Medical Council of Canada MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A previously healthy 7-year-old boy presents to the Emergency Department with a generalized tonic-clonic seizure, which subsided spontaneously after 10 minutes. There is no history of trauma. Physical examination reveals normal vital signs and a normal neurologic examination. Which one of the following diagnostic studies is urgently indicated?

A) Serum electrolytes.
B) Lumbar puncture.
C) Magnetic resonance imaging of the head.
D) Electroencephalography.
E) Computed tomography of the head.

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

3. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?

A) Atelectasis
B) Pulmonary embolism.
C) Septic pelvic thrombophlebitis.
D) Bowel trauma during the operation.
E) Wound infection.

4. A 79-year-old woman presents to the Emergency Department with sudden-onset severe chest and back pain that started 1 hour ago. She has a history of hypertension and looks unwell. Her vital signs are as follows:
blood pressure 168/108 mm Hg, heart rate 110/min, respiratory rate 22/min, temperature 36.7°C. Findings of a physical examination of the chest and abdomen are normal. An urgent computed tomography (CT) scan of the chest and abdomen shows an aortic dissection extending from the descending thoracic aorta to the upper abdominal aorta. The branches of the abdominal aorta are patent. Following initial resuscitation, which one of the following is the best next step?

A) Conduct open repair of the thoracic and abdominal aorta.
B) Start intravenous heparin.
C) Perform endovascular repair of the thoracic and abdominal aorta.
D) Initiate intravenous labetalol.
E) Admit the patient to the Intensive Care Unit and repeat CT in 6 hours.

5. A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

A) Record his directives in the chart.
B) Ask permission to learn more about his distress in a subsequent appointment.
C) Advise him to reconsider his decision and to allow the examination to proceed.

Solutions: