Medical Council of Canada MCCQE Value Pack (Frequently Bought Together)

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 28-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic for a prenatal visit. Her pregnancy is at 20 weeks' gestation. Her ultrasonogram shows a normal fetus and a low-lying placenta. Which one of the following is the best next step?

A) Suggest acupuncture to help with placental migration.
B) Repeat ultrasonography at 32 weeks' gestation.
C) Tell the patient that she will need a cesarean delivery.
D) Explain to the patient that she is at high risk for bleeding.
E) Advise the patient not to work for the remainder of the pregnancy.

2. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

A) Advise warm compresses every 2 to 3 hours until discharge is cleared
B) Admit the patient and start antibiotic therapy
C) Reassure the parents and prescribe a topical antibiotic
D) Prescribe an oral antibiotic and reassess in 48 hours
E) Recommend lacrimal sac massage

3. A 42-year-old man presents to your clinic for follow-up regarding his anxiety. He lost his job 1 year ago.
Since then, he constantly thinks about what happened, trying to understand what went wrong and how he could fix it or prevent it in the future. He is unable to sleep because of this. He has become socially isolated and when he does see friends, he worries constantly that he may say something hurtful. He wishes he could get past what happened and find another job but feels consumed by the fear that he may offend someone in the future. On history, his symptoms did not respond to escitalopram, sertraline, fluvoxamine, or venlafaxine, all at maximum tolerated doses. Which one of the following medications is the most appropriate?

A) Clomipramine
B) Amitriptyline
C) Vortioxetine
D) Paroxetine
E) Quetiapine

4. A 23-year-old woman with borderline personality disorder is brought to the Emergency Department having ingested non-lethal substances after her boyfriend broke up with her. The staff tells you that she has consulted
8 times under similar circumstances in the past 3 years. Which one of the following pieces of information would be useful to provide to the staff?

A) Suicidal thoughts must be an indication of major depressive disorder
B) She will never commit suicide
C) Not much can be done with personality disorders
D) Symptoms of borderline personality disorder will likely attenuate over time
E) She is overusing health care services

5. A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?

A) Reassurance that this is not a serious disorder.
B) Hospitalization for observation.
C) A trial of lithium carbonate.
D) Prescription of chlorpromazine in moderate doses.
E) Encouragement to take walks of increasing distance.

Solutions: