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MCCQE Medical Council of Canada Qualifying Examination Part 1 Exam is now Stable and With Pass Result | Test Your Knowledge for Free

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MCCQE Practice Questions

Medical Council of Canada Qualifying Examination Part 1 Exam

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Total Questions : 348

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Question # 31

On screening for dyslipidemia, a 45-year-old man is found to have a low high-density lipoprotein (HDL) cholesterol level. Which one of the following recommendations is the most appropriate?

Options:

A.  

Vigorous exercise program.

B.  

Low-salt diet.

C.  

Alcohol cessation.

D.  

Garlic supplementation.

E.  

Elimination of caffeine.

Discussion 0
Question # 32

A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

Options:

A.  

Arrange magnetic resonance imaging of the abdomen

B.  

Refer to radiation oncology

C.  

Plan partial nephrectomy

D.  

Repeat computed tomography in 6 months

E.  

Organize angiographic ablation of the renal mass

Discussion 0
Question # 33

An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

Options:

A.  

Ask all visitors to wear a mask.

B.  

Enforce mandatory influenza vaccination for LTC staff.

C.  

Order symptomatic LTC staff to stay home.

D.  

Ensure that all visitors are immunized.

Discussion 0
Question # 34

A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?

Options:

A.  

Remark only on the new chest radiograph in your report

B.  

Comment on the previous chest radiograph and the new one in your report

C.  

Prepare a report only after communicating with your department head

D.  

Write a report only after communicating with your professional insurer

E.  

Create a report only after communicating with your medical regulatory authority

Discussion 0
Question # 35

A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour. Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother’s efforts to calm him. During these episodes, he appears agitated and flushed. After 15–20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?

Options:

A.  

Non-rapid eye movement sleep arousal disorder.

B.  

Nightmare disorder.

C.  

Nocturnal seizures.

D.  

Panic disorder.

E.  

Temper tantrums.

Discussion 0
Question # 36

A 46-year-old woman presents to the emergency department with left-sided pleuritic chest pain that improves when she sits up and leans forward. Her medical history is unremarkable and she takes no medications. Examination reveals a pericardial friction rub; the findings are otherwise normal. An electrocardiogram reveals diffuse ST segment elevation and PR interval depression. An echocardiogram reveals a small pericardial effusion. Which one of the following is the most appropriate treatment?

Options:

A.  

High-dose acetylsalicylic acid.

B.  

Apixaban.

C.  

Pericardiocentesis.

D.  

Levofloxacin.

E.  

Metoprolol.

Discussion 0
Question # 37

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?

Options:

A.  

Ovarian hyperstimulation syndrome

B.  

Serous carcinoma of the ovary

C.  

Rectosigmoid adenocarcinoma

D.  

Metastatic uterine adenocarcinoma

E.  

Chronic hematosalpinx

Discussion 0
Question # 38

An 18-year-old man presents to your clinic with a history of intermittent, dull, achy pain on the left side of his scrotum, and he has now noted left scrotal enlargement. On examination, you note a swelling in the left scrotum when he is standing that disappears when he is supine. Which one of the following is the most likely diagnosis?

Options:

A.  

Cryptorchidism.

B.  

Intermittent testicular torsion.

C.  

Hydrocele.

D.  

Spermatocyte.

E.  

Varicocele.

Discussion 0
Question # 39

A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks ' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:

BP: 121/78 mm Hg

HR: 90 bpm

Temp: 38°C

Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.

Which one of the following is the best next investigation?

Options:

A.  

Computed tomography of the head

B.  

Lumbar puncture

C.  

Fetal ultrasonography

D.  

Amniocentesis with culture

E.  

Urine protein to creatinine ratio

Discussion 0
Question # 40

An 18-year-old woman presents to the Emergency Department with a 3-day history of vomiting and right upper quadrant pain. She is alert but appears unwell and jaundiced. She was previously healthy and has not travelled recently. She has no risk factors for blood-borne pathogens. She denies hematemesis or hematochezia. On further history, she reports that she took a full bottle of pills that she found in her parents’ medicine cabinet several hours before she started vomiting. Without intervention, which one of the following is the most likely outcome?

Options:

A.  

Status epilepticus

B.  

Acute renal failure

C.  

Rapid-onset cerebral edema

D.  

Fulminant hepatic failure

E.  

Ventricular fibrillation

Discussion 0
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