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Medical Council of Canada Qualifying Examination Part 1 Exam

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Medical Council of Canada Qualifying Examination Part 1 Exam Questions and Answers

Questions 1

You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

Options:

A.  

Avoid medications with anticholinergic potential

B.  

Refrain from prescribing opiate analgesics to treat postoperative pain

C.  

Screen the patient with the Mini-Mental Status Examination prior to surgery

D.  

Treat postsurgical insomnia with benzodiazepines

E.  

Keep family visits to a minimum to avoid postsurgical overstimulation

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