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：2026-08-21

問題と解答：全357問

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質問 1：
You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?
A. Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.
B. Do not discuss the patient ' s medication unless you have written consent from the patient.
C. Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.
D. Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A 16-year-old girl presents to the clinic with concerns about her toenails. The lesions, as shown in the attached image, have been present for 2 to 3 months. She is otherwise healthy and is in training for a triathlon.
Which one of the following is the best next step?
A. Recommend that the patient's running shoes provide adequate toe space.
B. Arrange for biopsy of the lesions.
C. Advise the patient to carefully wash and dry feet after all activity.
D. Suggest that the patient avoid swimming pools and hot tubs.
E. Prescribe daily antifungal cream application.
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A new patient, a 19-year-old man, presents to your office with low back pain. He has a history of opioid dependence and is now on a methadone maintenance treatment program. He is requesting opiate analgesics.
After examination, you decide not to prescribe opiates for pain control. The patient gets upset and threatens to file a complaint with your licensing authority. Which one of the following is the best next step?
A. Send him for a lumbar spinal radiography.
B. Prescribe a small amount of oral opiate.
C. Call the police to have the patient removed from the office.
D. Give a single opiate injection.
E. Direct him to his methadone management program.
正解：E
解説: (Topexam メンバーにのみ表示されます)

質問 4：
An 80-year-old man is admitted to hospital with what turns out to be tuberculosis. The attending physician informs all staff at the hospital of the patient ' s identity and diagnosis. Which one of the following best describes privacy concerns in this situation?
A. Physicians cannot be held liable if there is a breach of patient privacy.
B. Attending physicians may not disclose a patient ' s private health information to protect others.
C. The patient is not owed a right to privacy as he is a risk to others.
D. The patient must give consent before others are told of his illness.
E. Physicians ought only to reveal minimal patient-related information needed to protect others.
正解：E
解説: (Topexam メンバーにのみ表示されます)

質問 5：
You performed a surgical procedure on a 32-year-old woman for a herniated disk that was causing neurologic impairment. At the 8-month follow-up visit, she has healed well; however, she requests a prescription renewal of her narcotic analgesics (hydromorphone). Her pharmacy confirms that the patient adheres to the dosage you prescribed, that she has not consulted other physicians, and that her behavior has always been respectful.
You think that she no longer requires narcotic analgesics. Which one of the following approaches is most helpful to the patient?
A. Change the patient's prescription from short-acting hydromorphone to once-daily methadone.
B. Advise the provincial or territorial agency responsible for following patients who have potential substance use disorders.
C. Replace short-acting hydromorphone with transdermal fentanyl.
D. Counsel the patient regarding substance use disorder and arrange follow-up with her family physician.
E. Decline the renewal of further hydromorphone and discharge the patient.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 6：
You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?
A. Fasting lipid profile
B. Hemoglobin A1c
C. No investigations
D. Morning serum cortisol
E. Thyroid function testing
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A 3-year-old boy is brought to the office because he is not using his right arm after a fall from a swing.
Radiographs reveal a new fracture and old healing fractures. The parents deny any previous injuries. In addition to providing care for the fracture, which one of the following is the best next step?
A. Notify child protection services.
B. Investigate the patient to rule out metabolic or endocrine disorders.
C. Refer the family to the social work department.
D. Monitor the patient for future injuries.
E. Advise the parents to better supervise the patient.
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 8：
An 18-year-old woman presents to the Emergency Department with a 3-day history of vomiting and right upper quadrant pain. She is alert but appears unwell and jaundiced. She was previously healthy and has not travelled recently. She has no risk factors for blood-borne pathogens. She denies hematemesis or hematochezia. On further history, she reports that she took a full bottle of pills that she found in her parents' medicine cabinet several hours before she started vomiting. Without intervention, which one of the following is the most likely outcome?
A. Rapid-onset cerebral edema
B. Acute renal failure
C. Fulminant hepatic failure
D. Ventricular fibrillation
E. Status epilepticus
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 試験シラバストピック:

セクション

目標

医師の活動

- コミュニケーション

1. 医師・患者間のコミュニケーション
2. インフォームド・コンセント
3. 悪い知らせの伝達
4. チーム内コミュニケーション

- マネジメント

1. 薬物療法および非薬物療法
2. 治療的介入
3. フォローアップ計画

- プロフェッショナリズム

1. 倫理と法的義務
2. 持続可能な診療のための医師の健康
3. 生涯学習
4. リーダーシップと学術的姿勢
5. 自己認識と内省

- 評価

1. 病歴聴取
2. 身体診察
3. 検査と診断推論

ケアの次元

- 慢性期ケア

1. 慢性疾患管理
2. 長期ケア
3. リハビリテーション

- 健康増進と疾病予防

1. 患者教育
2. スクリーニングと定期健康診断
3. リスク因子の低減
4. 疾病予防策
5. 健康維持

- 心理社会的側面

1. 健康の心理社会的決定要因
2. 精神保健と行動科学
3. 患者とのコミュニケーション

- 急性期ケア

1. 救急・集中治療
2. 急性症状への対応と安定化
3. 急性疾患の管理

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

1. A 91-year-old man comes to the Emergency Department reporting blood in his stools, which has now resolved. He is able to give a history and mentions that this also happened 2 years ago. At that time, a colonoscopy was done and revealed diverticular disease as the cause. Which one of the following is the best next step?

A) Recommend a surgical resection of the diverticular disease.
B) Discuss the issue with his family before making a decision.
C) Reassure him that a colonoscopy does not need to be repeated.
D) Perform a computed tomography colonoscopy.
E) Order a fecal immunochemical test (FIT).

2. A 60-year-old postmenopausal woman presents with 2 culture-proven uncomplicated urinary tract infections in the last 5 months. She finds them quite distressing and would like to prevent recurrence. Which one of the following is the best next step?

A) Refer the patient for a cystoscopy.
B) Reassure the patient.
C) Suggest that she begin regular probiotics.
D) Refer for pelvic physiotherapy.
E) Prescribe vaginal estrogen.

3. A 24-year-old man is brought to the Emergency Department by ambulance with a severe pelvic fracture from a motor vehicle collision. After resuscitation and stabilization, he is noted to have a bloody penile discharge.
Which one of the following is the best next step?

A) Transrectal ultrasound.
B) Voiding cystography.
C) Foley catheter and continuous bladder irrigation.
D) Sonography of penis.
E) Retrograde urethrography.

4. You performed a surgical procedure on a 32-year-old woman for a herniated disk that was causing neurologic impairment. At the 8-month follow-up visit, she has healed well; however, she requests a prescription renewal of her narcotic analgesics (hydromorphone). Her pharmacy confirms that the patient adheres to the dosage you prescribed, that she has not consulted other physicians, and that her behavior has always been respectful.
You think that she no longer requires narcotic analgesics. Which one of the following approaches is most helpful to the patient?

A) Change the patient's prescription from short-acting hydromorphone to once-daily methadone.
B) Advise the provincial or territorial agency responsible for following patients who have potential substance use disorders.
C) Replace short-acting hydromorphone with transdermal fentanyl.
D) Counsel the patient regarding substance use disorder and arrange follow-up with her family physician.
E) Decline the renewal of further hydromorphone and discharge the patient.

5. An otherwise well 18-month-old girl is brought to your family practice office for routine immunization. Her mouth is as shown in the attached image. She has no symptoms. Which one of the following is the most likely cause of this presentation?

Image description: Severe black and brown decay of multiple upper front teeth, with relatively spared lower teeth.

A) Use of oral iron supplements.
B) Putting the child to bed with a bottle.
C) Repeated courses of antibiotics.
D) Lack of fluoride in drinking water.
E) Vitamin D deficiency.

質問と回答：

質問 # 1
正解： C

質問 # 2
正解： E

質問 # 3
正解： E

質問 # 4
正解： D

質問 # 5
正解： B