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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?

A) Arrange endometrial ablation
B) Refer for hysterectomy and bilateral salpingo-oophorectomy
C) Organize hysteroscopy
D) Prescribe topical progesterone
E) Obtain consent for dilatation and curettage

2. A 35-year-old maintenance worker presents to your office because he thinks he has been exposed to asbestos and is afraid of developing asbestosis. He has no respiratory symptoms and is a non-smoker. Which one of the following is the best next step?

A) Refer him to a respirologist.
B) Ask him further about his work.
C) Order a chest radiograph.
D) Provide reassurance, since he is asymptomatic.
E) Order pulmonary function testing.

3. A 78-year-old woman is brought to the Emergency Department by her son because she has a sodium level of
124 mmol/L (136-146). The sodium was checked as part of a blood work panel ordered by her primary health care provider to investigate symptoms of urinary frequency, fatigue, and thirst. Today, she has a blood glucose level of 44.0 mmol/L (4.0-11.0). The original blood work done by her primary health care provider did not include glucose. The patient is treated for hyperglycemia and dehydration and begins insulin. The patient and her son repeatedly express their frustration that their primary health care provider missed the diagnosis. Which one of the following is the best next step?

A) Offer to find an alternate health care provider to assume the patient's primary care
B) Report the primary health care provider to the provincial or territorial medical regulatory authority
C) Call the primary health care provider to alert them to their oversight
D) Explain that routine glucose screening was not indicated
E) Empathize with the patient and her son and agree that the health care provider did not meet the standard of care

4. A 45-year-old man with confusion is brought to the Emergency Department by ambulance. He has end-stage renal disease and has missed his last 3 dialysis appointments. He also has a past medical history of antisocial personality disorder and hepatitis C. On examination, he is in respiratory distress. His blood pressure is 170
/90 mm Hg, and his oxygen saturation is 84% on room air. His jugular venous pressure is 8 cm above the sternal angle, and he has crackles in his lungs bilaterally. A venous blood gas shows a bicarbonate of 11 mmol
/L (24-30) and potassium of 7.1 mmol/L (3.5-5.0). Which one of the following is the best next step?

A) Attempt to contact his family for consent to start dialysis.
B) Discuss with his nephrologist the reasons why he missed his dialysis appointments.
C) Start urgent dialysis.
D) Call psychiatry to evaluate his capacity to consent.
E) Prescribe morphine and furosemide.

5. A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?

A) Prescribe stronger pain relief medications.
B) Reassure the patient.
C) Refer the patient to a psychiatrist for anxiety disorder.
D) Refer the patient to a neurologist for further investigations.
E) Order a computed tomography of the head.

Solutions: