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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:
A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?
- A. Diagnosis
- B. Physiotherapist ' s evaluation
- C. Medical imaging results
- D. Treatment options
- E. Required workplace accommodations
Correct Answer: E 🗳️
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An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, " I cannot let him go. That would be murder. " As the attending physician looking after her husband, which one of the following is the best next course of action?
- A. Encourage her to imagine what her husband would have wanted
- B. Seek advice from the provincial or territorial public guardian
- C. Emphasize that the duration of his stay in the Intensive Care Unit will be limited
- D. Say nothing further and wait until she comes around to accepting his state
- E. Remove him from life support as this would not be murder
Correct Answer: A 🗳️
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A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?
- A. Carbamazepine
- B. Cognitive behavior therapy
- C. Risperidone
- D. Valproic acid
- E. Electroconvulsive therapy
Correct Answer: C 🗳️
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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. Liver function tests
- C. Parathyroid hormone
- D. Serum sodium level
- E. Serum thyrotropin (thyroid-stimulating hormone) level
Correct Answer: E 🗳️
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A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain.
Her vital signs are as follows:
Heart rate: 94/min
Blood pressure: 130/80 mm Hg
Temperature: 37.3 °C
A non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associated hydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?
- A. Increase intravenous fluids
- B. Prescribe antibiotics
- C. Administer an alpha blocker
- D. Refer for urology consultation
- E. Provide reassurance
Correct Answer: C 🗳️
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