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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 woman presents to your office with a history of progressive abdominal discomfort over the past five months. She reports bloating and difficult digestion with constipation. She has no urinary symptoms and denies vaginal or rectal bleeding. An abdominal ultrasound shows a large complex pelvic mass with internal multiloculation and moderate ascites. The cancer antigen 125 (CA 125) is elevated at 1023 U/mL ( < 35 U
/mL). Which one of the following is the most likely diagnosis?

A) Chronic hematosalpinx
B) Metastatic uterine adenocarcinoma
C) Ovarian hyperstimulation syndrome
D) Rectosigmoid adenocarcinoma
E) Serous carcinoma of the ovary

2. A 60-year-old woman presents with a 7-day history of bloody diarrhea and diffuse mild abdominal tenderness. Stool tests (culture, ova/parasites) are negative. Which one of the following is the best next step?

A) Order a diagnostic colonoscopy.
B) Recommend symptomatic observation.
C) Prescribe broad-spectrum antibiotics.
D) Recommend a trial of loperamide.
E) Prescribe tapered-dose steroids.

3. A mother brings her 13-year-old daughter to the office. The girl has had intermittent lower abdominal pain, constipation, and difficulty voiding for 3 months. She says that she is not sexually active. She looks well. She has reached age-specific developmental milestones, and her vital signs are within normal range. On abdominal examination, she is found to have a palpable suprapubic mass that persists after voiding. The girl says that her older sister started having menstrual periods at this age. The patient is surprised that hers have not started. Which one of the following is the best next step?

A) Pelvic ultrasonography.
B) Measurement of serum human chorionic gonadotropin.
C) Urinalysis.
D) Abdominal radiography.
E) Examination of external genitalia.

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

5. A previously healthy 7-year-old boy presents to the Emergency Department with a generalized tonic-clonic seizure, which subsided spontaneously after 10 minutes. There is no history of trauma. Physical examination reveals normal vital signs and a normal neurologic examination. Which one of the following diagnostic studies is urgently indicated?

A) Serum electrolytes.
B) Computed tomography of the head.
C) Electroencephalography.
D) Lumbar puncture.
E) Magnetic resonance imaging of the head.

Solutions: