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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?

A) Valproic acid
B) Cognitive behavior therapy
C) Carbamazepine
D) Risperidone
E) Electroconvulsive therapy

2. An otherwise healthy 21-year-old college student is brought to the Emergency Department after falling from the rooftop terrace of a night club. A grade III splenic laceration measuring 3 cm is identified on computed tomography scan. You elect to manage the patient non-operatively with close monitoring, repeat examinations and hemoglobin levels. A repeat computed tomography at 48 hours shows no deterioration. Diet is resumed and over the next few days, the patient resumes ambulation. Which one of the following do you discuss with your patient prior to discharge?

A) Arrange weekly outpatient follow-up with repeat hemoglobin measurement.
B) Recommend avoidance of vigorous activity for 3 months.
C) Organize an angiography with possible embolization.
D) Plan an interval laparoscopic splenectomy within the next 6 weeks.
E) Vaccinate against encapsulated organisms.

3. A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?

A) The number of years he has consumed alcohol.
B) His binge drinking.
C) His previous episode of alcohol withdrawal.
D) His medical comorbidities.
E) The quantity of alcohol he consumes daily.

4. A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10#/L (normal 130-400). Which one of the following is most likely to induce this side effect?

A) Valproic acid
B) Olanzapine
C) Pantoprazole
D) Acetaminophen
E) Lithium carbonate

5. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A) Request serologic testing
B) Recommend ceasing conception until 3 months after the couple ' s return to Canada
C) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
D) Refer the couple to an infectious disease specialist
E) Prescribe a prophylactic antiviral medication

Solutions: