Canada Q Bank - MCCQE1- QUESTIONS-
WITH COMPLETE SOLUTIONS
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
What is the incidence of febrile seizures, and how many people
have another convulsion? correct answer: Incidence: 5%
30% have another seizure
2% get epilepsy
,How do you tx febrile seizures? correct answer: Acetaminophen
For 2min seizure: rectal diazepam or midazolam
For >10min: IV diazepam
What is the max dose of acetaminophen/d in kids? In adults?
correct answer: Kids: 90mg/kg/d (15mg/kg/dose)
Adults: 4g/d
How do you tx acetaminophen toxicity? correct answer:
Charcoal within 1st 60 min
Test acetaminophen level at 4h --> if needed then, give NAC
(should be given within 10 hours)
Also give NAC if amount is unknown but significant if only
came in at like 10-12hrs post
How long is the average length of depressive episodes? How
many episodes on average do people get a year? correct answer:
Length: 6 months
5-6/year
What are the indications for long term tx of depression? correct
answer: 2 depressive episodes in 5 years
3 prior episodes
Severe psychotic depression
,Serious suicide attempt
What are causes of mitral stenosis? correct answer: RF
Congenital
SLE
RA
Carcinoid
What are side effects of TCAs? correct answer: Blurred vision
Dry mouth
Orthostatic hypoT
Seizures + tremors
Weight gain
What is hypophosphatemic rickets? correct answer: Vit D
resistant rickets
X linked dominant
Dec renal tubular resorption of phosphate
(but no prob w absorption of other things)
Get deficient bone mineralization (+ bowed legs) d/t dec
phosphate, not Ca
Inc alk phos
Craniostenosis (premature suture fusion)
Seizures
How do you tx hypophosphatemic rickets? correct answer: Vit
D
GH (somatotropin)
, Phosphate
Thiazides (anticalciuric)
How do you dx acute diverticulitis? correct answer: AXR
(upright)
CT/US
Hypaque enema (water)
Blood cx (to manage abx given)
What is a Hartman procedure + what is it used for? What are
indications for surgery? correct answer: Sigmoid colectomy +
End sigmoid/descending colectomy + closure of rectal stump
For acute diverticulitis
Indications:
- perforation
- abscess
- immunosup
- 2 or more attacks
- unstable pt w peritonitis
Is PCOS hereditary? correct answer: Yes
Can you have normal menstruation in PCOS? correct answer:
Yes, in 20% of cases
How many follicles should you see in PCOS? correct answer:
10-20 follicles, <8mm
WITH COMPLETE SOLUTIONS
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
What is the incidence of febrile seizures, and how many people
have another convulsion? correct answer: Incidence: 5%
30% have another seizure
2% get epilepsy
,How do you tx febrile seizures? correct answer: Acetaminophen
For 2min seizure: rectal diazepam or midazolam
For >10min: IV diazepam
What is the max dose of acetaminophen/d in kids? In adults?
correct answer: Kids: 90mg/kg/d (15mg/kg/dose)
Adults: 4g/d
How do you tx acetaminophen toxicity? correct answer:
Charcoal within 1st 60 min
Test acetaminophen level at 4h --> if needed then, give NAC
(should be given within 10 hours)
Also give NAC if amount is unknown but significant if only
came in at like 10-12hrs post
How long is the average length of depressive episodes? How
many episodes on average do people get a year? correct answer:
Length: 6 months
5-6/year
What are the indications for long term tx of depression? correct
answer: 2 depressive episodes in 5 years
3 prior episodes
Severe psychotic depression
,Serious suicide attempt
What are causes of mitral stenosis? correct answer: RF
Congenital
SLE
RA
Carcinoid
What are side effects of TCAs? correct answer: Blurred vision
Dry mouth
Orthostatic hypoT
Seizures + tremors
Weight gain
What is hypophosphatemic rickets? correct answer: Vit D
resistant rickets
X linked dominant
Dec renal tubular resorption of phosphate
(but no prob w absorption of other things)
Get deficient bone mineralization (+ bowed legs) d/t dec
phosphate, not Ca
Inc alk phos
Craniostenosis (premature suture fusion)
Seizures
How do you tx hypophosphatemic rickets? correct answer: Vit
D
GH (somatotropin)
, Phosphate
Thiazides (anticalciuric)
How do you dx acute diverticulitis? correct answer: AXR
(upright)
CT/US
Hypaque enema (water)
Blood cx (to manage abx given)
What is a Hartman procedure + what is it used for? What are
indications for surgery? correct answer: Sigmoid colectomy +
End sigmoid/descending colectomy + closure of rectal stump
For acute diverticulitis
Indications:
- perforation
- abscess
- immunosup
- 2 or more attacks
- unstable pt w peritonitis
Is PCOS hereditary? correct answer: Yes
Can you have normal menstruation in PCOS? correct answer:
Yes, in 20% of cases
How many follicles should you see in PCOS? correct answer:
10-20 follicles, <8mm
