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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

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

Question 2

You are seeing a 78-year-old man for follow-up of metastatic cholangiocarcinoma diagnosed 8 months ago and currently being treated with thermotherapy. He has just completed his 2nd cycle and reports frequently feeling hopeless, worthless, and helpless, with no sense of a positive future. He states he is turning away invitations to socialize with family and friends. He feels like sleeping all the time and reports no appetite.
Which one of the following is the most likely diagnosis?

A. Normal grief reaction
B. Side effects of chemotherapy
C. Brain metastasis
D. Major depressive episode
E. Hepatic encephalopathy

Question 3

A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?

A. Start lorazepam
B. Arrange for an urgent laryngoscopy
C. Provide reassurance
D. Begin dantrolene
E. Change the haloperidol to quetiapine

Question 4

A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?

A. Croup.
B. Laryngomalacia.
C. Acute viral bronchiolitis.
D. Airway foreign body.
E. Retropharyngeal abscess.

Question 5

A 25-year-old woman, gravida 1, para 1, aborta 0, gave birth to a newborn who is hypotonic with a large protruding tongue and brachycephaly. The newborn has a single palmar crease bilaterally and short, broad hands with a curved fifth digit. These features best support a clinical diagnosis of which one of the following?

A. Prader-Willi syndrome.
B. Congenital hypothyroidism.
C. Fetal alcohol syndrome.
D. Trisomy 21.
E. Turner syndrome.

Solutions: