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| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Leader (Manager)
|
1. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?
A) No prevention is required as this condition is not contagious.
B) Avoid direct contact with oral secretions.
C) Treat the 7-year-old with antibiotics.
D) Provide prophylactic antiviral agents for the siblings.
E) Immunize the younger siblings with varicella vaccine.
2. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?
A) Investigate the patient ' s need for financial assistance.
B) Define the extent of the patient ' s gambling disorder.
C) Screen for recreational drug and alcohol use.
D) Evaluate for depression.
E) Determine the risk of violence to the patient and her child.
3. You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital
3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?
A) Explore the reasons for the patient ' s request for MAID.
B) Inform the patient that she will need parental consent to be assessed for MAID.
C) Suggest a trial of home dialysis.
D) Refer the patient to a psychiatrist.
E) Explain to the patient that she is not terminally ill.
4. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?
A) Prescribe a low-fat diet for the son
B) Reassure the mother as children do not have elevated lipid levels
C) Send the son for a lipid profile test
D) Prescribe a weight-lifting exercise program for her son
E) Request a serum homocysteine and hemoglobin A1c
5. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?
A) Ensure that all visitors are immunized.
B) Order symptomatic LTC staff to stay home.
C) Enforce mandatory influenza vaccination for LTC staff.
D) Ask all visitors to wear a mask.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: E | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |
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