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. A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?

A) Undisplaced fracture of the distal radius.
B) Fracture of the carpal scaphoid.
C) Subluxation of the lunate bone.
D) de Quervain tenosynovitis.

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

3. A 77-year-old woman is brought to the Emergency Department by ambulance because she has severe heel ulcers and dehydration. Her husband reports that she has been sick for the past 6 to 8 weeks with a cough and congestion. He shares that he has tried to bring her to medical attention on several occasions, but she refused.
The paramedics reported that her bed at home was soiled and that they could hardly reach her room due to clutter. On questioning, her answers seem reasonable. Which one of the following is the most critical next step?

A) Find out whether the husband has a criminal record
B) Assess the patient's decision-making ability
C) Obtain pictures to confirm the state of their house
D) Determine whether the patient has alcohol or substance use disorder
E) Assess the risk of financial abuse by her husband

4. A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour.
Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother's efforts to calm him. During these episodes, he appears agitated and flushed. After 15-20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A) Nocturnal seizures.
B) Temper tantrums.
C) Non-rapid eye movement sleep arousal disorder.
D) Nightmare disorder.
E) Panic disorder.

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

Solutions: