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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An 84-year-old woman is brought by ambulance to the emergency department after she was found by a neighbour. She had fallen, sustained a hip fracture, and was unable to move for the past 2 days. After starting rehydration, she reports hip pain and numbness and tingling in both her legs. Physical examination reveals faint pulses in both legs and severely swollen lower legs that are painful to palpation. The urine in the Foley catheter bag seems to be darker than normal. Which one of the following is the best next step?

A) Myoglobin urine test.
B) Bilateral Doppler ultrasonography of the legs.
C) Compartment pressure measurements of the lower legs.
D) Surgical fixation of the patient ' s hip fracture.
E) Bilateral angiography of the lower legs.

2. While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?

A) Myelodysplasia.
B) Thalassemia.
C) Anemia of chronic disease.
D) Leukemia.
E) Iron deficiency anemia.

3. A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?

A) Rigid sigmoidoscopy
B) Colonoscopy
C) Carcinoembryonic antigen
D) Computed tomographic colonography
E) Fecal immunochemical test (FIT)

4. You are called to attend an 18-year-old woman, gravida 2, para 1, aborta 0, who is in precipitous labour. She did not realize she was pregnant and has not had any prenatal care. After the delivery, you examine the newborn boy; he is vigorous, and it appears that he was born at full term. Physical examination findings of the newborn are normal. Review of the prenatal record from the mother ' s last pregnancy shows the following:
HIV: Negative
Hepatitis B surface antibody: Positive
Hepatitis C: Negative
Syphilis serology: Negative
The mother ' s previous child was placed in foster care. The mother is withdrawn and uncommunicative after delivery. Which one of the following is the best next step?

A) Initiate feeding with donor breast milk
B) Administer hepatitis B vaccine to the newborn
C) Collect urine from the newborn for a drug screen
D) Recommend immediate skin-to-skin care

5. A 45-year-old man presents to the office and reports difficulty understanding conversations that happen in a noisy environment. Ear examination findings are normal. You request audiography, from which results show bilateral high-frequency sensorineural hearing loss with a notch at 4000 Hz. Which one of the following is the most likely cause of this patient's hearing loss?

A) Working in the construction sector for the past 20 years.
B) Having had frequent ear infections during childhood.
C) Attending a firing range to practise shooting before each hunting season.
D) Having a hereditary condition.
E) Having type 2 diabetes for 10 years.

Solutions: