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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

You are called to attend an 18-year-old woman, gravida 2, para 1, aborta 0, who is in precipitous labour. She did not realize she was pregnant and has not had any prenatal care. After the delivery, you examine the newborn boy; he is vigorous, and it appears that he was born at full term. Physical examination findings of the newborn are normal. Review of the prenatal record from the mother ' s last pregnancy shows the following:
HIV: Negative
Hepatitis B surface antibody: Positive
Hepatitis C: Negative
Syphilis serology: Negative
The mother ' s previous child was placed in foster care. The mother is withdrawn and uncommunicative after delivery. Which one of the following is the best next step?

A. Administer hepatitis B vaccine to the newborn
B. Collect urine from the newborn for a drug screen
C. Recommend immediate skin-to-skin care
D. Initiate feeding with donor breast milk

Question 2

A 42-year-old woman presents to your clinic requesting an increase in her stimulant dosage for the treatment of her adult attention-deficit/hyperactivity disorder. Her medical history includes hypertension and type 1 diabetes with associated nephropathy. She has been taking methylphenidate daily for 15 years. Which one of the following would need to be addressed before the dosage can be increased?

A. Average home blood pressure reading of 150/80 mm Hg.
B. Random glucose level that is often higher than 18.0 mmol/L (4.0-11.0).
C. Estimated glomerular filtration rate of less than 30 mL/min/1.73 m² (#60).

Question 3

An 80-year-old woman presents to the Emergency Department with dizziness. She has a medical history of coronary artery disease. On examination, she is alert and oriented. Her vital signs are as follows:
Her electrocardiogram is shown in the image.
Which one of the following is the most likely diagnosis?
Blood pressure
80/60 mm Hg
Heart rate
40/min
Respiratory rate
12/min
Her electrocardiogram is shown in the attached image. Which one of the following is the most likely diagnosis?

A. First-degree atrioventricular block
B. Second-degree Mobitz type I atrioventricular block
C. Junctional escape rhythm
D. Sinus bradycardia
E. Third-degree atrioventricular block

Question 4

An 18-month-old boy is brought to the office by his guardians for a well-child visit. His guardians are concerned that his eyes do not look the same. On examination, his eyes appear as shown in the referenced photo.
Which one of the following best represents the patient ' s condition?

A. Ptosis
B. Pseudostrabismus
C. Cataract
D. Strabismus

Question 5

You are examining a newborn in the delivery room. He was born at full term by spontaneous vaginal delivery.
On examination, he is active, and his vital signs are within normal range. His head circumference is at the third percentile, with height and weight at the 10th percentile. Auscultation of his chest is clear with normal cardiovascular examination findings. The abdomen is protuberant with a liver edge palpable at 4 cm below the costal margin and mild splenomegaly. Which one of the following is the most likely diagnosis?

A. Lipid storage disease
B. Cystic fibrosis
C. Congenital viral infection
D. Cephalic molding
E. Trisomy 21

Solutions: