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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

A) Calcium channel blocker
B) Nitrates
C) Angiotensin II receptor blocker
D) Alpha-blocker
E) Cox-2 inhibitor

2. A 40-year-old woman presents to your clinic for follow-up regarding her major depressive disorder, which is being treated with the starting dosage of escitalopram. Most of her symptoms have now improved. However, she has noted anorgasmia since taking this medication. This has significantly affected her relationship with her wife. Which one of the following is the best next step?

A) Add bupropion
B) Increase the patient ' s dosage of escitalopram
C) Maintain the current medication
D) Switch escitalopram to venlafaxine

3. An 8-year-old boy is brought to the Emergency Department because he is experiencing sudden respiratory distress. You suspect that he has a spontaneous tension pneumothorax. On physical examination, which one of the following best supports this diagnosis?

A) Tracheal deviation.
B) Abdominal distension.
C) Bilateral wheezing.
D) Ecchymoses on the chest.
E) Inspiratory stridor.

4. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

A) Age-related macular degeneration.
B) Cataracts.
C) Retinal vein occlusion.
D) Open-angle glaucoma.
E) Diabetic retinopathy.

5. A 34-year-old man presents to your office with a 2-week history of headaches and double vision when he looks to the right. On physical examination, you note that he is unable to gaze laterally with his right eye.
Which one of the following cranial nerves is most likely affected?

A) Abducens.
B) Trochlear.
C) Trigeminal.
D) Oculomotor.
E) Optic.

Solutions: