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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 15-year-old boy is brought to the office by his father because he is having headaches. When alone, the boy appears withdrawn and admits to suicidal ideation. He shares that he is gay but does not want to tell his parents. He says that he faked the headaches so that one of his parents would make an appointment for him.
Which one of the following is the best next step?

A) Encourage the patient to disclose his sexual orientation to his parents.
B) Start an antidepressant medication.
C) Refer the patient for an immediate mental health assessment.
D) Suggest that the patient join a group at school for peer support.

2. A 70-year-old man presents with severe, postprandial, mid-abdominal pain which has become more severe over the past 6 to 9 months. It is associated with nausea but has not caused him to vomit or changed his bowel habits. He has lost 14 kg over the last 6 months. Abdominal and rectal examination is normal. Upper gastrointestinal series is unremarkable. Which one of the following is the most likely diagnosis?

A) Carcinoma of colon
B) Cholelithiasis
C) Peptic ulcer disease
D) Mesenteric ischemia
E) Mesenteric adenitis

3. A 34-year-old man presents to your office with a 2-week history of headaches and double vision when he looks to the right. On physical examination, you note that he is unable to gaze laterally with his right eye.
Which one of the following cranial nerves is most likely affected?

A) Oculomotor.
B) Trochlear.
C) Optic.
D) Abducens.
E) Trigeminal.

4. A 39-year-old woman, gravida 2, para 1, aborta 0, presents with concerns that a friend has recently suffered from postpartum psychosis. She wonders if she is likely to suffer this disorder following delivery of her 2nd child. Which one of the following is most likely to increase your patient ' s risk?

A) A family history of bipolar disorder
B) Advanced maternal age
C) Being a multigravida
D) A history of panic disorder

5. A 16-year-old boy presents to the emergency department with a 12-hour history of fever and rigors. He has sickle cell anemia. On examination, his vital signs include the following:
Heart rate
110/min (60-100)
Respiratory rate
20/min (12-18)
Temperature
38.8 °C, oral (36.5-37.5)
Which one of the following places this patient at risk for sepsis?

A) Chronic anemia
B) Systemic iron overload
C) Neutrophil dysfunction
D) Functional asplenia
E) Immunoglobulin deficiency

Solutions: