Question 1

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 2

A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nausea

after completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He has

been sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takes

no medications. His vital signs on arrival are as follows:

Blood pressure

85/57 mm Hg

Heart rate

120/min

Respiratory rate

18/min

Temperature

40.1 °C

Oxygen saturation

95%, room air

—

On physical examination, the patient's skin is dry, flushed, and warm to the touch. He has a diffuse

erythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. An

electrocardiogram shows sinus tachycardia. Which one of the following is the best next step?

Options :

A : Serum creatine kinase test

B : Serum thyrotropin (thyroid-stimulating hormone)

C : Computed tomography of the head

D : Serum C-reactive protein test

E : Blood cultures

Answer: A

Question 3

During an office visit, your 14-year-old patient requests a prescription for oral contraceptives. The province where you are working does not have a statutory age of consent. Which one of the following is the best next step?

Options :

A : Notify child protective services because of the possibility of sexual abuse.

B : Give her the prescription and book a follow-up appointment.

C : Advise her to return with her parents so that legal consent can be obtained.

D : Determine her understanding of the medical issues before prescribing the pills.

E : Refuse to prescribe the pills because she is less than 18 years of age.

Answer: D

Question 4

There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

Options :

A :

Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.

B : Collecting fees from patients for home visits.

C : Collecting fees from patients for uninsured services provided.

D : Offering rapid access to insured services for a fee.

E : Collecting fees from patients who are seen after hours.

Answer: C

Question 5

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?

Options :

A : Multiparity

B : Precipitous labor

C : Advanced maternal age

D : Epidural analgesia

Answer: D

Confidently Practice Online with Free MCCQE Exam Cram

Buying Options: