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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?

A) Order ultrasonography of the scrotum
B) Order a technetium 99m pertechnetate scan
C) Observe for 24 hours and discharge if stable
D) Plan surgical exploration
E) Discharge with analgesics

2. A 67-year-old man presents to the clinic because of elevated liver enzymes. He is asymptomatic. His medical history is significant for type 2 diabetes, which is being treated with metformin. On physical examination, he looks well. His blood pressure is 125/75 mm Hg, his heart rate is 80/min, and his BMI is 35. Findings of the remainder of the examination are normal. His blood work results are as follows:
Platelet count: 170 × 10#/L (130-380)
Creatinine: normal
GGT: 75 µmol/L (49-93)
ALT: 146 IU/L (15-85)
AST: 101 IU/L (17-63)
Bilirubin (total): 17 µmol/L (3-17)
INR: 1.2 (0.9-1.2)
Which one of the following is the most likely diagnosis?

A) Hepatocellular carcinoma
B) Metformin effect
C) Acute hepatitis B infection
D) Carcinoma of the pancreas
E) Nonalcoholic steatohepatitis

3. A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?

A) Fecal immunochemical test (FIT)
B) Carcinoembryonic antigen
C) Computed tomographic colonography
D) Rigid sigmoidoscopy
E) Colonoscopy

4. While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?

A) Myelodysplasia.
B) Thalassemia.
C) Iron deficiency anemia.
D) Anemia of chronic disease.
E) Leukemia.

5. A 3-year-old boy is brought to the office because he has progressive weight gain and short stature. He has marked truncal obesity, hypertrichosis of the upper lip, and facial swelling. Which one of the following is a physical examination most likely to reveal?

A) Hepatomegaly
B) Acanthosis
C) Cafe-au-lait spots
D) Thyroid goiter
E) Hypertension

Solutions: