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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old woman presents to the emergency department with a 24-hour history of severe pain in her right eye. On examination, you notice a right conjunctival injection that is worst adjacent to the iris. Direct and consensual responses to light are intact but sluggish, with severe photophobia in the right pupil is slightly smaller than the left. The patient's visual acuity is 20/20 on the left and 20/40 on the right. Visual field testing results are normal. Intraocular pressure findings are normal. Slit-lamp examination findings of the cornea are normal, and there are no cells in the anterior chamber. You are unable to visualize her fundus. Which one of the following is the most likely diagnosis?

A) Acute angle-closure glaucoma.
B) Scleritis.
C) Optic neuritis.
D) Viral conjunctivitis.
E) Acute uveitis.

2. A 70-year-old woman consults you for progressive vision problems. She describes seeing haloes at night around street lights and having double vision. Her near vision has improved. Which one of the following is an ophthalmologic examination most likely to uncover?

A) Altered red reflex.
B) Increased intra-ocular pressure.
C) Retinal exudates.
D) Arcus senilis.
E) Kayser-Fleischer ring.

3. You are conducting a virtual appointment by voice-only call with a 68-year-old man regarding back pain.
When he answers, you ask for him by name and identify yourself and the clinic from which you are calling.
Which one of the following is the best next step?

A) Ask for additional confirmation of the patient ' s identity.
B) Establish the reason for the virtual care visit.
C) Confirm the name of the patient ' s primary care provider.

4. A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students.
Which one of the following is the most effective intervention?

A) Exclusion of clinical cases from the school and workplace.
B) Organization of clinics to rapidly treat suspected cases with antivirals.
C) Exclusion of contacts from the school and workplace before symptoms develop.
D) Administration of immunoglobulin to contacts.
E) Closing of the community's post-secondary institution.

5. A 67-year-old farmer presents with a 6-month history of progressive weakness in both arms. He now has difficulty in climbing but says he can still drive his tractor. Examination shows slight but definite atrophy of muscles of pectoral girdle, especially over his scapula. Fasciculations are visible. There is hyperreflexia of most tendon reflexes of arms and legs, left ankle clonus and left Babinski reflex. Which one of the following is the most likely diagnosis?

A) Astrocytoma of pons.
B) Amyotrophic lateral sclerosis.
C) Cerebellar degeneration.
D) Parkinson disease.
E) Multiple sclerosis.

Solutions: