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  2. MCCQE Part I (Canada) — Clinical Decision Making
  3. Surgery and Emergency Presentations
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MCCQE Part I (Canada) — Clinical Decision Making

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.

Medicine
PShared by Priya Nair
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Surgery and Emergency Presentations

Acute surgical abdomen, trauma primary survey and common emergency-department presentations.

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Content

74 total questions

MCQ: 18
Fill-in: 15
Flashcards: 21
Pair match: 20
Surgery and Emergency Presentations – Flashcards
Flashcards

Card #1

What are the steps of the ABCDE primary survey in trauma?

Card #2

Where does the pain of acute appendicitis classically migrate to?

Card #3

What is Murphy's sign and what does it suggest?

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Surgery and Emergency Presentations – MCQ
Multiple Choice Questions
  1. 1. A trauma patient has a distended neck, tracheal deviation, absent breath sounds on one side and hypotension. What is the immediate management?

    • Needle decompression of a tension pneumothorax
    • Urgent CT of the chest
    • Intravenous antibiotics
    • Pericardiocentesis
  2. 2. Migratory right-lower-quadrant pain, anorexia and low-grade fever in a young adult most suggests:

    • Acute appendicitis
    • Acute pancreatitis
    • Renal colic
    • Diverticulitis
  3. 3. In the ABCDE approach, controlling major external haemorrhage belongs to which step?

    • Circulation
    • Airway
    • Disability
    • Exposure
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Surgery and Emergency Presentations – Fill-in-the-blank
Fill in the Blank
  1. 1. The trauma primary survey follows the sequence airway, breathing, ___, disability and exposure.

    Answer:circulation
  2. 2. Arrest of inspiration on right-upper-quadrant palpation is called ___ sign and suggests cholecystitis.

    Answer:Murphy'salso: Murphy
  3. 3. Free air under the diaphragm on an erect film indicates perforation of a ___ viscus.

    Answer:hollow
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Surgery and Emergency Presentations – Pair match
Pair Match
McBurney's point↔Appendicitis
Murphy's sign↔Acute cholecystitis
Pulsatile abdominal mass↔Abdominal aortic aneurysm
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