Medical Council of Canada MCCQE Exam : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Send the son for a lipid profile test
B) Prescribe a weight-lifting exercise program for her son
C) Reassure the mother as children do not have elevated lipid levels
D) Request a serum homocysteine and hemoglobin A1c
E) Prescribe a low-fat diet for the son

2. A 29-year-old concert pianist with severe chronic kidney disease presents with a 6-month history of loss of appetite and pruritus. Although the issue of initiating dialysis has been discussed with him and his questions answered, he has declined dialysis thus far. You understand his concerns that it will interfere with his concert tour and recording schedule. Which one of the following is the best next step?

A) Offer to arrange for him to meet patients in the peritoneal dialysis clinic.
B) Explore employment alternatives that would better accommodate the dialysis schedule.
C) Explain to him you will see him again when he decides to start dialysis.
D) Provide him access to his medical records and full chart.
E) Warn him of the consequences of refusing dialysis.

3. A 67-year-old farmer presents with a 6-month history of progressive weakness in both arms. He now has difficulty in climbing but says he can still drive his tractor. Examination shows slight but definite atrophy of muscles of pectoral girdle, especially over his scapula. Fasciculations are visible. There is hyperreflexia of most tendon reflexes of arms and legs, left ankle clonus and left Babinski reflex. Which one of the following is the most likely diagnosis?

A) Multiple sclerosis.
B) Cerebellar degeneration.
C) Astrocytoma of pons.
D) Parkinson disease.
E) Amyotrophic lateral sclerosis.

4. A 1-month-old breastfed baby is brought to your office by his parents for his well-baby check-up. He was born at 32 weeks' gestation. Growth parameters at birth revealed head circumference, weight and length at the
50th percentile. Today, his weight is at the 10th percentile. Which one of the following is the most appropriate plan of action?

A) Order a sweat chloride test.
B) Reassure the parents.
C) Supplement with formula feeding.
D) Observe the infant while feeding.
E) Obtain serology for celiac disease.

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

Solutions: