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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. 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.

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) Add a bulk-forming fiber supplement to her diet
D) Prescribe senna
E) Start docusate

3. A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

A) Calcium channel blocker
B) Cox-2 inhibitor
C) Alpha-blocker
D) Nitrates
E) Angiotensin II receptor blocker

4. A 56-year-old woman comes to your office because she has not been herself since her husband died in a car crash 6 weeks ago. She has no prior psychiatric history. Her son is concerned because she cries frequently, has a poor appetite, rarely leaves home and is distraught. Her sadness fluctuates and increases when she thinks of her husband. She often thinks about death, and she wishes she could join her deceased husband. Which one of the following is the best next step?

A) Arrange for family systems therapy.
B) Admit to day hospital.
C) Offer reassurance.
D) Refer to a social worker.

5. A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A) Macroscopic hematuria
B) Crying during micturition
C) Recent circumcision
D) Poor urinary stream
E) Malodorous urine

Solutions: