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Medical Council of Canada MCCQE Exam Overview:

Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are an attending physician at a palliative care unit and are asked to see an 80-year-old woman who is dying of lung cancer. She has been unresponsive for the last 2 days and had her last dose of morphine 4 hours ago. Her son just arrived in town this afternoon and pleads with you to wake her up so she can sign her will.
Which one of the following is the best next step?

A) Explain the normal changes at this stage of illness.
B) Request a consultation with the hospital ethicist.
C) Prescribe naloxone to increase her alertness.
D) Hold scheduled doses of morphine.
E) Arrange for a legal opinion.

2. A 45-year-old woman presents to the emergency department after being involved in a motor vehicle collision.
She reports severe right hip pain. On examination, the right hip is flexed and adducted. A radiograph shows a posterior dislocation. Which one of the following is the most appropriate management?

A) Closed reduction under sedation.
B) Total hip arthroplasty.
C) Open reduction under general anesthetic.
D) Gradual reduction with skeletal traction.

3. A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks ' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:
BP: 121/78 mm Hg
HR: 90 bpm
Temp: 38°C
Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.
Which one of the following is the best next investigation?

A) Amniocentesis with culture
B) Lumbar puncture
C) Fetal ultrasonography
D) Computed tomography of the head
E) Urine protein to creatinine ratio

4. You are working in a busy family practice. Your colleague ' s 48-year-old female patient presents with a 6- month history of fatigue and gastrointestinal symptoms. A recent colonoscopy was normal. Her chart indicates multiple investigations for similar symptoms over the past 2 years, all of which have been non- revealing. Your working diagnosis is somatic symptom disorder. Which one of the following is the most appropriate treatment?

A) Amitriptyline 10 mg at bedtime
B) Risperidone 0.5 mg daily
C) Exposure and response prevention therapy
D) Citalopram 20 mg daily
E) Cognitive behavioral therapy

5. You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

A) 37/163.
B) 17/101.
C) 37/101.
D) 101/163.

Solutions: