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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A previously healthy 7-year-old boy presents to the Emergency Department with a generalized tonic-clonic seizure, which subsided spontaneously after 10 minutes. There is no history of trauma. Physical examination reveals normal vital signs and a normal neurologic examination. Which one of the following diagnostic studies is urgently indicated?

A) Lumbar puncture.
B) Electroencephalography.
C) Computed tomography of the head.
D) Magnetic resonance imaging of the head.
E) Serum electrolytes.

2. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) #-Blocker
B) Treadmill exercise test
C) Holter monitoring
D) Echocardiogram

3. A 56-year-old woman presents to your office with a 9-month history of intolerable sweating, palpitations, and periodic anxiety. Her last period was 12 months ago. She continues to have regular Papanicolaou testing with no worrisome pathology. She is otherwise healthy. Which one of the following is the most effective treatment for these symptoms?

A) Antidepressant agent
B) Regular exercise, weight loss and smoking cessation
C) Low-dose clonidine
D) Evening primrose oil
E) Estrogen in combination with progesterone

4. A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A) Repeat computed tomography in 6 months
B) Plan partial nephrectomy
C) Arrange magnetic resonance imaging of the abdomen
D) Refer to radiation oncology
E) Organize angiographic ablation of the renal mass

5. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
B) Call the ENT consultant on call to discuss your dilemma.
C) Ask another family physician to see the daughter due to a conflict of interest.
D) Decline to send her daughter for consultation and explain your decision.
E) Explain that there is no indication for the surgery but refer her daughter for consultation.

Solutions: