Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are counselling the wife of a 75-year-old man admitted under your care after a fall. The patient is confused, disoriented, barely sleeps at night and has complex visual hallucinations of animals running through his room. Given his state, which one of the following is the best advice for the wife?

A) She should tell him that she will not come back to visit him if he remains aggressive
B) She should visit him as little as possible since this can lead to heightened agitation
C) She should confront him with the fact that what he sees and feels is not real
D) She should avoid giving him information since he is unable to understand
E) She should not take it personally if he says hurtful things

2. A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?

A) Provide a naloxone kit.
B) Obtain a urine toxicology screen.
C) Prescribe a short course of tramadol.
D) Offer to prescribe cannabis.

3. A 38-year-old man presents to the office for a follow-up visit. For several years, he has been having constant abdominal pain and intermittent constipation. He struggles to fall asleep because he is worried about his symptoms, and he often spends hours researching possible investigations and causes. Although he recently had extensive investigations, which have all had normal results, he continues to visit multiple physicians hoping for more investigations. He worries that he will die because no one is taking him seriously. Which one of the following is the best next step?

A) Schedule monthly appointments to discuss the patient's concerns.
B) Consult general internal medicine.
C) Repeat investigations to confirm the results are unchanged.
D) Prescribe a regular exercise routine.

4. A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?

A) Reassurance that this is not a serious disorder.
B) A trial of lithium carbonate.
C) Prescription of chlorpromazine in moderate doses.
D) Hospitalization for observation.
E) Encouragement to take walks of increasing distance.

5. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?

A) Wound infection.
B) Atelectasis
C) Septic pelvic thrombophlebitis.
D) Bowel trauma during the operation.
E) Pulmonary embolism.

Solutions: