MCCQE Part 1 Questions And Answers With Verified
Solutions
, MCCQE Part 1 Questions And Answers With Verified
Solutions
SPIKES correct answers 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 answers Accessibility, Comprehensiveness, Portability, Public
administration, Universality
HTN correct answers 135/85 on 3 separate occasions, >=180/110 on dedicated office visit, or
diabetes >= 130/80
ACR for DM and CKD correct answers ACR > 30 mg/mmol is abnormal
When to start management of HTN correct answers BP>160/100 or >140/90 when pt has other
RF like diabetes and smoking
Pharmacological for HTN correct answers HTN alone = thiazide, HTN + atherosclerosis =
ACEI, HTN + postMI = beta blockers, HTN + DM = ACEI
Preeclampsia-eclampsia correct answers HTN with proteinuria AFTER 20 weeks of gestation
Sx of preeclapmpsia correct answers Visual disturbance, new onset h/a, epigastric or RUQ pain,
rapidly progressing peripheral edema, rapid weight gain
Px of preeclampsia correct answers Positive roll over test (>=15 dBP increase),
vasospasm/retinal edema, clonus (severe preeclampsia), RUQ tenderness
Protein in urine preeclampsia correct answers >=300 mg/d of protein
Treatment of preeclampsia correct answers Delivery, betamethasone (<34 weeks gestation), mg
sulphate
Malignant HTN correct answers HTN emergency: BP >180/120 with retinal hemorrhages,
excudates or papilledema. May also have malignant nephrosclerosis
Hypertensive encephalopathy correct answers HTN emergency: BP >180/120 with cerebral
edema
Mx of malignant HTN correct answers Reduce dBP to 100-105 over 2-6 hours (initial fall in BP
should not exceed 25% of current BP)
Hypovolemic shock Mx correct answers Crystalloids 1-2L IV bolius. Maintain MAP of 60 or
maintain sBP>90, urine output >0.5ml/kg/h. If hemorrhagic, transfuse in addition to crystalloid.
Maintain Hct 30-35%
Solutions
, MCCQE Part 1 Questions And Answers With Verified
Solutions
SPIKES correct answers 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 answers Accessibility, Comprehensiveness, Portability, Public
administration, Universality
HTN correct answers 135/85 on 3 separate occasions, >=180/110 on dedicated office visit, or
diabetes >= 130/80
ACR for DM and CKD correct answers ACR > 30 mg/mmol is abnormal
When to start management of HTN correct answers BP>160/100 or >140/90 when pt has other
RF like diabetes and smoking
Pharmacological for HTN correct answers HTN alone = thiazide, HTN + atherosclerosis =
ACEI, HTN + postMI = beta blockers, HTN + DM = ACEI
Preeclampsia-eclampsia correct answers HTN with proteinuria AFTER 20 weeks of gestation
Sx of preeclapmpsia correct answers Visual disturbance, new onset h/a, epigastric or RUQ pain,
rapidly progressing peripheral edema, rapid weight gain
Px of preeclampsia correct answers Positive roll over test (>=15 dBP increase),
vasospasm/retinal edema, clonus (severe preeclampsia), RUQ tenderness
Protein in urine preeclampsia correct answers >=300 mg/d of protein
Treatment of preeclampsia correct answers Delivery, betamethasone (<34 weeks gestation), mg
sulphate
Malignant HTN correct answers HTN emergency: BP >180/120 with retinal hemorrhages,
excudates or papilledema. May also have malignant nephrosclerosis
Hypertensive encephalopathy correct answers HTN emergency: BP >180/120 with cerebral
edema
Mx of malignant HTN correct answers Reduce dBP to 100-105 over 2-6 hours (initial fall in BP
should not exceed 25% of current BP)
Hypovolemic shock Mx correct answers Crystalloids 1-2L IV bolius. Maintain MAP of 60 or
maintain sBP>90, urine output >0.5ml/kg/h. If hemorrhagic, transfuse in addition to crystalloid.
Maintain Hct 30-35%
