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Exam Code: MCCQE
Exam Name: MCCQE Part 1 Exam
Updated: Sep 20, 2026
Q & A: 357 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Chronic Care - Health Promotion and Illness Prevention - Acute Care - Assessment and Diagnosis |
| Physician Activities | 50% | - Management - Psychosocial Aspects - Professional Behaviours - Communication |
A 19-year-old woman with a long-standing history of abuse and borderline personality disorder presents to your office. She has a number of superficial lacerations over her arms and legs. They look like they were caused by a sharp edge such as a knife. They are at various stages of healing, and some look like they are a few hours old, though none require stitches. Which one of the following is the most likely comment she would make about the injuries?
Correct Answer: A 🗳️
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A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?
Correct Answer: E 🗳️
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A 28-year-old woman presents to your office with a 6-month history of intermittent dizziness associated with nausea and a rotational sensation. Physical examination shows pallor of 1 optic disk, generalized hyperreflexia and nystagmus to the left. Which one of the following is the most likely diagnosis?
Correct Answer: D 🗳️
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A 72-year-old woman is brought to the Emergency Department by her daughter because of significant functional decline and progressive shortness of breath. She has widespread metastatic breast cancer and recently stopped chemotherapy due to progression and intolerance. She has been bedridden for 4 weeks. On examination:
BP: 100/70 mm Hg with pulsus paradoxus of 20 mm Hg
HR: 99/min
Temp: 36.5°C
SpO#: 94% room air
JVP: elevated
Heart sounds: muffled
Chest X-ray: large globular heart
Labs:
Hemoglobin: 90 g/L
Sodium: 118 mmol/L
Creatinine: 94 µmol/L
Which one of the following is the best next step?
Correct Answer: D 🗳️
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A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?
Correct Answer: A 🗳️
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