A 42-year-old woman presents to your clinic requesting an increase in her stimulant dosage for...

Vendor: Medical Council of Canada
Product: MCCQE
Update on: Jul 22, 2025
Questions: 230

Medical Council of Canada MCCQE Question Answer

A 42-year-old woman presents to your clinic requesting an increase in her stimulant dosage for the treatment of her adult attention-deficit/hyperactivity disorder. Her medical history includes hypertension and type 1 diabetes with associated nephropathy. She has been taking methylphenidate daily for 15 years. Which one of the following would need to be addressed before the dosage can be increased?

Estimated glomerular filtration rate of less than 30 mL/min/1.73 m² (≥60).

Random glucose level that is often higher than 18.0 mmol/L (4.0–11.0).

Average home blood pressure reading of 150/80 mm Hg.