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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Roles (CanMEDS Framework) | - Scholar
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?
A) No identifiable risks.
B) Gestational hypertension.
C) Pre-term delivery.
D) Postpartum hemorrhage.
E) Deep vein thrombosis.
2. 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) Direct him to his methadone management program.
B) Give a single opiate injection.
C) Send him for a lumbar spinal radiography.
D) Call the police to have the patient removed from the office.
E) Prescribe a small amount of oral opiate.
3. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?
A) Ensure that all visitors are immunized.
B) Ask all visitors to wear a mask.
C) Enforce mandatory influenza vaccination for LTC staff.
D) Order symptomatic LTC staff to stay home.
4. A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?
A) Stricture formation
B) Grade of dysplasia
C) Family history of gastrointestinal malignancy
D) Depth of intestinal metaplasia
E) Length of Barrett segment
5. A 62-year-old man, who has not seen a physician in 20 years, presents to your clinic with a burning sensation in his feet. The symptoms have been progressing slowly over the last 6 months. There is no associated motor weakness or skin changes. He reports no significant past medical history and takes no medications. His alcohol intake is minimal. On examination, he has reduced pinprick/vibration sensation and proprioception in the ankles with absent ankle reflexes. Which one of the following blood tests would you expect to be abnormal?
A) Folate
B) Anti-acetylcholine receptor antibodies
C) Ferritin
D) Hemoglobin A1c
E) Uric acid
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |






