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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 3-year-old boy is brought to your office because his daycare teachers are concerned about his language development. His parents speak both English and French at home, and he can say around 15 words combined in both languages. His history reveals that he has minimal interest in playing with other children. Which one of the following is most appropriate?

A) Recommend use of one language at home.
B) Refer to a pediatric neurologist.
C) Screen for autism spectrum disorder.
D) Evaluate for attention deficit hyperactivity disorder.
E) Reassure that no intervention is needed.

2. You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

A) Keep family visits to a minimum to avoid postsurgical overstimulation
B) Refrain from prescribing opiate analgesics to treat postoperative pain
C) Screen the patient with the Mini-Mental Status Examination prior to surgery
D) Treat postsurgical insomnia with benzodiazepines
E) Avoid medications with anticholinergic potential

3. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Borderline personality disorder.
B) Klinefelter syndrome.
C) Narcissistic personality disorder.
D) Antisocial personality disorder.
E) Bipolar II disorder.

4. A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?

A) Ischemic contracture of forearm.
B) Median nerve compression.
C) Unrecognized scaphoid fracture.
D) Unwillingness to return to school.
E) Complex regional pain syndrome.

5. A 63-year-old woman presents to your office with a history of progressive abdominal discomfort over the past five months. She reports bloating and difficult digestion with constipation. She has no urinary symptoms and denies vaginal or rectal bleeding. An abdominal ultrasound shows a large complex pelvic mass with internal multiloculation and moderate ascites. The cancer antigen 125 (CA 125) is elevated at 1023 U/mL ( < 35 U
/mL). Which one of the following is the most likely diagnosis?

A) Metastatic uterine adenocarcinoma
B) Ovarian hyperstimulation syndrome
C) Rectosigmoid adenocarcinoma
D) Serous carcinoma of the ovary
E) Chronic hematosalpinx

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