Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Physician Activities | 50% | - Professional Behaviours - Management - Communication - Psychosocial Aspects |
| Dimensions of Care | 50% | - Assessment and Diagnosis - Health Promotion and Illness Prevention - Acute Care - Chronic Care |
Medical Council of Canada MCCQE Part 1 Sample Questions:
1. You are asked to see a 34-year-old patient at his long-term care facility for a 2-day history of fever. You diagnose a urinary tract infection. He has multiple sclerosis diagnosed 5 years ago and has lived in this long- term care facility for the past 2 years. He is bedbound and has an indwelling urinary catheter. For the past 3 months, he has been non-communicative. Prior to this, he had made it clear that he did not want any life- prolonging measures. Which one of the following is the best next step?
A) Call his family to consider antibiotics.
B) Transfer him to the hospital.
C) Start antibiotics while waiting to contact the family.
D) Prescribe antipyretics.
E) Change his urinary catheter.
2. A 33-year-old primigravid woman presents to the office with gestational hypertension. Her pregnancy is at 37 weeks' gestation. The ultrasound findings are as follows:
Head circumference: 5th percentile
Biparietal diameter: 10th percentile
Abdominal circumference: 5th percentile
Femur length: 25th percentile
Amniotic fluid volume: 5.0 cm
Umbilical Doppler: Reversed end-diastolic flow
Which one of the following is the best next step?
A) Biometry in 2 weeks.
B) Induction of labour on the due date.
C) Biophysical profile in 1 week.
D) Immediate delivery.
E) Twice-weekly nonstress tests.
3. A 42-year-old man presents to your clinic for follow-up regarding his anxiety. He lost his job 1 year ago.
Since then, he constantly thinks about what happened, trying to understand what went wrong and how he could fix it or prevent it in the future. He is unable to sleep because of this. He has become socially isolated and when he does see friends, he worries constantly that he may say something hurtful. He wishes he could get past what happened and find another job but feels consumed by the fear that he may offend someone in the future. On history, his symptoms did not respond to escitalopram, sertraline, fluvoxamine, or venlafaxine, all at maximum tolerated doses. Which one of the following medications is the most appropriate?
A) Quetiapine
B) Vortioxetine
C) Paroxetine
D) Clomipramine
E) Amitriptyline
4. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?
A) Observe for 24 hours and discharge if stable
B) Discharge with analgesics
C) Order ultrasonography of the scrotum
D) Order a technetium 99m pertechnetate scan
E) Plan surgical exploration
5. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?
A) Arrange for serial home blood pressure monitoring.
B) Order computed tomography of the head.
C) Give a prescription for serotonin 5-HT receptor agonist (Triptan).
D) Start a calcium channel blocker.
E) Refer for urgent temporal artery biopsy.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |
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