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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are following an otherwise healthy 3-month-old girl whose severe bilateral sensorineural deafness was diagnosed after early identification through a universal newborn hearing screening program. She has reached the developmental milestones for her age and has no features of an underlying syndrome. There is no family history of hearing loss. The parents request information on the speech and language prognosis for their daughter. Which one of the following is the most appropriate response?

A) Sign language and a school for the hearing impaired will be needed.
B) Long-term literacy is likely to be limited to a grade 4 level.
C) The prognosis is unpredictable and not well known.
D) Significant limitation in expressive and receptive speech should be expected.
E) Most children with this condition learn to hear and speak fluently with appropriate early intervention.

2. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order thyrotroph (thyroid-stimulating hormone) level.
B) Order a urine albumin:creatinine ratio.
C) Order an exercise stress test.
D) Test capillary blood glucose 4 times a day.
E) Perform a 75 g oral glucose tolerance test.

3. A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?

A) Refer the patient to the emergency department
B) Advise increased caloric intake
C) Ask permission to discuss the patient's weight
D) Consult gastroenterology

4. An otherwise healthy 43-year-old woman presents to your clinic for a left breast mass. Six months ago, she underwent a bilateral breast magnetic resonance imaging (MRI) after watching a television program on breast cancer prevention. An ultrasound-guided biopsy of a 1.5 cm mass confirmed, at the time, that she had fibroadenoma. The follow-up ultrasound now reveals a mass measuring 1.7 cm. Which one of the following is the best next step in the management of this patient?

A) Reassure the patient and reassess in 12 months.
B) Repeat the biopsy to confirm the diagnosis.
C) Proceed with needle-localized left lumpectomy.
D) Administer prophylactic tamoxifen to decrease the risk of cancer.
E) Order a MRI of both breasts to rule out anything else.

5. A 43-year-old man is referred to you for an incidental finding of elevated hemoglobin. Laboratory results are as follows:
Hemoglobin
185 g/L (130-170)
Mean corpuscular volume
92 fL (60-100)
White blood cells
7.8×1037.8×103 / L (4-10)
Platelets
250×103250×103 / L (130-400)
His BMI is 23. He has type 2 diabetes for which he takes gliclazide MR 60 mg daily. Which one of the following features on history could explain his laboratory abnormality?

A) Central sleep apnea
B) Alcohol abuse
C) Hypertension
D) Hypothyroidism
E) Cirrhosis

Solutions: