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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?

A) Sertoli-Leydig cell tumour.
B) Idiopathic hirsutism.
C) Hilar cell tumour.
D) Adrenal hyperplasia.
E) Polycystic ovary disease.

2. A 45-year-old man presents to your family practice for follow-up because he has had repeated transient ischemic attacks and had been advised not to drive. During the interview, you find out that he is still driving.
He explains that he only drives to the grocery store and his wife, who also has a driver ' s license, is always a passenger with him. He insists he can drive. You think that he should no longer be driving a car. Which one of the following is the best next step?

A) Discuss this further with him.
B) Physically take away his license.
C) Refuse to treat him further unless he stops driving.
D) Communicate your concerns to the motor vehicle licensing authority.
E) Consult a neurologist to assess whether the patient is fit to drive.

3. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Ask another family physician to see the daughter due to a conflict of interest.
B) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
C) Explain that there is no indication for the surgery but refer her daughter for consultation.
D) Decline to send her daughter for consultation and explain your decision.
E) Call the ENT consultant on call to discuss your dilemma.

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

5. A 62-year-old woman is referred to your clinic for evaluation of hypercalcemia. She has a history of hypertension and vitamin D deficiency. Her medications include hydrochlorothiazide and vitamin D supplements. Laboratory investigations are as follows:
Calcium: 2.72 mmol/L (#)
Phosphate: 0.9 mmol/L (#)
Parathyroid hormone (PTH): 0.9 pmol/L (#)
25-hydroxy vitamin D: 80 nmol/L (normal)
Which one of the following is the best next step?

A) Start calcitriol
B) Order serum protein electrophoresis and urine for light chains
C) Switch to a different antihypertensive medication
D) Order 24-hour urine calcium
E) Refer for consideration of parathyroidectomy

Solutions: