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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dimensions of Care | 50% | - Health Promotion and Illness Prevention - Acute Care - Chronic Care - Assessment and Diagnosis |
| Topic 2: Physician Activities | 50% | - Management - Communication - Professional Behaviours - Psychosocial Aspects |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?
- A. Complex regional pain syndrome.
- B. Ischemic contracture of forearm.
- C. Median nerve compression.
- D. Unrecognized scaphoid fracture.
- E. Unwillingness to return to school.
Correct Answer: A 🗳️
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A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?
- A. Display the cultural safety certificate in the waiting room.
- B. Evaluate how the staff enjoyed the teaching session.
- C. Provide clinic information in the languages spoken by the community.
- D. Include trauma disclosure on the clinic ' s intake form.
Correct Answer: C 🗳️
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A 76-year-old man is brought to the emergency department in an unresponsive state. He has a history of chronic kidney disease with a baseline serum creatinine level of 300 µmol/L (49-93) and a history of dilated cardiomyopathy with an ejection fraction of 30%. On assessment, he has no pulse or blood pressure. Cardiac monitor demonstrates a wide complex tachycardia. Which one of the following recently started medications is the most likely cause of this arrhythmia?
- A. Clopidogrel
- B. Metoprolol
- C. Spironolactone
- D. Hydrochlorothiazide
- E. Diltiazem
Correct Answer: C 🗳️
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A 28-year-old woman presents to your office with a 6-month history of intermittent dizziness associated with nausea and a rotational sensation. Physical examination shows pallor of 1 optic disk, generalized hyperreflexia and nystagmus to the left. Which one of the following is the most likely diagnosis?
- A. Meniere disease.
- B. Acoustic neuroma.
- C. Multiple sclerosis.
- D. Labyrinthitis.
- E. Prolactinoma.
Correct Answer: C 🗳️
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A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?
- A. Define the extent of the patient ' s gambling disorder.
- B. Evaluate for depression.
- C. Investigate the patient ' s need for financial assistance.
- D. Determine the risk of violence to the patient and her child.
- E. Screen for recreational drug and alcohol use.
Correct Answer: D 🗳️
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