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Itexamdump 에서Medical Council of Canada MCCQE 덤프를 구매하시면 일년무료 업데이트서비스를 받을수 있습니다.일년무료 업데이트서비스란 구매일로부터 1년동안 구매한 덤프가 업데이트될때마다 구매시 사용한 메일주소로 가장 최신버전을 보내드리는것을 의미합니다. Medical Council of Canada MCCQE덤프에는 가장 최신시험문제의 기출문제가 포함되어있어 높은 적주율을 자랑하고 있습니다.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dimensions of Care | 50% | - Health Promotion and Illness Prevention - Assessment and Diagnosis - Acute Care - Chronic Care |
| Topic 2: Physician Activities | 50% | - Psychosocial Aspects - Communication - Professional Behaviours - Management |
우리Itexamdump 에서 여러분은 아주 간단히Medical Council of Canada MCCQE시험을 패스할 수 있습니다. 만약 처음Medical Council of Canada MCCQE시험에 도전한다면 우리의Medical Council of Canada MCCQE시험자료를 선택하여 다운받고 고부를 한다면 생가보다는 아주 쉽게Medical Council of Canada MCCQE시험을 통과할 수 있으며 무엇보다도 시험시의 자신감 충만에 많은 도움이 됩니다. 다른 자료판매사이트도 많겠지만 저희는 저희 자료에 자신이 있습니다. 우리의 시험자료는 모두 하이퀼러티한 문제와 답으로 구성되었습니다, 그리고 우리는 업데트를 아주 중요시 생각하기에 어느 사이트보다 더 최신버전을 보실 수 잇을것입니다. 우리의Medical Council of Canada MCCQE자료로 자신만만한 시험 준비하시기를 바랍니다. 우리를 선택함으로 자신의 시간을 아끼는 셈이라고 생각하시면 됩니다.Medical Council of Canada MCCQE로 빠른시일내에 자격증 취득하시고Medical Council of CanadaIT업계중에 엘리트한 전문가되시기를 바랍니다.
질문 # 290
A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?
정답：E
설명：
This patient presents with fever, chills, anorexia, and right upper quadrant (RUQ) pain several weeks after hospitalization for sigmoid diverticulitis . A key complication of intra-abdominal infections such as diverticulitis is portal pylephlebitis with hepatic abscess formation , due to bacterial spread via the portal venous system. MCCQE objectives emphasize recognizing liver abscess as a delayed complication of intra- abdominal sepsis, particularly when new RUQ pain and fever develop after an initial abdominal infection.
The most appropriate initial imaging test to confirm this diagnosis is ultrasound of the abdomen , which can detect hepatic abscesses and guide further management. CT abdomen is also highly sensitive, but among the listed options, ultrasound is most appropriate.
Chest and abdominal radiographs are nonspecific. HIDA scan evaluates cystic duct obstruction in suspected acute cholecystitis, which is less likely given the recent diverticulitis and systemic features. ERCP is used for biliary obstruction or ascending cholangitis, typically associated with jaundice.
Thus, abdominal ultrasound is most likely to confirm a hepatic abscess.
질문 # 291
A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?
정답：A
설명：
The highest priority is the immediate safety of the patient and her child. In the presence of domestic violence, risk assessment for harm or neglect must be conducted urgently, particularly since a child may be at risk.
Safety trumps psychiatric or social evaluations in triage.
Toronto Notes 2023 - Psychiatry, "Crisis and Risk Assessment" Section:
"When intimate partner violence (IPV) is disclosed, it is critical to assess immediate safety and consider mandatory reporting, especially when children are involved." MCCQE1 Objectives (Psychiatry > 79-6: Violence and Abuse):
"Candidates must assess for and respond to risk of harm in situations of domestic violence, especially when dependents are involved. This includes ensuring immediate safety and following legal obligations for child protection." Although the other concerns (e.g., gambling, depression, substance use, financial need) are valid, the presence of violence makes D the first and most urgent priority.
질문 # 292
A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?
정답：C
설명：
This patient's headache is consistent with tension-type or stress-related headache. The symptoms are mild, responsive to over-the-counter medications, and without red flags (neurologic signs, worsening pattern, nocturnal pain). Reassurance is appropriate.
Toronto Notes 2023 - Neurology, "Headache" Section:
"In the absence of red flags (e.g., sudden onset, focal deficits, age >50, worsening pattern), reassurance is the best course. Tension headaches are often related to stress and improve with lifestyle modification and simple analgesia." MCCQE1 Objectives (Internal Medicine > 76-6: Neurologic Symptoms):
"Candidates should recognize benign headache patterns and avoid unnecessary investigations." CT head (B) is not indicated. Stronger analgesics (D) may cause rebound headache. Specialist or psychiatric referrals (A, E) are premature.
질문 # 293
A 22-year-old woman presents to the office for episodic mood changes that her boyfriend has noticed. During such episodes, she cries suddenly, is irritable and sad, and withdraws from socializing. Which one of the following would be most useful in establishing a diagnosis?
정답：B
설명：
A mood journal is a structured tool that allows the patient to record mood fluctuations, triggers, and timing. It is particularly helpful in identifying mood disorders such as premenstrual dysphoric disorder, bipolar disorder, or cyclothymia.
Toronto Notes 2023 - Psychiatry, Mood Disorders:
"Mood diaries are useful in identifying temporal patterns, such as menstrual cycle-linked mood changes, and in distinguishing between affective disorders." MCCQE1 Objectives - Psychiatry > Diagnostic Evaluation:
"Candidates should use clinical tools such as symptom diaries to assist in establishing the pattern and nature of psychiatric symptoms." Personality testing (A) is not first-line. Urine drug screen (B) is only indicated with suspicion of substance use. Lorazepam (D) treats symptoms, not diagnosis. Interviewing the boyfriend (E) may help, but only as a supplement to direct observation and self-report.
질문 # 294
A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?
정답：C
설명：
This patient's obstetric history suggests recurrent fetal macrosomia (birthweight > 4000-4500 g) and rapid (precipitous) labours. MCCQE objectives emphasize identifying maternal risk factors for postpartum hemorrhage (PPH) , particularly those associated with uterine atony , the most common cause of PPH.
Delivery of a macrosomic infant increases uterine overdistension, which reduces effective postpartum uterine contraction and predisposes to atony and hemorrhage. In addition, precipitous labour can be associated with genital tract trauma, which can also contribute to postpartum bleeding, but the strongest and most consistent risk factor in the options provided is PPH from atony related to prior large infants.
The other choices are less supported by the stem: prior macrosomic term deliveries do not inherently increase risk of preterm delivery, gestational hypertension, or DVT. Therefore, the most likely risk to anticipate and plan for is postpartum hemorrhage, prompting proactive intrapartum planning (active management of the third stage, readiness with uterotonics, and risk-based monitoring).
질문 # 295
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한번에Medical Council of Canada인증MCCQE시험을 패스하고 싶으시다면 완전 페펙트한 준비가 필요합니다. 완벽한 관연 지식터득은 물론입니다. 우리Itexamdump의 자료들은 여러분의 이런 시험준비에 많은 도움이 될 것입니다.
MCCQE최신버전 시험덤프문제: https://www.itexamdump.com/MCCQE.html
2026 Itexamdump 최신 MCCQE PDF 버전 시험 문제집과 MCCQE 시험 문제 및 답변 무료 공유: https://drive.google.com/open?id=1D3j-t8Whdu5p1vy_llWWXZujeCjHFvbB