Medical Council of Canada MCCQE Value Pack (Frequently Bought Together)

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 3-month-old girl is brought by her parents to the emergency department with a 3-day history of cough, coryza, and low-grade fever; she was previously well. In the last 24 hours, she has been noted to have rapid breathing with audible wheezing. Which one of the following pathogens is the most likely cause of the patient' s symptoms?

A) Human respiratory syncytial virus.
B) Human metapneumovirus.
C) Influenzavirus A.
D) Human parainfluenzavirus 3.
E) Chlamydia trachomatis.

2. A 66-year-old woman with metastatic breast cancer presents with hard, difficult-to-pass stools. She has been experiencing this issue since starting morphine to control her pain. Which one of the following is the best next step?

A) Suggest increasing her physical activity
B) Lower her morphine dose
C) Start docusate
D) Prescribe senna
E) Add a bulk-forming fiber supplement to her diet

3. A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?

A) Broaden antibiotic therapy
B) Send for laparoscopic cholecystectomy
C) Send for hepatobiliary iminodiacetic acid (HIDA) scan
D) Arrange for percutaneous cholecystostomy
E) Arrange for endoscopic retrograde cholangiopancreatography

4. A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

A) Asking patients to call laboratories and imaging centres for their test results.
B) Booking return appointments with the referring physician to follow up every result.
C) Notifying patients only if there is an abnormal finding.
D) Requiring radiologists to phone the referring physician with every result.
E) Having a tracking system for all investigative reports.

5. A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up. She reports that she is struggling with her health and daily life. She is unhappy with her lack of progress and says she feels tired all the time and stays in bed all day. When asked why, she states she is confused about why she is not getting better. Physical exam and investigations are unchanged from baseline. Which one of the following is the best next step?

A) Educate the patient about her illness
B) Initiate iron and vitamin B12 supplementation
C) Prescribe cannabinoid therapy
D) Start a selective serotonin reuptake inhibitor

Solutions: