Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 64-year-old man presents with a 3-month history of gradually increasing neck pain and stiffness. The pain radiates into his upper back, and he is having difficulty driving because of limitation of neck rotation secondary to pain. Physical examination shows restricted neck motion in all directions and neck muscle spasms. There is no abnormality on neurologic examination. A radiograph shows narrowing of all of the cervical disc spaces with prominent osteophytes. Which one of the following is the most appropriate next step?

A) Electromyography of upper limbs.
B) No further investigation.
C) Computed tomography of neck.
D) Magnetic resonance imaging of the neck.
E) Lumbar puncture.

2. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.
B) An obligation to accept this couple as patients because physicians must treat all patients.
C) No obligation to accept this couple, but does need to refer to a colleague who will.
D) No obligation to accept this couple because of her inexperience caring for same-sex patients.
E) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.

3. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?

A) Treat the 7-year-old with antibiotics.
B) Immunize the younger siblings with varicella vaccine.
C) Avoid direct contact with oral secretions.
D) Provide prophylactic antiviral agents for the siblings.
E) No prevention is required as this condition is not contagious.

4. An 8-year-old girl is brought by her father to the office with a 2-week history of red, itchy, and watery eyes.
She is otherwise healthy. On examination, there is no discharge or difficulty with vision. Pupil examination findings are normal. The patient's eyes are shown in the referenced photo. Which one of the following topical therapies is the best recommendation?

A) Antihistamine.
B) Antifungal.
C) Antibiotic.
D) Glucocorticoid.
E) Antiviral.

5. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Prescribe a low-fat diet for the son
B) Prescribe a weight-lifting exercise program for her son
C) Request a serum homocysteine and hemoglobin A1c
D) Reassure the mother as children do not have elevated lipid levels
E) Send the son for a lipid profile test

Solutions: