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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 79-year-old woman is brought by a long-term care (LTC) facility staff member to your clinic with concerning behaviours. On history, she was admitted to an LTC facility 6 months ago with vascular dementia.
Three days ago, she became very aggressive towards her caregivers. There is no clear pattern to her aggression. Some staff members report that she is quieter than usual, whereas others report that she is agitated, talks to herself, and picks at her clothes. On examination, she appears very confused. She does not finish her answers and seems to "drift off" during conversation. Which one of the following is the most likely diagnosis?

A) Major depressive disorder.
B) Lewy body dementia.
C) Delirium.
D) Worsening of the patient's vascular dementia.
E) Late-onset delusional disorder.

2. A new patient, a 19-year-old man, presents to your office with low back pain. He has a history of opioid dependence and is now on a methadone maintenance treatment program. He is requesting opiate analgesics.
After examination, you decide not to prescribe opiates for pain control. The patient gets upset and threatens to file a complaint with your licensing authority. Which one of the following is the best next step?

A) Call the police to have the patient removed from the office.
B) Prescribe a small amount of oral opiate.
C) Direct him to his methadone management program.
D) Send him for a lumbar spinal radiography.
E) Give a single opiate injection.

3. A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A) Empagliflozin.
B) Nitrofurantoin.
C) Fesoterodine.
D) Tamsulosin.
E) Hydrochlorothiazide.

4. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Prescribe a low-fat diet for the son
B) Reassure the mother as children do not have elevated lipid levels
C) Prescribe a weight-lifting exercise program for her son
D) Send the son for a lipid profile test
E) Request a serum homocysteine and hemoglobin A1c

5. A 25-year-old woman presents to the Emergency Department with a 2-hour history of pelvic pain associated with no other symptoms. The first day of her last menstrual period was 14 days ago. On examination, her vital signs are as follows:
Blood pressure
108/72 mm Hg
Heart rate
110/min
Temperature
37 °C
Abdominal examination reveals rebound tenderness and guarding. Pelvic examination reveals exquisite left adnexal tenderness. Which one of the following is the most likely diagnosis?

A) Hemorrhagic ovarian cyst
B) Adenomyosis
C) Endometriosis
D) Appendicitis
E) Diverticulitis

Solutions: