VALID DUMPS MCCQE FILES, MCCQE NEW BRAINDUMPS FREE

Valid Dumps MCCQE Files, MCCQE New Braindumps Free

Valid Dumps MCCQE Files, MCCQE New Braindumps Free

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Tags: Valid Dumps MCCQE Files, MCCQE New Braindumps Free, Valid MCCQE Exam Online, New MCCQE Exam Dumps, MCCQE Valid Exam Discount

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Free PDF Medical Council of Canada - MCCQE - MCCQE Part 1 Exam Newest Valid Dumps Files

One of the most effective strategies to prepare for the MCCQE Part 1 Exam (MCCQE) exam successfully is to prepare with actual Medical Council of Canada MCCQE exam questions. It would be difficult for the candidates to pass the MCCQE exam on the first try if the MCCQE study materials they use are not updated. Studying with invalid MCCQE practice material results in a waste of time and money. Therefore, updated Medical Council of Canada MCCQE practice questions are essential for the preparation of the MCCQE exam.

Medical Council of Canada MCCQE Part 1 Exam Sample Questions (Q23-Q28):

NEW QUESTION # 23
An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

  • A. Continuous warm bladder irrigation.
  • B. Set the room temperature to 28°C.
  • C. Apply heating pads to extremities.
  • D. Start continuous arteriovenous rewarming.
  • E. Perform a peritoneal lavage.

Answer: B

Explanation:
This patient is experiencing mild hypothermia (32-35°C), evidenced by shivering, ataxia, and tachycardia.
First-line management includes passive external rewarming - removing wet clothing, providing warm blankets, and ensuring a warm environment (ambient temperature ~28°C).
Toronto Notes 2023 - Emergency Medicine, Environmental Injuries:
"Mild hypothermia (32-35°C): Treatment includes passive rewarming (warm blankets, warm environment).
Avoid active rewarming methods to extremities due to risk of afterdrop." MCCQE1 Objectives - Internal Medicine > Environmental Exposure:
"Candidates must recognize appropriate levels of hypothermia and select evidence-based rewarming strategies based on severity." Options A, C, and D are used in moderate to severe hypothermia (<32°C or unconscious patients). Heating pads (B) may cause tissue damage, especially with frostbite.


NEW QUESTION # 24
An 87-year-old man presents with a 2-week history of stiffness in both shoulders and both hips. On further questioning, he tells you that he has experienced a 2 kg unintentional weight loss over the last month. His past medical history is otherwise unremarkable and he is on no medications. On examination, he has limited range of motion due to pain in his shoulders and hips. The remainder of his examination, including muscle strength and joint exam, is normal. Which one of the following will you specifically ask about regarding his history?

  • A. Anhedonia
  • B. Recent diarrheal illness
  • C. Night sweats
  • D. Unilateral headache
  • E. Tremor

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
This is a classic presentation of polymyalgia rheumatica (PMR), characterized by pain and stiffness in the shoulders and hips in older adults. PMR is closely associated with giant cell arteritis (GCA), which presents with unilateral headache, jaw claudication, visual symptoms, and scalp tenderness. Given the risk of vision loss with GCA, it's critical to screen for these symptoms in all patients with suspected PMR.
Toronto Notes 2023 - Rheumatology, PMR and GCA:
"Patients with PMR should be assessed for symptoms of GCA such as headache, visual changes, and jaw claudication. GCA can result in permanent vision loss if not promptly treated." MCCQE1 Objectives - Internal Medicine > Rheumatology:
"Candidates must identify signs of GCA in patients with PMR and understand the need for prompt diagnosis and treatment."


NEW QUESTION # 25
A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

  • A. Palpable spleen
  • B. Generalized tenderness
  • C. Shifting dullness
  • D. Renal mass
  • E. Abdominal bruit

Answer: A

Explanation:
This child likely has infectious mononucleosis caused by Epstein-Barr virus (EBV), characterized by fever, sore throat, cervical lymphadenopathy, fatigue, and splenomegaly. A palpable spleen is a hallmark of EBV in children.
Toronto Notes 2023 - Pediatrics, "Infectious Mononucleosis":
"Key features include fever, pharyngitis, lymphadenopathy, and splenomegaly. Children may have milder symptoms but often exhibit palpable spleen." MCCQE1 Objectives (Pediatrics > 75-2: Infectious Disease):
"Candidates should recognize common viral syndromes such as EBV and identify complications including splenomegaly." Other options (renal mass, ascites, etc.) are inconsistent with this viral presentation.


NEW QUESTION # 26
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. Antimalarial chemoprophylaxis
  • B. Hepatitis B immunoglobulin
  • C. Ciprofloxacin for travellers' diarrhea
  • D. Tetanus and diphtheria booster if last received more than 5 years ago

Answer: A

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 # 27
A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?

  • A. Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.
  • B. Discharge the patient, but ensure he signs an "Against Medical Advice" form.
  • C. Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
  • D. Explain that his health is a priority and insist that he stay.
  • E. Change him to oral antibiotics, and finish his treatment as an outpatient.

Answer: C

Explanation:
The patient is alert and capable of making his own decisions. The most ethical and respectful approach is to ensure he understands the risks and accept his choice. Holding his bed maintains continuity of care. Forcing him to stay (C) or discharging him AMA (A) is inappropriate if he intends to return.
Toronto Notes 2023 - ELOM, Consent and Autonomy:
"Capable patients have the right to refuse or leave treatment. Physicians must ensure informed decision- making and maintain therapeutic rapport." MCCQE1 Objectives - ELOM > Capacity and Patient Autonomy:
"Candidates must respect a capable patient's right to leave care after informed discussion of risks and alternatives." Offering to enter his apartment (E) is inappropriate and unethical. Oral antibiotics (B) may not be clinically appropriate given hypotension.


NEW QUESTION # 28
......

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