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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Professional
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
An 83-year-old woman presents to your office with a 2-day history of confusion. Her past medical history is significant for lung cancer, and she is being treated with radiation. On physical examination, she is euvolemic.
Her blood work reveals a serum sodium of 118 mmol/L (135-140) as compared with 134 mmol/L (8 days ago). Which one of the following will be most helpful in establishing the cause of her laboratory abnormality?
- A. Creatinine clearance
- B. Parathyroid hormone-related peptide
- C. Serum osmolality
- D. Urine sodium
- E. Urinalysis
Correct Answer: C 🗳️
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You are counselling a couple that is concerned about the risk that their second child could be affected by the same X-linked recessive disorder (hemophilia A) as their last child, a boy. Neither parent has this disorder.
What is the probability that their second child will be affected?
- A. 50% if the child is a boy
- B. 50% if the child is a girl
- C. 25% if the child is a boy
- D. 100% whether the child is a boy or a girl
- E. 25% if the child is a girl
Correct Answer: A 🗳️
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A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?
- A. Electroconvulsive therapy
- B. Cognitive behavior therapy
- C. Valproic acid
- D. Risperidone
- E. Carbamazepine
Correct Answer: D 🗳️
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A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?
- A. Broaden antibiotic therapy
- B. Send for hepatobiliary iminodiacetic acid (HIDA) scan
- C. Send for laparoscopic cholecystectomy
- D. Arrange for percutaneous cholecystostomy
- E. Arrange for endoscopic retrograde cholangiopancreatography
Correct Answer: D 🗳️
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An otherwise healthy 57-year-old man with a 20 pack-year history of smoking presents with a 2-day history of reddish-brown urine that has not cleared. There is no history of abdominal or flank pain. Urinalysis reveals
5 red blood cells per high power field. Which one of the following is the best next step?
- A. Ultrasonography.
- B. Intravenous pyelography.
- C. Cystoscopy.
- D. Reassurance.
- E. Repeat urinalysis in a month.
Correct Answer: C 🗳️
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