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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?

A. Colonoscopy
B. Computed tomographic colonography
C. Fecal immunochemical test (FIT)
D. Carcinoembryonic antigen
E. Rigid sigmoidoscopy

Question 2

A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend's birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

A. Intranasal
B. Intramuscular
C. Subcutaneous
D. Intravenous
E. Inhaled

Question 3

One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A. Review your clinic ' s filing procedures and make any needed improvements.
B. Send a letter of complaint to the radiology department for not sending a report.
C. Remind the patient that they are responsible for calling for outstanding test results.
D. Reassure the patient that this is a rare occurrence in your clinic.

Question 4

A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?

A. Implantation bleeding.
B. Molar pregnancy.
C. Tubal pregnancy.
D. Threatened abortion.
E. Incomplete abortion.

Question 5

A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

A. Ask permission to learn more about his distress in a subsequent appointment.
B. Advise him to reconsider his decision and to allow the examination to proceed.
C. Record his directives in the chart.

Solutions: