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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?

A) Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
B) Discharge the patient, but ensure he signs an " Against Medical Advice " form.
C) Explain that his health is a priority and insist that he stay.
D) Change him to oral antibiotics, and finish his treatment as an outpatient.
E) Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.

2. A 56-year-old woman presents to your office with a 9-month history of intolerable sweating, palpitations, and periodic anxiety. Her last period was 12 months ago. She continues to have regular Papanicolaou testing with no worrisome pathology. She is otherwise healthy. Which one of the following is the most effective treatment for these symptoms?

A) Evening primrose oil
B) Regular exercise, weight loss and smoking cessation
C) Antidepressant agent
D) Estrogen in combination with progesterone
E) Low-dose clonidine

3. A 66-year-old woman suffering from a progressive neurological disease is admitted to a long-term care centre. Her husband does not wish to participate in discussions about the seriousness of his wife ' s disease and is convinced that she will soon come back home. During his 2nd visit to the centre, he gives you a cheque for a substantial sum made out to you, the treating physician, for your own research. Which one of the following is the best response to your patient ' s husband?

A) Suggest he donate to your medical group
B) Refer the husband to the centre ' s social worker
C) Inform him you would only be able to accept a smaller amount of money
D) Accept the money as a contribution to the long-term care centre ' s fundraising campaign
E) Decline to accept the cheque

4. A 42-year-old man presents for a follow-up visit for mild hypertension. His blood pressure has been consistently elevated over the last 2 visits. In discussion with the patient, you decide to initiate antihypertensives. He had previously been on ramipril and stopped when he developed tongue swelling. His past medical history consists of asthma and hyperlipidemia. Which one of the following is the most appropriate treatment at this time?

A) Hydralazine.
B) Enalapril.
C) Clonidine.
D) Hydrochlorothiazide.
E) Metoprolol.

5. A 70-year-old woman consults you for progressive vision problems. She describes seeing haloes at night around street lights and having double vision. Her near vision has improved. Which one of the following is an ophthalmologic examination most likely to uncover?

A) Altered red reflex.
B) Retinal exudates.
C) Kayser-Fleischer ring.
D) Arcus senilis.
E) Increased intra-ocular pressure.

Solutions: