Medical Council of Canada MCCQE Part 1 : MCCQE Exam Questions

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain.
Her vital signs are as follows:
Heart rate: 94/min
Blood pressure: 130/80 mm Hg
Temperature: 37.3 °C
A non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associated hydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?

A. Provide reassurance
B. Prescribe antibiotics
C. Refer for urology consultation
D. Administer an alpha blocker
E. Increase intravenous fluids

Question 2

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

Question 3

A mother brings her previously healthy 4-month-old girl for evaluation due to fussiness for 3 weeks. The infant becomes irritable and cries with occasional body arching 1-2 hours after feeding, frequently spits up after feeds, has developed feeding aversion, and shows slowing weight gain. She has been on cow ' s milk- based formula since birth. Stools are normal, and physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A. Peptic ulcer.
B. Gastroesophageal reflux disease.
C. Intermittent intussusception.
D. Celiac disease.
E. Hypertrophic pyloric stenosis.

Question 4

A 15-year-old boy is brought to your office because of concerns about his breast development. He has no other symptoms. His physical examination does not reveal any other abnormality. Which one of the following is the best next step?

A. Perform serum estrogen level
B. Perform serum prolactin level
C. Reassure the patient
D. Order adrenal ultrasound
E. Order cranial magnetic resonance imaging

Question 5

A 6-year-old boy is brought to the Emergency Department with a 2-day history of a limp. On examination, he looks well, has a temperature of 38 °C and is able to weight-bear. His hip examination reveals mild decreased range of motion. Radiographs of his hip and pelvis show no abnormality. His C-reactive protein level is 8 mg
/L ( < 6). Which one of the following is the most likely diagnosis?

A. Trochanteric bursitis
B. Septic arthritis
C. Osteomyelitis
D. Transient synovitis
E. Juvenile rheumatoid arthritis

Solutions: