Title: Medical Council of Canada MCCQE測試|第一次嘗試輕鬆學習並通過考試MCCQE：MCCQE Part 1 Exam [Print This Page] Author: edwardm136 Time: yesterday 15:11 Title: Medical Council of Canada MCCQE測試|第一次嘗試輕鬆學習並通過考試MCCQE：MCCQE Part 1 Exam 此外，這些KaoGuTi MCCQE考試題庫的部分內容現在是免費的：https://drive.google.com/open?id=1tSwE7gIJ3li_sy2Dfiu8HyMj-pt9edoO
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MCCQE題庫分享 & 最新MCCQE考證KaoGuTi是可以帶你通往成功之路的網站。KaoGuTi可以為你提供使你快速通過Medical Council of Canada MCCQE 認證考試的詳細培訓資料，能使你短時間內多掌握認證考試的相關知識，並且一次性的通過Medical Council of Canada MCCQE 認證考試。 最新的 MCCQE Part 1 MCCQE 免費考試真題 (Q74-Q79):問題 #74
A 32-year-old primigravid woman is receiving magnesium sulfate for tocolysis. Her pregnancy is at 26 weeks' gestation. You suspect magnesium sulfate toxicity. Which one of the following is the first sign of magnesium sulfate toxicity?
A. Hypotension
B. Absent patellar reflexes
C. Oliguria
D. Tachypnea
E. Tachycardia
答案：B
解題說明：
Magnesium sulfate toxicity is dose-dependent. The earliest and most sensitive clinical sign is theloss of deep tendon reflexes (especially patellar), which occurs before respiratory depression or cardiac changes.
Toronto Notes 2023 - Obstetrics Chapter:
"Toxicity from magnesium sulfate is progressive and typically presents first with loss of deep tendon reflexes.
Respiratory depression and cardiac arrest occur at higher serum levels. Regular monitoring of reflexes, respiratory rate, and urine output is essential." MCCQE1 Objectives (Obstetrics > 83-3: Preterm Labour and Tocolysis):
"The candidate must recognize early signs of magnesium sulfate toxicity including areflexia and respiratory depression." Tachycardia (B), hypotension (C), and tachypnea (D) are not typical early signs. Oliguria (E) may be a risk factor for accumulation but is not the first sign of toxicity.
問題 #75
A 22-year-old woman, gravida 1, para 0, aborta 0, comes to the office at 10 weeks' gestation for her first prenatal visit. When you ask how she is doing, she becomes tearful and says she has had severe nausea and vomiting. She is not taking her prenatal vitamins regularly and feels very guilty about it. She is worried that she is harming the fetus. Which one of the following is the most appropriate management of this patient's case?
A. Prescribe ginger tablets to be taken 4 times daily
B. Refer her for counselling to manage her feelings of guilt
C. Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins
D. Tell her she should continue to take her prenatal vitamins daily regardless of nausea
E. Advise her to replace her vitamin with folic acid only until her nausea improves
答案：A
解題說明：
Comprehensive and Detailed Explanation:
Ginger is a first-line, evidence-based non-pharmacologic treatment for nausea and vomiting in pregnancy. It's well tolerated and effective. Addressing nausea will help her resume vitamin use and reduce distress.
Toronto Notes 2023 - Obstetrics, "Nausea and Vomiting in Pregnancy":
"Ginger 250 mg four times daily is safe and effective for mild to moderate nausea." MCCQE1 Objectives (Obstetrics > 80-1: Early Pregnancy Management):
"Candidates must treat nausea and vomiting in pregnancy using safe and effective options." Folic acid alone (A) is less effective than a full prenatal vitamin. B may help, but nausea should be addressed first. C lacks empathy for her symptoms. D (cannabinoids) is not recommended in pregnancy.
問題 #76
An 18-year-old man presents to your clinic with a history of intermittent, dull, achy pain on the left side of his scrotum, and he has now noted left scrotal enlargement. On examination, you note a swelling in the left scrotum when he is standing that disappears when he is supine. Which one of the following is the most likely diagnosis?
A. Intermittent testicular torsion.
B. Spermatocyte.
C. Hydrocele.
D. Cryptorchidism.
E. Varicocele.
答案：E
解題說明：
A varicocele is a dilatation of the pampiniform plexus that presents with a "bag of worms" appearance, worsens with standing, and improves when lying down. It is most common on the left side due to anatomical drainage differences.
Toronto Notes 2023 - Urology, Scrotal Disorders:
"Varicoceles often present with a dull, aching pain and scrotal swelling that worsens when upright and disappears when supine." MCCQE1 Objectives - Internal Medicine > Urology:
"Candidates must recognize and diagnose varicocele by physical exam findings and typical symptom history." Cryptorchidism (A) refers to undescended testes. Torsion (B) presents acutely with severe pain. Hydrocele (C) transilluminates and is not posture-dependent. "Spermatocyte" (D) is not a clinical diagnosis.
問題 #77
A 59-year-old woman is referred to you because of a 2-month history of left nipple discharge. She is otherwise healthy and is not on any medication. There are no palpable lesions on breast examination. She is able to express a small amount of blood-tinged liquid from her breast. Which one of the following would be the best next step?
A. Mammography.
B. Galactography.
C. Serum prolactin.
D. Magnetic resonance imaging of breast.
E. Biopsy of nipple complex.
答案：A
解題說明：
Spontaneous, unilateral, blood-tinged nipple discharge in a postmenopausal woman is considered pathologic and warrants imaging to rule out intraductal pathology including malignancy. The best initial test is diagnostic mammography, often with ultrasound if indicated.
Toronto Notes 2023 - Breast Disorders:
"Unilateral, spontaneous, bloody nipple discharge should be evaluated with mammography and targeted ultrasound. Further tests such as MRI or duct excision are based on findings." MCCQE1 Objectives (Gynecology > 81-1: Breast Conditions):
"Candidates must recognize red flags for breast malignancy and apply appropriate initial diagnostic imaging." Serum prolactin (C) is indicated in galactorrhea. Galactography (D) and MRI (E) are second-line. Biopsy (A) is premature without imaging.
問題 #78
A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Asidefrom a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?
A. Acromegaly
B. Type 2 diabetes
C. Chronic obstructive pulmonary disease
D. Cushing disease
E. Sleep apnea
答案：B
解題說明：
Clozapine and quetiapine are associated with significant weight gain and increased risk of type 2 diabetes.
With a BMI of 32 and weight gain over the past year, screening for diabetes is appropriate and evidence- based.
Toronto Notes 2023 - Endocrinology, Diabetes & Psychiatry Sections:
"Second-generation antipsychotics such as clozapine increase the risk of metabolic syndrome and type 2 diabetes. Regular screening is recommended for patients with these risk factors." MCCQE1 Objectives - Internal Medicine > Endocrinology:
"Candidates should screen high-risk individuals, especially those on antipsychotics with weight gain, for diabetes using fasting glucose or HbA1c." While sleep apnea (C) is also possible, diabetes screening is the most appropriate and urgent next step in this patient. COPD (A) would present with respiratory symptoms. Cushing's (B) and acromegaly (E) are less common and have other distinct features.
問題 #79
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自我修復雲中的故障單會在幾秒鐘或幾分鐘內自動打開和關閉，只要壹想到殿下不務正業的當什麽大夫，就覺得牙都疼了起來，到時，您可以直接通過我們的網站進行購買，或者與我們的客服人員聯系，我相信很多顧客在選擇MCCQE題庫時最注重的肯定是通過率，如果一份題庫的通過率都不高的話，就算它再優質也是沒有用的，因為它並不實用而而我們公司的這套Medical Council of Canada MCCQE題庫在實用的基礎上還擁有著相當高的品質，使用過這套MCCQE題庫之後，有高達98％的顧客都快速的通過了MCCQE考試。 最真實的MCCQE認證考試資料這個考試可以幫助你實現你自己的願望，因此，MCCQE KaoGuTi的考古題也在一直更新，它可以保證每個使用過它的人都順利通過考試。