MCCQE試験無料問題集（357題）「Medical Council of Canada MCCQE Part 1 認定」

出題：1

A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?

A. Hospitalization for observation.

B. A trial of lithium carbonate.

C. Reassurance that this is not a serious disorder.

D. Prescription of chlorpromazine in moderate doses.

E. Encouragement to take walks of increasing distance.

正解：E 解答を投票する

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出題：2

A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?

A. Polycystic ovary disease.

B. Idiopathic hirsutism.

C. Sertoli-Leydig cell tumour.

D. Adrenal hyperplasia.

E. Hilar cell tumour.

正解：B 解答を投票する

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出題：3

A 35-year-old woman presents to your clinic with double vision and a gritty sensation in her eyes for the past several weeks. On examination, you notice her eyes are bulging. There is inflammation of her conjunctivae and swelling around her eyes. Which one of the following is the most likely diagnosis?

A. Graves ophthalmopathy

B. Periorbital cellulitis

C. Allergic conjunctivitis

D. Orbital pseudotumor

E. Myasthenia gravis

正解：A 解答を投票する

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出題：4

A 68-year-old man presents with a 3-day history of multiple tender joints. On examination, he has a temperature of 38.2°C and swelling and redness of his left large toe. Which one of the following is the most likely diagnosis?

A. Crystal-induced arthropathy.

B. Psoriatic arthritis.

C. Osteoarthritis.

D. Rheumatoid arthritis.

E. Viral arthritis.

正解：A 解答を投票する

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出題：5

A 42-year-old woman, gravida 2, para 2, aborta 0, comes to the office for the first time. She reports a 6-month history of thirst, urinary frequency, and recurrent vaginitis. Aside from a BMI of 28, her physical examination findings are unremarkable. She takes no medications. Which one of the following would support the most likely diagnosis?

A. Delivery of a macrosomic newborn.

B. Family history of hypertension.

C. High-risk sexual behaviours.

D. Recent antibiotic use.

E. Dry eyes.

正解：A 解答を投票する

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出題：6

A 34-year-old woman, gravida 3, para 2, aborta 0, presents at 38 weeks ' gestation. She is in early labor with ruptured membranes. Her previous pregnancy was complicated by fever during labor. Which one of the following would increase the risk of fever recurrence?

A. Epidural analgesia

B. Precipitous labor

C. Advanced maternal age

D. Multiparity

正解：A 解答を投票する

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出題：7

You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

A. A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs

B. A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%

C. A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min

D. A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation

E. A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination

正解：C 解答を投票する

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出題：8

A 42-year-old man presents to your office with acute left knee pain and difficulty walking. He denies any trauma. He reports 2 painful episodes involving his right great toe in the last year. He smokes half a pack of cigarettes a day and drinks at least 3 beers daily. He has a temperature of 38.2°C and has a red, swollen and warm left knee. Which one of the following is the best next step?

A. Aspirate the knee joint.

B. Order blood cultures.

C. Start acetaminophen.

D. Order radiography of the knee.

E. Start indomethacin.

正解：A 解答を投票する

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出題：9

A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man ' s lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

A. The woman must have a cesarean delivery

B. The man needs herpes simplex virus type-specific serology

C. The woman should have viral cultures of her cervix

D. The man should avoid performing oral sex during her pregnancy

E. The woman should take acyclovir throughout her pregnancy

正解：D 解答を投票する

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出題：10

A 30-year-old woman presents to your office with a 6-week history of left lower quadrant pain and dyspareunia. A pelvic ultrasound is normal. Which one of the following is the most important immediate investigation?

A. Hysterosalpingography

B. Magnetic resonance imaging

C. Laparoscopy

D. Cervical swabs

E. Endometrial biopsy

正解：D 解答を投票する

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出題：11

A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?

A. Partial mole.

B. Polyhydramnios.

C. Fetal macrosomia.

D. Ovarian tumour and ascites.

E. Twin pregnancy.

正解：B 解答を投票する

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出題：12

A 15-year-old boy is brought to the office by his father because he is having headaches. When alone, the boy appears withdrawn and admits to suicidal ideation. He shares that he is gay but does not want to tell his parents. He says that he faked the headaches so that one of his parents would make an appointment for him.
Which one of the following is the best next step?

A. Suggest that the patient join a group at school for peer support.

B. Encourage the patient to disclose his sexual orientation to his parents.

C. Start an antidepressant medication.

D. Refer the patient for an immediate mental health assessment.

正解：D 解答を投票する

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出題：13

A 38-year-old marathon runner presents to your office with a 6-month history of increasing right hip pain.
The pain is worse with acclivity and has prevented him from running for the last 4 months. He denies fever or chills. His wife adds that she is concerned because he is increasingly disengaged with the family and not interested in other activities he usually enjoys, including sex. Which one of the following is the best next step in management?

A. Physiotherapy for hip strengthening.

B. Further inquiry into depressive symptoms.

C. Magnetic resonance imaging of the pelvis and right hip.

D. Short course of anti-inflammatory medications.

E. Blood work including inflammatory markers.

正解：B 解答を投票する

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出題：14

An otherwise healthy 57-year-old man with a 20 pack-year history of smoking presents with a 2-day history of reddish-brown urine that has not cleared. There is no history of abdominal or flank pain. Urinalysis reveals
5 red blood cells per high power field. Which one of the following is the best next step?

A. Reassurance.

B. Intravenous pyelography.

C. Cystoscopy.

D. Repeat urinalysis in a month.

E. Ultrasonography.

正解：C 解答を投票する

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MCCQE試験無料問題集「Medical Council of Canada MCCQE Part 1 認定」