MCCQEの無料問題集（232題）、MCCQE認定試験参考書

Medical Council of Canada MCCQE 問題集

試験コード：MCCQE

試験名称：MCCQE Part 1 Exam

最近更新時間：2025-06-02

問題と解答：全232問

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質問 1：
A 23-year-old woman with borderline personality disorder is brought to the Emergency Department having ingested non-lethal substances after her boyfriend broke up with her. The staff tells you that she has consulted
8 times under similar circumstances in the past 3 years. Which one of the following pieces of information would be useful to provide to the staff?
A. She will never commit suicide
B. Symptoms of borderline personality disorder will likely attenuate over time
C. Suicidal thoughts must be an indication of major depressive disorder
D. Not much can be done with personality disorders
E. She is overusing health care services
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10#/L (normal 130-400). Which one of the following is most likely to induce this side effect?
A. Olanzapine
B. Valproic acid
C. Acetaminophen
D. Lithium carbonate
E. Pantoprazole
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A 64-year-old man presents with a 3-month history of gradually increasing neck pain and stiffness. The pain radiates into his upper back, and he is having difficulty driving because of limitation of neck rotation secondary to pain. Physical examination shows restricted neck motion in all directions and neck muscle spasms. There is no abnormality on neurologic examination. A radiograph shows narrowing of all of the cervical disc spaces with prominent osteophytes. Which one of the following is the most appropriate next step?
A. No further investigation.
B. Electromyography of upper limbs.
C. Magnetic resonance imaging of the neck.
D. Computed tomography of neck.
E. Lumbar puncture.
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 4：
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?
A. Subluxation of the lunate bone.
B. Undisplaced fracture of the distal radius.
C. de Quervain tenosynovitis.
D. Fracture of the carpal scaphoid.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 5：
You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?
A. Ask your colleague to help triage incoming patients in the emergency department
B. Send your colleague to the affected area to evaluate the health risks involved
C. Ask your colleague to handle media inquiries
D. Send your colleague to set up an emergency type O blood bank collecting unit
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 6：
A 38-year-old woman presents with diffuse nodularity in the outer upper quadrant of her right breast. There is no obvious dominant mass, nipple discharge, or skin dimpling. There are no palpable lymph nodes. Which one of the following is the most likely diagnosis?
A. Paget disease
B. Mastitis
C. Fibrocystic change
D. Benign phyllodes tumour
E. Intraductal carcinoma
正解：C
解説: (Topexam メンバーにのみ表示されます)

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Medical Council of Canada MCCQE Part 1 認定 MCCQE 試験問題:

1. A 15-year-old boy is brought to the office by his father because he is having headaches. When alone, the boy appears withdrawn and admits to suicidal ideation. He shares that he is gay but does not want to tell his parents. He says that he faked the headaches so that one of his parents would make an appointment for him.
Which one of the following is the best next step?

A) Encourage the patient to disclose his sexual orientation to his parents.
B) Start an antidepressant medication.
C) Suggest that the patient join a group at school for peer support.
D) Refer the patient for an immediate mental health assessment.

2. You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

A) Keep family visits to a minimum to avoid postsurgical overstimulation
B) Screen the patient with the Mini-Mental Status Examination prior to surgery
C) Treat postsurgical insomnia with benzodiazepines
D) Avoid medications with anticholinergic potential
E) Refrain from prescribing opiate analgesics to treat postoperative pain

3. A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?

A) Serum sodium level
B) Serum thyrotropin (thyroid-stimulating hormone) level
C) Liver function tests
D) Parathyroid hormone
E) Creatinine clearance

4. On screening for dyslipidemia, a 45-year-old man is found to have a low high-density lipoprotein (HDL) cholesterol level. Which one of the following recommendations is the most appropriate?

A) Garlic supplementation.
B) Vigorous exercise program.
C) Elimination of caffeine.
D) Low-salt diet.
E) Alcohol cessation.

5. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Brief psychotic disorder
B) Bipolar I disorder
C) Delirium
D) Malingering
E) Psychotic disorder secondary to traumatic brain injury

質問と回答：

質問 # 1
正解： D

質問 # 2
正解： D

質問 # 3
正解： B

質問 # 4
正解： B

質問 # 5
正解： B