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Medical Council of Canada MCCQE Exam Overview:

Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. You are treating a 78-year-old man for recent onset of diarrhea, tenesmus, and minor bleeding when he wipes.
He has a history of prostate cancer that was treated by radiotherapy. Rectal examination findings are normal.
Colonoscopy reveals a pale rectum with ulcerations and areas of mucosal hemorrhage. Which one of the following is the most likely explanation for this clinical presentation?

A) Diverticulosis
B) Rectal cancer
C) Radiation proctitis
D) Recurrent prostate cancer
E) Ulcerative colitis

3. A 14-year-old girl, accompanied by her mother, presents to your office with a 3-month history of feeling " dizzy. " After you take an initial history, which one of the following is the most appropriate next step?

A) Perform a detailed cardiac and neurological examination
B) Order a urine pregnancy test
C) Do a bedside glucometer reading
D) Interview the girl without the mother present
E) Obtain growth parameters and vital signs

4. 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) Refer the patient to the emergency department
C) Advise increased caloric intake
D) Ask permission to discuss the patient's weight

5. You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?

A) Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.
B) Do not discuss the patient ' s medication unless you have written consent from the patient.
C) Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.
D) Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.

Solutions: