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25 cardsMCCQE Part 1

MCCQE Part 1 Clinical Key Points

Short cards on emergency drugs, red-flag presentations, calculations and Canadian legal and ethical principles.

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First drug in anaphylaxis
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1
First drug in anaphylaxis
Intramuscular epinephrine into the anterolateral thigh.
2
Antidote for opioid overdose
Naloxone.
3
Antidote for acetaminophen overdose
N-acetylcysteine, guided by the four-hour level.
4
First treatment for hyperkalemia with ECG changes
Intravenous calcium gluconate, then insulin with glucose and salbutamol.
5
Unstable tachyarrhythmia
Synchronized electrical cardioversion.
6
Tension pneumothorax
Clinical diagnosis; immediate needle decompression, then chest tube.
7
Suspected bacterial meningitis
Cultures, empiric antibiotics and dexamethasone; do not wait for the lumbar puncture.
8
Giant cell arteritis
Start high-dose prednisone at once, then arrange biopsy.
9
Cauda equina syndrome
Urgent MRI and surgical decompression.
10
Testicular torsion
Emergency surgical exploration; do not delay for imaging.
11
Parkland formula
4 mL x kg x percent body surface burned; half in the first 8 hours.
12
Anion gap
Sodium minus chloride minus bicarbonate.
13
Severe preeclampsia seizure prevention
Magnesium sulfate; toxicity shows as lost reflexes, treat with calcium gluconate.
14
Painless third-trimester bleeding
Placenta previa; avoid digital vaginal examination.
15
Rh-negative mother
Anti-D immune globulin at about 28 weeks and after delivery.
16
Fever under 4 weeks of age
Full sepsis workup and empiric antibiotics.
17
Croup
Barking cough and stridor; dexamethasone.
18
Kawasaki disease
Fever 5 days or more with mucocutaneous signs; IVIG and aspirin.
19
Pyloric stenosis
Projectile non-bilious vomiting; hypochloremic hypokalemic alkalosis.
20
Anorexia nervosa refeeding
Watch for low phosphate.
21
Naegele's rule
First day of last period plus 7 days minus 3 months.
22
Number needed to treat
1 divided by the absolute risk reduction.
23
Positive likelihood ratio
Sensitivity divided by (1 minus specificity).
24
Canada Health Act criteria
Public administration, comprehensiveness, universality, portability, accessibility.
25
Capacity to consent
Adults are presumed capable; capacity is judged for each specific decision.

MCCQE Part 1 in Canada

In Canada, MCCQE Part 1 is part of: Medicine and nursing.

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