MCCQE I (PART 1) Questions with CORRECT Answers
(Grade A+)
Question 1:
Pt is competent and agrees to a procedure but his proxy refuses, what do you do ?
Answer:
Do procedure, PT is competent and overrides the proxy
Question 2:
CPSS (Canadian perinatal surveillance system)
Answer:
Abuse during preggy results in poor fetal and maternal outcome Violence was measured on the basis of
the conflicts tactics scale low birth weight and early birth
Question 3:
Pt O/D on opiates, what should you set up before discharge?
Answer:
Next day meeting with her own PCP
Question 4:
MCC hearing loss in children?
Answer:
Bacterial meningitis
Question 5:
Lady with HTN on CCB, what side effect can she have?
Answer:
Galactorrhea....PRL
Question 6:
Referral to an audiologist in child when:
Answer:
No babbling sound by 12 no rxn to sound by 3 months no resposne to smiles or interactions by 6
months no single words by 16 months no two word phrases by 24 months speech hard for strangers to
understand no following of directions by 4-5 years
, Question 7:
In terms of breast masses, what would you think of a coarse popcorn type calcification
Answer:
Not malignant, most likely fibroadenoma
Question 8:
What are scary calcifications to see?
Answer:
Microcalcifications less than 0.5 mm in size fine or branching
Question 9:
Wing scapula after mastectomy LTN
Answer:
not provided in source.
Question 10:
Tamoxifen effect on osteoporosis? Side effects?
Answer:
In breast it's an antagonist of ER, elsewhere it is an agonist of ER: osteoprotective Increases risk of
DVT, endometrial carcinoma, hot flushes increased risk of CATARACTS
Question 11:
When to use Tamoxifen vs Anastrozole
Answer:
before and after menopause ovary vs fat estrogen (aromatase)
Question 12:
What receptor is a negative prognostic factor in breast Ca?
Answer:
HER-2/neu ER is a positive prognostic factor
(Grade A+)
Question 1:
Pt is competent and agrees to a procedure but his proxy refuses, what do you do ?
Answer:
Do procedure, PT is competent and overrides the proxy
Question 2:
CPSS (Canadian perinatal surveillance system)
Answer:
Abuse during preggy results in poor fetal and maternal outcome Violence was measured on the basis of
the conflicts tactics scale low birth weight and early birth
Question 3:
Pt O/D on opiates, what should you set up before discharge?
Answer:
Next day meeting with her own PCP
Question 4:
MCC hearing loss in children?
Answer:
Bacterial meningitis
Question 5:
Lady with HTN on CCB, what side effect can she have?
Answer:
Galactorrhea....PRL
Question 6:
Referral to an audiologist in child when:
Answer:
No babbling sound by 12 no rxn to sound by 3 months no resposne to smiles or interactions by 6
months no single words by 16 months no two word phrases by 24 months speech hard for strangers to
understand no following of directions by 4-5 years
, Question 7:
In terms of breast masses, what would you think of a coarse popcorn type calcification
Answer:
Not malignant, most likely fibroadenoma
Question 8:
What are scary calcifications to see?
Answer:
Microcalcifications less than 0.5 mm in size fine or branching
Question 9:
Wing scapula after mastectomy LTN
Answer:
not provided in source.
Question 10:
Tamoxifen effect on osteoporosis? Side effects?
Answer:
In breast it's an antagonist of ER, elsewhere it is an agonist of ER: osteoprotective Increases risk of
DVT, endometrial carcinoma, hot flushes increased risk of CATARACTS
Question 11:
When to use Tamoxifen vs Anastrozole
Answer:
before and after menopause ovary vs fat estrogen (aromatase)
Question 12:
What receptor is a negative prognostic factor in breast Ca?
Answer:
HER-2/neu ER is a positive prognostic factor