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MCCQE Part 1 MCCQE Dumps PDF

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Total 230 questions

MCCQE Part 1 Exam Questions and Answers

Question 57

You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital 3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

Options:

A.

Inform the patient that she will need parental consent to be assessed for MAID.

B.

Explain to the patient that she is not terminally ill.

C.

Refer the patient to a psychiatrist.

D.

Suggest a trial of home dialysis.

E.

Explore the reasons for the patient's request for MAID.

Question 58

An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

Options:

A.

Major depressive disorder.

B.

Obsessive-compulsive disorder.

C.

Generalized anxiety disorder.

D.

Obsessive-compulsive personality disorder.

Question 59

You are asked to see a 30-year-old woman, gravida 8, para 4, aborta 1, for symptoms of postpartum depression. She immigrated to Canada 8 months ago. She has been reluctant to speak to members of the medical team without her family members, even when an interpreter is present. Which one of the following is the best next step?

Options:

A.

Insist on conducting the interview with the patient alone

B.

Interview the patient and the family together

C.

Allow 1 family member to stay and act as the interpreter

D.

Ask the patient to write down her history and have it translated

Question 60

A 22-year-old woman, gravida 1, para 0, aborta 0, comes to the office at 10 weeks' gestation for her first prenatal visit. When you ask how she is doing, she becomes tearful and says she has had severe nausea and vomiting. She is not taking her prenatal vitamins regularly and feels very guilty about it. She is worried that she is harming the fetus. Which one of the following is the most appropriate management of this patient's case?

Options:

A.

Advise her to replace her vitamin with folic acid only until her nausea improves

B.

Refer her for counselling to manage her feelings of guilt

C.

Tell her she should continue to take her prenatal vitamins daily regardless of nausea

D.

Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins

E.

Prescribe ginger tablets to be taken 4 times daily

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Total 230 questions