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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

A. Set the room temperature to 28°C.
B. Apply heating pads to extremities.
C. Perform a peritoneal lavage.
D. Continuous warm bladder irrigation.
E. Start continuous arteriovenous rewarming.

Question 2

An 80-year-old man is admitted to hospital with what turns out to be tuberculosis. The attending physician informs all staff at the hospital of the patient ' s identity and diagnosis. Which one of the following best describes privacy concerns in this situation?

A. The patient is not owed a right to privacy as he is a risk to others.
B. The patient must give consent before others are told of his illness.
C. Physicians ought only to reveal minimal patient-related information needed to protect others.
D. Physicians cannot be held liable if there is a breach of patient privacy.
E. Attending physicians may not disclose a patient ' s private health information to protect others.

Question 3

A 32-year-old woman presents to your outpatient clinic with concerns regarding a 6-month history of both a pulsatile buzzing sound in her ears and headaches. There is no history of hearing loss, vertigo, ear pain, or discharge from the ears. There is a long-standing history of prolonged exposure to occupational noise. She has a BMI of 32. Otoscopic examination is unremarkable, and there are no neck masses present. You determine that the buzzing sound is synchronous with her radial pulse. Which of the following investigations should be ordered next?

A. Magnetic resonance imaging of the brain
B. Audiogram
C. Electroencephalography
D. C-reactive protein

Question 4

A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?

A. Order a technetium 99m pertechnetate scan
B. Discharge with analgesics
C. Plan surgical exploration
D. Order ultrasonography of the scrotum
E. Observe for 24 hours and discharge if stable

Question 5

A 38-year-old woman presents with diffuse nodularity in the outer upper quadrant of her right breast. There is no obvious dominant mass, nipple discharge, or skin dimpling. There are no palpable lymph nodes. Which one of the following is the most likely diagnosis?

A. Mastitis
B. Fibrocystic change
C. Paget disease
D. Benign phyllodes tumour
E. Intraductal carcinoma

Solutions: