Expert Answers to Medical Council of Canada Exam MCCQE Questions

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MCCQE Part 1 MCCQE Part 1 Exam

MCCQE Part 1 Exam

Last Update Jun 1, 2025
Total Questions : 230

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Questions 2

A 43-year-old man is referred to you for an incidental finding of elevated hemoglobin. Laboratory results are as follows:

Hemoglobin

185 g/L (130-170)

Mean corpuscular volume

92 fL (60-100)

White blood cells

7.8×1037.8×103 / L (4-10)

Platelets

250×103250×103 / L (130-400)

His BMI is 23. He has type 2 diabetes for which he takes gliclazide MR 60 mg daily. Which one of the following features on history could explain his laboratory abnormality?

Options:

Hypertension

Alcohol abuse

Hypothyroidism

Cirrhosis

Central sleep apnea

Discussion 0

Questions 3

A 19-year-old woman presents to the office. She is a new mother. She shares that she does not intend to vaccinate her son. Which one of the following is the best next step?

Options:

Explore with the patient her rationale for not vaccinating her child.

Provide education on the risks and benefits of vaccination.

Contact child protection services.

Tell the patient you cannot follow her in your practice but will refer her to a colleague.

Ask to speak with the patient's parents.

Discussion 0

Questions 4

A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic's goal of responding to this report?

Options:

Evaluate how the staff enjoyed the teaching session.

Provide clinic information in the languages spoken by the community.

Display the cultural safety certificate in the waiting room.

Include trauma disclosure on the clinic's intake form.

Discussion 0

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Questions 5

An otherwise healthy 43-year-old woman presents to your clinic for a left breast mass. Six months ago, she underwent a bilateral breast magnetic resonance imaging (MRI) after watching a television program on breast cancer prevention. An ultrasound-guided biopsy of a 1.5 cm massconfirmed, at the time, that she had fibroadenoma. The follow-up ultrasound now reveals a mass measuring 1.7 cm. Which one of the following is the best next step in the management of this patient?

Options:

Repeat the biopsy to confirm the diagnosis.

Proceed with needle-localized left lumpectomy.

Order a MRI of both breasts to rule out anything else.

Administer prophylactic tamoxifen to decrease the risk of cancer.

Reassure the patient and reassess in 12 months.

Discussion 0

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