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Medical Council of Canada MCCQE Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Physician Activities	50%	- Psychosocial Aspects - Communication - Management - Professional Behaviours
Topic 2: Dimensions of Care	50%	- Chronic Care - Health Promotion and Illness Prevention - Acute Care - Assessment and Diagnosis

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question #1

A 32-year-old woman, gravida 1, para 0, aborta 1, and her partner present to the office for follow-up regarding a spontaneous abortion that occurred 6 weeks ago. On history, the patient smokes tobacco cigarettes occasionally. On examination, she is healthy and has a BMI of 25. Ultrasonography findings reveal an empty uterus with a 2-cm subserosal fibroid. The couple is planning another pregnancy and would like information on how to increase her chances of carrying a pregnancy to full term. Which one of the following is the best advice?

A. The patient should undergo excision of her fibroid.
B. The patient should stop smoking.
C. The patient should defer conception for 6 months.
D. The patient and her partner should abstain from sexual intercourse in the first trimester.
E. The patient should take 5 mg of folic acid daily.

Reveal Solution Discussion 0

Correct Answer: B 🗳️

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Question #2

A 45-year-old man with confusion is brought to the Emergency Department by ambulance. He has end-stage renal disease and has missed his last 3 dialysis appointments. He also has a past medical history of antisocial personality disorder and hepatitis C. On examination, he is in respiratory distress. His blood pressure is 170
/90 mm Hg, and his oxygen saturation is 84% on room air. His jugular venous pressure is 8 cm above the sternal angle, and he has crackles in his lungs bilaterally. A venous blood gas shows a bicarbonate of 11 mmol
/L (24-30) and potassium of 7.1 mmol/L (3.5-5.0). Which one of the following is the best next step?

A. Discuss with his nephrologist the reasons why he missed his dialysis appointments.
B. Start urgent dialysis.
C. Prescribe morphine and furosemide.
D. Call psychiatry to evaluate his capacity to consent.
E. Attempt to contact his family for consent to start dialysis.

Reveal Solution Discussion 0

Correct Answer: B 🗳️

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Question #3

A 45-year-old man presents to the office and reports difficulty understanding conversations that happen in a noisy environment. Ear examination findings are normal. You request audiography, from which results show bilateral high-frequency sensorineural hearing loss with a notch at 4000 Hz. Which one of the following is the most likely cause of this patient's hearing loss?

A. Having type 2 diabetes for 10 years.
B. Having a hereditary condition.
C. Having had frequent ear infections during childhood.
D. Attending a firing range to practise shooting before each hunting season.
E. Working in the construction sector for the past 20 years.

Reveal Solution Discussion 0

Correct Answer: E 🗳️

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Question #4

A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?

A. Abdominal radiography.
B. Ultrasound of abdomen.
C. Endoscopic retrograde cholangiography.
D. Chest radiography.
E. Cholescintigraphy (HIDA scan).

Reveal Solution Discussion 0

Correct Answer: B 🗳️

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Question #5

A 63-year-old woman presents to your office with a history of progressive abdominal discomfort over the past five months. She reports bloating and difficult digestion with constipation. She has no urinary symptoms and denies vaginal or rectal bleeding. An abdominal ultrasound shows a large complex pelvic mass with internal multiloculation and moderate ascites. The cancer antigen 125 (CA 125) is elevated at 1023 U/mL ( < 35 U
/mL). Which one of the following is the most likely diagnosis?