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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

A) Record his directives in the chart.
B) Advise him to reconsider his decision and to allow the examination to proceed.
C) Ask permission to learn more about his distress in a subsequent appointment.

2. A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?

A) Acute viral bronchiolitis.
B) Airway foreign body.
C) Croup.
D) Retropharyngeal abscess.
E) Laryngomalacia.

3. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Bipolar II disorder.
B) Klinefelter syndrome.
C) Antisocial personality disorder.
D) Borderline personality disorder.
E) Narcissistic personality disorder.

4. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Ventricular septal defect
B) Essential hypertension
C) Aortic coarctation
D) Reflux nephropathy
E) Renal artery thrombosis

5. A 27-year-old woman presents with an enlarged thyroid. She had not noticed it herself until her mother brought it to her attention. She is asymptomatic from an endocrine perspective, and her serum thyroid- stimulating hormone (TSH) is normal.
Which one of the following is the most appropriate next step?

A) Fine-needle aspiration of the thyroid
B) Serum calcium
C) Serum T3 and T4
D) Ultrasound of the thyroid
E) Computed tomography of the neck

Solutions: