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

2. A 40-year-old woman presents to the Emergency Department with confusion and fever (38.5°C). She has a history of hypothyroidism managed with levothyroxine. Key findings include:
Blood pressure
114/78 mm Hg
Heart rate
85/min
Temperature
38.5°C
Hemoglobin
90 g/L 123-157 g/L
Platelet count
25 × 10#/L 130-400 × 10#/L
Peripheral blood film
Schistocytes present
Creatinine
200 #mol/L 50-90 #mol/L

A) Idiopathic thrombocytopenic purpura
B) Acute myelogenous leukemia
C) Cirrhosis
D) Thrombotic thrombocytopenic purpura
E) Human immunodeficiency virus

3. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Bipolar I disorder
B) Malingering
C) Delirium
D) Brief psychotic disorder
E) Psychotic disorder secondary to traumatic brain injury

4. A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?

A) Gardnerella vaginalis.
B) Human papillomavirus.
C) Trichomonas vaginalis.
D) Chlamydia trachomatis.
E) Neisseria gonorrhoeae.

5. A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend's birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

A) Intravenous
B) Inhaled
C) Intramuscular
D) Subcutaneous
E) Intranasal

Solutions: