Medical Council of Canada MCCQE real exam prep : 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:

1. You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?

A) Offer assistance only after the patient and the airline agree to release you from any liability.
B) Give advice to the flight attendants on how to proceed but do not offer any direct assistance.
C) Remain silent to avoid any liability that may be incurred by offering help.
D) Offer assistance and document the encounter in your own records afterwards.

2. A mother brings her previously healthy 4-month-old girl for evaluation due to fussiness for 3 weeks. The infant becomes irritable and cries with occasional body arching 1-2 hours after feeding, frequently spits up after feeds, has developed feeding aversion, and shows slowing weight gain. She has been on cow ' s milk- based formula since birth. Stools are normal, and physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A) Gastroesophageal reflux disease.
B) Intermittent intussusception.
C) Celiac disease.
D) Peptic ulcer.
E) Hypertrophic pyloric stenosis.

3. A 25-year-old nulligravida woman presents after trying to conceive for 2 years without success. She is healthy, with regular menstrual periods. She denies any unusual hair growth, weight changes, or breast discharge. She gets occasional outbreaks of acne. Blood work done with her next menstrual period produces the following results:
Follicle-stimulating hormone, follicular phase: 6.2 U/L (5.0-20.0) on day 3 of menstrual cycle Luteinizing hormone, follicular phase: 6 U/L (5-22) on day 3 of menstrual cycle Estradiol: 163 pmol/L (50-200) on day 15 of menstrual cycle Thyrotropin (thyroid-stimulating hormone): 2.5 mU/L (0.4-5.0) Prolactin: 40 µg/L (4-30) Given the results of her blood work, which one of the following is the best next step?

A) Send her for a mammography.
B) Refer her for in vitro fertilization.
C) Give her a prescription for bromocriptine.
D) Order magnetic resonance imaging of her brain.

4. A 40-year-old woman presents to your clinic for follow-up regarding her major depressive disorder, which is being treated with the starting dosage of escitalopram. Most of her symptoms have now improved. However, she has noted anorgasmia since taking this medication. This has significantly affected her relationship with her wife. Which one of the following is the best next step?

A) Add bupropion
B) Maintain the current medication
C) Switch escitalopram to venlafaxine
D) Increase the patient ' s dosage of escitalopram

5. A 35-year-old patient presents to your clinic for assessment of a chronic rash. With the patient's consent, you take a photo of the rash and upload it to their electronic medical record. You explain that you would like to consult with a specialist. That evening, you post a description of the rash to your online physicians' group, being careful to anonymize the details. You get a direct message from a physician who says they have extra training in dermatology and they ask you for a photo of the rash. Which one of the following is the best next step?

A) Verify the clinic contact details for the physician and send the photo via secure portal.
B) Call the patient and ask permission to send the photo.
C) Explain to the physician why you cannot share any photos.
D) Text the anonymized photo directly to the physician.

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