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Medical Council of Canada MCCQE 考試大綱主題:

最新的 MCCQE Part 1 MCCQE 免費考試真題：

1. You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?

A) Do not discuss the patient ' s medication unless you have written consent from the patient.
B) Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.
C) Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.
D) Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.

2. A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

A) Osgood-Schlatter disease
B) Chondromalacia patellae
C) Osteomyelitis
D) Patellar tendinitis
E) Osteosarcoma

3. A 6-year-old boy is brought to the Emergency Department by his daycare provider because he has an injured left arm. Physical examination findings show a swollen left arm just below the shoulder and bruising around both knees and the upper right arm. Radiographs of the left arm show a fracture with early callus formation around the proximal humeral shaft. Which one of the following is the most important next step?

A) Call the local police.
B) Inform child protection services.
C) Contact the child's parents.
D) Inform the hospital social worker.
E) Question the child about what happened to him.

4. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Maintenance.
B) Contemplation.
C) Preparation.
D) Action.
E) Precontemplation.

5. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Decline to send her daughter for consultation and explain your decision.
B) Explain that there is no indication for the surgery but refer her daughter for consultation.
C) Ask another family physician to see the daughter due to a conflict of interest.
D) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
E) Call the ENT consultant on call to discuss your dilemma.

問題與答案：