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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?

A) Retropharyngeal abscess.
B) Croup.
C) Laryngomalacia.
D) Airway foreign body.
E) Acute viral bronchiolitis.

2. A 78-year-old man, who is accompanied by his eldest son, presents for follow-up of his chronic kidney disease and neurocognitive disorder due to vascular disease. He is married and has 4 children. His creatinine clearance has slowly deteriorated over the last few years and has reached the stage where you are considering starting renal replacement therapy. After your discussion, it is clear that the patient, his son, and his wife want to start dialysis. Based on your assessment, it is clear that he does not understand the information you have relayed to him. You inform the patient that you believe he is incapable of making this decision and he agrees.
His son would prefer not to start dialysis as he is concerned about the impact this would have on his father's quality of life. Which one of the following is the best next step?

A) Determine if the patient has a substitute decision-maker.
B) Follow the son's wishes to decline dialysis.
C) Schedule a follow-up visit with his wife and 4 children to review this decision.
D) Call the patient's wife as she is, by law, his substitute decision-maker.
E) Advise the patient against starting dialysis.

3. A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

A) Aspiration of the popliteal mass.
B) Arthrocentesis.
C) Computed tomography.
D) Ultrasound.
E) Arthroscopy.

4. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

A) Open-angle glaucoma.
B) Cataracts.
C) Diabetic retinopathy.
D) Age-related macular degeneration.
E) Retinal vein occlusion.

5. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Remind the patient that they are responsible for calling for outstanding test results.
B) Review your clinic ' s filing procedures and make any needed improvements.
C) Send a letter of complaint to the radiology department for not sending a report.
D) Reassure the patient that this is a rare occurrence in your clinic.

Solutions: