매달, 우리는 1000명 이상의 사람들이 시험 준비를 잘하고 시험을 잘 통과할 수 있도록 도와줍니다.
MCCQE Part 1 Exam 온라인 연습
최종 업데이트 시간: 2026년02월14일
당신은 온라인 연습 문제를 통해 Medical Council of Canada MCCQE 시험지식에 대해 자신이 어떻게 알고 있는지 파악한 후 시험 참가 신청 여부를 결정할 수 있다.
시험을 100% 합격하고 시험 준비 시간을 35% 절약하기를 바라며 MCCQE 덤프 (최신 실제 시험 문제)를 사용 선택하여 현재 최신 230개의 시험 문제와 답을 포함하십시오.
정답:
Explanation:
The clinical presentation ofmultiple fractures at different stages of healingin a young child raisesstrong suspicion of physical abuse(non-accidental trauma). In such situations,mandatory reporting to child protection services is legally and ethically required, even in the absence of parental admission or clear history.
Toronto Notes 2023 C Pediatrics, Child Maltreatment Section:
“Red flags include inconsistent history, delay in seeking care, multiple injuries in various stages of healing, and injuries not consistent with developmental level. Health care professionals arelegally obligatedto report suspected child abuse or neglect to child protection authorities without delay.”
MCCQE1 Objectives (Medical Expert > Pediatrics > 77-2):
"The candidate must be able to recognize when the findings are consistent with child abuse... When child abuse is suspected,the physician has a legal obligation to report to the appropriate child protection agency immediately."
Options B, C, D, and E do not address the immediate child safety risk and legal duty. Social work involvement (E) is supportive but must follow or accompany notification to child protection, not replace it.
정답:
Explanation:
Mid-cycle acute onset pelvic pain with localized adnexal tenderness in a reproductive-age woman suggests a hemorrhagic ovarian cyst, particularly a ruptured one. The hemodynamic parameters are stable, but elevated HR supports acute pain and possible blood loss.
Toronto Notes 2023 C Gynecology / Acute Pelvic Pain:
“Hemorrhagic ovarian cysts present with sudden unilateral pelvic pain, mid-cycle, with guarding and rebound tenderness. Ultrasound is key.”
MCCQE1 Objectives (Gynecology > 82-4: Acute Pelvic Pain):
“Candidates must recognize common causes of acute pelvic pain, including ovarian cysts.”
Diverticulitis (A) is rare in young women and usually LLQ. Appendicitis (B) is more likely RLQ.
Adenomyosis (C) and endometriosis (D) cause chronic cyclical pain, not acute tenderness.
정답:
Explanation:
In a patient presenting with physical symptoms (e.g., hip pain) and prominent psychosocial red flags ― loss of interest, decreased libido, and withdrawal ― the next step is to screen for depression. Somatization is common in mood disorders.
Toronto Notes 2023 C Psychiatry, Depression:
“Patients with depression may present with somatic complaints. A thorough psychosocial assessment is essential in such cases, particularly when symptoms interfere with functioning.”
MCCQE1 Objectives C Psychiatry > Mood Disorders:
“Candidates must consider depression in patients with non-specific physical symptoms and reduced interest or motivation, particularly with social withdrawal.”
Imaging or physiotherapy may be needed later, but the most urgent and informative step is psychiatric screening.
정답:
Explanation:
The patient with the angulated thigh, hypotension relative to baseline, and tachycardia likely has a femoral shaft fracture with concealed hemorrhage. This poses an immediate risk of hypovolemic shock and requires urgent assessment and stabilization.
Toronto Notes 2023 C Emergency Medicine, “Trauma Triage and Prioritization”:
“Patients with long bone fractures, especially femoral fractures, are at high risk for hemorrhage and should be prioritized for stabilization and hemorrhage control.”
MCCQE1 Objectives (Surgery > 51-1: Trauma):
“Candidates must prioritize trauma patients based on signs of instability or risk of deterioration, such as tachycardia and occult bleeding.”
정답:
Explanation:
The presentation is consistent with cervical spondylosis ― a degenerative condition. In the absence of neurologic findings, further imaging beyond plain radiography is not warranted. Management includes conservative measures such as physiotherapy and analgesia.
Toronto Notes 2023 C Rheumatology, Cervical Spondylosis:
“Patients with typical cervical spondylosis and no red flags (e.g., neurologic deficits) do not require MRI. Treatment is conservative. Radiographs showing disc space narrowing and osteophytes confirm diagnosis.”
MCCQE1 Objectives C Internal Medicine > Musculoskeletal Disorders:
“Candidates must recognize typical degenerative spine disorders and avoid unnecessary investigations when clinical findings are straightforward.”
MRI (B) is useful if myelopathy or radiculopathy is suspected. CT (A), EMG (C), and LP (D) are not indicated here.
정답:
Explanation:
Children with a first-degree relative who has premature coronary artery disease or hypercholesterolemia should undergo fasting lipid screening between ages 2C10. Since the child is 10, screening is indicated.
Toronto Notes 2023 C Pediatrics, “Preventive Care in Children”:
“Lipid screening is recommended for children #2 years old with a family history of early cardiovascular disease or hypercholesterolemia.”
MCCQE1 Objectives (Pediatrics > 78-1: Preventive Medicine):
“Candidates must screen children at high risk of cardiovascular disease appropriately, including lipid profile for familial hyperlipidemia.”
Diet and exercise counseling may follow screening, but testing is the first step. Reassurance alone (C) is inappropriate. Homocysteine (E) and HbA1c are not first-line tests in this setting.
정답:
Explanation:
This patient presents with hypotension, diffuse abdominal pain, and a history of contact sports injury with preceding symptoms of infectious mononucleosis (sore throat, fatigue). The spleen is commonly enlarged in mononucleosis, making it vulnerable to rupture after even minor trauma.
Toronto Notes 2023 C General Surgery and Infectious Diseases Sections:
“Splenic rupture is a known complication of mononucleosis, particularly after trauma. Symptoms may include diffuse abdominal pain, hypotension, and signs of hemorrhagic shock.”
MCCQE1 Objectives (Surgery > 84-1: Abdominal Trauma):
“Candidates should identify splenic rupture as a cause of hypotension and abdominal pain following blunt abdominal trauma, especially in patients with splenomegaly.”
Appendicitis (B) would present with localized right lower quadrant pain. Pneumonia (C) and pyelonephritis
(D) would present with respiratory or urinary symptoms. Ruptured duodenum (E) is much less likely without specific trauma to that region or signs of peritonitis.
정답:
Explanation:
This patient has classic features of exertional heat stroke―hyperthermia, hypotension, CNS symptoms (collapse), and hot, dry skin. A key complication of heat stroke is rhabdomyolysis, which can cause renal failure. Serum creatine kinase (CK) is the best next diagnostic step to confirm muscle breakdown.
Toronto Notes 2023 C Emergency Medicine, “Environmental Exposures”:
“In heat stroke, check for rhabdomyolysis (#CK), renal impairment, and coagulopathy. Prompt cooling and hydration are critical.”
MCCQE1 Objectives (Internal Medicine > 59-3: Environmental and Toxic Exposures):
“Candidates must recognize heat-related illnesses and investigate for complications such as rhabdomyolysis and acute kidney injury.”
CT head (C) is not indicated unless persistent neurological symptoms. TSH (B), CRP (D), and blood cultures
(E) are irrelevant to acute exertional hyperthermia.
정답:
Explanation:
This patient has signs suggestive of decompensated liver cirrhosis (ascites, peripheral edema, low-normal BP, alcohol use, abdominal distension). Sodium restriction is the cornerstone of first-line management to prevent fluid retention in cirrhotic ascites.
Toronto Notes 2023 C Gastroenterology, “Cirrhosis and Ascites” Section:
“Sodium restriction (<2 g/day) is the most important non-pharmacologic management for ascites. Fluid restriction is added only in cases of severe hyponatremia.”
MCCQE1 Objectives (Internal Medicine > 76-5: Liver Disease):
“Candidates must manage ascites conservatively using sodium restriction, with diuretics added as needed.”
Lactulose (E) is used for hepatic encephalopathy, not ascites. Ramipril (B) may worsen renal function in cirrhosis. Nadolol (C) is used for variceal bleeding prophylaxis. Compression stockings (D) are not helpful in ascites-related edema.
정답:
Explanation:
An advance directive is a legally binding document that outlines a competent person's preferences regarding future medical care. If the patient clearly stated a refusal of treatment in the event of a life-threatening condition, this directive must be followed, even if the patient is currently incapacitated and family disagrees.
Toronto Notes 2023 C Ethics and Law:
“Advance directives must be respected when valid, clear, and applicable. Substitute decision-makers cannot override them.”
MCCQE1 Objectives (ELOM > 90-4: Informed Consent and Advance Directives):
“Candidates must apply valid advance directives to guide care for incapacitated patients.”
B (parents as SDMs) is incorrect if an advance directive exists. A and D are irrelevant―capacity has already been documented. C is unnecessary when an advance directive is clear.
정답:
Explanation:
Recruiting participants from an autism seminar introduces selection bias. This non-random selection increases the likelihood of overestimating associations due to pre-existing beliefs or exposures in that subgroup.
Toronto Notes 2023 C Epidemiology:
“Selection bias occurs when participants are not representative of the general population, as in recruitment from disease-specific support groups.”
MCCQE1 Objectives (Population Health > 65-2: Study Design and Appraisal):
“Candidates must recognize sources of bias in epidemiologic studies, including selection bias due to non-representative recruitment.”
Recall bias (D) is more of a concern in retrospective studies. Sponsorship (B) may create perception bias but is not a flaw in methodology itself. Standard error reporting (A) is normal. Not accounting for confounders
(E) matters but recruitment source is more directly biasing.
정답:
Explanation:
Patients with sickle cell anemia often develop functional asplenia due to repeated splenic infarction. The spleen plays a critical role in clearing encapsulated organisms such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. Functional asplenia significantly increases the risk of overwhelming sepsis.
Toronto Notes 2023 C Hematology, “Sickle Cell Disease”:
“Functional asplenia is common in sickle cell disease and increases the risk for sepsis due to impaired clearance of encapsulated bacteria.”
MCCQE1 Objectives (Pediatrics > 77-2: Hematology):
“Candidates must recognize that patients with functional asplenia are at increased risk for sepsis and require prompt evaluation for fever.”
Neutrophil dysfunction (B) and immunoglobulin deficiency (C) are not typical features of sickle cell anemia.
Chronic anemia (D) and iron overload (E) do not directly increase sepsis risk.
정답:
Explanation:
The patient presents with an acutely inflamed joint and fever, raising concern for septic arthritis. A history of gout does not exclude infection. The first and most urgent step in any monoarthritis with systemic signs (fever) is joint aspiration to assess for crystals, white cells, and organisms.
Toronto Notes 2023 C Rheumatology, “Monoarthritis”:
“Always rule out septic arthritis in a hot, swollen joint, especially when fever is present. Joint aspiration is essential to differentiate infection from crystal arthropathy.”
MCCQE1 Objectives (Medicine > Rheumatology > 49-1):
“Candidates must identify red flags for septic arthritis and understand that arthrocentesis is the first step in diagnosis and management.”
Initiating NSAIDs or acetaminophen without diagnosis (C, D) can delay appropriate care. Radiographs (B) do not help differentiate gout from infection acutely. Blood cultures (E) may help, but aspiration is more diagnostic.
정답:
Explanation:
Radiation proctitis is a well-known complication of pelvic radiation therapy (e.g., for prostate cancer). It presents months to years after treatment with rectal bleeding, tenesmus, and mucosal ulceration on colonoscopy.
Toronto Notes 2023 C Gastroenterology, “Radiation-Induced GI Injury”:
“Radiation proctitis presents with rectal bleeding, tenesmus, urgency. Colonoscopy shows pale, friable mucosa, ulcerations, and telangiectasia.”
MCCQE1 Objectives (Gastroenterology > 47-2: GI Bleeding and Complications):
“Candidates must recognize radiation proctitis based on history of radiation and characteristic endoscopic findings.”
Ulcerative colitis (B) usually starts younger and is more diffuse. Diverticulosis (C) affects the left colon and causes painless bleeding. Recurrent prostate cancer (D) and rectal cancer (E) would show mass or infiltration.
정답:
Explanation:
Bronchiectasis is characterized by recurrent localized pneumonia, chronic productive cough, and hemoptysis.
A linear infiltrate that persists in the same area suggests localized airway damage―typical of bronchiectasis.
Toronto Notes 2023 C Respirology:
“Bronchiectasis presents with recurrent infections in the same location, productive cough, and hemoptysis. Chest X-ray may show linear opacities; high-resolution CT is diagnostic.”
MCCQE1 Objectives (Respiratory > 45-1: Chronic Respiratory Symptoms):
“Candidates must investigate recurrent pneumonias and consider bronchiectasis, especially if localized.”
Chronic bronchitis (A) presents bilaterally. Mitral stenosis (B) may cause hemoptysis but not localized infiltrates. TB (E) usually affects upper lobes. Infarction (C) is acute and not recurrent.