Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The clinical severity of the patient's pulmonary disease.
B) The patient has family members who rely on them for income.
C) The date the patient was placed on the waiting list.
D) Whether the underlying condition is due to self-induced illness.
E) The patient's value and contributions to society.

2. A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?

A) Consult gastroenterology
B) Advise increased caloric intake
C) Ask permission to discuss the patient's weight
D) Refer the patient to the emergency department

3. A 48-year-old woman presents with a 2-year history of regular, heavy menstrual flow. She has a BMI of 54, poorly controlled type 2 diabetes, and obstructive sleep apnea. Laboratory results are as follows:
Hemoglobin: 82 g/L (123-157)
Ferritin: 6 µg/L (11-307)
Endometrial biopsy: Absence of hyperplasia or malignancy
Transvaginal ultrasound:
* Uterus: 12 cm × 8.2 cm × 6 cm
* Intramural fibroids
* Endometrial thickness: 14 mm
* Ovaries: Normal
Which one of the following is the best next step?

A) Cyclic medroxyprogesterone
B) Continuous combined oral contraception
C) Hysterectomy
D) Levonorgestrel-releasing intrauterine system

4. You have just completed a well-baby check on a 6-month-old in the office where you have recently begun to practice. You ask the registered nurse to give the immunizations. She refuses, saying this is not within her scope of practice. Which one of the following is the best next step?

A) Give the immunizations yourself and then discuss the matter with the nurse later.
B) Contact the provincial/territorial nursing regulatory body to make a complaint about her.
C) Recognize your error in making the request and refrain from asking again.
D) Offer to be present while she gives the immunizations so that she will be supervised.
E) Insist that she give the immunizations as she should be competent to do so.

5. A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A) Fesoterodine.
B) Nitrofurantoin.
C) Empagliflozin.
D) Hydrochlorothiazide.
E) Tamsulosin.

Solutions: