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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 38-year-old woman has progressive renal failure despite optimal medical treatment for her glomerulonephritis. Her ex-husband asks if he might be considered as a kidney donor. They have joint custody of their 10-year-old son. Which one of the following is the best response to the ex-husband's request?

A) Advise against a donation because of their divorce.
B) His request must be refused because of the risk of leaving their child with 2 unhealthy parents.
C) He may proceed with assessment for possible organ donation.

2. A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

A) Ultrasound.
B) Arthrocentesis.
C) Aspiration of the popliteal mass.
D) Computed tomography.
E) Arthroscopy.

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. In a research study, it is found that people who smoke tobacco cigarettes drink more coffee and have higher rates of lung cancer than people who do not smoke. However, the consumption of coffee alone is not associated with lung cancer. Which one of the following best describes the contribution of drinking coffee in the study?

A) Selection bias
B) Risk factor
C) Confounder
D) Predictor

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: