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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

You are called to the Emergency Department to see a 6-month-old boy with a 3-day history of fever. Physical examination reveals an irritable infant with a temperature of 38.1°C. His vital signs are:
Blood pressure: 87/50 mm Hg
Respiratory rate: 80/min
Heart rate: 140/min
Oxygen saturation: 92% on room air
The infant has no skin findings. On chest examination, you hear coarse crackles on the right side of the chest.
Which one of the following is the best next step in the management of this child?

A. Oral steroids.
B. Intravenous antibiotics.
C. Oral antibiotics.
D. Intravenous fluids.
E. Reassurance.

Question 2

A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A. Psychotic disorder secondary to traumatic brain injury
B. Bipolar I disorder
C. Malingering
D. Delirium
E. Brief psychotic disorder

Question 3

A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?

A. Median nerve compression.
B. Complex regional pain syndrome.
C. Unwillingness to return to school.
D. Unrecognized scaphoid fracture.
E. Ischemic contracture of forearm.

Question 4

A 60-year-old man presents because of a 6-month history of involuntary lip smacking and tongue movements.
His medical history is significant for schizophrenia, which has been very stable with haloperidol for the past
20 years. When educating the patient about these particular symptoms, which one of the following statements is accurate?

A. The symptoms will gradually decrease in intensity as he gets older
B. His condition is potentially irreversible
C. These movements occur in the majority of patients who are taking antipsychotics
D. Anticholinergics are effective treatments for this condition

Question 5

A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A. Refer to radiation oncology
B. Plan partial nephrectomy
C. Organize angiographic ablation of the renal mass
D. Repeat computed tomography in 6 months
E. Arrange magnetic resonance imaging of the abdomen

Solutions: