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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 25-year-old man presents to the Emergency Department with diffuse abdominal pain and anorexia. He was tackled in a football game yesterday. He reports a 3-week history of sore throat and fatigue. Vital signs are as follows:
Blood pressure: 95/45 mm Hg
Heart rate: 96/min
Temperature: 37.6°C
Which one of the following is the most likely diagnosis?

A) Pneumonia
B) Ruptured duodenum
C) Ruptured spleen
D) Appendicitis
E) Pyelonephritis

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

3. A 78-year-old woman is brought to the Emergency Department by her son because she has a sodium level of
124 mmol/L (136-146). The sodium was checked as part of a blood work panel ordered by her primary health care provider to investigate symptoms of urinary frequency, fatigue, and thirst. Today, she has a blood glucose level of 44.0 mmol/L (4.0-11.0). The original blood work done by her primary health care provider did not include glucose. The patient is treated for hyperglycemia and dehydration and begins insulin. The patient and her son repeatedly express their frustration that their primary health care provider missed the diagnosis. Which one of the following is the best next step?

A) Empathize with the patient and her son and agree that the health care provider did not meet the standard of care
B) Offer to find an alternate health care provider to assume the patient's primary care
C) Call the primary health care provider to alert them to their oversight
D) Report the primary health care provider to the provincial or territorial medical regulatory authority
E) Explain that routine glucose screening was not indicated

4. A 24-year-old man is brought to the Emergency Department by ambulance with a severe pelvic fracture from a motor vehicle collision. After resuscitation and stabilization, he is noted to have a bloody penile discharge.
Which one of the following is the best next step?

A) Sonography of penis.
B) Transrectal ultrasound.
C) Retrograde urethrography.
D) Voiding cystography.
E) Foley catheter and continuous bladder irrigation.

5. You are counselling the wife of a 75-year-old man admitted under your care after a fall. The patient is confused, disoriented, barely sleeps at night and has complex visual hallucinations of animals running through his room. Given his state, which one of the following is the best advice for the wife?

A) She should tell him that she will not come back to visit him if he remains aggressive
B) She should visit him as little as possible since this can lead to heightened agitation
C) She should avoid giving him information since he is unable to understand
D) She should not take it personally if he says hurtful things
E) She should confront him with the fact that what he sees and feels is not real

Solutions: