MCCQE1

What conditions should be considered in an adult presenting with an upper GI bleed? correct answer: 1. Peptic ulcer disease: Duodenal ulcers or Gastric ulcers 2. Varices 3. Mallory-weiss tears 4. Gastritis/esophagitis 5. Aortoenteric fistula 6. Malignancy 7. Angiodysplasia What factors should be considered in the triage of upper GI bleeding? correct answer: 1. Hemodynamic stability: pulse, SBP 2. Hemoglobin level 3. BUN:Creatinine ratio 4. Symptoms: melena, syncope 5. Comorbidi...

ovulatory abnormal pre-menopausal menstrual bleeding - definition correct answer: normal cycle length (28 days +/- 7) but abnormal (excessive) volume of blood loss: a) menses >7days b) blood loss >80mL -soak through menstrual products q1-2 hours -passage of clots larger than a dime -self reported 'very heavy' periods shorter luteal phase & increased fibrinolysis contributes to menorrhagia anovulatory pre-menopausal menstrual bleeding - DDx (3 categories) correct answer: 1....

Apthous ulcers, genital ulcers, uveitis correct answer: Bechet's disease Inflammation of large joint, conjuntivitis/uveitis, urethritis/cervicitis correct answer: Reiter's syndrome Asymmetrical oligoarthritis (DIP), symmetrical seronegative arthritis, dactylitis, onycholysis, psoriasis correct answer: Psoriatic arthritis Rheumatoid arthritis, splenomegaly, neutropenia correct answer: Felty's syndrome Joint space narrowing, subchondral sclerosis, subchondral cysts, osteophytes,...

Fitz-Hugh-Curtis syndrome correct answer: Perihepatic infection which results in liver capsule (aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea & chlamydia Rocephin correct answer: Ceftriaxone 125mg Koilocytosis correct answer: Nuclear enlargement with atypical peri nuclear halo Cefixime correct answer: Fixime 400mg Fixime 400mg correct answer: Cefixime U wave represents correct answer: repolarization of the purkinje fibers. Seen in 1) Hypokalae...

If there is labial fusion due to 21-hydroxylase deficiency what is the treatment? what about if it is because androgen excesS? correct answer: tx: if too much--> then d/c androgens, if due to 21 hydroxylase: cortisol + reconstructive surgery How does vaginal atresia present correct answer: primary amenorrhea + cyclic abdominal pain Tx for vaginal agenesis? correct answer: surgery to creaste neovagina with mcindoe procedure Lichen sclerosis + atopic ecezema + lichen simplex chronic...

Public health definition correct answer: organized efforts of society to keep people healthy and prevent injury, illness and premature death. It is a combination of programs, services and policies that protect and promote the health of all Canadians A typical list of public health responsibilities includes correct answer: A typical list of public health responsibilities includes Surveillance Health promotion Health protection Disease and Injury Prevention Screening Population Health...

Absent seizures duration, presentation clinically and diagnostically, and tx correct answer: • Present 4-10 yo • Brief (<20 seconds) impairment of consciousness (staring spells) • Preserved muscle tone • Unresponsive to tactile/verbal stimulation • Simple automatisms frequently present • Provoked by hyperventilation • Dx: EEG: 3-Hz spike-wave discharges • Comorbidities: ADHD, anxiety • Rx: Ethosuximide Alport syndrome clinical presentation correct answer: • ...

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 corre...

STABLE angina definiton correct answer: substernal "gripping" chest pain or pressure on exertion, relieved w/ rest or NTG One vessel disease treatment correct answer: Tx β-blocker + aspirin + nitrates two vessel treatment correct answer: Tx β-blocker + aspirin + nitrates vs PTCA OR CABG three vessel disease correct answer: Tx CABG what is involved in a pharmacological stress test correct answer: : IV adenosine, dipyridamole, or dobutamine can stress the heart in place of exe...

Does having a 1st deg relative w prostate cancer inc the risk? correct answer: Yes (2X the risk) 2nd deg relative: 1:7 What is the half life of PSA? correct answer: 2.2 days What determines the range of normal PSA? correct answer: Age (inc w age) What med can dec PSA? correct answer: 5-Alpha reductase inibitors How do you tx HSP? correct answer: GCCs, but no specific tx is available Analgesics Bed rest Monitor bp Are febrile seizures genetic? correct answer: Yes Wha...