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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Activities | - Assessment
|
| Dimensions of Care | - Acute Care
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?
A) Serum ferritin
B) Serum alpha-1 antitrypsin
C) Serum amylase
D) Hemoglobin A1c
E) Serum cortisol
2. A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?
A) Creatinine clearance
B) Parathyroid hormone
C) Serum thyrotropin (thyroid-stimulating hormone) level
D) Serum sodium level
E) Liver function tests
3. A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?
A) Change him to oral antibiotics, and finish his treatment as an outpatient.
B) Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.
C) Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
D) Discharge the patient, but ensure he signs an " Against Medical Advice " form.
E) Explain that his health is a priority and insist that he stay.
4. A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?
A) His previous episode of alcohol withdrawal.
B) The quantity of alcohol he consumes daily.
C) The number of years he has consumed alcohol.
D) His medical comorbidities.
E) His binge drinking.
5. A mother brings her 4-week-old daughter to your office because she is concerned about the lesion shown in the attached image. Which one of the following is the most appropriate advice to give the mother?
A) The child should be referred to a dermatologist.
B) The child is at increased risk of malignant melanoma.
C) The child likely has a bleeding disorder.
D) You have a duty to report her to child protective services.
E) The lesion will likely fade away with time.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: E |






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