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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 69-year-old man presents with a 4-day history of a painful right knee. On history, he denies any trauma or similar previous episodes. Examination reveals effusion of the right knee that is warm to the touch. Which one of the following is the best next step?

A. Nonsteroidal anti-inflammatory drugs
B. Intravenous antibiotics
C. Serum uric acid level
D. Right knee radiography
E. Joint aspiration

Question 2

A mother brings her previously healthy 4-month-old girl for evaluation due to fussiness for 3 weeks. The infant becomes irritable and cries with occasional body arching 1-2 hours after feeding, frequently spits up after feeds, has developed feeding aversion, and shows slowing weight gain. She has been on cow ' s milk- based formula since birth. Stools are normal, and physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A. Hypertrophic pyloric stenosis.
B. Celiac disease.
C. Intermittent intussusception.
D. Peptic ulcer.
E. Gastroesophageal reflux disease.

Question 3

A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

A. Calcium channel blocker
B. Cox-2 inhibitor
C. Angiotensin II receptor blocker
D. Alpha-blocker
E. Nitrates

Question 4

You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?

A. Ask your colleague to handle media inquiries
B. Send your colleague to the affected area to evaluate the health risks involved
C. Send your colleague to set up an emergency type O blood bank collecting unit
D. Ask your colleague to help triage incoming patients in the emergency department

Question 5

The parents of a 12-year-old boy present to your clinic to discuss their son's submersion injury. The patient was seen in hospital for 6 months after being pulled unresponsive from a lake at his friend's house; he had been submerged for an estimated 20 minutes. After extended resuscitation and a 2-month stay in the intensive care unit, he remains in a persistent vegetative state but needs no respiratory or cardiac support. When evaluating the discharge from hospital, which one of the following is most appropriate?

A. Advocate for home care support so that the parents can care for their son safely at home
B. Plan for a progressive return to school with a home caregiver
C. Organize scheduled readmissions to hospital to provide the family with respite care
D. Continue intensive rehabilitation in the acute care hospital for the best chance of recovery
E. Recommend placement in a palliative care facility

Solutions: