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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Collaborator
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 22-year-old woman, gravida 1, para 0, aborta 0, comes to the office at 10 weeks ' gestation for her first prenatal visit. When you ask how she is doing, she becomes tearful and says she has had severe nausea and vomiting. She is not taking her prenatal vitamins regularly and feels very guilty about it. She is worried that she is harming the fetus. Which one of the following is the most appropriate management of this patient ' s case?
- A. Prescribe ginger tablets to be taken 4 times daily
- B. Tell her she should continue to take her prenatal vitamins daily regardless of nausea
- C. Refer her for counselling to manage her feelings of guilt
- D. Advise her to replace her vitamin with folic acid only until her nausea improves
- E. Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins
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A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?
- A. Nitrates
- B. Cox-2 inhibitor
- C. Alpha-blocker
- D. Calcium channel blocker
- E. Angiotensin II receptor blocker
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You have been asked to develop a program in your hospital for people who are at the highest risk of death by suicide. The hospital administrator asks you to describe the types of patients they should expect in the program. Which one of the following groups is the most likely prominent demographic?
- A. Men aged 11 to 20 years who have histories of juvenile delinquency and narcotic use
- B. Women aged 20 to 40 years who have cluster B personality disorders and experience relationship losses
- C. Women aged 14 to 20 years who have histories of being abused and who are experiencing financial hardships
- D. Patients of both sexes who have psychotic disorders
- E. Men aged 50 to 70 years who have limited social supports and alcohol use disorder
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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. Serum osmolality
- B. Creatinine clearance
- C. Urine sodium
- D. Parathyroid hormone-related peptide
- E. Urinalysis
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A 42-year-old man presents to your office with acute left knee pain and difficulty walking. He denies any trauma. He reports 2 painful episodes involving his right great toe in the last year. He smokes half a pack of cigarettes a day and drinks at least 3 beers daily. He has a temperature of 38.2°C and has a red, swollen and warm left knee. Which one of the following is the best next step?
- A. Order radiography of the knee.
- B. Start indomethacin.
- C. Order blood cultures.
- D. Start acetaminophen.
- E. Aspirate the knee joint.
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