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 mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Prescribe a low-fat diet for the son
B) Send the son for a lipid profile test
C) Reassure the mother as children do not have elevated lipid levels
D) Prescribe a weight-lifting exercise program for her son
E) Request a serum homocysteine and hemoglobin A1c

2. A 35-year-old woman, gravida 3, para 0, aborta 3, presents with her male partner because she has been unable to conceive despite trying for more than 1 year. Her menstrual cycles have been absent for 9 months, and she has occasional mild cyclic pain. She has a medical history of 3 suction curettages. Her BMI is 24.
Investigation results are as follows:
Hysterosalpingogram: Obliterated uterine cavity, no tubal dye spill
Progesterone (midluteal): 48.0 nmol/L (16.4-59.0)
Partner ' s semen: All parameters normal
Which one of the following is the most likely diagnosis?

A) Polycystic ovary syndrome
B) Intrauterine synechiae
C) Fibroids
D) Hypothalamic insufficiency
E) Perimenopause

3. A 3-year-old boy is brought to the office because he has progressive weight gain and short stature. He has marked truncal obesity, hypertrichosis of the upper lip, and facial swelling. Which one of the following is a physical examination most likely to reveal?

A) Cafe-au-lait spots
B) Acanthosis
C) Hepatomegaly
D) Thyroid goiter
E) Hypertension

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

5. A 56-year-old woman is admitted to hospital with gastrointestinal bleeding. Her hemoglobin level is low and the physician who saw her in the Emergency Department has recommended a blood transfusion. You attend her on the unit and tell her that a blood transfusion will help her feel better. Which one of the following is the best next step?

A) Give the patient a blood transfusion before her condition becomes unstable.
B) Review the patient's chart to see if she consented to transfusions in the past.
C) Discuss with the patient the potential risks and benefits of having a transfusion.
D) Ask a colleague to see the patient and make the same recommendation.
E) Withhold the transfusion to avoid any risk for liability.

Solutions: