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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 3-year-old boy is brought to your office because his daycare teachers are concerned about his language development. His parents speak both English and French at home, and he can say around 15 words combined in both languages. His history reveals that he has minimal interest in playing with other children. Which one of the following is most appropriate?

A) Recommend use of one language at home.
B) Screen for autism spectrum disorder.
C) Reassure that no intervention is needed.
D) Evaluate for attention deficit hyperactivity disorder.
E) Refer to a pediatric neurologist.

2. You are caring for a 78-year-old man admitted to hospital for heart failure. On your rounds, he asks why he is not getting better. He has a history of heart failure, hypertension, and type 2 diabetes. He has an implantable cardioverter-defibrillator. This is his fourth admission in the past 6 months for acute decompensation of his heart failure. Between hospital admissions, he reports worsening shortness of breath and a progressive decline in function. Which one of the following is the next best step?

A) Advise the patient to have his defibrillator deactivated
B) Reassure the patient that his condition will improve with proper medication adherence
C) Explain the end-stage nature of the patient ' s illness

3. A 42-year-old woman presents with a 2-day history of a low-grade fever and a painful left breast mass. On examination, there is a fluctuant erythematous tender mass with surrounding induration in the left breast and enlarged lymph nodes in the left axilla. An ultrasound shows a loculated cystic mass. Which one of the following is the most likely diagnosis?

A) Ductal ectasia
B) Inflammatory breast cancer
C) Fibrocystic changes
D) Abscess
E) Fibroadenoma

4. A prepubertal 9-year-old girl with severe developmental disability is brought to your office by her parents.
They are seeing you to discuss some difficulties that might occur with puberty. They are afraid that menses will complicate hygiene care and they have heard of significant mood/behavioural changes in this population when menses occur. Which one of the following recommendations is the most appropriate?

A) Girls with developmental disability generally have chronic hypothalamic amenorrhea.
B) Extended progestin-only method should not be initiated until after the onset of menses.
C) Hysterectomy is the safest and most effective method to obtain menstrual suppression.
D) Hormonal menstrual suppression is likely to increase behavioural and mood changes.
E) Therapeutic amenorrhea with continuous combined oral contraceptive is contraindicated.

5. A 26-year-old man presents to the office with a tender mass in his right neck. He was recently treated for a dental infection but is otherwise well. On examination, there is a 2-cm tender, mobile lymph node in the right anterior cervical chain. No other lymphadenopathy or abnormalities are found on physical examination.
Which one of the following is the best next step?

A) Ultrasonography of the spleen
B) Bone marrow biopsy
C) Computed tomography of the neck
D) Lymph node biopsy
E) Follow-up in 8 weeks

Solutions: