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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 31-year-old man presents with nocturnal non-exertional chest pain. During an exercise stress test, he does not experience chest pain, and there are no significant ST segment changes on the electrocardiogram. He achieves 17 metabolic equivalent of task (MET), a blood pressure of 190/96 mm Hg (resting blood pressure of
130/80 mm Hg), and a maximum heart rate of 162/min (85% of age-predicted maximum). Which one of the following is the most appropriate next step?

A) Schedule cardiac catheterization
B) Advise against vigorous exercise
C) Prescribe acetylsalicylic acid and metoprolol
D) Offer reassurance
E) Prescribe hydrochlorothiazide

2. A 12-year-old boy is brought to the Emergency Department with a 2-week history of a limp with malaise, fever and left leg pain. On examination, he looks sick, has a temperature of 38.5°C and is able to weight-bear.
His hip examination reveals mildly decreased range of motion. Radiographs of the hip and femur show mild sclerosis of proximal femoral metaphysis. His C-reactive protein level is 15 mg/L ( < 8). Which one of the following is the most likely diagnosis?

A) Undisplaced fracture of the proximal femur.
B) Stable slipped capital femoral epiphysis.
C) Transient synovitis.
D) Legg-Calve-Perthes disease.
E) Osteomyelitis.

3. A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?

A) Parathyroid hormone
B) Serum sodium level
C) Liver function tests
D) Serum thyrotropin (thyroid-stimulating hormone) level
E) Creatinine clearance

4. A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

A) Chondromalacia patellae
B) Osgood-Schlatter disease
C) Osteomyelitis
D) Patellar tendinitis
E) Osteosarcoma

5. A 24-year-old woman presents with rapidly increasing lower leg pain. Less than 24 hours ago, she fell off her bicycle and had some minor abrasions. On examination, she is in severe pain and appears anxious. Local examination of her leg reveals mild discoloration with marked tenderness but no swelling in her calf. Which one of the following is the most likely diagnosis?

A) Necrotizing fasciitis
B) Deep vein thrombosis
C) Baker ' s cyst
D) Cellulitis
E) Plantaris rupture

Solutions: