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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Dimensions of Care | - Acute Care
|
| Physician Activities | - Assessment
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 32-year-old woman presents to the office and reports that she feels unwell and tired. She is worried about long-standing episodic diarrhea and vague abdominal discomfort. Laboratory investigations reveal a hemoglobin of 90 g/L (123-157), mean corpuscular volume of 75 fL (80-100), and serum ferritin level of 4 µg
/L (11-307). Which one of the following tests is most likely to produce a diagnosis?
- A. Immunoglobulin A tissue transglutaminase.
- B. Total iron-binding capacity.
- C. Helicobacter pylori serology.
- D. Stool for culture and sensitivity.
- E. Fecal fat determination.
Correct Answer: A 🗳️
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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. Emphasize that the duration of his stay in the Intensive Care Unit will be limited
- B. Encourage her to imagine what her husband would have wanted
- 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: B 🗳️
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A 50-year-old man with prostate cancer, which is complicated by bony and cerebral metastases, presents to your office. He has a 24-hour history of increasing lower back pain and weakness in his legs. On examination, you note decreased knee and ankle reflexes on both sides. Earlier today he had fecal incontinence. Which one of the following is the best next step?
- A. Consult to surgery.
- B. Consult to radiotherapy.
- C. Bed rest with subcutaneous analgesia.
- D. Dose of parenteral steroids.
- E. Stellate ganglion block.
Correct Answer: D 🗳️
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A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?
- A. Liver function tests
- B. Serum sodium level
- C. Creatinine clearance
- D. Serum thyrotropin (thyroid-stimulating hormone) level
- E. Parathyroid hormone
Correct Answer: D 🗳️
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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. Counsel the patient on the health effects of tobacco.
- B. Ask if tobacco smoke triggers the patient's asthma.
- C. Advise the patient to avoid tobacco exposure.
- D. Update the chart to indicate that the patient smokes.
Correct Answer: B 🗳️
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