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:

Question 1

A 70-year-old man presents with severe, postprandial, mid-abdominal pain which has become more severe over the past 6 to 9 months. It is associated with nausea but has not caused him to vomit or changed his bowel habits. He has lost 14 kg over the last 6 months. Abdominal and rectal examination is normal. Upper gastrointestinal series is unremarkable. Which one of the following is the most likely diagnosis?

A. Mesenteric ischemia
B. Cholelithiasis
C. Carcinoma of colon
D. Peptic ulcer disease
E. Mesenteric adenitis

Question 2

A 4-year-old boy is brought by his parents to your walk-in clinic with a 3-week history of fatigue, bruising, and intermittent fever. He was previously healthy. Physical examination reveals hepatosplenomegaly and petechiae. His complete blood count shows the following:
Platelet count, blood: 15.0 × 10#/L (206.4-443.3)
White blood cell (WBC) count, blood: 1.0 × 10#/L (4.7-13.5)
Hemoglobin (Hgb), blood: 70 g/L (105-135)
Which one of the following is the most likely diagnosis?

A. Iron deficiency anemia.
B. Viral illness.
C. Acute lymphoblastic leukemia.
D. Immune thrombocytopenia.
E. Bacterial sepsis.

Question 3

A 51-year-old man comes to your clinic for follow-up regarding his type 1 diabetes. His hemoglobin A1c is
12.5% (normal 4-6%). He has never had such high blood sugar results. He drinks 2 beers per night to help with sleep. He is not well rested because he has been sleeping on a friend's couch since losing his job last year. Which one of the following is the best next step?

A. Send him for thyroid function testing.
B. Ensure that he has the finances to adequately monitor his diabetes.
C. Ask him to create a food journal and refer him to a dietitian.
D. Prescribe an antidepressant to improve his energy and motivation.

Question 4

A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?

A. Colonoscopy
B. Rigid sigmoidoscopy
C. Carcinoembryonic antigen
D. Fecal immunochemical test (FIT)
E. Computed tomographic colonography

Question 5

A 71-year-old man with stable chronic low back pain on hydromorphone (8 mg twice daily) presents upset, requesting an early refill. He reports his granddaughter has been stealing his medication and pressuring him for refills. Which one of the following is the best next step?

A. Begin tapering the hydromorphone.
B. Call the police and report the patient's granddaughter.
C. Increase the dispensed quantity of the patient's hydromorphone.
D. Provide an early refill of hydromorphone.
E. Arrange for daily dispensing of hydromorphone.

Solutions: