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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?

A. Comment on the previous chest radiograph and the new one in your report
B. Write a report only after communicating with your professional insurer
C. Prepare a report only after communicating with your department head
D. Remark only on the new chest radiograph in your report
E. Create a report only after communicating with your medical regulatory authority

Question 2

A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?

A. The quantity of alcohol he consumes daily.
B. His binge drinking.
C. His previous episode of alcohol withdrawal.
D. His medical comorbidities.
E. The number of years he has consumed alcohol.

Question 3

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. Remain silent to avoid any liability that may be incurred by offering help.
D. Offer assistance only after the patient and the airline agree to release you from any liability.

Question 4

The parents of a 12-year-old boy present to your clinic to discuss their son's submersion injury. The patient was seen in hospital for 6 months after being pulled unresponsive from a lake at his friend's house; he had been submerged for an estimated 20 minutes. After extended resuscitation and a 2-month stay in the intensive care unit, he remains in a persistent vegetative state but needs no respiratory or cardiac support. When evaluating the discharge from hospital, which one of the following is most appropriate?

A. Continue intensive rehabilitation in the acute care hospital for the best chance of recovery
B. Advocate for home care support so that the parents can care for their son safely at home
C. Recommend placement in a palliative care facility
D. Plan for a progressive return to school with a home caregiver
E. Organize scheduled readmissions to hospital to provide the family with respite care

Question 5

A 77-year-old woman is brought to the Emergency Department by ambulance because she has severe heel ulcers and dehydration. Her husband reports that she has been sick for the past 6 to 8 weeks with a cough and congestion. He shares that he has tried to bring her to medical attention on several occasions, but she refused.
The paramedics reported that her bed at home was soiled and that they could hardly reach her room due to clutter. On questioning, her answers seem reasonable. Which one of the following is the most critical next step?

A. Find out whether the husband has a criminal record
B. Assess the patient's decision-making ability
C. Determine whether the patient has alcohol or substance use disorder
D. Obtain pictures to confirm the state of their house
E. Assess the risk of financial abuse by her husband

Solutions: