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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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Medical Council of Canada Qualifying Examination Part 1 Exam

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Total Questions : 348

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Question # 1

A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

Options:

A.  

Notifying patients only if there is an abnormal finding.

B.  

Booking return appointments with the referring physician to follow up every result.

C.  

Requiring radiologists to phone the referring physician with every result.

D.  

Having a tracking system for all investigative reports.

E.  

Asking patients to call laboratories and imaging centres for their test results.

Discussion 0
Question # 2

You are seeing a 78-year-old man for follow-up of metastatic cholangiocarcinoma diagnosed 8 months ago and currently being treated with thermotherapy. He has just completed his 2nd cycle and reports frequently feeling hopeless, worthless, and helpless, with no sense of a positive future. He states he is turning away invitations to socialize with family and friends. He feels like sleeping all the time and reports no appetite. Which one of the following is the most likely diagnosis?

Options:

A.  

Normal grief reaction

B.  

Major depressive episode

C.  

Side effects of chemotherapy

D.  

Brain metastasis

E.  

Hepatic encephalopathy

Discussion 0
Question # 3

A 55-year-old man with alcohol use disorder presents with a 2-day history of confusion. On examination, you note a sixth nerve palsy and a horizontal nystagmus. Which one of the following is the most likely diagnosis?

Options:

A.  

Cerebellar degeneration

B.  

Subdural hematoma

C.  

Wernicke encephalopathy

D.  

Hepatic encephalopathy

E.  

Cerebellar hemorrhage

Discussion 0
Question # 4

A 42-year-old man comes to your family practice. He has started seeing a reflexologist to help manage his chronic back pain. He presents to you a letter from the reflexologist outlining the weekly necessary treatments, each costing $300, and a list of blood tests for the patient to have done. The patient asks you to order the laboratory testing and send the results to his “other doctor.” Which one of the following is the best next step?

Options:

A.  

Report the reflexologist to the medical regulatory authority.

B.  

Report the reflexologist to the regulatory authority for alternative and complementary practitioners.

C.  

Decline to order the tests but inquire further about his back pain.

D.  

Order the tests and arrange to send them to the reflexologist.

E.  

Tell your patient to stop seeing this practitioner.

Discussion 0
Question # 5

A 70-year-old man presents with severe, postprandial, mid-abdominal pain which has become more severe over the past 6 to 9 months. It is associated with nausea but has not caused him to vomit or changed his bowel habits. He has lost 14 kg over the last 6 months. Abdominal and rectal examination is normal. Upper gastrointestinal series is unremarkable. Which one of the following is the most likely diagnosis?

Options:

A.  

Peptic ulcer disease

B.  

Cholelithiasis

C.  

Mesenteric adenitis

D.  

Carcinoma of colon

E.  

Mesenteric ischemia

Discussion 0
Question # 6

A 20-year-old man is brought by a friend to the emergency department with an elevated temperature, generalized muscle rigidity, hypovolemia, a fluctuating level of consciousness, and impaired attention. The patient also may be responding to auditory hallucinations. The friend informs you that the patient overdosed with a prescribed medication. Which one of the following medications is most likely to cause these symptoms?

Options:

A.  

Lamotrigine

B.  

Amitriptyline

C.  

Risperidone

D.  

Lithium carbonate

E.  

Lorazepam

Discussion 0
Question # 7

A 60-year-old woman presents with a 7-day history of bloody diarrhea and diffuse mild abdominal tenderness. Stool tests (culture, ova/parasites) are negative. Which one of the following is the best next step?

Options:

A.  

Prescribe broad-spectrum antibiotics.

B.  

Order a diagnostic colonoscopy.

C.  

Recommend symptomatic observation.

D.  

Recommend a trial of loperamide.

E.  

Prescribe tapered-dose steroids.

Discussion 0
Question # 8

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?

Options:

A.  

Hypertension

B.  

Alcohol abuse

C.  

Hypothyroidism

D.  

Cirrhosis

E.  

Central sleep apnea

Discussion 0
Question # 9

A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

Options:

A.  

Advise him to reconsider his decision and to allow the examination to proceed.

B.  

Ask permission to learn more about his distress in a subsequent appointment.

C.  

Record his directives in the chart.

Discussion 0
Question # 10

A 32-year-old woman, gravida 0, comes to your office for contraception counselling, specifically about insertion of a levonorgestrel-releasing intrauterine device. She has a past history of breast cancer and is presently on tamoxifen. Which one of the following is the best advice for your patient?

Options:

A.  

She has a high risk of irregular bleeding following insertion

B.  

After consultation with her oncologist, she may choose this option

C.  

It may increase her risk of breast cancer recurrence

D.  

She will require pre-procedure antibiotics

E.  

This device will increase her risk of future infertility

Discussion 0
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