Medical Council of Canada MCCQE

Repeated consolidation exercise

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Universal answer template

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Generalized tenderness
B) Shifting dullness
C) Palpable spleen
D) Renal mass
E) Abdominal bruit

2. A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

A) Ultrasound.
B) Computed tomography.
C) Aspiration of the popliteal mass.
D) Arthroscopy.
E) Arthrocentesis.

3. A 27-year-old man with a bowel obstruction secondary to a terminal ileum stricture has been on various medications since he was diagnosed with Crohn disease 8 years ago. You recommend a bowel resection, but he refuses this option because he is fearful of short bowel syndrome. He states that the only surgical procedure he will undergo is a bypass of the diseased segment so that the affected bowel will heal. You know that this is the wrong operation. Which one of the following is the best next step?

A) Get consent for exploratory laparotomy and do a resection.
B) Transfer care to a colleague that you know is receptive to the patient's request.
C) Obtain a formal competency assessment.
D) Decline to do the bypass but carefully explain why.
E) Administer a high dose of intravenous steroids for trial.

4. A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?

A) Abdominal radiography.
B) Chest radiography.
C) Ultrasound of abdomen.
D) Cholescintigraphy (HIDA scan).
E) Endoscopic retrograde cholangiography.

5. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

A) The provincial or territorial Ministry of Health
B) The provincial or territorial medical licensing authority
C) The board of the hospital or health region where the physician wants to practise
D) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
E) The provincial or territorial medical association

Solutions: