Question 1

A 32-year-old woman, gravida 0, comes to your office for contraception counselling, specifically about insertion of a levonorgestrel-releasing intrauterine device. She has a past history of breast cancer and is presently on tamoxifen. Which one of the following is the best advice for your patient?

Options :

A : She has a high risk of irregular bleeding following insertion

B : After consultation with her oncologist, she may choose this option

C : It may increase her risk of breast cancer recurrence

D : She will require pre-procedure antibiotics

E : This device will increase her risk of future infertility

Answer: B

Question 2

A patient's mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?

Options :

A : Reporting standard error with point estimates of difference

B : Vaccine company sponsorship of study

C : Recruitment of study families at an autism seminar

D : Parental recall of vaccine administration

E : Not accounting for all potential confounders during recruitment

Answer: C

Question 3

An 80-year-old woman presents to your office with weight loss and generalized weakness. Her husband calls you after the appointment and asks that his wife not be told if she is diagnosed with cancer as hearing this will likely "kill her." Investigations subsequently show that she has metastatic lung cancer. Which one of the following is the best next step?

Options :

A : Telephone her to inform her she has a bad pneumonia and prescribe antibiotics.

B : Tell her husband she has metastatic lung cancer.

C : Book an immediate appointment with your patient.

D : Tell the patient she requires a computed tomography scan of the chest.

E : Arrange an urgent consultation with her children to confirm her wishes.

Answer: C

Question 4

A 23-year-old woman with borderline personality disorder is brought to the Emergency Department having ingested non-lethal substances after her boyfriend broke up with her. The staff tells you that she has consulted 8 times under similar circumstances in the past 3 years. Which one of the following pieces of information would be useful to provide to the staff?

Options :

A : Not much can be done with personality disorders

B : She will never commit suicide

C : Suicidal thoughts must be an indication of major depressive disorder

D : She is overusing health care services

E : Symptoms of borderline personality disorder will likely attenuate over time

Answer: E

Question 5

A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago. On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient's fever?

Options :

A : Septic pelvic thrombophlebitis.

B : Pulmonary embolism.

C : Wound infection.

D : Bowel trauma during the operation.

E : Atelectasis

Answer: E

Confidently Practice Online with Free MCCQE Exam Cram

Buying Options: