Medical Council of Canada MCCQE Exam Dumps

Question # 1

An 84-year-old woman is brought by ambulance to the emergency department after shewas found by a neighbour. She had fallen, sustained a hip fracture, and was unable tomove for the past 2 days. After starting rehydration, she reports hip pain and numbnessand tingling in both her legs. Physical examination reveals faint pulses in both legs andseverely swollen lower legs that are painful to palpation. The urine in the Foley catheterbag seems to be darker than normal. Which one of the following is the best next step?

A. Bilateral angiography of the lower legs.  
B. Bilateral Doppler ultrasonography of the legs.  
C. Surgical fixation of the patient's hip fracture.  
D. Compartment pressure measurements of the lower legs.  
E. Myoglobin urine test.  

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Question # 2

You are a physician working at a university campus health centre. Staff at the centre arethinking about initiating a campus-wide education campaign on stimulant medication useand misuse. From a physician's perspective, which one of the following is the key messageto include in this campaign?

A. Improvement of study habits through educational initiatives.  
B. Ethical perspectives regarding nonprescription stimulant medication use.  
C. Legal perspectives regarding nonprescription stimulant medication use.  
D. Prevalence of stimulant medication use by students on university campuses.  
E. Adverse effects and health risks associated with stimulant medication use.  

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Question # 3

A 55-year-old woman presents to the office with a 2-month history of right shoulder painand limited function that started after she began an upper body weight training program.Examination shows tenderness inferior to the acromion. She has full passive range ofmotion of the shoulder but significant pain with abduction from 30° to 120° of arc. Whichone of the following is the best next step?

A. Computed tomography.  
B. Ultrasonography.  
C. Arthroscopy.  
D. Arthrography.  

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Question # 4

A 53-year-old man with a history of bipolar I disorder is brought to the office by his family.Recently, he has been sleeping for 4 to 5 hours per night, has been fidgety, and isincreasinglypreoccupied with his granddaughter's safety. Five days ago, he consulted withyour physician colleague and was instructed to exercise and meditate. Last night, he wasfound running in the street and attempted to hit a relative who was trying to calm him down.His son is dissatisfied with your physician colleague's management. Which one of thefollowing is the most appropriate response?

A. Acknowledge your physician colleague's mistake and apologize.  
B. Encourage the son to file a complaint.  
C. Explain that you will now assess the father and that your goal is to treat him.  
D. Point out that exercise and meditation have been proven useful in managing bipolar I disorder
E. Share that you would have prescribed a medication after the first assessment.  

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Question # 5

A 24-year-old woman presents with rapidly increasing lower leg pain. Less than 24 hoursago, she fell off her bicycle and had some minor abrasions. On examination, she is insevere pain and appears anxious. Local examination of her leg reveals mild discolorationwith marked tenderness but no swelling in her calf. Which one of the following is the mostlikely diagnosis?

A. Plantaris rupture  
B. Deep vein thrombosis  
C. Cellulitis  
D. Baker's cyst  
E. Necrotizing fasciitis  

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Question # 6

A 71-year-old man with stable chronic low back pain on hydromorphone (8 mg twice daily)presents upset, requesting an early refill. He reports his granddaughter has been stealinghis medication and pressuring him for refills. Which one of the following is the best nextstep?

A. Call the police and report the patient’s granddaughter.  
B. Provide an early refill of hydromorphone.  
C. Begin tapering the hydromorphone.  
D. Increase the dispensed quantity of the patient’s hydromorphone.  
E. Arrange for daily dispensing of hydromorphone.  

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Question # 7

A health authority implements the first-ever colon cancer screening program in its territory.Which one of the following colon cancer indices will likely increase?

A. Case fatality rate  
B. Positive predictive value of the screening test  
C. Positive biopsy rate  
D. Incidence rate  
E. Treatment rate  

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Question # 8

A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonaryembolism. Her condition is stabilized with intubation, hydration, inotropic support, andintravenous administration of heparin. Her partner provides you with a list of hermedications. A combination oral contraceptive pill was recently prescribed. She smokestobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

A. Discuss the case with the hospital ethics committee  
B. Advise the patient's partner to seek legal advice  
C. Tell her partner that the physician should not have prescribed the oral contraceptive pill  
D. Report the prescribing physician to the provincial or territorial medical regulatory authority
E. Inform the patient's partner that the oral contraceptive pill may have caused her condition

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Question # 9

A 22-year-old woman presents to the office for episodic mood changes that her boyfriendhas noticed. During such episodes, she cries suddenly, is irritable and sad, and withdrawsfrom socializing. Which one of the following would be most useful in establishing adiagnosis?

A. Personality testing.  
B. Urine drug screen.  
C. Mood journal.  
D. Trial of lorazepam.  
E. Interviewing the boyfriend alone.  

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Question # 10

A 55-year-old man presents with vague abdominal pain and general weakness. His motherhad colon cancer and died at age 60 years. His physical examination findings andcomplete blood count results are normal. Which one of the following tests should beordered first?

A. Fecal immunochemical test (FIT)  
B. Magnetic resonance imaging of the abdomen  
C. Colonoscopy  
D. Air-contrast barium enema  
E. Computed tomography colonography  

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Question # 11

A 34-year-old man with trisomy 21 is brought to the Emergency Department because of apainful, red great toe. He is accompanied by an older woman who begins giving you thehistory as you enter the room. The patient is sitting on the examination table with the footexposed, but he does not speak. Which one of the following is the best next step?

A. Allow the woman to continue with the history to expedite the patient encounter.  
B. Establish the relationship between the woman and the patient and direct questions tothe patient.  
C. Ask the woman to provide legal documentation of her responsibility for the patient.  
D. Have a nurse attend with you in case the patient needs restraint.  
E. Examine the uncovered foot immediately to provide comfort to the patient sooner.  

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Question # 12

A 43-year-old man is referred to you for an incidental finding of elevated hemoglobin.Laboratory results are as follows:Hemoglobin185 g/L (130-170)Mean corpuscular volume92 fL (60-100)White blood cells7.8×1037.8×103 / L (4-10)Platelets250×103250×103 / L (130-400)His BMI is 23. He has type 2 diabetes for which he takes gliclazide MR 60 mg daily. Whichone of the following features on history could explain his laboratory abnormality?

A. Hypertension  
B. Alcohol abuse  
C. Hypothyroidism  
D. Cirrhosis  
E. Central sleep apnea  

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Question # 13

A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a historyof type 2 diabetes and hypertension. Some active bleeding is visible on speculumexamination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsyshows complex hyperplasia with atypia. Which one of the following is the best next step?

A. Arrange endometrial ablation  
B. Prescribe topical progesterone  
C. Obtain consent for dilatation and curettage  
D. Organize hysteroscopy  
E. Refer for hysterectomy and bilateral salpingo-oophorectomy  

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Question # 14

A 53-year-old man presents to the Emergency Department with a 3-week history ofbelieving his neighbor is poisoning him by pumping gas through his home’s air vent. Heappears distracted, irritable, and is speaking very quickly. He has a family history ofdepression. Which one of the following is the most likely diagnosis?

A. Delirium  
B. Malingering  
C. Brief psychotic disorder  
D. Bipolar I disorder  
E. Psychotic disorder secondary to traumatic brain injury  

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Question # 15

A 38-year-old woman presents with diffuse nodularity in the outer upper quadrant of herright breast. There is no obvious dominant mass, nipple discharge, or skin dimpling. Thereare no palpable lymph nodes. Which one of the following is the most likely diagnosis?

A. Fibrocystic change  
B. Paget disease  
C. Intraductal carcinoma  
D. Benign phyllodes tumour  
E. Mastitis  

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