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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 10-year-old girl is brought to the Emergency Department by her mother because her daughter is crying and says she " can't pee. " Her daughter fell on the monkey bars at school earlier that day. On examination, there is a large vulvar bruise anteriorly. Which one of the following is the best next step?

A) Arrange a retrograde outpatient arthrography.
B) Order complete blood count and coagulation studies.
C) Ask the mother to leave the room and ask the patient if someone abused her.
D) Discharge the patient home to do sitz baths.
E) Consult gynecology if bladder catheterization is difficult.

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

3. A 55-year-old woman presents to the office with a 2-month history of right shoulder pain and limited function that started after she began an upper body weight training program. Examination shows tenderness inferior to the acromion. She has full passive range of motion of the shoulder but significant pain with abduction from
30° to 120° of arc. Which one of the following is the best next step?

A) Ultrasonography.
B) Arthrography.
C) Arthroscopy.
D) Computed tomography.

4. A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Aside from a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

A) Type 2 diabetes
B) Acromegaly
C) Chronic obstructive pulmonary disease
D) Cushing disease
E) Sleep apnea

5. A 40-year-old woman presents with a 3-month history of discharge from her right nipple. The discharge was initially milky white, but over the last 2 weeks, the patient has noted blood stains on her bra. There is mild discomfort in the same breast around the time of menses periods. On physical examination, the upper outer quadrant of the breast is tender, but there are no palpable lumps. You are able to express fluid from the nipple which is in fact blood-tinged. Which one of the following is the most likely diagnosis?

A) Staphylococcal infection.
B) Mammary duct ectasia.
C) Ductal carcinoma in situ.
D) Intraductal papilloma.
E) Paget disease.

Solutions: