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32 cardsMCCQE Part 1

MCCQE Part I: Key Rules, Screening and Ethics

Thirty-two cards with the screening recommendations, ethics rules and clinical decisions that are most often tested in medical licensing examinations in Canada.

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Five principles of the Canada Health Act
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1
Five principles of the Canada Health Act
Public administration, comprehensiveness, universality, portability and accessibility.
2
Elements of valid informed consent
Capacity, voluntariness and adequate information about risks, benefits and alternatives.
3
Capacity
Adults are presumed capable; capacity is specific to each decision.
4
Mature minor
A young person who understands the nature and consequences of a treatment may consent to it.
5
Duty to report
Suspected child abuse must be reported to child protection services; proof is not required.
6
MAID eligibility
Capable adult, grievous and irremediable medical condition, informed and voluntary request.
7
Elements of negligence
Duty of care, breach of the standard of care, causation and damage.
8
Four principles of ethics
Autonomy, beneficence, non-maleficence and justice.
9
Disclosure of an adverse event
Tell the patient honestly and promptly; never alter the record.
10
TCPS 2
Canadian policy on the ethical conduct of research with humans, applied by Research Ethics Boards.
11
Cervical screening in Canada
Every three years for women aged 25 to 69.
12
Breast screening in Canada
Mammography every two to three years for women aged 50 to 74 at average risk.
13
Colorectal screening in Canada
FIT every two years for adults aged 50 to 74 at average risk.
14
Lung screening in Canada
Annual low-dose CT for adults aged 55 to 74 with a heavy smoking history.
15
AAA screening
One ultrasound for men aged 65 to 80 who have ever smoked.
16
MMR schedule
First dose at 12 months; second dose between 18 months and 6 years depending on the province.
17
Levels of prevention
Primary: before disease. Secondary: early detection. Tertiary: reducing the effects of established disease.
18
Sensitivity and specificity
Sensitivity: true positives / all with disease. Specificity: true negatives / all without disease.
19
NNT
1 / absolute risk reduction.
20
Case-control and cohort
Case-control: odds ratio. Cohort: relative risk.
21
Lead-time bias
Earlier detection makes survival look longer without changing the date of death.
22
STEMI treatment
Aspirin and prompt reperfusion with primary PCI.
23
Aortic dissection
Tearing chest pain radiating to the back; CT angiography.
24
Anaphylaxis
Intramuscular epinephrine first.
25
Sepsis
Broad-spectrum antibiotics within one hour and crystalloids.
26
Adrenal crisis
Intravenous hydrocortisone and fluids.
27
Giant cell arteritis
Start high-dose prednisone at once; temporal artery biopsy follows.
28
Heparin-induced thrombocytopenia
Stop heparin and start a non-heparin anticoagulant.
29
Pyloric stenosis
Projectile non-bilious vomiting at 2 to 8 weeks; palpable olive; surgery after correcting electrolytes.
30
Intussusception
Colicky pain and currant jelly stool at about 6 to 36 months; air enema.
31
Kawasaki disease
Fever of 5 days or more; treat with IVIG and aspirin to prevent coronary aneurysms.
32
Serotonin syndrome vs NMS
Serotonin syndrome: clonus and hyperreflexia. NMS: lead-pipe rigidity after dopamine antagonists.

MCCQE Part 1 in Canada

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

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