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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Leader (Manager)
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 40-year-old woman presents with a 3-month history of discharge from her right nipple. The discharge was initially milky white, but over the last 2 weeks, the patient has noted blood stains on her bra. There is mild discomfort in the same breast around the time of menses periods. On physical examination, the upper outer quadrant of the breast is tender, but there are no palpable lumps. You are able to express fluid from the nipple which is in fact blood-tinged. Which one of the following is the most likely diagnosis?
A. Ductal carcinoma in situ.
B. Staphylococcal infection.
C. Paget disease.
D. Intraductal papilloma.
E. Mammary duct ectasia.
Question 2
A 67-year-old woman presents with headaches, muscle weakness, pain in her shoulders and hips, weight loss, and depression. While also arranging appropriate investigations to confirm a diagnosis, which one of the following is the most important objective of treatment?
A. Prevent headaches from worsening.
B. Prevent jaw claudication.
C. Alleviate the depression.
D. Prevent blindness.
E. Improve the shoulder and hip pain.
Question 3
A 32-year-old man presents to the clinic for assessment of a dog bite sustained 3 days ago while traveling in another country. He recalls having seen the dog eat where he was staying, and the animal did not appear well.
On examination, the patient has 2 distinct deep puncture wounds on his left leg. There is an erythematous border but no exudate. He is unsure of his immunization status. Which one of the following is the most appropriate management?
A. Give rabies immunoglobulin and vaccine
B. Irrigate the wounds with hydrogen peroxide
C. Order serum creatine kinase
D. Arrange for wound debridement
E. Start antibiotic treatment with ciprofloxacin
Question 4
A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?
A. Creatinine clearance
B. Parathyroid hormone
C. Serum thyrotropin (thyroid-stimulating hormone) level
D. Serum sodium level
E. Liver function tests
Question 5
A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nausea after completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He has been sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takes no medications. His vital signs on arrival are as follows:
Blood pressure
85/57 mm Hg
Heart rate
120/min
Respiratory rate
18/min
Temperature
40.1 °C
Oxygen saturation
95%, room air
-
On physical examination, the patient ' s skin is dry, flushed, and warm to the touch. He has a diffuse erythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. An electrocardiogram shows sinus tachycardia. Which one of the following is the best next step?
A. Blood cultures
B. Serum C-reactive protein test
C. Serum creatine kinase test
D. Serum thyrotropin (thyroid-stimulating hormone)
E. Computed tomography of the head
Solutions:
| Question 1 Answer: D | Question 2 Answer: D | Question 3 Answer: A | Question 4 Answer: C | Question 5 Answer: C |
