MCCQE I (PART 1) A+ Graded.

Pt is competent and agrees to a procedure but his proxy refuses, what do you do ? correct answers Do procedure, PT is competent and overrides the proxy CPSS (Canadian perinatal surveillance system) correct answers 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 Pt O/D on opiates, what should you set up before discharge? correct answers Next day meeting with her own PCP MCC hearing loss in children? correct answers Bacterial meningitis Lady with HTN on CCB, what side effect can she have? correct answers Galactorrhea....PRL Referral to an audiologist in child when: correct answers 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 In terms of breast masses, what would you think of a coarse popcorn type calcification correct answers Not malignant, most likely fibroadenoma What are scary calcifications to see? correct answers Microcalcifications less than 0.5 mm in size fine or branching Wing scapula after mastectomy correct answers LTN Tamoxifen effect on osteoporosis? Side effects? correct answers 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 When to use Tamoxifen vs Anastrozole correct answers before and after menopause ovary vs fat estrogen (aromatase) What receptor is a negative prognostic factor in breast Ca? correct answers HER-2/neu ER is a positive prognostic factor