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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dimensions of Care | 50% | - Assessment and Diagnosis - Chronic Care - Acute Care - Health Promotion and Illness Prevention |
| Topic 2: Physician Activities | 50% | - Psychosocial Aspects - Professional Behaviours - Management - Communication |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 45-year-old man presents to your family practice for follow-up because he has had repeated transient ischemic attacks and had been advised not to drive. During the interview, you find out that he is still driving.
He explains that he only drives to the grocery store and his wife, who also has a driver ' s license, is always a passenger with him. He insists he can drive. You think that he should no longer be driving a car. Which one of the following is the best next step?
- A. Consult a neurologist to assess whether the patient is fit to drive.
- B. Communicate your concerns to the motor vehicle licensing authority.
- C. Refuse to treat him further unless he stops driving.
- D. Discuss this further with him.
- E. Physically take away his license.
Correct Answer: B 🗳️
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A 29-year-old woman presents with vaginal spotting after 6 weeks of amenorrhea. She is asymptomatic otherwise. Serum #-hCG is 2150 IU/L, and pelvic ultrasound shows an empty uterus. She has been trying to conceive for 7 months. Which one of the following is the best next step?
- A. Repeat serum #-hCG test in 48 hours.
- B. Arrange exploratory laparoscopy.
- C. Perform dilatation and curettage for chorionic villi.
- D. Repeat pelvic ultrasonography in 10 days.
- E. Administer intramuscular methotrexate.
Correct Answer: A 🗳️
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A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?
- A. Ask if tobacco smoke triggers the patient's asthma.
- B. Advise the patient to avoid tobacco exposure.
- C. Update the chart to indicate that the patient smokes.
- D. Counsel the patient on the health effects of tobacco.
Correct Answer: A 🗳️
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A 3-year-old boy is brought to the office because he has progressive weight gain and short stature. He has marked truncal obesity, hypertrichosis of the upper lip, and facial swelling. Which one of the following is a physical examination most likely to reveal?
- A. Cafe-au-lait spots
- B. Thyroid goiter
- C. Acanthosis
- D. Hypertension
- E. Hepatomegaly
Correct Answer: D 🗳️
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A 34-year-old woman, gravida 3, para 2, aborta 0, presents at 38 weeks ' gestation. She is in early labor with ruptured membranes. Her previous pregnancy was complicated by fever during labor. Which one of the following would increase the risk of fever recurrence?
- A. Advanced maternal age
- B. Precipitous labor
- C. Multiparity
- D. Epidural analgesia
Correct Answer: D 🗳️
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