- Exam Code: MCCQE
- Exam Name: MCCQE Part 1 Exam
- Updated: Aug 30, 2026
- Q & A: 357 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Chronic Care - Assessment and Diagnosis - Health Promotion and Illness Prevention - Acute Care |
| Physician Activities | 50% | - Management - Communication - Professional Behaviours - Psychosocial Aspects |
Question 1
A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?
A. Empagliflozin.
B. Hydrochlorothiazide.
C. Tamsulosin.
D. Nitrofurantoin.
E. Fesoterodine.
Question 2
A 76-year-old man is brought by his family to your clinic with new-onset urinary incontinence. They state that the patient is experiencing a slowly progressing cognitive decline marked by memory disturbance, apathy, and attentional problems. Examination reveals that the patient has a stooped, forward-leaning posture and a wide-based gait. Which one of the following is the most likely diagnosis?
A. Frontotemporal dementia
B. Lewy body dementia
C. Alzheimer disease
D. Normal pressure hydrocephalus
E. Parkinson disease
Question 3
A 72-year-old man has had 4 episodes of weakness in her right arm and leg lasting 10 to 15 minutes each.
During 1 episode, she had difficulty speaking and had blurring of the vision in the left eye. Which one of the following is the most likely diagnosis?
A. Occlusive disease of the left vertebrobasilar system.
B. Epilepsy.
C. Left intracerebral hemorrhage.
D. Occlusive disease of the left internal carotid artery.
E. Thrombosis of the left middle cerebral artery.
Question 4
You are following an otherwise healthy 3-month-old girl whose severe bilateral sensorineural deafness was diagnosed after early identification through a universal newborn hearing screening program. She has reached the developmental milestones for her age and has no features of an underlying syndrome. There is no family history of hearing loss. The parents request information on the speech and language prognosis for their daughter. Which one of the following is the most appropriate response?
A. The prognosis is unpredictable and not well known.
B. Significant limitation in expressive and receptive speech should be expected.
C. Sign language and a school for the hearing impaired will be needed.
D. Long-term literacy is likely to be limited to a grade 4 level.
E. Most children with this condition learn to hear and speak fluently with appropriate early intervention.
Question 5
A 29-year-old woman presents with vaginal spotting after 6 weeks of amenorrhea. She is asymptomatic otherwise. Serum #-hCG is 2150 IU/L, and pelvic ultrasound shows an empty uterus. She has been trying to conceive for 7 months. Which one of the following is the best next step?
A. Administer intramuscular methotrexate.
B. Perform dilatation and curettage for chorionic villi.
C. Repeat pelvic ultrasonography in 10 days.
D. Repeat serum #-hCG test in 48 hours.
E. Arrange exploratory laparoscopy.
Solutions:
| Question 1 Answer: C | Question 2 Answer: D | Question 3 Answer: D | Question 4 Answer: E | Question 5 Answer: D |
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