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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?

A) Twin pregnancy.
B) Fetal macrosomia.
C) Polyhydramnios.
D) Ovarian tumour and ascites.
E) Partial mole.

2. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order an exercise stress test.
B) Test capillary blood glucose 4 times a day.
C) Perform a 75 g oral glucose tolerance test.
D) Order thyrotroph (thyroid-stimulating hormone) level.
E) Order a urine albumin:creatinine ratio.

3. 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) Airway foreign body.
B) Acute viral bronchiolitis.
C) Retropharyngeal abscess.
D) Croup.
E) Laryngomalacia.

4. A 32-year-old primigravid woman is receiving magnesium sulfate for tocolysis. Her pregnancy is at 26 weeks
' gestation. You suspect magnesium sulfate toxicity. Which one of the following is the first sign of magnesium sulfate toxicity?

A) Oliguria
B) Absent patellar reflexes
C) Hypotension
D) Tachycardia
E) Tachypnea

5. You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital
3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

A) Suggest a trial of home dialysis.
B) Refer the patient to a psychiatrist.
C) Inform the patient that she will need parental consent to be assessed for MAID.
D) Explore the reasons for the patient ' s request for MAID.
E) Explain to the patient that she is not terminally ill.

Solutions: