Clinical decision-making review for candidates sitting the Medical Council of Canada Qualifying Examination Part I, organised across the MCC clinical domains and the CanMEDS roles.
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Core internal-medicine presentations across the cardiovascular, respiratory and endocrine systems.
39 total questions
Card #1
What ECG change is most specific for acute transmural (ST-elevation) myocardial infarction?
Card #2
Which class of drug is first-line to reduce mortality in heart failure with reduced ejection fraction?
Card #3
What is the classic triad of symptoms in aortic stenosis?
1. A patient presents with crushing central chest pain, diaphoresis and ST elevation in leads II, III and aVF. Which coronary territory is most likely involved?
2. Which finding best distinguishes a transudative from an exudative pleural effusion?
3. A young woman has weight loss, heat intolerance, tremor and a diffuse goitre with a bruit. What is the most likely diagnosis?
1. The first-line oral agent for most patients newly diagnosed with type 2 diabetes is ___.
Hint: A biguanide
2. In heart failure with reduced ejection fraction, ___ inhibitors improve survival and are a cornerstone of therapy.
Hint: Angiotensin-converting enzyme
3. The reversible airflow obstruction that responds to bronchodilators is characteristic of ___ rather than COPD.
