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 20-year-old nulligravid woman presents with severe pain during menstruation. She is unable to take nonsteroidal anti-inflammatory drugs (NSAIDs) and is adamant about not taking any hormonal therapy. She has questions about non-medicinal therapeutic options. Which one of the following recommendations is the most appropriate?

A) Laparoscopic uterine nerve ablation (LUNA)
B) Progesterone-releasing intrauterine device
C) High-frequency transcutaneous electrical nerve stimulation (TENS)
D) Spinal manipulation
E) Massage therapy

2. You are asked to see a 50-year-old man 2 hours after he underwent a laparotomy for gastric resection. Lab results are as follows:
pH
7.28 (7.35-7.45)
PaCO#
60 mm Hg (35-40)
PaO#
60 mm Hg (85-105) with 4 L/min via nasal prongs
Bicarbonate (HCO#)
24 mmol/L (24-30)
Which one of the following is most consistent with this clinical presentation?

A) Normal recovery from an inhalation anesthetic
B) Metabolic acidosis
C) Respiratory insufficiency
D) Compensatory respiratory alkalosis
E) Postoperative hypermetabolic period

3. An 8-year-old boy is brought to the Emergency Department because he is experiencing sudden respiratory distress. You suspect that he has a spontaneous tension pneumothorax. On physical examination, which one of the following best supports this diagnosis?

A) Abdominal distension.
B) Ecchymoses on the chest.
C) Inspiratory stridor.
D) Bilateral wheezing.
E) Tracheal deviation.

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

5. You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

A) A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min
B) A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation
C) A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%
D) A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
E) A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination

Solutions: