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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Activities | - Communication
|
| Dimensions of Care | - Psychosocial Aspects
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?
- A. Offer assistance and document the encounter in your own records afterwards.
- B. Give advice to the flight attendants on how to proceed but do not offer any direct assistance.
- C. Offer assistance only after the patient and the airline agree to release you from any liability.
- D. Remain silent to avoid any liability that may be incurred by offering help.
Correct Answer: A 🗳️
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A mother brings her previously healthy 4-month-old girl for evaluation due to fussiness for 3 weeks. The infant becomes irritable and cries with occasional body arching 1-2 hours after feeding, frequently spits up after feeds, has developed feeding aversion, and shows slowing weight gain. She has been on cow ' s milk- based formula since birth. Stools are normal, and physical examination is unremarkable. Which one of the following is the most likely diagnosis?
- A. Intermittent intussusception.
- B. Celiac disease.
- C. Gastroesophageal reflux disease.
- D. Peptic ulcer.
- E. Hypertrophic pyloric stenosis.
Correct Answer: C 🗳️
A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?
- A. Fecal immunochemical test (FIT)
- B. Carcinoembryonic antigen
- C. Rigid sigmoidoscopy
- D. Colonoscopy
- E. Computed tomographic colonography
Correct Answer: D 🗳️
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A 51-year-old man comes to your clinic for follow-up regarding his type 1 diabetes. His hemoglobin A1c is
12.5% (normal 4-6%). He has never had such high blood sugar results. He drinks 2 beers per night to help with sleep. He is not well rested because he has been sleeping on a friend's couch since losing his job last year. Which one of the following is the best next step?
- A. Ask him to create a food journal and refer him to a dietitian.
- B. Send him for thyroid function testing.
- C. Ensure that he has the finances to adequately monitor his diabetes.
- D. Prescribe an antidepressant to improve his energy and motivation.
Correct Answer: C 🗳️
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A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?
- A. Evaluate for depression.
- B. Define the extent of the patient ' s gambling disorder.
- C. Investigate the patient ' s need for financial assistance.
- D. Screen for recreational drug and alcohol use.
- E. Determine the risk of violence to the patient and her child.
Correct Answer: E 🗳️
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