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MCCQE Medical Council of Canada Qualifying Examination Part 1 Exam is now Stable and With Pass Result | Test Your Knowledge for Free

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Medical Council of Canada Qualifying Examination Part 1 Exam

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Question # 101

A 62-year-old woman is referred to your clinic for evaluation of hypercalcemia. She has a history of hypertension and vitamin D deficiency. Her medications include hydrochlorothiazide and vitamin D supplements. Laboratory investigations are as follows:

Calcium: 2.72 mmol/L (↑)

Phosphate: 0.9 mmol/L (↓)

Parathyroid hormone (PTH): 0.9 pmol/L (↓)

25-hydroxy vitamin D: 80 nmol/L (normal)

Which one of the following is the best next step?

Options:

A.  

Order 24-hour urine calcium

B.  

Start calcitriol

C.  

Refer for consideration of parathyroidectomy

D.  

Switch to a different antihypertensive medication

E.  

Order serum protein electrophoresis and urine for light chains

Discussion 0
Question # 102

A 45-year-old man with a developmental delay and a history of disruptive behavior presents to the clinic looking for his family doctor. He is well known to the clinic. He appears drunk and has accidentally broken 2 large beer bottles in the waiting room but remains calm. The office staff requests your help to deal with this situation. Which one of the following is the most appropriate initial step?

Options:

A.  

Call the police, given the patient ' s presentation.

B.  

Instruct the office staff to ignore him and let him calm down.

C.  

Tell the patient that his behavior is unacceptable and ask him to leave.

D.  

Assess the patient promptly.

E.  

Call the social work crisis intervention team.

Discussion 0
Question # 103

A 72-year-old man reports that his wife says he has hearing trouble. Examination reveals that air conduction on the right side is less than on the left side and greater than bone conduction bilaterally. He hears a tuning fork placed on the top of his head better with his left ear. Which one of the following is the most appropriate next step in management?

Options:

A.  

Computed tomography scan of the head.

B.  

Audiometry.

C.  

Magnetic resonance imaging of the posterior fossa.

D.  

Wax removal from the ears by irrigation.

E.  

Hearing aid.

Discussion 0
Question # 104

There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

Options:

A.  

Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.

B.  

Collecting fees from patients for home visits.

C.  

Collecting fees from patients for uninsured services provided.

D.  

Offering rapid access to insured services for a fee.

E.  

Collecting fees from patients who are seen after hours.

Discussion 0
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