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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. What command is needed to measure BER (Bit Error Rate)?

A) mlxconfig -d < device > q
B) ethtool -S < device >
C) mstflint -d < device > q full
D) mlxlink -d < device > -c -e

2. A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?

A) Prescribe stronger pain relief medications.
B) Reassure the patient.
C) Refer the patient to a psychiatrist for anxiety disorder.
D) Order a computed tomography of the head.
E) Refer the patient to a neurologist for further investigations.

3. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?

A) Order computed tomography of the head.
B) Give a prescription for serotonin 5-HT receptor agonist (Triptan).
C) Arrange for serial home blood pressure monitoring.
D) Start a calcium channel blocker.
E) Refer for urgent temporal artery biopsy.

4. An 88-year-old man is admitted to hospital with an upper gastrointestinal bleed. He is confused on admission, but his sensorium clears with resuscitation and stabilization. The patient lives in his own home with assistance from his children. Work-up shows metastatic gastric carcinoma for which no curative treatment can be offered. The family insists that the patient not be told the diagnosis because they fear he will have a "mental breakdown." Which one of the following is the best next step?

A) Ask the patient if he wants to know the diagnosis.
B) Consult palliative care.
C) Be direct and tell the patient the diagnosis.
D) Accept the family's request and do not tell the patient the diagnosis.

5. A 26-year-old man presents to the office with a tender mass in his right neck. He was recently treated for a dental infection but is otherwise well. On examination, there is a 2-cm tender, mobile lymph node in the right anterior cervical chain. No other lymphadenopathy or abnormalities are found on physical examination.
Which one of the following is the best next step?

A) Computed tomography of the neck
B) Lymph node biopsy
C) Follow-up in 8 weeks
D) Bone marrow biopsy
E) Ultrasonography of the spleen

Solutions: