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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old woman presents to your office with a 6-week history of left lower quadrant pain and dyspareunia. A pelvic ultrasound is normal. Which one of the following is the most important immediate investigation?

A) Magnetic resonance imaging
B) Cervical swabs
C) Laparoscopy
D) Endometrial biopsy
E) Hysterosalpingography

2. A 15-year-old boy is brought to the Emergency Department by his parents because he fainted at home earlier in the day. They are recent immigrants, and there is a language barrier. Which one of the following is the best option for facilitating a thorough history-taking?

A) Using simple language and speaking slowly.
B) A volunteer from the community who can act as an interpreter.
C) A relative of the patient who can act as an interpreter.
D) A virtual or in-person interpreter service.
E) An available laboratory technician who can act as an interpreter.

3. A 33-year-old man with severe bacterial meningitis is intubated and unresponsive in the Intensive Care Unit.
If he receives immediate treatment, his prognosis is excellent. If he does not, he will likely die. Three years ago, the patient had Huntington disease diagnosed, but he has been asymptomatic since then. His advance directive, which was made before this hospitalization, states that he should be allowed to die if he contracts a life-threatening illness. His parents demand that he be treated for the meningitis. Which one of the following is the best next step?

A) Order an electroencephalography
B) Do not provide any treatment other than comfort measures
C) Ask for a current mental capacity assessment
D) Initiate treatment, using the parents as substitute decision-makers
E) Consult a second physician for an opinion on emergent treatment

4. You are asked to assess an 85-year-old man who was admitted to the hospital for management of a bowel obstruction. The patient is in bed and has a faint pulse with no detectable blood pressure. There is vomitus on his bed and clothing. He has central cyanosis, and oxygen saturation is 75% on supplemental oxygen. Which one of the following is the best next step?

A) Initiate endotracheal intubation and ventilation.
B) Insert a nasogastric tube.
C) Start noninvasive positive airway pressure.
D) Administer an intravenous fluid bolus.
E) Begin chest compressions.

5. 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) Pharyngeal culture.
C) Antistreptolysin O titre.
D) Echocardiography.
E) Excisional biopsy of nodules.

Solutions: