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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 31-year-old man presents with nocturnal non-exertional chest pain. During an exercise stress test, he does not experience chest pain, and there are no significant ST segment changes on the electrocardiogram. He achieves 17 metabolic equivalent of task (MET), a blood pressure of 190/96 mm Hg (resting blood pressure of
130/80 mm Hg), and a maximum heart rate of 162/min (85% of age-predicted maximum). Which one of the following is the most appropriate next step?

A) Offer reassurance
B) Prescribe acetylsalicylic acid and metoprolol
C) Schedule cardiac catheterization
D) Advise against vigorous exercise
E) Prescribe hydrochlorothiazide

2. A 25-year-old woman presents to the Emergency Department with a 2-hour history of pelvic pain associated with no other symptoms. The first day of her last menstrual period was 14 days ago. On examination, her vital signs are as follows:
Blood pressure
108/72 mm Hg
Heart rate
110/min
Temperature
37 °C
Abdominal examination reveals rebound tenderness and guarding. Pelvic examination reveals exquisite left adnexal tenderness. Which one of the following is the most likely diagnosis?

A) Adenomyosis
B) Diverticulitis
C) Appendicitis
D) Endometriosis
E) Hemorrhagic ovarian cyst

3. A 56-year-old woman comes to your office because she has not been herself since her husband died in a car crash 6 weeks ago. She has no prior psychiatric history. Her son is concerned because she cries frequently, has a poor appetite, rarely leaves home and is distraught. Her sadness fluctuates and increases when she thinks of her husband. She often thinks about death, and she wishes she could join her deceased husband. Which one of the following is the best next step?

A) Refer to a social worker.
B) Admit to day hospital.
C) Offer reassurance.
D) Arrange for family systems therapy.

4. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Fasting lipid profile
B) Hemoglobin A1c
C) No investigations
D) Morning serum cortisol
E) Thyroid function testing

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

Solutions: