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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 57-year-old man presents with low back pain. Radiographs of the lumbar spine show a narrowed disk space at L4-L5, anterior osteophyte formation at this level, and sclerosis of the L4-L5 end plates. Which one of the following is the most likely diagnosis?

A) Spondylolysis and spondylolisthesis.
B) Metastatic disease from the prostate.
C) Paget disease.
D) Osteomyelitis of the lumbar spine.
E) Degenerative disk disease.

2. An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

A) Obsessive-compulsive disorder.
B) Major depressive disorder.
C) Generalized anxiety disorder.
D) Obsessive-compulsive personality disorder.

3. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Borderline personality disorder.
B) Klinefelter syndrome.
C) Antisocial personality disorder.
D) Narcissistic personality disorder.
E) Bipolar II disorder.

4. A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain.
Her vital signs are as follows:
Heart rate: 94/min
Blood pressure: 130/80 mm Hg
Temperature: 37.3 °C
A non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associated hydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?

A) Refer for urology consultation
B) Increase intravenous fluids
C) Provide reassurance
D) Administer an alpha blocker
E) Prescribe antibiotics

5. A 59-year-old woman comes to the office because her 48-year-old sister was recently diagnosed with cervical cancer. Your patient thinks her mother may have also had cervical cancer. A Papanicolaou (Pap) test performed 16 months ago had normal results, as did all previous Pap tests. Which one of the following is the best next step?

A) Offer a repeat Pap test now.
B) Arrange for human papillomavirus testing.
C) Offer annual Pap testing for the next 5 years.
D) Offer a repeat Pap test 3 years from the previous one.
E) Arrange for colposcopy.

Solutions: