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:

Question 1

A 79-year-old woman is brought by a long-term care (LTC) facility staff member to your clinic with concerning behaviours. On history, she was admitted to an LTC facility 6 months ago with vascular dementia.
Three days ago, she became very aggressive towards her caregivers. There is no clear pattern to her aggression. Some staff members report that she is quieter than usual, whereas others report that she is agitated, talks to herself, and picks at her clothes. On examination, she appears very confused. She does not finish her answers and seems to "drift off" during conversation. Which one of the following is the most likely diagnosis?

A. Lewy body dementia.
B. Major depressive disorder.
C. Delirium.
D. Worsening of the patient's vascular dementia.
E. Late-onset delusional disorder.

Question 2

A 16-month-old boy is brought to your office because of red, itchy and crusted patches on his cheeks and chin. Physical examination also reveals similar patches in the flexor creases of both arms. The groin and axillae regions are clear. Which one of the following is most likely to contribute to this condition?

A. Varicella-zoster infection.
B. Vaccination for measles, mumps and rubella.
C. A family history of atopic reactions.
D. Introduction of cereals before 6 months of age.
E. Recent use of oral amoxicillin.

Question 3

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

Question 4

An 18-month-old boy is brought to the office by his guardians for a well-child visit. His guardians are concerned that his eyes do not look the same. On examination, his eyes appear as shown in the referenced photo.
Which one of the following best represents the patient ' s condition?

A. Ptosis
B. Cataract
C. Pseudostrabismus
D. Strabismus

Question 5

A 45-year-old man presents to the office and reports difficulty understanding conversations that happen in a noisy environment. Ear examination findings are normal. You request audiography, from which results show bilateral high-frequency sensorineural hearing loss with a notch at 4000 Hz. Which one of the following is the most likely cause of this patient's hearing loss?

A. Attending a firing range to practise shooting before each hunting season.
B. Having a hereditary condition.
C. Having had frequent ear infections during childhood.
D. Working in the construction sector for the past 20 years.
E. Having type 2 diabetes for 10 years.

Solutions: