MCCQE I (PART 1) EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

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MCCQE I (PART 1) EXAM 2024/

WITH 100% ACCURATE SOLUTIONS

MCCQE I (PART 1) EXAM 2024/

WITH 100% ACCURATE SOLUTIONS

Pt is competent and agrees to a procedure but his proxy refuses, what do you do? - Precise Answer ✔✔ Do procedure, PT is competent and overrides the proxy CPSS (Canadian perinatal surveillance system) - Precise Answer ✔✔ Abuse during preggy results in poor fetal and maternal outcome Violence was measured on the basis of the conflicts tactics scale low birth weight and early birth Pt O/D on opiates, what should you set up before discharge? - Precise Answer ✔✔ Next day meeting with her own PCP MCC hearing loss in children? - Precise Answer ✔✔ Bacterial meningitis Lady with HTN on CCB, what side effect can she have? - Precise Answer ✔✔ Galactorrhea....PRL Referral to an audiologist in child when: - Precise Answer ✔✔ No babbling sound by 12 no rxn to sound by 3 months

ovary vs fat estrogen (aromatase) What receptor is a negative prognostic factor in breast Ca? - Precise Answer ✔✔ HER-2/neu ER is a positive prognostic factor Mild vs severe preecclampsia difference? - Precise Answer ✔✔ Severe has pulmonary edema, fetal growth restrictions, thrombocytopenia, headache, abd pain, visual changes (basically severe has Sx`s whereas mild is detected only by tests) What risk factors increase the risk of preeclampsia? - Precise Answer ✔✔ chronic HTN, twin gestation, maternal age 35+, obesity, AA ethnicity, socioeconomical status, nulliparity Cause of urinary incontinence in multiple sclerosis? Rx? - Precise Answer ✔✔ Detrusor muscle hyperactivity Give oxybutynin and bladder training Pt in accident with full bladder, urine seen in peritoneumÉ where was injury? - Precise Answer ✔✔ Dome or anterior wall of bladder (they are covered by peritoneum) 9-12 month old kid with fever then erythrematous maculopapular rash, 15% of them have febrile seizure,Dx? Rx? - Precise Answer ✔✔ Roseola infantum HHV-6/ 6th disease

Rx is supportive, no serious sequelae Conjunctivitis and coryzea with rash on face: - Precise Answer ✔✔ Measles-----Give VitA Possible rare complication? Subacute sclerosing panencephalitis What is erythrema infectiosum? - Precise Answer ✔✔ Fifth disease of slapped cheek appearance (ParvoB19) Also remember the school teacher with joint pains Aplastic crisis possible Moderate acute radiation dermatitis results form what? (itching skin rash and burning pain with sloughing off of epithelium and vesicle formation) How do you prevent it? How do you treat this? - Precise Answer ✔✔ Exposure of subdermal lymphatics Intensity modulate radiation therapy Gentle washing with soapy water BRCA 1 positive risk of ovarian and breast? - Precise Answer ✔✔ Breats Ca 65%, ovarian Ca 40% do total mastectomy and oophorectomy

How do you confirm the Dx of molluscum contagiosum if clinically uncertain? - Precise Answer ✔✔ Curette and histopathology Rx:usually reassure and wait Preterm labor what do you give (3)? - Precise Answer ✔✔ Tocolytics (CCB, indomethacin or Mag) Penicillin Glucocorticoids Most common cause of preterm labor? - Precise Answer ✔✔ idiopathic Name common side effects for Mag Sulfate used in preterm labor? - Precise Answer ✔✔ Respiratory depression cardiac arrest blurred vision flushing nausea headache HBV in mom, how do you treat her and kid? - Precise Answer ✔✔ HBIG for mom during pregnancy HBIG and vaccine at birth for child

Side effect of trimpethoprim (electrolyte)? - Precise Answer ✔✔ Hyperkalemia Elevated LDH is present in both PCP and histoplasmosis - Precise Answer ✔✔ PRophylaxis vs Rx for PCP? - Precise Answer ✔✔ Bactrim Why is acetohydroxamic acid useful in preventing proteus mirabilis reinfection? - Precise Answer ✔✔ Inhibits urease production and penetrates the cell wall (combine with dicloxacillin or levofloxacin) Treatment for struvite renal calculi? - Precise Answer ✔✔ Percutaneous nephrolithotomy What is the pentad of full blown TTP (thrombotic thrombocytopenic purpura)? - Precise Answer ✔✔ Thrombocytopenic purpura Hemolytic anemia (schistocytes) neurologic abnormalities fever renal impairement (hemoglobinuria and proteinuria) Treatment for TTP? - Precise Answer ✔✔ FFP and plasmapheresis

DOC for PTSD? - Precise Answer ✔✔ Paroxetine Pancreatitis: Grey Thurner sign and Cullens sign, ARDS - Precise Answer ✔✔ What is Gabexin Mesilate? It is a serine protease inhibitor that can be used in acute pancreatitis. Shows decreased risk of complications but has no effect on mortality Bactrim for pyelonephritis in Canada....NOT cipro - Precise Answer ✔✔ Complications for shunting in NPH? - Precise Answer ✔✔ Subdural hematoma, infection, shunt failure How do you diagnose NPH? - Precise Answer ✔✔ Improvement of patient gait and mental status following removal of some CSF via LP (within a few hours usually) What % body weight loss is required to see a therapeutical benefit?

• Precise Answer ✔✔ 5% Side effects of lithium? - Precise Answer ✔✔ hypothyroid (constipation, fatigue, hair loss, low reflexes), leukocytosis, diabetes insipidus, tremor, Ebstein's abnormality (tricuspid),

MCC croup? barking cough - Precise Answer ✔✔ Parainfluenza give steroids if stridor DOC for ALS? - Precise Answer ✔✔ Riluzole JONES criteria? - Precise Answer ✔✔ Joints heart nodules erythrema marginatum (flat wavy edges, usually short duration) Syndeham's chorea (CNS) antistreptolysin Ab and positive blood culture for GAS Rx? Pen VK x 10 days What do you do for maintenance therapy of recurrent depression? - Precise Answer ✔✔ Continue same dose and add psychotherapy What is colptitis macularis? - Precise Answer ✔✔ Strawberry cervix (trich)