MCCEE 2016 - Medical Council of Canada Evaluating Examination - Questions and Answers PDF Download

Medical Council of Canada Evaluating Examination (MCCEE) 2016 Exam Questions and Answers with Exaplanations. Free Question bank for MCCEE 2016 Exam in Canada. The MCCEE is a four-hour computer-based exam that assesses your basic medical knowledge and readiness to enter your first year of supervised postgraduate training in Canada. This MCCEE question bank contains 100 multiple choice question with PDF download.

1. A family physician cares for a family consisting of a 45-year old husband, 43-year-old wife and a 12-year-old daughter. The family reports that recently the 77-year-old maternal grandmother who lived with them died after a prolonged respiratory infection. Autopsy subsequently confirms that she had active pulmonary tuberculosis at the time of death. The organism tested sensitive to all anti-tuberculosis drugs. In responding to the grandmother's illness, which of the following is the most appropriate step in management?

[A] Obtain leukocyte counts on all family members

[B] Obtain sputum cultures for acid fast bacilli

[C] Obtain chest computerized tomograms on all members

[D] Place protein purified derivative (PPD) test on all members

[E] Schedule bronchoscopy lavage for the adults

2. A 57-year-old man comes to the emergency de partment because of excruciating pain in his right big toe. He describes the pain as so severe that it woke him from a deep sleep. He has no chronic medical conditions, does not take any medications, and denies any similar episodes in the past. He admits to a few "drinking binges" over the past 2 weeks. His temperature is 38.1 C (100.5 F), blood pressure is 130/90 mm Hg, and pulse is 80/min. Examination shows an erythematous, warm, swollen, and exquisitely tender right great toe. The skin overlying the first metatarsophalangeal joint is dark red, tense, and shiny. Synovial fluid analysis reveals negatively birefringent, needle-shaped crystals within polymorphonuclear leukocytes (PMNs). Laboratory studies show:

Serum

Leukocytes........16,000/mm3
Uric acid...........15 mg/dL
Calcium.............9 mg/dL

Which of the following is the most appropriate pharmacotherapy?

[A] Allopurinol

[B] Ceftriaxone

[C] Indomethacin

[D] Probenecid

[E] Sulfinpyrazone