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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?

A) Refer the patient to a neurologist for further investigations.
B) Refer the patient to a psychiatrist for anxiety disorder.
C) Order a computed tomography of the head.
D) Prescribe stronger pain relief medications.
E) Reassure the patient.

2. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?

A) Refer for urgent temporal artery biopsy.
B) Start a calcium channel blocker.
C) Order computed tomography of the head.
D) Arrange for serial home blood pressure monitoring.
E) Give a prescription for serotonin 5-HT receptor agonist (Triptan).

3. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?

A) Observe for 24 hours and discharge if stable
B) Plan surgical exploration
C) Discharge with analgesics
D) Order a technetium 99m pertechnetate scan
E) Order ultrasonography of the scrotum

4. A 56-year-old woman is admitted to hospital with gastrointestinal bleeding. Her hemoglobin level is low and the physician who saw her in the Emergency Department has recommended a blood transfusion. You attend her on the unit and tell her that a blood transfusion will help her feel better. Which one of the following is the best next step?

A) Discuss with the patient the potential risks and benefits of having a transfusion.
B) Withhold the transfusion to avoid any risk for liability.
C) Give the patient a blood transfusion before her condition becomes unstable.
D) Ask a colleague to see the patient and make the same recommendation.
E) Review the patient's chart to see if she consented to transfusions in the past.

5. An otherwise well 18-month-old girl is brought to your family practice office for routine immunization. Her mouth is as shown in the attached image. She has no symptoms. Which one of the following is the most likely cause of this presentation?

Image description: Severe black and brown decay of multiple upper front teeth, with relatively spared lower teeth.

A) Vitamin D deficiency.
B) Use of oral iron supplements.
C) Putting the child to bed with a bottle.
D) Repeated courses of antibiotics.
E) Lack of fluoride in drinking water.

Solutions: