TDM Examination multiple-choice and short-menu questions
Get familiar with the multiple-choice and short-menu question types you will see on the TDM Examination.
The Therapeutics Decision-Making (TDM) Examination consists of both multiple-choice questions (MCQs) and short-menu questions (SMQs). It features a total of 55 cases, with approximately 110 to 140 MCQs and SMQs distributed across two sections. The number of questions per case varies and each section contains approximately 55 to 70 questions, including pilot questions (also called pre-test items). The standard maximum time allotted for each section is one hour and 30 minutes.
SMQs are similar to MCQs, in that for both types of questions, you will be presented with a list of options to choose from, ranging from 3 to 25. For MCQs, you will be asked to select only one correct answer from the list of options presented. For SMQs, the list of options will include one or more correct answers, and you will be asked to select one or up to a specified number of answers. You will not be asked to type any answer.
The MCQs and SMQs are presented in two sections. You may navigate freely between all questions within a section. You can flag questions and return to those questions at any point during each section. Visual elements like an electrocardiogram, growth chart, patient image, radiograph, or other diagnostic visuals may be included into the content to enhance the complexity and authenticity of the patient scenario within the case. If lab values are relevant, normal lab values will be included.
For each question, you will be asked to select the most appropriate therapeutic or management option(s) in the Canadian context based on the patient presentation or clinical scenario. To select an option, click on the text of that option. You can deselect an option by clicking on it a second time. You should read the questions carefully to determine how many answers should be selected. If a question asks for a specified number of answers (for example, “Select 3”) and fewer answers are selected, points will be given for the correct selected answer(s). There is no penalty for incorrect answers. Therefore, it is recommended that you answer every question to the best of your ability, even in instances where you may be uncertain.
You can submit a section when you have completed all the questions, are ready to submit, or when the allotted time expires. Once you have submitted a section, you cannot return to review or change your answers.
| Case |
| A 69-year-old man presents to your clinic with a 1-year history of gradual onset of tremor in his right hand. He reports a slowing of his movements and a decreased ability to smell. He reports no other neurologic deficits, nor any falls. He has not had any falls and is not taking any medications. On examination, he has a rest tremor and resistance to passive movement of his major joints. Magnetic resonance imaging of the brain is unremarkable. The patient reports that his “motor slowness” is interfering with his function. |
| Question 1 Which one of the following is the most appropriate medication to prescribe? Select 1 or select “None” if none is indicated. | |
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| Question 2 Before prescribing the medication in Question 1, which of the following are the most common adverse effects that should be discussed with the patient? Select 3 or select “None” if none apply. | |
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