Canada Q Bank - MCCQE1 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Does having a 1st deg relative w prostate cancer inc the risk? - CORRECT ANSWER -
Yes (2X the risk)
2nd deg relative: 1:7
What is the half life of PSA? - CORRECT ANSWER - 2.2 days
What determines the range of normal PSA? - CORRECT ANSWER - Age (inc w age)
What med can dec PSA? - CORRECT ANSWER - 5-Alpha reductase inibitors
How do you tx HSP? - CORRECT ANSWER - GCCs, but no specific tx is available
Analgesics
Bed rest
Monitor bp
Are febrile seizures genetic? - CORRECT ANSWER - Yes
What is the incidence of febrile seizures, and how many people have another convulsion? -
CORRECT ANSWER - Incidence: 5%
30% have another seizure
2% get epilepsy
,How do you tx febrile seizures? - CORRECT ANSWER - Acetaminophen
For 2min seizure: rectal diazepam or midazolam
For >10min: IV diazepam
What is the max dose of acetaminophen/d in kids? In adults? - CORRECT ANSWER -
Kids: 90mg/kg/d (15mg/kg/dose)
Adults: 4g/d
How do you tx acetaminophen toxicity? - CORRECT ANSWER - Charcoal within 1st 60
min
Test acetaminophen level at 4h --> if needed then, give NAC (should be given within 10 hours)
Also give NAC if amount is unknown but significant if only came in at like 10-12hrs post
How long is the average length of depressive episodes? How many episodes on average do
people get a year? - CORRECT ANSWER - Length: 6 months
5-6/year
What are the indications for long term tx of depression? - CORRECT ANSWER -2
depressive episodes in 5 years
3 prior episodes
Severe psychotic depression
Serious suicide attempt
,What are causes of mitral stenosis? - CORRECT ANSWER - RF
Congenital
SLE
RA
Carcinoid
What are side effects of TCAs? - CORRECT ANSWER - Blurred vision
Dry mouth
Orthostatic hypoT
Seizures + tremors
Weight gain
What is hypophosphatemic rickets? - CORRECT ANSWER - Vit D resistant rickets
X linked dominant
Dec renal tubular resorption of phosphate
(but no prob w absorption of other things)
Get deficient bone mineralization (+ bowed legs) d/t dec phosphate, not Ca
Inc alk phos
Craniostenosis (premature suture fusion)
Seizures
How do you tx hypophosphatemic rickets? - CORRECT ANSWER - Vit D
GH (somatotropin)
Phosphate
, Thiazides (anticalciuric)
How do you dx acute diverticulitis? - CORRECT ANSWER - AXR (upright)
CT/US
Hypaque enema (water)
Blood cx (to manage abx given)
What is a Hartman procedure + what is it used for? What are indications for surgery? -
CORRECT ANSWER - Sigmoid colectomy + End sigmoid/descending colectomy +
closure of rectal stump
For acute diverticulitis
Indications:
- perforation
- abscess
- immunosup
- 2 or more attacks
- unstable pt w peritonitis
Is PCOS hereditary? - CORRECT ANSWER - Yes
Can you have normal menstruation in PCOS? - CORRECT ANSWER - Yes, in 20% of
cases
How many follicles should you see in PCOS? - CORRECT ANSWER - 10-20 follicles,
<8mm
ACTUAL Exam Questions and CORRECT
Answers
Does having a 1st deg relative w prostate cancer inc the risk? - CORRECT ANSWER -
Yes (2X the risk)
2nd deg relative: 1:7
What is the half life of PSA? - CORRECT ANSWER - 2.2 days
What determines the range of normal PSA? - CORRECT ANSWER - Age (inc w age)
What med can dec PSA? - CORRECT ANSWER - 5-Alpha reductase inibitors
How do you tx HSP? - CORRECT ANSWER - GCCs, but no specific tx is available
Analgesics
Bed rest
Monitor bp
Are febrile seizures genetic? - CORRECT ANSWER - Yes
What is the incidence of febrile seizures, and how many people have another convulsion? -
CORRECT ANSWER - Incidence: 5%
30% have another seizure
2% get epilepsy
,How do you tx febrile seizures? - CORRECT ANSWER - Acetaminophen
For 2min seizure: rectal diazepam or midazolam
For >10min: IV diazepam
What is the max dose of acetaminophen/d in kids? In adults? - CORRECT ANSWER -
Kids: 90mg/kg/d (15mg/kg/dose)
Adults: 4g/d
How do you tx acetaminophen toxicity? - CORRECT ANSWER - Charcoal within 1st 60
min
Test acetaminophen level at 4h --> if needed then, give NAC (should be given within 10 hours)
Also give NAC if amount is unknown but significant if only came in at like 10-12hrs post
How long is the average length of depressive episodes? How many episodes on average do
people get a year? - CORRECT ANSWER - Length: 6 months
5-6/year
What are the indications for long term tx of depression? - CORRECT ANSWER -2
depressive episodes in 5 years
3 prior episodes
Severe psychotic depression
Serious suicide attempt
,What are causes of mitral stenosis? - CORRECT ANSWER - RF
Congenital
SLE
RA
Carcinoid
What are side effects of TCAs? - CORRECT ANSWER - Blurred vision
Dry mouth
Orthostatic hypoT
Seizures + tremors
Weight gain
What is hypophosphatemic rickets? - CORRECT ANSWER - Vit D resistant rickets
X linked dominant
Dec renal tubular resorption of phosphate
(but no prob w absorption of other things)
Get deficient bone mineralization (+ bowed legs) d/t dec phosphate, not Ca
Inc alk phos
Craniostenosis (premature suture fusion)
Seizures
How do you tx hypophosphatemic rickets? - CORRECT ANSWER - Vit D
GH (somatotropin)
Phosphate
, Thiazides (anticalciuric)
How do you dx acute diverticulitis? - CORRECT ANSWER - AXR (upright)
CT/US
Hypaque enema (water)
Blood cx (to manage abx given)
What is a Hartman procedure + what is it used for? What are indications for surgery? -
CORRECT ANSWER - Sigmoid colectomy + End sigmoid/descending colectomy +
closure of rectal stump
For acute diverticulitis
Indications:
- perforation
- abscess
- immunosup
- 2 or more attacks
- unstable pt w peritonitis
Is PCOS hereditary? - CORRECT ANSWER - Yes
Can you have normal menstruation in PCOS? - CORRECT ANSWER - Yes, in 20% of
cases
How many follicles should you see in PCOS? - CORRECT ANSWER - 10-20 follicles,
<8mm
