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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Scholar
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 19-year-old woman with a long-standing history of abuse and borderline personality disorder presents to your office. She has a number of superficial lacerations over her arms and legs. They look like they were caused by a sharp edge such as a knife. They are at various stages of healing, and some look like they are a few hours old, though none require stitches. Which one of the following is the most likely comment she would make about the injuries?
A. She uses them to get attention.
B. She feels better afterward.
C. She is obsessed with the look of blood.
D. She is experimenting with body modification.
E. She is too afraid to kill herself.
Question 2
A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?
A. Advise warm compresses every 2 to 3 hours until discharge is cleared
B. Prescribe an oral antibiotic and reassess in 48 hours
C. Reassure the parents and prescribe a topical antibiotic
D. Admit the patient and start antibiotic therapy
E. Recommend lacrimal sac massage
Question 3
A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?
A. Consult gastroenterology
B. Refer the patient to the emergency department
C. Advise increased caloric intake
D. Ask permission to discuss the patient's weight
Question 4
A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?
A. Send for hepatobiliary iminodiacetic acid (HIDA) scan
B. Send for laparoscopic cholecystectomy
C. Arrange for percutaneous cholecystostomy
D. Broaden antibiotic therapy
E. Arrange for endoscopic retrograde cholangiopancreatography
Question 5
A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?
A. Prescribe topical progesterone
B. Refer for hysterectomy and bilateral salpingo-oophorectomy
C. Organize hysteroscopy
D. Arrange endometrial ablation
E. Obtain consent for dilatation and curettage
Solutions:
| Question 1 Answer: B | Question 2 Answer: D | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: B |
