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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour.
Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother's efforts to calm him. During these episodes, he appears agitated and flushed. After 15-20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A) Non-rapid eye movement sleep arousal disorder.
B) Nocturnal seizures.
C) Nightmare disorder.
D) Panic disorder.
E) Temper tantrums.

2. A 10-year-old boy and his mother present to your office with a concern about handwashing. The mother explains that her son has been at a new school for the past month and that teachers have noticed that he is washing his hands all day. He has also hidden hand sanitizer in his desk. The hand-cleaning is a response to a constant anxiety that his hands are dirty, and that he might pass an infection to someone. Which one of the following is the most appropriate initial management?

A) Risperidone 0.5 mg PO QHS.
B) Exposure and response prevention therapy.
C) Fluoxetine 20 mg PO OD.
D) Return to his previous school.
E) Recommendation of a teaching assistant.

3. A 71-year-old man with stable chronic low back pain on hydromorphone (8 mg twice daily) presents upset, requesting an early refill. He reports his granddaughter has been stealing his medication and pressuring him for refills. Which one of the following is the best next step?

A) Begin tapering the hydromorphone.
B) Provide an early refill of hydromorphone.
C) Call the police and report the patient's granddaughter.
D) Increase the dispensed quantity of the patient's hydromorphone.
E) Arrange for daily dispensing of hydromorphone.

4. A 72-year-old woman presents with swelling of her right leg that developed overnight. She had an abdominal hysterectomy 10 days ago. On examination, there is pitting edema of the leg that extends from the foot to the groin. The calf is 3 cm larger in diameter than the calf on the left leg. Which one of the following is the most likely diagnosis?

A) Iliofemoral vein thrombosis.
B) Phlegmasia cerulea dolens.
C) Inadvertent ligation of the iliac vein.
D) Superficial thrombophlebitis.
E) Angioedema of the leg.

5. 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) Insert an intra-aortic balloon pump.
B) Immediate surgical repair.
C) Begin anticoagulation with heparin.
D) Start thrombolytic therapy.
E) Begin intravenous beta-blocker therapy.

Solutions: