Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 40-year-old woman presents to your clinic for follow-up regarding her major depressive disorder, which is being treated with the starting dosage of escitalopram. Most of her symptoms have now improved. However, she has noted anorgasmia since taking this medication. This has significantly affected her relationship with her wife. Which one of the following is the best next step?

A. Increase the patient ' s dosage of escitalopram
B. Add bupropion
C. Maintain the current medication
D. Switch escitalopram to venlafaxine

Question 2

During an office visit, your 14-year-old patient requests a prescription for oral contraceptives. The province where you are working does not have a statutory age of consent. Which one of the following is the best next step?

A. Determine her understanding of the medical issues before prescribing the pills.
B. Advise her to return with her parents so that legal consent can be obtained.
C. Refuse to prescribe the pills because she is less than 18 years of age.
D. Give her the prescription and book a follow-up appointment.
E. Notify child protective services because of the possibility of sexual abuse.

Question 3

You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A. Thyroid function testing
B. Fasting lipid profile
C. No investigations
D. Hemoglobin A1c
E. Morning serum cortisol

Question 4

A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A. Poor urinary stream
B. Macroscopic hematuria
C. Crying during micturition
D. Malodorous urine
E. Recent circumcision

Question 5

A 12-year-old boy is brought to the Emergency Department with a 2-week history of a limp with malaise, fever and left leg pain. On examination, he looks sick, has a temperature of 38.5°C and is able to weight-bear.
His hip examination reveals mildly decreased range of motion. Radiographs of the hip and femur show mild sclerosis of proximal femoral metaphysis. His C-reactive protein level is 15 mg/L ( < 8). Which one of the following is the most likely diagnosis?

A. Legg-Calve-Perthes disease.
B. Stable slipped capital femoral epiphysis.
C. Osteomyelitis.
D. Transient synovitis.
E. Undisplaced fracture of the proximal femur.

Solutions: