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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?

A) Send for hepatobiliary iminodiacetic acid (HIDA) scan
B) Send for laparoscopic cholecystectomy
C) Arrange for percutaneous cholecystostomy
D) Arrange for endoscopic retrograde cholangiopancreatography
E) Broaden antibiotic therapy

2. A 25-year-old woman who is at 8 weeks ' gestation plans to travel to rural Cambodia to care for her ill mother. Which one of the following treatments should be provided to her before the trip?

A) Ciprofloxacin for travellers ' diarrhea
B) Antimalarial chemoprophylaxis
C) Tetanus and diphtheria booster if last received more than 5 years ago
D) Hepatitis B immunoglobulin

3. A 17-year-old boy is brought by his 2 roommates to the emergency department (ED) after a party where he had been drinking and smoking cannabis. He reportedly was having a good time when he suddenly wanted to jump out of a window. His roommates describe him as "normal prior to a breakup with his girlfriend a week ago." He has since become anxious and unable to sleep. On examination, he is somnolent and appears intoxicated. Which one of the following is the most appropriate initial management?

A) Observe the patient in the ED for several hours.
B) Call the patient's parents to take him home.
C) Arrange for an involuntary admission to psychiatry.
D) Prescribe chlordiazepoxide and start an intravenous line.

4. A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?

A) Vaginal or cervical tear
B) Retained products of conception
C) Uterine atony
D) Disseminated intravascular coagulopathy
E) Uterine rupture

5. A 45-year-old woman presents with a 2-week history of a sore left breast. It has become red and swollen. She was previously well, and her menstrual cycles are regular. She has no history of breast cancer, and she has no children. On examination, she has a red, tender, indurated area in her left breast that has only partially responded to oral antibiotics after 10 days. Which one of the following is the most appropriate next step?

A) Change the oral antibiotic.
B) Start intravenous antibiotics.
C) Proceed with incision and drainage.
D) Start nonsteroidal anti-inflammatory agents.
E) Perform a breast biopsy.

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