Medical Council of Canada MCCQE - MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Generalized tenderness
B) Palpable spleen
C) Abdominal bruit
D) Shifting dullness
E) Renal mass

2. A 42-year-old woman, gravida 2, para 2, aborta 0, comes to the office for the first time. She reports a 6-month history of thirst, urinary frequency, and recurrent vaginitis. Aside from a BMI of 28, her physical examination findings are unremarkable. She takes no medications. Which one of the following would support the most likely diagnosis?

A) Family history of hypertension.
B) Delivery of a macrosomic newborn.
C) Dry eyes.
D) Recent antibiotic use.
E) High-risk sexual behaviours.

3. A 79-year-old woman presents to the Emergency Department with sudden-onset severe chest and back pain that started 1 hour ago. She has a history of hypertension and looks unwell. Her vital signs are as follows:
blood pressure 168/108 mm Hg, heart rate 110/min, respiratory rate 22/min, temperature 36.7°C. Findings of a physical examination of the chest and abdomen are normal. An urgent computed tomography (CT) scan of the chest and abdomen shows an aortic dissection extending from the descending thoracic aorta to the upper abdominal aorta. The branches of the abdominal aorta are patent. Following initial resuscitation, which one of the following is the best next step?

A) Perform endovascular repair of the thoracic and abdominal aorta.
B) Initiate intravenous labetalol.
C) Conduct open repair of the thoracic and abdominal aorta.
D) Admit the patient to the Intensive Care Unit and repeat CT in 6 hours.
E) Start intravenous heparin.

4. 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) Treat the 7-year-old with antibiotics.
B) Provide prophylactic antiviral agents for the siblings.
C) Immunize the younger siblings with varicella vaccine.
D) Avoid direct contact with oral secretions.
E) No prevention is required as this condition is not contagious.

5. A 54-year-old woman presents to your office to discuss breast cancer screening. She is asymptomatic with no history of breast cancer. She had a fibroadenoma removed when she was 24 years old. The patient is not on any medications. Her family history is significant for a great-aunt with breast cancer. The patient has not had genetic testing but had normal breast screening 2 years ago. Which one of the following is the best next step?

A) Monthly self-breast examination.
B) Positron emission tomography scan.
C) Mammography.
D) Reassurance.
E) Breast magnetic resonance imaging.

Solutions: