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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A. Contemplation.
B. Maintenance.
C. Precontemplation.
D. Action.
E. Preparation.

Question 2

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. Intravenous antibiotics
C. Joint aspiration
D. Nonsteroidal anti-inflammatory drugs
E. Right knee radiography

Question 3

You receive a note from a pharmacist about your 82-year-old patient who is taking oxycodone extended- release 20 mg 3 times daily for spinal stenosis. The pharmacist suggests that you consider tapering the medication. Your patient has been taking his current dosage for 1 year. When you saw him a month ago, he was functioning well with no adverse effects from the medication. Which one of the following is the best next step?

A. Prescribe a lower dosage of oxycodone.
B. Refer the patient for physiotherapy and acupuncture.
C. Reassess the patient.
D. Refer the patient to a pain specialist to help you decide on the best management.

Question 4

Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A. Explain that there is no indication for the surgery but refer her daughter for consultation.
B. Call the ENT consultant on call to discuss your dilemma.
C. Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
D. Ask another family physician to see the daughter due to a conflict of interest.
E. Decline to send her daughter for consultation and explain your decision.

Question 5

A 48-year-old woman presents with a 2-year history of regular, heavy menstrual flow. She has a BMI of 54, poorly controlled type 2 diabetes, and obstructive sleep apnea. Laboratory results are as follows:
Hemoglobin: 82 g/L (123-157)
Ferritin: 6 µg/L (11-307)
Endometrial biopsy: Absence of hyperplasia or malignancy
Transvaginal ultrasound:
* Uterus: 12 cm × 8.2 cm × 6 cm
* Intramural fibroids
* Endometrial thickness: 14 mm
* Ovaries: Normal
Which one of the following is the best next step?

A. Hysterectomy
B. Continuous combined oral contraception
C. Cyclic medroxyprogesterone
D. Levonorgestrel-releasing intrauterine system

Solutions: