MCCQE Exam Dumps : MCCQE Part 1 Exam

Microcephaly, intrauterine growth restriction, hepatosplenomegaly, and normal vital signs in a term newborn strongly suggest congenital viral infection (e.g., CMV, toxoplasmosis, rubella).

Toronto Notes 2023 – Pediatrics, Congenital Infections:

“Signs of congenital TORCH infections include microcephaly, hepatosplenomegaly, and growth restriction. Early identification is key.”

MCCQE1 Objectives – Pediatrics > Infectious Disease:

“Candidates must recognize signs suggestive of congenital infections and distinguish from genetic or structural abnormalities.”

Cephalic molding (A) is benign and resolves spontaneously. Lipid storage diseases (B) are not present at birth. Cystic fibrosis (C) does not cause microcephaly or hepatosplenomegaly at birth. Trisomy 21 (D) has distinct dysmorphic features not described here.

====================================================

In a patient presenting with physical symptoms (e.g., hip pain) and prominent psychosocial red flags — loss of interest, decreased libido, and withdrawal — the next step is to screen for depression. Somatization is common in mood disorders.

Toronto Notes 2023 – Psychiatry, Depression:

“Patients with depression may present with somatic complaints. A thorough psychosocial assessment is essential in such cases, particularly when symptoms interfere with functioning.”

MCCQE1 Objectives – Psychiatry > Mood Disorders:

“Candidates must consider depression in patients with non-specific physical symptoms and reduced interest or motivation, particularly with social withdrawal.”

Imaging or physiotherapy may be needed later, but the most urgent and informative step is psychiatric screening.

====================================================

In situations involving potential oversight, the appropriate next step is to contact the other physician directly. This supports collegial communication, continuity of care, and provides an opportunity to clarify the clinical situation. It avoids premature judgment while allowing the primary provider to respond and address concerns.

Toronto Notes 2023 – ELOM, “Professionalism and Interprofessional Communication”:

“When concerns arise about another provider’s care, direct communication is preferred before considering formal reporting. This maintains collaboration and fairness.”

MCCQE1 Objectives (ELOM > 90-2: Communication and Accountability):

“Candidates must demonstrate collegiality and appropriate methods for addressing concerns regarding another physician’s care.”

Empathizing (D) and validating blame is unprofessional. Reporting (B) is premature. Offering another provider (C) could undermine continuity. (E) is incorrect since the glucose should have been checked based on the presenting symptoms.

====================================================