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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 46-year-old woman presents with concerns because she has not had a period for the past 13 months. She has not had any hot flashes or night sweats, but she has noted some problems staying asleep for the past 6 months. She feels "foggy," which has made her work more difficult. She is in a same-sex relationship and has no pain with sexual activity. In discussing options with her, which one of the following is most appropriate?

A) Explain she is menopausal and her symptoms should resolve with time.
B) Initiate selective serotonin reuptake inhibitor therapy.
C) Arrange for pelvic ultrasound and endometrial biopsy.
D) Refer for investigations of possible sleep apnea.
E) Order serum estrogen and progesterone levels.

2. A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

A) Reassurance that this issue is common and transient.
B) Play therapy for adjustment issues.
C) Audiology assessment.
D) Cognitive behavior therapy.
E) Speech therapy.

3. A 4-year-old boy is brought by his parents to your walk-in clinic with a 3-week history of fatigue, bruising, and intermittent fever. He was previously healthy. Physical examination reveals hepatosplenomegaly and petechiae. His complete blood count shows the following:
Platelet count, blood: 15.0 × 10#/L (206.4-443.3)
White blood cell (WBC) count, blood: 1.0 × 10#/L (4.7-13.5)
Hemoglobin (Hgb), blood: 70 g/L (105-135)
Which one of the following is the most likely diagnosis?

A) Bacterial sepsis.
B) Viral illness.
C) Iron deficiency anemia.
D) Acute lymphoblastic leukemia.
E) Immune thrombocytopenia.

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

5. A 16-year-old girl is brought to the Emergency Department with a 12-hour history of worsening right lower quadrant abdominal pain and nausea. She is in no distress and vital signs are normal. Her abdomen is soft but locally tender in the right iliac fossa, and bowel sounds are active. White blood cell count is 7.6 × 10#/L (4-
10), C-reactive protein is 2.3 mg/L ( < 10) and serum beta human chorionic gonadotropin is undetectable.
Ultrasound reveals a small amount of fluid in the pelvis, and the appendix is not clearly apparent. Which one of the following is the best next management step?

A) Monitoring and reassessment in 12 hours.
B) Intravenous ceftriaxone and metronidazole.
C) Laparoscopic appendectomy.
D) Enhanced computed tomography scan of the abdomen and pelvis.
E) Serial radiography of the abdomen.

Solutions: