Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 43-year-old car mechanic, with no prior history, comes to the Emergency Department because of a sudden loss of balance at work. He also feels lightheaded, slightly disoriented and nauseous. Physical examination and basic blood work-up are normal. He tells you this is the 3rd time this has happened at work. Which one of the following is the most likely diagnosis?

A) Organic solvent intoxication.
B) Cerebellar tumour.
C) Lead intoxication.
D) Alcohol intoxication.
E) Ear infection.

2. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Thyroid function testing
B) Fasting lipid profile
C) Hemoglobin A1c
D) Morning serum cortisol
E) No investigations

3. A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

A) Speech therapy.
B) Reassurance that this issue is common and transient.
C) Audiology assessment.
D) Play therapy for adjustment issues.
E) Cognitive behavior therapy.

4. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum amylase
B) Serum cortisol
C) Serum alpha-1 antitrypsin
D) Hemoglobin A1c
E) Serum ferritin

5. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) Echocardiogram
B) #-Blocker
C) Holter monitoring
D) Treadmill exercise test

Solutions: