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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonary embolism. Her condition is stabilized with intubation, hydration, inotropic support, and intravenous administration of heparin. Her partner provides you with a list of her medications. A combination oral contraceptive pill was recently prescribed. She smokes tobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

A) Advise the patient ' s partner to seek legal advice
B) Discuss the case with the hospital ethics committee
C) Report the prescribing physician to the provincial or territorial medical regulatory authority
D) Inform the patient ' s partner that the oral contraceptive pill may have caused her condition
E) Tell her partner that the physician should not have prescribed the oral contraceptive pill

3. An otherwise healthy 21-year-old college student is brought to the Emergency Department after falling from the rooftop terrace of a night club. A grade III splenic laceration measuring 3 cm is identified on computed tomography scan. You elect to manage the patient non-operatively with close monitoring, repeat examinations and hemoglobin levels. A repeat computed tomography at 48 hours shows no deterioration. Diet is resumed and over the next few days, the patient resumes ambulation. Which one of the following do you discuss with your patient prior to discharge?

A) Arrange weekly outpatient follow-up with repeat hemoglobin measurement.
B) Plan an interval laparoscopic splenectomy within the next 6 weeks.
C) Recommend avoidance of vigorous activity for 3 months.
D) Organize an angiography with possible embolization.
E) Vaccinate against encapsulated organisms.

4. A 72-year-old man has had 4 episodes of weakness in her right arm and leg lasting 10 to 15 minutes each.
During 1 episode, she had difficulty speaking and had blurring of the vision in the left eye. Which one of the following is the most likely diagnosis?

A) Left intracerebral hemorrhage.
B) Occlusive disease of the left internal carotid artery.
C) Epilepsy.
D) Occlusive disease of the left vertebrobasilar system.
E) Thrombosis of the left middle cerebral artery.

5. You are taking over a practice from a retiring family physician. The practice has paper records of patients dating back many years, including records of former patients. Which one of the following organizations is the most appropriate to contact regarding medical record retention requirements?

A) Health Canada.
B) The Canadian Medical Association.
C) The College of Family Physicians of Canada.
D) The provincial/territorial regulatory authority.
E) The Medical Council of Canada.

Solutions: