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This is similar to the MCCQE desktop format but this is browser-based. It requires an active internet connection to run and is compatible with all browsers such as Google Chrome, Mozilla Firefox, Opera, MS Edge, Safari, Internet Explorer, and others. The Medical Council of Canada MCCQE Mock Exam helps you self-evaluate your MCCQE Part 1 Exam exam preparation and mistakes. This way you improve consistently and attempt the MCCQE certification exam in an optimal way for excellent results in the exam.
| Section | Objectives |
|---|---|
| Dimensions of Care | - Acute Care
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| Physician Activities | - Communication
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NEW QUESTION # 22
A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient's symptoms?
Answer: A
Explanation:
Scaphoid fractures are often radiographically occult on initial presentation and can present later with persistent pain and swelling in the anatomical snuffbox. They typically occur following a fall on an outstretched hand. If missed, they can lead to avascular necrosis.
Toronto Notes 2023 - Orthopedics, Wrist Injuries:
"Scaphoid fractures are the most common carpal fractures. X-rays may be negative early, so high suspicion requires immobilization and repeat imaging after 10-14 days." MCCQE1 Objectives - Surgery > Musculoskeletal Trauma:
"Candidates must recognize that some fractures, such as scaphoid, may not appear on initial imaging but require clinical suspicion and follow-up imaging or immobilization." Other options (B and C) are less likely without radiographic evidence. De Quervain tenosynovitis (D) presents with radial wrist pain unrelated to trauma and worsens with thumb movement.
NEW QUESTION # 23
While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?
Answer: A
Explanation:
These results show a significant anemia (Hb 80 g/L) with microcytosis (MCV 76 fL) and otherwise preserved cell lines (WBC at the upper end of normal; platelets normal). MCCQE objectives emphasize using CBC patterns to classify anemia and prioritize common causes. In a young woman, the most likely cause of microcytic anemia is iron deficiency , most often due to menstrual blood loss and/or inadequate iron intake, and it can be severe.
Leukemia and myelodysplasia typically present with abnormalities in multiple cell lines (e.g., leukocytosis with blasts or cytopenias) and are less consistent with an isolated microcytic anemia and normal platelets.
Anemia of chronic disease is usually normocytic or mildly microcytic and is less likely to produce such a low hemoglobin without an obvious chronic inflammatory condition. Thalassemia trait classically has marked microcytosis with relatively preserved hemoglobin (often only mild anemia) and is suggested by a lifelong history and family/ethnic background. The next clinical step (at follow-up) would be iron studies (ferritin first) and assessment for bleeding sources.
NEW QUESTION # 24
A 4-month-old boy is brought to the office by his parents to ask about the rotavirus vaccine. They would like to avoid the possibility of the infant coming down with gastroenteritis. Their older child was hospitalized with gastroenteritis at age 10 months. They have a friend who had intussusception after getting the rotavirus immunization, and they are worried about a possible link to the vaccine. Which one of the following is the most appropriate response?
Answer: D
Explanation:
The most appropriate response is to recommend vaccination and explain that the risk of intussusception after rotavirus vaccination is extremely low , while the benefits in preventing severe rotavirus gastroenteritis are substantial. MCCQE objectives in immunization and preventive pediatrics emphasize balancing risks and benefits using evidence-based data. Current rotavirus vaccines are associated with a very small increased risk of intussusception (on the order of a few additional cases per 100,000 vaccinated infants), but this risk is far outweighed by the prevention of hospitalizations, severe dehydration, and complications from rotavirus infection.
Option B overstates the risk as "markedly increased," which is inaccurate and may heighten parental anxiety.
Intussusception is not always easily treatable and can be serious (C). It occurs most commonly in infants under 1 year, not only in 1- to 3-year-olds (D). Rotavirus can cause significant morbidity in healthy infants, so routine vaccination is recommended (E). Clear, balanced counselling supports informed parental decision- making.
NEW QUESTION # 25
A prepubertal 9-year-old girl with severe developmental disability is brought to your office by her parents.
They are seeing you to discuss some difficulties that might occur with puberty. They are afraid that menses will complicate hygiene care and they have heard of significant mood/behavioural changes in this population when menses occur. Which one of the following recommendations is the most appropriate?
Answer: B
Explanation:
In girls with developmental disabilities, menstrual management should follow the same ethical and clinical principles as for other adolescents, emphasizing least invasive, reversible options and respect for future autonomy. Menstrual suppression may be appropriate to assist with hygiene and quality of life; however, hormonal methods are generally initiated after the onset of menarche to confirm pubertal development and exclude underlying endocrine disorders. Therefore, extended progestin-only therapy (e.g., depot medroxyprogesterone acetate) should not be started before menses begin. Hysterectomy is inappropriate as first-line management due to its irreversible nature, surgical risks, and significant ethical concerns regarding sterilization. Continuous combined oral contraceptives are not contraindicated and are commonly used for therapeutic amenorrhea. Evidence does not show consistent worsening of behavioural symptoms with appropriate hormonal suppression. Girls with developmental disabilities typically experience normal pubertal progression. MCCQE objectives emphasize patient-centered care, least restrictive interventions, ethical considerations in consent and capacity, and appropriate menstrual management strategies in adolescents with special needs.
NEW QUESTION # 26
A 60-year-old man is admitted to hospital, and lung cancer is diagnosed. When his family physician reviews the discharge summary, she reviews the patient's chart and finds a chest radiograph report from 1 year ago that mentions a suspicious nodule and recommends a computed tomography scan. The family physician recalls seeing this report and did not order the scan. Which one of the following is the family physician's best next step?
Answer: D
Explanation:
The correct next step is to communicate with the patient and disclose the error . MCCQE objectives emphasize physicians' ethical and professional obligations regarding disclosure of adverse events and medical errors . When a clinically significant abnormal result was identified and appropriate follow-up was not arranged, this represents a potential error in care. Physicians have a duty to disclose errors that may have contributed to harm, provide an explanation, express regret, and outline next steps in management.
Withholding disclosure violates principles of honesty, transparency, and respect for patient autonomy.
Blaming office staff or the radiologist deflects responsibility and does not address the ethical obligation to the patient. Forwarding the report to oncology does not fulfill the duty of disclosure. The physician should arrange a timely, compassionate conversation with the patient, explain the missed follow-up, discuss implications, and outline ongoing management. Documentation of the discussion and engagement in quality improvement processes are also appropriate subsequent steps.
NEW QUESTION # 27
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