Medical Council of Canada MCCQE Part 1 : MCCQE Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old woman presents with a 2-day history of a low-grade fever and a painful left breast mass. On examination, there is a fluctuant erythematous tender mass with surrounding induration in the left breast and enlarged lymph nodes in the left axilla. An ultrasound shows a loculated cystic mass. Which one of the following is the most likely diagnosis?

A) Fibroadenoma
B) Abscess
C) Inflammatory breast cancer
D) Fibrocystic changes
E) Ductal ectasia

2. An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

A) Obsessive-compulsive disorder.
B) Major depressive disorder.
C) Obsessive-compulsive personality disorder.
D) Generalized anxiety disorder.

3. A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?

A) Creatinine clearance
B) Liver function tests
C) Serum thyrotropin (thyroid-stimulating hormone) level
D) Parathyroid hormone
E) Serum sodium level

4. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?

A) Display the cultural safety certificate in the waiting room.
B) Include trauma disclosure on the clinic ' s intake form.
C) Evaluate how the staff enjoyed the teaching session.
D) Provide clinic information in the languages spoken by the community.

5. A 43-year-old man is referred to you for an incidental finding of elevated hemoglobin. Laboratory results are as follows:
Hemoglobin
185 g/L (130-170)
Mean corpuscular volume
92 fL (60-100)
White blood cells
7.8×1037.8×103 / L (4-10)
Platelets
250×103250×103 / L (130-400)
His BMI is 23. He has type 2 diabetes for which he takes gliclazide MR 60 mg daily. Which one of the following features on history could explain his laboratory abnormality?

A) Cirrhosis
B) Central sleep apnea
C) Hypertension
D) Alcohol abuse
E) Hypothyroidism

Solutions: