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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?

A) Advise increased caloric intake
B) Consult gastroenterology
C) Ask permission to discuss the patient's weight
D) Refer the patient to the emergency department

2. A 46-year-old woman presents to the emergency department with left-sided pleuritic chest pain that improves when she sits up and leans forward. Her medical history is unremarkable and she takes no medications.
Examination reveals a pericardial friction rub; the findings are otherwise normal. An electrocardiogram reveals diffuse ST segment elevation and PR interval depression. An echocardiogram reveals a small pericardial effusion. Which one of the following is the most appropriate treatment?

A) High-dose acetylsalicylic acid.
B) Metoprolol.
C) Pericardiocentesis.
D) Levofloxacin.
E) Apixaban.

3. A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?

A) Send for hepatobiliary iminodiacetic acid (HIDA) scan
B) Arrange for percutaneous cholecystostomy
C) Arrange for endoscopic retrograde cholangiopancreatography
D) Send for laparoscopic cholecystectomy
E) Broaden antibiotic therapy

4. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility after treatment for a hip fracture. He has a fever, headache, myalgia, and malaise. He has been in contact with LTC staff and family but not with other residents. None of the other residents or LTC staff are symptomatic. As additional investigations are being arranged, which one of the following is the best next step?

A) Inform public health authorities.
B) Close the LTC facility to new admissions.
C) Immunize the resident for influenza.
D) Isolate the affected resident.

5. You are examining a full-term baby girl in the nursery. You notice that her left forefoot is adducted and supinated relative to the contralateral foot, which makes her left foot appear C-shaped. Which one of the following findings is most instrumental in deciding on the management of this issue?

A) Significant hallux valgus
B) Cephalohematoma
C) Flexibility of the deformity
D) Internal tibial torsion
E) Syndactyly of 2nd and 3rd toes

Solutions: