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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Scholar
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 55-year-old man presents with vague abdominal pain and general weakness. His mother had colon cancer and died at age 60 years. His physical examination findings and complete blood count results are normal.
Which one of the following tests should be ordered first?
- A. Air-contrast barium enema
- B. Magnetic resonance imaging of the abdomen
- C. Colonoscopy
- D. Computed tomography colonography
- E. Fecal immunochemical test (FIT)
Correct Answer: C 🗳️
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A 26-year-old man presents to your office with fever, chills, and malaise. Aside from an episode of dysuria 8 weeks ago, which spontaneously resolved, he has been healthy. On examination, his left wrist and right ankle are tender. There is a cluster of vesiculopustular lesions on his right hand. Which one of the following is the most likely diagnosis?
- A. Disseminated gonococcemia
- B. Rheumatoid arthritis
- C. Reactive arthritis
- D. Primary HIV infection syndrome
- E. Varicella
Correct Answer: A 🗳️
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A 12-year-old boy is brought to the Emergency Department with a 2-week history of a limp with malaise, fever and left leg pain. On examination, he looks sick, has a temperature of 38.5°C and is able to weight-bear.
His hip examination reveals mildly decreased range of motion. Radiographs of the hip and femur show mild sclerosis of proximal femoral metaphysis. His C-reactive protein level is 15 mg/L ( < 8). Which one of the following is the most likely diagnosis?
- A. Stable slipped capital femoral epiphysis.
- B. Undisplaced fracture of the proximal femur.
- C. Osteomyelitis.
- D. Legg-Calve-Perthes disease.
- E. Transient synovitis.
Correct Answer: C 🗳️
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You are seeing a 78-year-old man for follow-up of metastatic cholangiocarcinoma diagnosed 8 months ago and currently being treated with thermotherapy. He has just completed his 2nd cycle and reports frequently feeling hopeless, worthless, and helpless, with no sense of a positive future. He states he is turning away invitations to socialize with family and friends. He feels like sleeping all the time and reports no appetite.
Which one of the following is the most likely diagnosis?
- A. Normal grief reaction
- B. Major depressive episode
- C. Side effects of chemotherapy
- D. Brain metastasis
- E. Hepatic encephalopathy
Correct Answer: B 🗳️
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A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.
Which one of the following is the most likely diagnosis?
- A. Retropharyngeal abscess.
- B. Laryngomalacia.
- C. Acute viral bronchiolitis.
- D. Croup.
- E. Airway foreign body.
Correct Answer: A 🗳️
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