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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Acute Care - Health Promotion and Illness Prevention - Chronic Care - Assessment and Diagnosis |
| Physician Activities | 50% | - Management - Communication - Professional Behaviours - Psychosocial Aspects |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 69-year-old man presents with a 4-day history of a painful right knee. On history, he denies any trauma or similar previous episodes. Examination reveals effusion of the right knee that is warm to the touch. Which one of the following is the best next step?
- A. Serum uric acid level
- B. Joint aspiration
- C. Intravenous antibiotics
- D. Right knee radiography
- E. Nonsteroidal anti-inflammatory drugs
Correct Answer: B 🗳️
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A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?
- A. Calcium carbonate.
- B. Omeprazole.
- C. Bismuth sulfate.
- D. Metoclopramide.
- E. Loperamide.
Correct Answer: B 🗳️
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A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a painful, red great toe. He is accompanied by an older woman who begins giving you the history as you enter the room. The patient is sitting on the examination table with the foot exposed, but he does not speak. Which one of the following is the best next step?
- A. Establish the relationship between the woman and the patient and direct questions to the patient.
- B. Ask the woman to provide legal documentation of her responsibility for the patient.
- C. Allow the woman to continue with the history to expedite the patient encounter.
- D. Examine the uncovered foot immediately to provide comfort to the patient sooner.
- E. Have a nurse attend with you in case the patient needs restraint.
Correct Answer: A 🗳️
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A 16-year-old girl is brought to the Emergency Department with a 12-hour history of worsening right lower quadrant abdominal pain and nausea. She is in no distress and vital signs are normal. Her abdomen is soft but locally tender in the right iliac fossa, and bowel sounds are active. White blood cell count is 7.6 × 10#/L (4-
10), C-reactive protein is 2.3 mg/L ( < 10) and serum beta human chorionic gonadotropin is undetectable.
Ultrasound reveals a small amount of fluid in the pelvis, and the appendix is not clearly apparent. Which one of the following is the best next management step?
- A. Enhanced computed tomography scan of the abdomen and pelvis.
- B. Serial radiography of the abdomen.
- C. Intravenous ceftriaxone and metronidazole.
- D. Laparoscopic appendectomy.
- E. Monitoring and reassessment in 12 hours.
Correct Answer: E 🗳️
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A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?
- A. Retained products of conception
- B. Disseminated intravascular coagulopathy
- C. Uterine atony
- D. Uterine rupture
- E. Vaginal or cervical tear
Correct Answer: E 🗳️
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