Medical Council of Canada MCCQE : 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. An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

A) Set the room temperature to 28°C.
B) Perform a peritoneal lavage.
C) Apply heating pads to extremities.
D) Start continuous arteriovenous rewarming.
E) Continuous warm bladder irrigation.

2. A 24-year-old woman has had several episodes of left lower lobe pneumonia. She has a chronic productive cough with occasional blood-streaked sputum. Physical examination is normal except for rales at the left base.
Chest radiograph shows a linear infiltrate in this area. Which one of the following is the most likely diagnosis?

A) Mitral stenosis
B) Chronic bronchitis
C) Pulmonary tuberculosis
D) Pulmonary infarction
E) Bronchiectasis

3. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Topical estrogen
B) Vaginal hysterectomy
C) Urology consultation
D) No impact sports
E) Pelvic-floor physiotherapy

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

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

Solutions: