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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Activities | - Management
|
| Topic 2: Dimensions of Care | - Health Promotion and Illness Prevention
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 24-year-old man is brought to the Emergency Department by ambulance with a severe pelvic fracture from a motor vehicle collision. After resuscitation and stabilization, he is noted to have a bloody penile discharge.
Which one of the following is the best next step?
A) Foley catheter and continuous bladder irrigation.
B) Sonography of penis.
C) Retrograde urethrography.
D) Transrectal ultrasound.
E) Voiding cystography.
2. 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) Echocardiography.
B) Rheumatoid factor.
C) Antistreptolysin O titre.
D) Excisional biopsy of nodules.
E) Pharyngeal culture.
3. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?
A) Recommend lacrimal sac massage
B) Admit the patient and start antibiotic therapy
C) Advise warm compresses every 2 to 3 hours until discharge is cleared
D) Reassure the parents and prescribe a topical antibiotic
E) Prescribe an oral antibiotic and reassess in 48 hours
4. A 3-week-old boy is brought by his parents to your clinic for a well-child visit. The newborn was born at term after an uncomplicated pregnancy. He is exclusively breastfed and is thriving. Physical examination findings are normal except for jaundice. Total bilirubin is 172 #mol/L (#100), and conjugated bilirubin is 4 #mol/L (#5). Results of a complete blood count and reticulocyte count are within the normal range. The results of a direct antiglobulin (Coombs) test were negative. Which one of the following, if any, is the most appropriate investigation?
A) Test for galactosemia.
B) Urine culture.
C) Liver enzymes and serum albumin.
D) No investigation required.
E) Hepatobiliary ultrasonography.
5. A 70-year-old woman presents to the Emergency Department with a 2-day history of dysuria and right flank pain. Upon arrival, she is quite unwell. Her vital signs are as follows: blood pressure 70/38 mm Hg, heart rate
130/min, respiratory rate 24/min, temperature 39.4 °C.
Due to difficulty obtaining peripheral access, a central line is inserted. There is a lot of ongoing bleeding around the line insertion site. Her blood work shows:
White blood cell count: 19.8 × 10#/L (4-10)
Hemoglobin: 101 g/L (123-157)
Platelets: 85 × 10#/L (130-400)
Blood film: schistocytes
INR: 1.9 (0.9-1.2)
Fibrinogen: < 1 g/L (2-4)
Which one of the following is the most likely cause of her ongoing bleeding?
A) Heparin-induced thrombocytopenia.
B) Vitamin K deficiency.
C) Idiopathic thrombocytopenic purpura.
D) Thrombotic thrombocytopenic purpura.
E) Disseminated intravascular coagulation.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: E |






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