Strategies for the MCCQE Part II: Mastering the Clinical Skills Exam in CanadaThe one resource you absolutely need for the MCCQE Part II. Up to date with the MCC’s 2018 exam revisions. Prepare to ace the Medical Council of Canada’s clinical skills exam, the MCCQE Part II. This is the most complete study guide available. Strategies for the MCCQE Part II offers a strategic, efficient, and high-yield approach to the exam, covering every one of the clinical presentations listed by the MCC, and taking into account the likely scenarios you’ll encounter. Strategies breaks down each clinical presentation into three sections: - MCC particular objective(s): For each clinical presentation, Strategies outlines the focus set by the MCC. - MCC differential diagnosis with added evidence: Strategies unpacks the common causal conditions listed by the MCC for each clinical presentation. - Strategy for patient encounter: Strategies breaks down in detail the tasks most likely to be required during the patient encounter, including history taking, physical exam, investigations, and management. Strategies also helps you avoid common exam errors identified by the MCC: it alerts you when clinical presentations may involve emergency care, it models open-ended questions for history taking, it clarifies diagnostic goals for history taking and physical exams, and it offers tips for appropriate patient counselling. Strategies for the MCCQE Part II takes the stress out of studying by organizing the information you need to succeed on this crucial exam. |
Contents
88 Depressed mood | 379 |
89 Mania or hypomania | 383 |
90 Oral conditions | 387 |
91 Movement disorders and involuntary or tic disorders | 390 |
92 Abnormal heart sounds and murmurs | 396 |
93 Neck mass goiter thyroid disease | 400 |
94 Neonatal distress | 403 |
95 Numbness tingling altered sensation | 408 |
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| 66 | |
| 70 | |
| 75 | |
16 Hypertension disorders of pregnancy | 79 |
17Hypotension shock | 81 |
18 Breast masses and enlargement | 86 |
19 Breast discharge | 89 |
20 Burns | 91 |
21 Hypocalcemia | 94 |
22 Hypercalcemia | 98 |
23 Cardiac arrest | 102 |
24 Chest pain | 105 |
25 Bleeding bruising | 113 |
26 Prevention of venous thrombosis | 116 |
27 Adult constipation | 118 |
28 Pediatric constipation | 124 |
29 Contraception | 128 |
30 Cough | 132 |
31 Cyanosis hypoxia | 135 |
32 Limp in children | 139 |
33 Developmental delay | 142 |
34 Adults with developmental disabilities | 147 |
35 Acute diarrhea | 152 |
36 Chronic diarrhea | 155 |
37 Pediatric diarrhea | 161 |
38 Diplopia | 165 |
39 Dizziness vertigo | 169 |
40 Dying patient | 173 |
41 Dysphagia | 175 |
42 Dyspnea | 180 |
43 Ear pain | 185 |
44 Generalized edema | 189 |
45 Localized edema | 195 |
46 Eye redness | 198 |
47 Frailty in the elderly | 202 |
48 Failure to thrive infant child | 208 |
49 Falls | 213 |
50 Fatigue | 217 |
51 Ataxia gait | 223 |
52 Genetic concerns | 227 |
53 Congenital anomalies dysmorphic features | 232 |
54 Glucose abnormalities | 235 |
55 Diabetes mellitus | 239 |
56 Skin and integument conditions | 242 |
56A Skin rashes tumours and ulcers | 243 |
56B Nail presentations | 249 |
56C Hair presentations | 252 |
57 Headache | 257 |
58 Hearing loss | 261 |
59 Cerebrovascular accidentCVA and transient ischemic attack TIA | 265 |
60 Anemia | 269 |
61 Elevated hemoglobin | 276 |
62 Language and speech disorders | 278 |
63 Acidbase abnormalities hydrogen | 282 |
64 Infertility | 289 |
65 Fecal incontinence | 292 |
66 Incontinence urine adult | 295 |
67 Incontinence urine pediatric enuresis | 298 |
68 Erectile dysfunction | 300 |
69 Jaundice | 303 |
70 Neonatal jaundice | 308 |
71 Oligoarthralgia pain in 1 to 4 joints | 313 |
72 Polyarthralgia pain in more than 4 joints | 318 |
73 Nonarticular musculoskeletal pain | 322 |
74 Back pain and related symptoms eg sciatica | 327 |
75 Neck pain | 331 |
76 Abnormal serum lipids | 337 |
77 Abnormal liver function tests | 341 |
78 Lump or mass musculoskeletal | 345 |
79 Lymphadenopathy | 349 |
80 Mediastinal mass | 352 |
81 Amenorrhea oligomenorrhea | 355 |
82 Dysmenorrhea | 359 |
83 Premenstrual dysphoric disorder premenstrual syndrome | 361 |
84 Menopause | 363 |
85 Coma | 364 |
86 Delirium | 369 |
87 Major or mild neurocognitive disorders dementia | 373 |
96 Generalized pain disorders | 411 |
97 Central or peripheral neuropathic pain | 414 |
98 Palpitations | 418 |
99 Anxiety | 423 |
100 Crying or fussing child | 426 |
101 Hypotonic infant | 428 |
102 Pediatric respiratory distress | 433 |
103 Pelvic pain | 439 |
104 Periodic health encounter preventive health advice | 446 |
105 Newborn assessment | 449 |
106 Preoperative medical evaluation | 452 |
107 Immunization | 459 |
108 Personality disorders | 462 |
109 Pleural effusion | 466 |
110 Poisoning | 472 |
111 Hyperkalemia | 476 |
112 Hypokalemia | 479 |
113 Prenatal care | 481 |
114 Intrapartum and postpartum care | 484 |
115 Early pregnancy loss spontaneous abortion | 487 |
116 Preterm labour | 490 |
117 Uterine prolapse pelvic relaxation | 494 |
118 Proteinuria | 497 |
119 Pruritus | 501 |
120 Psychosis | 506 |
121 Acute kidney injury anuria or oliguria | 510 |
122 Chronic kidney injury | 514 |
123 Scrotal mass | 517 |
124 Scrotal pain | 520 |
125 Seizures or epilepsy | 522 |
126 Abnormal pubertal development | 527 |
127 Sexually concerned patient | 535 |
128 Urticaria angioedema | 539 |
129 Sleepwake disorders | 543 |
130 Hypernatremia | 546 |
131 Hyponatremia | 549 |
132 Sore throat and or rhinorrhea | 553 |
133 Abnormal stature | 555 |
134 Strabismus andor amblyopia | 559 |
135 Substancerelated or addictive condition | 562 |
136 Substance withdrawal | 568 |
137 Sudden infant death syndrome SIDS | 571 |
138 Brief resolved unexplained event BRUE | 573 |
139 Suicidal behaviour | 579 |
140 Syncope and presyncope | 581 |
141 Fever and hyperthermia | 586 |
142 Fever in the immune compromised host or recurrent fever | 591 |
143 Hypothermia | 594 |
144 Tinnitus | 596 |
145 Trauma | 599 |
146 Abdominal injuries | 602 |
147 Bone or joint injury | 604 |
148 Chest injuries | 606 |
149 Drowning near drowning | 608 |
150 Facial injuries | 610 |
151 Hand and or wrist injuries | 612 |
152 Head trauma brain death transplant donations | 615 |
153 Nerve injury | 617 |
154 Skin wounds | 618 |
155 Spinal trauma | 620 |
156 Urinary tract injuries | 622 |
157 Vascular injury | 624 |
158 Dysuria urinary frequency and urgency and or pyuria | 627 |
159 Polyuria and or polydipsia | 630 |
160 Urinary tract obstruction | 633 |
161 Vaginal bleeding excessive irregular abnormal | 637 |
162 Vaginal discharge vulvar pruritus | 644 |
163 Child abuse | 646 |
165 Adult abuse intimate partner abuse | 650 |
166 Acute visual disturbance or loss | 652 |
167 Chronic visual disturbance or loss | 656 |
168 Vomiting and or nausea | 659 |
169 Weakness not caused by cerebrovascular accident | 666 |
170 Weight gain obesity | 671 |
171 Weight loss eating disorders anorexia | 675 |
172 Intrauterine growth restriction IUGR | 680 |
173 Abnormalities of white blood cells | 684 |
174 Negligence | 687 |
175 Obsessivecompulsive OCD and related disorders | 689 |
Abbreviations | 693 |
Index of clinical presentations by disorder classification and medical discipline | 694 |
| 704 | |
| 731 | |
Common terms and phrases
abdominal pain abnormalities abuse acute added evidence alcohol and/or anemia assess asymptomatic bilirubin biopsy bleeding blood cancer cardiac celiac disease checklist chest pain chest x-ray child chronic common complete blood count condition e.g. cough creatinine CT scan decreased detect diabetes diagnosis with added diarrhea DISEASE Signs disorder e.g. drugs dysfunction edema elevated engage history exposure family history fatigue fever fluid glucose HbA1c headache hepatitis hypercalcemia hypertension hypotension hypothyroidism impaired infection inflammatory bowel disease injury kidney lesions Listen for evidence liver mass MCC differential diagnosis MCC particular objective muscle nausea neurological Obtain the patient’s onset open-ended questions patient encounter patient’s vital signs pelvic polyuria pregnancy proteinuria pulmonary renal respiratory Risk factors scenario seizures serum shortness of breath Signs and symptoms skin specific specified tasks Strategy for patient surgery syndrome tachycardia tachypnea tasks could engage tenderness tests trauma tumour ultrasound urinalysis urinary urine vital signs vomiting weight loss