MCCQE I (PART 1) UPDATED ACTUAL
Exam Questions and CORRECT Answers
Pt is competent and agrees to a procedure but his proxy refuses, what do you do ? - CORRECT
ANSWER - Do procedure, PT is competent and overrides the proxy
CPSS (Canadian perinatal surveillance system) - CORRECT 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? - CORRECT ANSWER -
Next day meeting with her own PCP
MCC hearing loss in children? - CORRECT ANSWER - Bacterial meningitis
Lady with HTN on CCB, what side effect can she have? - CORRECT ANSWER -
Galactorrhea....PRL
Referral to an audiologist in child when: - CORRECT 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 -
CORRECT ANSWER - Not malignant, most likely fibroadenoma
, What are scary calcifications to see? - CORRECT ANSWER - Microcalcifications less
than 0.5 mm in size
fine or branching
Wing scapula after mastectomy - CORRECT ANSWER - LTN
Tamoxifen effect on osteoporosis? Side effects? - CORRECT 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 - CORRECT ANSWER - before and after
menopause
ovary vs fat estrogen (aromatase)
What receptor is a negative prognostic factor in breast Ca? - CORRECT ANSWER -
HER-2/neu
ER is a positive prognostic factor
Mild vs severe preecclampsia difference? - CORRECT ANSWER - Severe has pulmonary
edema, fetal growth restrictions, thrombocytopenia, headache, abd pain, visual changes
(basically severe has Sx`s whereas mild is detected only by tests)
What risk factors increase the risk of preeclampsia? - CORRECT ANSWER - chronic
HTN, twin gestation, maternal age 35+, obesity, AA ethnicity, socioeconomical status,
nulliparity
Exam Questions and CORRECT Answers
Pt is competent and agrees to a procedure but his proxy refuses, what do you do ? - CORRECT
ANSWER - Do procedure, PT is competent and overrides the proxy
CPSS (Canadian perinatal surveillance system) - CORRECT 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? - CORRECT ANSWER -
Next day meeting with her own PCP
MCC hearing loss in children? - CORRECT ANSWER - Bacterial meningitis
Lady with HTN on CCB, what side effect can she have? - CORRECT ANSWER -
Galactorrhea....PRL
Referral to an audiologist in child when: - CORRECT 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 -
CORRECT ANSWER - Not malignant, most likely fibroadenoma
, What are scary calcifications to see? - CORRECT ANSWER - Microcalcifications less
than 0.5 mm in size
fine or branching
Wing scapula after mastectomy - CORRECT ANSWER - LTN
Tamoxifen effect on osteoporosis? Side effects? - CORRECT 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 - CORRECT ANSWER - before and after
menopause
ovary vs fat estrogen (aromatase)
What receptor is a negative prognostic factor in breast Ca? - CORRECT ANSWER -
HER-2/neu
ER is a positive prognostic factor
Mild vs severe preecclampsia difference? - CORRECT ANSWER - Severe has pulmonary
edema, fetal growth restrictions, thrombocytopenia, headache, abd pain, visual changes
(basically severe has Sx`s whereas mild is detected only by tests)
What risk factors increase the risk of preeclampsia? - CORRECT ANSWER - chronic
HTN, twin gestation, maternal age 35+, obesity, AA ethnicity, socioeconomical status,
nulliparity
