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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) Arrange for a legal opinion.
E) Hold scheduled doses of morphine.

2. 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) Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins
C) Advise her to replace her vitamin with folic acid only until her nausea improves
D) Refer her for counselling to manage her feelings of guilt
E) Tell her she should continue to take her prenatal vitamins daily regardless of nausea

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

4. A 29-year-old woman presents to the sexually transmitted infection clinic with concerns regarding a copious vaginal discharge. Ten percent potassium hydroxide was used to confirm the diagnosis of which one of the following?

A) Bacterial vaginosis.
B) Chlamydia trachomatis.
C) Gonorrhea.
D) Group B streptococcus.
E) Trichomonas vaginalis.

5. A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Aside from a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

A) Chronic obstructive pulmonary disease
B) Type 2 diabetes
C) Sleep apnea
D) Cushing disease
E) Acromegaly

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