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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physician Activities | 50% | - Management - Communication - Professional Behaviours - Psychosocial Aspects |
| 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:
A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?
- A. The clinical severity of the patient's pulmonary disease.
- B. Whether the underlying condition is due to self-induced illness.
- C. The date the patient was placed on the waiting list.
- D. The patient's value and contributions to society.
- E. The patient has family members who rely on them for income.
Correct Answer: A 🗳️
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. Immediate delivery.
- B. Biophysical profile in 1 week.
- C. Induction of labour on the due date.
- D. Biometry in 2 weeks.
- E. Twice-weekly nonstress tests.
Correct Answer: A 🗳️
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A 65-year-old man presents to your clinic with a 2-month history of persistent erectile dysfunction. He reports having difficulties maintaining an erection. His last hemoglobin A1c level result was 6.4% (4.8-6.0). He had a negative result on his cardiac stress test 1 month ago. He has been taking stable dosages of citalopram, metformin, and ramipril for the past 2 years. His physical examination findings are normal, and his mood appears euthymic. Which one of the following investigations should be ordered before initiating treatment with sildenafil?
- A. Echocardiography.
- B. Urine culture.
- C. No further investigations.
- D. Complete blood count.
- E. Prostate-specific antigen.
Correct Answer: C 🗳️
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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. Emphasize that the duration of his stay in the Intensive Care Unit will be limited
- C. Remove him from life support as this would not be murder
- D. Seek advice from the provincial or territorial public guardian
- E. Say nothing further and wait until she comes around to accepting his state
Correct Answer: A 🗳️
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A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?
- A. No identifiable risks.
- B. Pre-term delivery.
- C. Postpartum hemorrhage.
- D. Deep vein thrombosis.
- E. Gestational hypertension.
Correct Answer: C 🗳️
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