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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

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

Question 2

A 31-year-old man presents to the office with concerns about his heart. Three months ago, his father died of a myocardial infarction at age 58 years. He states that since the death of his father, he has experienced episodes in which his heart will start racing, causing him to feel short of breath, dizzy, and nauseous. He is afraid that he will die during these episodes. Findings from a physical examination, electrocardiogram, Holter monitoring, echocardiogram, and complete blood count are normal. Serum electrolyte level, troponin level, and thyroid function studies are all within normal limits. Which one of the following options is the most appropriate?

A. Lorazepam at bedtime
B. Grief therapy
C. Metoprolol
D. Cardiac stress test

Question 3

An otherwise healthy 21-year-old college student is brought to the Emergency Department after falling from the rooftop terrace of a night club. A grade III splenic laceration measuring 3 cm is identified on computed tomography scan. You elect to manage the patient non-operatively with close monitoring, repeat examinations and hemoglobin levels. A repeat computed tomography at 48 hours shows no deterioration. Diet is resumed and over the next few days, the patient resumes ambulation. Which one of the following do you discuss with your patient prior to discharge?

A. Plan an interval laparoscopic splenectomy within the next 6 weeks.
B. Organize an angiography with possible embolization.
C. Recommend avoidance of vigorous activity for 3 months.
D. Arrange weekly outpatient follow-up with repeat hemoglobin measurement.
E. Vaccinate against encapsulated organisms.

Question 4

A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?

A. Grade of dysplasia
B. Stricture formation
C. Family history of gastrointestinal malignancy
D. Length of Barrett segment
E. Depth of intestinal metaplasia

Question 5

A 63-year-old man presents to the office with a 2-year history of episodic swallowing problems that have been increasing in frequency. He states that food seems to stick in his throat, and these episodes are often associated with coughing or regurgitating undigested food. Physical examination reveals that the patient has halitosis; otherwise, findings are normal. Which one of the following is the best next step to confirm the most likely diagnosis?

A. Computed tomography of the chest.
B. Trial of a proton pump inhibitor.
C. Barium swallow.
D. 24-hour esophageal pH monitoring.
E. Endoscopy.

Solutions: