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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Exploratory laparotomy.
B) Primary repair of the laceration.
C) Surgical debridement and delayed closure.
D) Abdominal computed tomography.
E) Antibiotic irrigation of the wound.

2. A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend's birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

A) Subcutaneous
B) Intranasal
C) Inhaled
D) Intravenous
E) Intramuscular

3. An 84-year-old woman is brought by ambulance to the emergency department after she was found by a neighbour. She had fallen, sustained a hip fracture, and was unable to move for the past 2 days. After starting rehydration, she reports hip pain and numbness and tingling in both her legs. Physical examination reveals faint pulses in both legs and severely swollen lower legs that are painful to palpation. The urine in the Foley catheter bag seems to be darker than normal. Which one of the following is the best next step?

A) Bilateral angiography of the lower legs.
B) Surgical fixation of the patient ' s hip fracture.
C) Myoglobin urine test.
D) Compartment pressure measurements of the lower legs.
E) Bilateral Doppler ultrasonography of the legs.

4. You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

A) 17/101.
B) 37/163.
C) 101/163.
D) 37/101.

5. 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?

A) Subdural hematoma
B) Hepatic encephalopathy
C) Cerebellar hemorrhage
D) Cerebellar degeneration
E) Wernicke encephalopathy

Solutions: