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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Roles (CanMEDS Framework) | - Professional
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?
A. Order a computed tomography of the head.
B. Refer the patient to a neurologist for further investigations.
C. Prescribe stronger pain relief medications.
D. Reassure the patient.
E. Refer the patient to a psychiatrist for anxiety disorder.
Question 2
A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?
A. Ramipril
B. Labetalol
C. Hydralazine
D. Nifedipine
E. Methyldopa
Question 3
A 45-year-old man with a developmental delay and a history of disruptive behavior presents to the clinic looking for his family doctor. He is well known to the clinic. He appears drunk and has accidentally broken 2 large beer bottles in the waiting room but remains calm. The office staff requests your help to deal with this situation. Which one of the following is the most appropriate initial step?
A. Call the social work crisis intervention team.
B. Instruct the office staff to ignore him and let him calm down.
C. Tell the patient that his behavior is unacceptable and ask him to leave.
D. Assess the patient promptly.
E. Call the police, given the patient ' s presentation.
Question 4
A 20-year-old woman from a remote northern community presents to the office with a 2-week history of malaise and a 2-day history of disabling pain in her left elbow. She had a sore throat 4 weeks ago. She also notes that she has had 2 weeks of pain and swelling in her right knee, followed by pain and swelling in her left elbow. On examination, you note 0.5-cm to 1-cm nodules just above both her elbows. You find no active joint swelling. An electrocardiogram shows a prolonged PR interval. Which one of the following is the most appropriate investigation?
A. Rheumatoid factor.
B. Excisional biopsy of nodules.
C. Echocardiography.
D. Pharyngeal culture.
E. Antistreptolysin O titre.
Question 5
A 69-year-old man presents with a 4-day history of a painful right knee. On history, he denies any trauma or similar previous episodes. Examination reveals effusion of the right knee that is warm to the touch. Which one of the following is the best next step?
A. Intravenous antibiotics
B. Serum uric acid level
C. Nonsteroidal anti-inflammatory drugs
D. Joint aspiration
E. Right knee radiography
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: E | Question 5 Answer: D |
