Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 14-year-old girl, accompanied by her mother, presents to your office with a 3-month history of feeling " dizzy. " After you take an initial history, which one of the following is the most appropriate next step?

A) Perform a detailed cardiac and neurological examination
B) Do a bedside glucometer reading
C) Order a urine pregnancy test
D) Interview the girl without the mother present
E) Obtain growth parameters and vital signs

2. A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?

A) Referring the patient to substance use and mental health support services.
B) Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.
C) Prescribing cannabis.
D) Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
E) Prescribing a short course of a short-acting opioid to be used only as needed.

3. A 10-day-old boy is brought to the Emergency Department with a fever. The newborn looks well. Other than a rectal temperature of 38.6 °C, findings of the physical examination are unremarkable. When you list all the recommended testing their baby will have to undergo, the parents become upset at all the testing their baby will have to undergo. Which one of the following is the best approach?

A) Proceed with testing and address the parents ' concerns afterwards.
B) Encourage the parents not to be present during the procedures.
C) Advise the parents that their child will not remember painful procedures.
D) Reassure the parents that their child will be given an appropriate analgesic.
E) Inform the parents that child protection services may be contacted if they refuse care.

4. A 35-year-old maintenance worker presents to your office because he thinks he has been exposed to asbestos and is afraid of developing asbestosis. He has no respiratory symptoms and is a non-smoker. Which one of the following is the best next step?

A) Refer him to a respirologist.
B) Provide reassurance, since he is asymptomatic.
C) Order pulmonary function testing.
D) Order a chest radiograph.
E) Ask him further about his work.

5. A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students.
Which one of the following is the most effective intervention?

A) Organization of clinics to rapidly treat suspected cases with antivirals.
B) Exclusion of clinical cases from the school and workplace.
C) Closing of the community's post-secondary institution.
D) Administration of immunoglobulin to contacts.
E) Exclusion of contacts from the school and workplace before symptoms develop.

Solutions: