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MCCEE Questions > Canadian Q bank > Flashcards

Canadian Q bank Flashcards

1
Q

man has Hx of parthryodectomy for primary hyperparathyroidism is in ur office complaining of headache worse in morning what do u do

A

check for bitemporal hemianopia b/c nervous about a pituitary tumour
b/c ass/ w MEN1

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2
Q

Which on e of the following is ass. w/ lung malignancy

  • absence of calcification
  • location about midline of lung
  • diameter of 4m
  • solid apperance
A

Absence of calcification

other features of malignancy in lung nodules

  • > 10 mm
  • group glass appearance
  • no calcification or eccentric calcification
  • irreguar boarders
  • doubling one month to one year
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3
Q

best measurement of gestational age

A

Crown rump length at 10 weeks

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4
Q

clinical of optic neuritits

A

pain to move eyes

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5
Q

Economic expense and burden of disease attributed to

A

CHRONIC disease

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6
Q

Acute paraonyohia is…

A

local trauma to nail or cuticle tx with topical antibiotics

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7
Q

1 Dx of Bacterial vaginosis

A

CLUE CELLS - detect via vaginal sections w/ saline and cover

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8
Q

Right extensor plantar response with normal face is a lesion where

A

Right corticospinal tract (not left since it is below S1 therefore face is not involved)

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9
Q

Occult bacteremia

A

no other findings except FEVER

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10
Q

Calculat dose of UFH in DVT

A

boulus = 80U/kg

Continuous IV infusion after = 18U/kg

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11
Q

Somatic symptom disorder

A

hypochondriasis

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12
Q

Testicular pain and heaviness when lying down

A

Varicocele

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13
Q

heart mumur fever child;s splinter haemorrhages - best next step

A

THINK infective endocarditis so do blood culture

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14
Q

Non arteritis Dx Test of choice

A

Synovial fluid aspiration

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15
Q

Solid kindey mass 5 cm in upper pole detected with US next step

A 
SURGICAL resection 
(no point in biopsy b/c ;location and solid)
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16
Q

Commonest cause of DIC

A

Abrupto placenta

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17
Q

Mexico and gets GI infection w/ bloody diarrhea think

A

Entameba hsitolytica

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18
Q

Criteria for Dx parital and complete molar pregnancy

A

US

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19
Q

Abdo gullness visible abdo perstalsis , normal bowl sounds and no tenderness

A

Gastric OUTlet syndrome

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20
Q

Increase Ca and decrease phosphorus

A

primary parathyroid adeoma

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21
Q

pertussis in patient and waiting for cultures

A

TX PATIENT AND ANY CLOSE CONTACTS

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22
Q

Non alcohol liver disease is ass/ w/

A

TYPE 2 DM

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23
Q

unable to flex distal finger - needs to get a splint how

A

Splint finger in slightly flexed position and urgent referral to hand surgeon

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24
Q

What does lithium do to Ca levels

A

elevates Ca levels because lithium will elevate PTH

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25
Q

best way to treat trardive dyskinesia SE with chlorpromazine

A

gradual taper and replace it with clozapine or queitapine and treat tardive dyskinesia with tetrabenzine

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26
Q

viral sheeding continues LONG after the acute illnesss

A

Norwalk virus

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27
Q

most common cause of hemoptysis in primary car setting

A

LRTI

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28
Q

INR for patients with mechanical heart valves

A

2.5-3.5

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29
Q

what Tx SVT

A

Verapamil

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30
Q

what antidepressant causes weight lose

A

Bupropion

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31
Q

Thaizde diuretics is the first choice in what type of hypertensive patient

A

HTN in elderly

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32
Q

thiazides are contraindicated in what types of patient

A

patients with gout

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33
Q

PSC Dx via

A

MRCP - and treat via ERCP

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34
Q

CA125 level

A

not shown to decrease mortality if detected in early stage

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35
Q

athlete with 2nd amenorrhea tx

A

Increase caloric intake

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36
Q

shinny raied demarcated skin with distinct boarder

A

erysipeala

if not demarcated = cellultis

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37
Q

fiscal policy

A

placing high tax rates on cigarettes

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38
Q

magnesium sulfate toxicity

A

respiratory distress

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39
Q

inheritance of muscular dystrophy

A

X linked - MOM MUST BE A CARRIER

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40
Q

most consistent powerful predictor of stroke

A

HTN

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41
Q

failed suicide attempt by handing results in

A

cerebral anoxia

- memory loss, restlessness and confusion

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42
Q

cardiac problem in Marphans

A

Aortic disection

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43
Q

same mode of inheritance as Ducenne muscular dystrophy

A
  • any X-linked recessive disorder

G6PD

44
Q

Clubbing is a clinical finding of COPD true or false

A

FALSE
clubbing in:
- lung cancer
- lung abbscess and bronchiectasis

45
Q

elevation of serum alkaline phsphatase WITH 5 nucleotidase is most suggestive of a condition affecting what organ

A

LIVER

46
Q

what drug causes pupil constriction

A

Oxycodone

47
Q

only antidepressant affective in children is

A

FLUOXITINE (SSRI)

48
Q

4 month year old with straidor

A

laryngomalacia

49
Q

5% mild dehydration

A

1slight dry mucosal
increased thirst
decreased urine output

50
Q

10% dehyration

A 
dry buccal mucous membrane 
tachycardia
little or NO urine output 
lethragy 
sunken eyes and frontonelle
loss of skin turgor
51
Q

15% severe dehydration

A 
moderate plus a rapid 
thready pulse 
no tears 
cyanosis 
rapid breathing 
delayed capillary reful 
mottled skin and coma
52
Q

factor to distinguish peripheral vs. central vertigo

A

Disappearance of nystagmus during visual fixation

53
Q

commonest cause of proteinuria in children

A

orthostatic proteinuria

54
Q

16 weeks gestation elevated alpha fetal protein , next step

A

Fetal ultrasonography

55
Q

lab findings in heamolytic jaudice

A

Alk phosphatase

56
Q

initial tx of bronchiolitis

A

trial of nebulizer albuterol

57
Q

what prevents renal failure in contrast induced nephropathy

A

hydration with sodium bicarbonate

58
Q

1 for status epilepticus Tx

A

lorazepam

59
Q

MICROCYTIC ANEMIA how to distinguish b/w iron deficiency anemia or chronic disease

A

bone marrow biopsy for iron staining

60
Q

pregnant patient positive for HebB surface antigen what do u do for her infant

A

HBIG and hepatitis B vaccine at BIRTH

61
Q

1 Tx for OCD

A

FLUOXETINE

62
Q

What feature of meningitis causes seizures refractory to medication

A

Hyponatremia from SIADH

63
Q

AST:ALT ratio

A

nonalcoholic fatty liver disease

64
Q

AST:ALT ratio >2 indicated

A

Alcoholic hepatitis

65
Q

most common cause of child abuse in canada

A

Child neglet

66
Q

weekend drinking of an alcoholic presents with ado pain radiating to the back

A

THINK ACUTE pancreatitis

Get ABDOMINAL CT

67
Q

What is end stage result of GERD

A

Peptic strictures

68
Q

presentation of gout in elderly vs. younger patient

A

Elderly: think involvement of upper extremity

Younger - podagra

69
Q

most common cause of HTN in children

A

Renal parenchymal disease

70
Q

female athlete traid

A

disordered eating
ammenorhea
osteoporosis

71
Q

Exposed to harmful noise for long period of time results in what type of hearing loss

A

sensory hearing loss with tinnitis

72
Q

FDA category C - what does this mean for pregnancy women

A

Animal studies demonstrate some risk to the fetus - no study done in women

73
Q

scattered retinal heamorrages in 2 year old

A

Think Shaken baby syndrome

74
Q

Tocolytics inidciation

A

preterm labor

live , immature fetus, intact membrane , cervix

75
Q

What size is the greatest for an ectopic pregnancy inorder to use MTX

A

ectopic mass

76
Q

specific gravity of 1.002 and urine ph 5.7 think

A

Excessive fluid intake

77
Q

Will psoriasis run in family members

A

YES

78
Q

tx of pertussis

A

Erythromycin

79
Q

What is the most common nutritional deficiency worldwide

A

IRON deficiency

80
Q

roatvirus vaccine when should the first dose be given

A

first dose should be given prior to 14 weeks of age

81
Q

tx of canadiasis on penis

A

Systemic amphotericin

82
Q

tx of cyaninde toxicity

A

Sodium thiosulfate

83
Q

strongest risk factor for the most serious complication of GERD

A

MALE

complication = Barrets esophagus (10X more common in males)

84
Q

tx of lyme disease

A

AMOICLLN

85
Q

most common type of breast lump in adolescent girls

A

beign - firboadenoma

86
Q

cyclical pain breast lump older adolescence

A

Fibrocystic breast disease

87
Q

constant presence of disease or infectious agent in a given area or population what word is used

A

Endemic

88
Q

synonymous with outbreak

A

Epidemic

89
Q

early side effect of fluoxetine

A

loss of appetite

90
Q

what is the most helpful to determine the prognosis of multiple myloma

A

Beta 2 micro globulin levels

91
Q

IMMEDIATE tx of DKA

A

restore electrolytes losses and revere catabolic state

92
Q

night blindness, hyperkarotic skin think what

A

vit A deficiency

93
Q

similar to shin splints but tends to persist

A

tibial stress fracture

94
Q

What is a risk factor for osteoarthritis

A 
OBESITY 
high bone mass 
female
hypothyroid 
weights bearing exercise
95
Q

in patient w/ chronic renal failure what should be given?

A
  1. IRON - b/c anemia

2/ then EPO

96
Q

tension pneumothorax is best dx by

A

clinical exam

97
Q

BNP does what

A

inhibits RAAS

98
Q

treatment of rotator cuff tear

A

surgery if tear was at least 6 weeks ago

99
Q

what lab results are ass. w/ chronic rather than acute hepatitis

A

Chronic = LOW albumin

100
Q

hypertensive encephalopathy is due to a serious complication of what medication

A

TCA and MAO-

101
Q

best way to monitor tx for Wilson

A

look at urinary copper excretion

102
Q

c3 and c4 are low think

A

LUPUS

103
Q

what type of headache is ALWAYS unilateral

A

CLUSTER headache

104
Q

PET uses a radioactive label taged t o what

A

GLUCOSE

105
Q

rate control for a.fib

A

BETA BLOCKER

MCCEE Questions (4 decks)

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