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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 46-year-old woman presents to the emergency department with left-sided pleuritic chest pain that improves when she sits up and leans forward. Her medical history is unremarkable and she takes no medications.
Examination reveals a pericardial friction rub; the findings are otherwise normal. An electrocardiogram reveals diffuse ST segment elevation and PR interval depression. An echocardiogram reveals a small pericardial effusion. Which one of the following is the most appropriate treatment?

A) Levofloxacin.
B) Metoprolol.
C) Apixaban.
D) Pericardiocentesis.
E) High-dose acetylsalicylic acid.

2. A previously healthy 7-year-old boy presents to the Emergency Department with a generalized tonic-clonic seizure, which subsided spontaneously after 10 minutes. There is no history of trauma. Physical examination reveals normal vital signs and a normal neurologic examination. Which one of the following diagnostic studies is urgently indicated?

A) Electroencephalography.
B) Computed tomography of the head.
C) Serum electrolytes.
D) Magnetic resonance imaging of the head.
E) Lumbar puncture.

3. A 35-year-old woman presents to your clinic with double vision and a gritty sensation in her eyes for the past several weeks. On examination, you notice her eyes are bulging. There is inflammation of her conjunctivae and swelling around her eyes. Which one of the following is the most likely diagnosis?

A) Myasthenia gravis
B) Graves ophthalmopathy
C) Orbital pseudotumor
D) Allergic conjunctivitis
E) Periorbital cellulitis

4. A 77-year-old woman is brought to the Emergency Department by ambulance because she has severe heel ulcers and dehydration. Her husband reports that she has been sick for the past 6 to 8 weeks with a cough and congestion. He shares that he has tried to bring her to medical attention on several occasions, but she refused.
The paramedics reported that her bed at home was soiled and that they could hardly reach her room due to clutter. On questioning, her answers seem reasonable. Which one of the following is the most critical next step?

A) Obtain pictures to confirm the state of their house
B) Assess the patient's decision-making ability
C) Determine whether the patient has alcohol or substance use disorder
D) Find out whether the husband has a criminal record
E) Assess the risk of financial abuse by her husband

5. A 31-year-old man presents with nocturnal non-exertional chest pain. During an exercise stress test, he does not experience chest pain, and there are no significant ST segment changes on the electrocardiogram. He achieves 17 metabolic equivalent of task (MET), a blood pressure of 190/96 mm Hg (resting blood pressure of
130/80 mm Hg), and a maximum heart rate of 162/min (85% of age-predicted maximum). Which one of the following is the most appropriate next step?

A) Advise against vigorous exercise
B) Schedule cardiac catheterization
C) Prescribe acetylsalicylic acid and metoprolol
D) Prescribe hydrochlorothiazide
E) Offer reassurance

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