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最新的 MCCQE Part 1 MCCQE 免費考試真題:
1. A 42-year-old man presents to your clinic for follow-up regarding his anxiety. He lost his job 1 year ago.
Since then, he constantly thinks about what happened, trying to understand what went wrong and how he could fix it or prevent it in the future. He is unable to sleep because of this. He has become socially isolated and when he does see friends, he worries constantly that he may say something hurtful. He wishes he could get past what happened and find another job but feels consumed by the fear that he may offend someone in the future. On history, his symptoms did not respond to escitalopram, sertraline, fluvoxamine, or venlafaxine, all at maximum tolerated doses. Which one of the following medications is the most appropriate?
A) Paroxetine
B) Vortioxetine
C) Amitriptyline
D) Clomipramine
E) Quetiapine
2. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?
A) Refer the couple to an infectious disease specialist
B) Prescribe a prophylactic antiviral medication
C) Recommend ceasing conception until 3 months after the couple's return to Canada
D) Request serologic testing
E) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
3. A 39-year-old woman comes to the office for a periodic health examination. She reports that her father had a recent diagnosis of breast cancer (at age 62 years) and that a paternal aunt had ovarian cancer in her early 40s.
The results of mammography are normal. Which one of the following is the most appropriate recommendation for this patient?
A) Random fine-needle sampling of the breasts.
B) Genetic screening.
C) Annual mammography starting at age 50 years.
D) Prophylactic tamoxifen therapy.
E) Bilateral mastectomy.
4. A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?
A) Prescribing cannabis.
B) Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
C) Referring the patient to substance use and mental health support services.
D) Prescribing a short course of a short-acting opioid to be used only as needed.
E) Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.
5. A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?
A) Remark only on the new chest radiograph in your report
B) Comment on the previous chest radiograph and the new one in your report
C) Write a report only after communicating with your professional insurer
D) Prepare a report only after communicating with your department head
E) Create a report only after communicating with your medical regulatory authority
問題與答案:
問題 #1 答案: D | 問題 #2 答案: C | 問題 #3 答案: B | 問題 #4 答案: C | 問題 #5 答案: B |
90.207.18.* -
是的,你們的考試資料比我想象中的好,我已經通過了我的 MCCQE 考試。昨天,幸運的是大部分我考試中的問題都來自你們提供的題庫,真的很棒!