Medical Council of Canada MCCQE Valid Test : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?

A) Chest radiography.
B) Abdominal radiography.
C) Endoscopic retrograde cholangiography.
D) Ultrasound of abdomen.
E) Cholescintigraphy (HIDA scan).

2. A 72-year-old man presents to your office with reports of a hard lump slowly enlarging in the right inguinal area. He is otherwise healthy. Which one of the following is most likely to reveal the cause of his lump?

A) Examination of the testicles.
B) Digital rectal examination.
C) Palpation of the liver.
D) Palpation of the spleen.
E) Sexual history.

3. A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A) Omeprazole.
B) Calcium carbonate.
C) Metoclopramide.
D) Loperamide.
E) Bismuth sulfate.

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

5. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

A) Age-related macular degeneration.
B) Retinal vein occlusion.
C) Diabetic retinopathy.
D) Cataracts.
E) Open-angle glaucoma.

Solutions: