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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 50-year-old man with prostate cancer, which is complicated by bony and cerebral metastases, presents to your office. He has a 24-hour history of increasing lower back pain and weakness in his legs. On examination, you note decreased knee and ankle reflexes on both sides. Earlier today he had fecal incontinence. Which one of the following is the best next step?

A) Stellate ganglion block.
B) Dose of parenteral steroids.
C) Consult to radiotherapy.
D) Consult to surgery.
E) Bed rest with subcutaneous analgesia.

2. While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?

A) Thalassemia.
B) Myelodysplasia.
C) Anemia of chronic disease.
D) Leukemia.
E) Iron deficiency anemia.

3. On screening for dyslipidemia, a 45-year-old man is found to have a low high-density lipoprotein (HDL) cholesterol level. Which one of the following recommendations is the most appropriate?

A) Vigorous exercise program.
B) Garlic supplementation.
C) Elimination of caffeine.
D) Low-salt diet.
E) Alcohol cessation.

4. A 29-year-old woman presents to the sexually transmitted infection clinic with concerns regarding a copious vaginal discharge. Ten percent potassium hydroxide was used to confirm the diagnosis of which one of the following?

A) Trichomonas vaginalis.
B) Bacterial vaginosis.
C) Chlamydia trachomatis.
D) Gonorrhea.
E) Group B streptococcus.

5. A 72-year-old man has had 4 episodes of weakness in her right arm and leg lasting 10 to 15 minutes each.
During 1 episode, she had difficulty speaking and had blurring of the vision in the left eye. Which one of the following is the most likely diagnosis?

A) Left intracerebral hemorrhage.
B) Occlusive disease of the left internal carotid artery.
C) Epilepsy.
D) Occlusive disease of the left vertebrobasilar system.
E) Thrombosis of the left middle cerebral artery.

Solutions: