Medical Council of Canada MCCQE

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he has had for several years. He reports a "crawling" sensation on his skin. He is concerned that this rash may be caused by a parasite he may have picked up while serving in the military overseas. On examination, you note multiple crusted lesions on his forearms, neck, chest, scalp, and thighs. There is a complete sparing of the skin on his back. He brought a bottle with fibrous material of different colours that he picked from his wounds. He is otherwise healthy and reports no other symptoms except some chronic fatigue and insomnia related to the itching. Which one of the following treatments is the most appropriate?

A) Doxycycline
B) Ivermectin
C) Butenafine
D) Fluconazole
E) Permethrin

2. A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man ' s lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

A) The man needs herpes simplex virus type-specific serology
B) The woman should take acyclovir throughout her pregnancy
C) The man should avoid performing oral sex during her pregnancy
D) The woman should have viral cultures of her cervix
E) The woman must have a cesarean delivery

3. A 33-year-old man with severe bacterial meningitis is intubated and unresponsive in the Intensive Care Unit.
If he receives immediate treatment, his prognosis is excellent. If he does not, he will likely die. Three years ago, the patient had Huntington disease diagnosed, but he has been asymptomatic since then. His advance directive, which was made before this hospitalization, states that he should be allowed to die if he contracts a life-threatening illness. His parents demand that he be treated for the meningitis. Which one of the following is the best next step?

A) Consult a second physician for an opinion on emergent treatment
B) Order an electroencephalography
C) Do not provide any treatment other than comfort measures
D) Initiate treatment, using the parents as substitute decision-makers
E) Ask for a current mental capacity assessment

4. You are working in a busy family practice. Your colleague ' s 48-year-old female patient presents with a 6- month history of fatigue and gastrointestinal symptoms. A recent colonoscopy was normal. Her chart indicates multiple investigations for similar symptoms over the past 2 years, all of which have been non- revealing. Your working diagnosis is somatic symptom disorder. Which one of the following is the most appropriate treatment?

A) Cognitive behavioral therapy
B) Risperidone 0.5 mg daily
C) Amitriptyline 10 mg at bedtime
D) Exposure and response prevention therapy
E) Citalopram 20 mg daily

5. A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

A) Chondromalacia patellae
B) Osteosarcoma
C) Osgood-Schlatter disease
D) Patellar tendinitis
E) Osteomyelitis

Solutions: