer:
In breast it's an antagonist of ER, elsewhere it is an agonist of
ER:
osteoprotective
Increases risk of DVT, endometrial carcinoma, hot flushes
increased risk of CATARACTS
When to use Tamoxifen vs Anastrozole correct answer: before
and after menopause
ovary vs fat estrogen (aromatase)
What receptor is a negative prognostic factor in breast Ca?
correct answer: HER-2/neu
ER is a positive prognostic factor
Mild vs severe preecclampsia difference? correct answer:
Severe has pulmonary edema, fetal growth restrictions,
thrombocytopenia, headache, abd pain, visual changes
(basically severe has Sx`s whereas mild is detected only by
tests)
