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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physician Activities | 50% | - Professional Behaviours - Communication - Management - Psychosocial Aspects |
| Topic 2: Dimensions of Care | 50% | - Health Promotion and Illness Prevention - Acute Care - Assessment and Diagnosis - Chronic Care |
1. A 26-year-old woman, gravida 3, para 2, presents for her 1st antenatal visit. She states she is at 26 weeks ' gestation and is healthy. On abdominal examination, her fundus is palpated at the umbilicus. Which one of the following is the most likely explanation for this finding?
A) Oligohydramnios
B) Bicornuate uterus
C) Partial hydatidiform mole
D) Intrauterine growth restriction
E) Dating error
2. A 3-month-old girl is brought by her parents to the emergency department with a 3-day history of cough, coryza, and low-grade fever; she was previously well. In the last 24 hours, she has been noted to have rapid breathing with audible wheezing. Which one of the following pathogens is the most likely cause of the patient' s symptoms?
A) Human parainfluenzavirus 3.
B) Chlamydia trachomatis.
C) Influenzavirus A.
D) Human respiratory syncytial virus.
E) Human metapneumovirus.
3. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?
A) The board of the hospital or health region where the physician wants to practise
B) The provincial or territorial Ministry of Health
C) The provincial or territorial medical licensing authority
D) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
E) The provincial or territorial medical association
4. A 17-year-old boy is brought by his 2 roommates to the emergency department (ED) after a party where he had been drinking and smoking cannabis. He reportedly was having a good time when he suddenly wanted to jump out of a window. His roommates describe him as "normal prior to a breakup with his girlfriend a week ago." He has since become anxious and unable to sleep. On examination, he is somnolent and appears intoxicated. Which one of the following is the most appropriate initial management?
A) Call the patient's parents to take him home.
B) Arrange for an involuntary admission to psychiatry.
C) Prescribe chlordiazepoxide and start an intravenous line.
D) Observe the patient in the ED for several hours.
5. A 69-year-old woman with long-standing hypertension presents to the emergency department with a 2-hour history of persistent chest and back pain. A posteroanterior chest radiograph shows suspicious widening of the mediastinal shadow. Which one of the following is most likely to yield a clinical diagnosis?
A) Computed tomography of the chest
B) Electrocardiography
C) Pulmonary angiography
D) Ventilation-perfusion lung scan
E) Transthoracic echocardiography
Solutions:
| Question # 1 Answer: E | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A |
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