MCCQE Questions with CORRECT Answers (Grade A+)

MCCQE Questions with CORRECT Answers (Grade A+)

Question 1:
How to investigate for fever in <1 month
Answer:
CBC+ BC, LP, UA/UC, IV AB, CXR

Question 2:
• Infants up to three months most common organisms
Answer:
e.coli (most common), listeria, pneumococcus,

Question 3:
>3 moths most common organisms
Answer:
pneumococcus, menigocucus, gram negative, h. influ

Question 4:
What is classified as delayed puberty
Answer:
o Pubertal delay: in boys no testicular enlargement by 14, and in females no breast tissue by 13

Question 5:
Most common cause for precocious puberty for central causes
Answer:
Most common condition is hypothalamic hamartomas

Question 6:
Causes of Gonadotropin independent causes of precocious puberty
Answer:
mccuine abright, granulosa cell tumors, hepatoblastomas and exposure to exogenous sex steroids.

,Question 7:
Tx for Turners
Answer:
GH, estrogen pills for secondary sexual characteristics

Question 8:
Etiology for gyncomastia
Answer:
puberty, medication side effect, testicular tumour, thyroid or liver dz, usually resolves within 12-15
months

Question 9:
Development Dysplasia managemnet
Answer:
clicky hip, 4 weeks f/u, U/S at 4-6 weeks, tx pavlik or spica cast

Question 10:
Indisious onset of hip pain at 6 years old.. how do we manage this
Answer:
avasulcar necrosis, XR, cas it

Question 11:
Growth spurt or fat child presenting with limp or pain-- dx and tx
Answer:
XR frog leg Tx: sx

Question 12:
Which vaccination contraindicated in egg allergy
Answer:
yellow fever

,Question 13:
Abnormal rxn to vaccination
Answer:
• Abnormal reaction: temperature >104, anaphylaxis, inconsolable ' contraindication to the SAME
vaccine

Question 14:
• Dx of absence seizures
Answer:
EEG: 3-Hz spike-wave discharges

Question 15:
Tx of absence seizures ethosuximide
Answer:
not provided in source.

Question 16:
• Renal biopsy: foam cells. Electron microscopy shows areas of thinned and thickened capillary loops
with splitting of GBM
Answer:
Alport's syndrome

Question 17:
• Short stature, intellectual disability • Unique: Smiling/laughter, hand-flapping, ataxia, seizures
Answer:
Angelman syndrome

Question 18:
Dx: transition point via XR,
Answer:
o Meconium plug Tx: water-enema-gastrograffin, F/U sweat-chloride test

, Question 19:
Mgmt of Hirshsprung Dx: abdominal XR, biopsy Tx: surgical resection of bad colon
Answer:
not provided in source.

Question 20:
Failure to pass meconium definition and causes
Answer:
• Has to occur within 48 hours or pathologic ** Imperforate anus, meconium ileus, hirshsprug, volutary
holding

Question 21:
dx XR-double bubble, normal gas pattern beyond obstruction. Tx: NG tube, decompress, cured by
surgery
Answer:
Malrotation

Question 22:
polyhydramnious and associated with down syndrome, XR shoes double bubble + no gas beyond, tx:
surgery
Answer:
ii. Duodenal atresia

Question 23:
failure of apoptosis, patient has polyhydramnious and association with downs, double bubble and no
gas beyond. Tx: sx
Answer:
iii. Annular pancreas:

Question 24:
Question not clearly extracted from source.
Answer:
iv. Intestinal atresia XR double bubble and air fluid bubbles, tx: sx, worry about short gut syndrome