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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A. Bismuth sulfate.
B. Metoclopramide.
C. Omeprazole.
D. Loperamide.
E. Calcium carbonate.

Question 2

A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks ' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:
BP: 121/78 mm Hg
HR: 90 bpm
Temp: 38°C
Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.
Which one of the following is the best next investigation?

A. Computed tomography of the head
B. Fetal ultrasonography
C. Urine protein to creatinine ratio
D. Lumbar puncture
E. Amniocentesis with culture

Question 3

A 70-year-old woman consults you for progressive vision problems. She describes seeing haloes at night around street lights and having double vision. Her near vision has improved. Which one of the following is an ophthalmologic examination most likely to uncover?

A. Increased intra-ocular pressure.
B. Retinal exudates.
C. Kayser-Fleischer ring.
D. Arcus senilis.
E. Altered red reflex.

Question 4

An 88-year-old man is admitted to hospital with an upper gastrointestinal bleed. He is confused on admission, but his sensorium clears with resuscitation and stabilization. The patient lives in his own home with assistance from his children. Work-up shows metastatic gastric carcinoma for which no curative treatment can be offered. The family insists that the patient not be told the diagnosis because they fear he will have a "mental breakdown." Which one of the following is the best next step?

A. Ask the patient if he wants to know the diagnosis.
B. Consult palliative care.
C. Accept the family's request and do not tell the patient the diagnosis.
D. Be direct and tell the patient the diagnosis.

Question 5

An 8-year-old boy is brought to the Emergency Department because he is experiencing sudden respiratory distress. You suspect that he has a spontaneous tension pneumothorax. On physical examination, which one of the following best supports this diagnosis?

A. Inspiratory stridor.
B. Abdominal distension.
C. Tracheal deviation.
D. Bilateral wheezing.
E. Ecchymoses on the chest.

Solutions: