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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Acute Care - Chronic Care - Assessment and Diagnosis - Health Promotion and Illness Prevention |
| Physician Activities | 50% | - Communication - Professional Behaviours - Management - Psychosocial Aspects |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 10-year-old boy and his mother present to your office with a concern about handwashing. The mother explains that her son has been at a new school for the past month and that teachers have noticed that he is washing his hands all day. He has also hidden hand sanitizer in his desk. The hand-cleaning is a response to a constant anxiety that his hands are dirty, and that he might pass an infection to someone. Which one of the following is the most appropriate initial management?
- A. Return to his previous school.
- B. Exposure and response prevention therapy.
- C. Risperidone 0.5 mg PO QHS.
- D. Fluoxetine 20 mg PO OD.
- E. Recommendation of a teaching assistant.
Correct Answer: B 🗳️
Explanation: Only visible for PracticeVCE members. You can sign-up / login (it's free).
A 45-year-old woman presents with a 2-week history of a sore left breast. It has become red and swollen. She was previously well, and her menstrual cycles are regular. She has no history of breast cancer, and she has no children. On examination, she has a red, tender, indurated area in her left breast that has only partially responded to oral antibiotics after 10 days. Which one of the following is the most appropriate next step?
- A. Start nonsteroidal anti-inflammatory agents.
- B. Perform a breast biopsy.
- C. Proceed with incision and drainage.
- D. Start intravenous antibiotics.
- E. Change the oral antibiotic.
Correct Answer: B 🗳️
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A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour.
Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother's efforts to calm him. During these episodes, he appears agitated and flushed. After 15-20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?
- A. Nightmare disorder.
- B. Nocturnal seizures.
- C. Panic disorder.
- D. Temper tantrums.
- E. Non-rapid eye movement sleep arousal disorder.
Correct Answer: E 🗳️
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A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?
- A. Serial cytology.
- B. Punch biopsy.
- C. Polypectomy.
- D. Colposcopy.
- E. Cryotherapy.
Correct Answer: C 🗳️
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A 62-year-old woman is referred to your clinic for evaluation of hypercalcemia. She has a history of hypertension and vitamin D deficiency. Her medications include hydrochlorothiazide and vitamin D supplements. Laboratory investigations are as follows:
Calcium: 2.72 mmol/L (#)
Phosphate: 0.9 mmol/L (#)
Parathyroid hormone (PTH): 0.9 pmol/L (#)
25-hydroxy vitamin D: 80 nmol/L (normal)
Which one of the following is the best next step?
- A. Start calcitriol
- B. Refer for consideration of parathyroidectomy
- C. Order serum protein electrophoresis and urine for light chains
- D. Order 24-hour urine calcium
- E. Switch to a different antihypertensive medication
Correct Answer: C 🗳️
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