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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dimensions of Care | 50% | - Acute Care - Chronic Care - Assessment and Diagnosis - Health Promotion and Illness Prevention |
| Topic 2: Physician Activities | 50% | - Communication - Psychosocial Aspects - Management - Professional Behaviours |
1. Following a potluck supper organized by the residency director of your training program, many of your fellow residents and other guests fall ill with gastroenteritis. Which one of the following is the best way to identify the source of this food-borne outbreak?
A) Perform a cohort study
B) Culture the stool of guests
C) Calculate food-specific attack rates
D) Perform a hazard analysis of critical control points
E) Culture leftover food samples
2. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?
A) Recommend ceasing conception until 3 months after the couple ' s return to Canada
B) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
C) Refer the couple to an infectious disease specialist
D) Prescribe a prophylactic antiviral medication
E) Request serologic testing
3. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?
A) Provide clinic information in the languages spoken by the community.
B) Include trauma disclosure on the clinic ' s intake form.
C) Evaluate how the staff enjoyed the teaching session.
D) Display the cultural safety certificate in the waiting room.
4. You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?
A) Send your colleague to the affected area to evaluate the health risks involved
B) Send your colleague to set up an emergency type O blood bank collecting unit
C) Ask your colleague to handle media inquiries
D) Ask your colleague to help triage incoming patients in the emergency department
5. A 59-year-old woman is referred to you because of a 2-month history of left nipple discharge. She is otherwise healthy and is not on any medication. There are no palpable lesions on breast examination. She is able to express a small amount of blood-tinged liquid from her breast. Which one of the following would be the best next step?
A) Mammography.
B) Magnetic resonance imaging of breast.
C) Galactography.
D) Biopsy of nipple complex.
E) Serum prolactin.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: A |
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