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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Chronic Care - Health Promotion and Illness Prevention - Assessment and Diagnosis - Acute Care |
| Physician Activities | 50% | - Professional Behaviours - Management - Communication - Psychosocial Aspects |
Medical Council of Canada MCCQE Part 1 Sample Questions:
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. Call the ENT consultant on call to discuss your dilemma.
- B. Ask another family physician to see the daughter due to a conflict of interest.
- C. Decline to send her daughter for consultation and explain your decision.
- D. Explain that there is no indication for the surgery but refer her daughter for consultation.
- E. Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
Correct Answer: C 🗳️
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A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?
- A. Polyhydramnios.
- B. Partial mole.
- C. Twin pregnancy.
- D. Fetal macrosomia.
- E. Ovarian tumour and ascites.
Correct Answer: A 🗳️
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The parents of a 12-year-old boy present to your clinic to discuss their son's submersion injury. The patient was seen in hospital for 6 months after being pulled unresponsive from a lake at his friend's house; he had been submerged for an estimated 20 minutes. After extended resuscitation and a 2-month stay in the intensive care unit, he remains in a persistent vegetative state but needs no respiratory or cardiac support. When evaluating the discharge from hospital, which one of the following is most appropriate?
- A. Plan for a progressive return to school with a home caregiver
- B. Advocate for home care support so that the parents can care for their son safely at home
- C. Organize scheduled readmissions to hospital to provide the family with respite care
- D. Continue intensive rehabilitation in the acute care hospital for the best chance of recovery
- E. Recommend placement in a palliative care facility
Correct Answer: B 🗳️
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A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?
- A. Adrenal hyperplasia.
- B. Sertoli-Leydig cell tumour.
- C. Polycystic ovary disease.
- D. Idiopathic hirsutism.
- E. Hilar cell tumour.
Correct Answer: D 🗳️
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A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?
- A. Trichomonas vaginalis.
- B. Neisseria gonorrhoeae.
- C. Gardnerella vaginalis.
- D. Chlamydia trachomatis.
- E. Human papillomavirus.
Correct Answer: C 🗳️
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