MCCQE I (PART 1) QUESTIONS AND ANSWERS

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 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 Pt O/D on opiates, what should you set up before discharge? - Answer-Next day meeting with her own PCP MCC hearing loss in children? - Answer-Bacterial meningitis Lady with HTN on CCB, what side effect can she have? - Answer-Galactorrhea....PRL 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 In terms of breast masses, what would you think of a coarse popcorn type calcification - Answer-Not malignant, most likely fibroadenoma What are scary calcifications to see? - Answer-Microcalcifications less than 0.5 mm in size fine or branching Wing scapula after mastectomy - Answer-LTN 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 When to use Tamoxifen vs Anastrozole - Answer-before and after menopause ovary vs fat estrogen (aromatase) Wha