Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 59-year-old woman is referred to you because of a 2-month history of left nipple discharge. She is otherwise healthy and is not on any medication. There are no palpable lesions on breast examination. She is able to express a small amount of blood-tinged liquid from her breast. Which one of the following would be the best next step?

A) Biopsy of nipple complex.
B) Galactography.
C) Magnetic resonance imaging of breast.
D) Serum prolactin.
E) Mammography.

2. A 72-year-old man presents to your clinic with worsening lower leg edema. He has hypertension, type 2 diabetes, and a history of heavy drinking. On examination, he is pale and has a BMI of 35. Vital signs are as follows:
Blood pressure: 110/60 mm Hg
Heart rate: 102/min
Temperature: Afebrile
His jugular venous pressure is 4 cm above the sternal angle. Cardiac auscultation is normal, and his lungs are clear. His liver is not palpable; he has abdominal distension, bulging flanks, and pitting edema below the knees. While awaiting test results, which one of the following is the best next step?

A) Compression stockings
B) Nadolol
C) Sodium restriction
D) Lactulose
E) Ramipril

3. A 67-year-old woman presents with headaches, muscle weakness, pain in her shoulders and hips, weight loss, and depression. While also arranging appropriate investigations to confirm a diagnosis, which one of the following is the most important objective of treatment?

A) Improve the shoulder and hip pain.
B) Prevent headaches from worsening.
C) Prevent blindness.
D) Alleviate the depression.
E) Prevent jaw claudication.

4. A 42-year-old man presents to your office with acute left knee pain and difficulty walking. He denies any trauma. He reports 2 painful episodes involving his right great toe in the last year. He smokes half a pack of cigarettes a day and drinks at least 3 beers daily. He has a temperature of 38.2°C and has a red, swollen and warm left knee. Which one of the following is the best next step?

A) Start acetaminophen.
B) Order blood cultures.
C) Start indomethacin.
D) Aspirate the knee joint.
E) Order radiography of the knee.

5. A 45-year-old man with a developmental delay and a history of disruptive behavior presents to the clinic looking for his family doctor. He is well known to the clinic. He appears drunk and has accidentally broken 2 large beer bottles in the waiting room but remains calm. The office staff requests your help to deal with this situation. Which one of the following is the most appropriate initial step?

A) Call the police, given the patient ' s presentation.
B) Instruct the office staff to ignore him and let him calm down.
C) Call the social work crisis intervention team.
D) Tell the patient that his behavior is unacceptable and ask him to leave.
E) Assess the patient promptly.

Solutions: