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| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Scholar
|
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) Amitriptyline
B) Paroxetine
C) Vortioxetine
D) Quetiapine
E) Clomipramine
2. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?
A) Treat the 7-year-old with antibiotics.
B) No prevention is required as this condition is not contagious.
C) Avoid direct contact with oral secretions.
D) Immunize the younger siblings with varicella vaccine.
E) Provide prophylactic antiviral agents for the siblings.
3. When updating the firmware on an NVLink switch transceiver, how can an engineer apply new firmware without interrupting the network?
A) nv action reboot system to force immediate activation.
B) Physically disconnect and reconnect the transceiver.
C) flint -d -lid 27 --linkx --linkx_auto_update --activate
D) mlxfwreset -d -lid 27 reset --yes to reset the transceiver
4. A 12-year-old boy is brought to the Emergency Department with a 2-week history of a limp with malaise, fever and left leg pain. On examination, he looks sick, has a temperature of 38.5°C and is able to weight-bear.
His hip examination reveals mildly decreased range of motion. Radiographs of the hip and femur show mild sclerosis of proximal femoral metaphysis. His C-reactive protein level is 15 mg/L ( < 8). Which one of the following is the most likely diagnosis?
A) Legg-Calve-Perthes disease.
B) Osteomyelitis.
C) Stable slipped capital femoral epiphysis.
D) Transient synovitis.
E) Undisplaced fracture of the proximal femur.
5. A 26-year-old man presents with pain, numbness, and weakness in his right upper extremity. He works as a computer programmer, and his BMI is 32. Symptoms have worsened since he started spending more time on the keyboard. He reports that his right hand feels clumsier while he is typing. Physical examination reveals mild weakness in the intrinsic muscles of that hand, with a positive Tinel sign at the ulnar nerve. Which one of the following is the best next step?
A) Nerve conduction studies to localize the level of the lesion.
B) Wrist splint to test for carpal tunnel.
C) Elbow extension brace for use during sleep.
D) Physiotherapy.
E) Magnetic resonance imaging of the cervical spine.
Solutions:
| Question # 1 Answer: E | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A |
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