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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Activities | - Professionalism
|
| Topic 2: Dimensions of Care | - Health Promotion and Illness Prevention
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 76-year-old man is brought by his family to your clinic with new-onset urinary incontinence. They state that the patient is experiencing a slowly progressing cognitive decline marked by memory disturbance, apathy, and attentional problems. Examination reveals that the patient has a stooped, forward-leaning posture and a wide-based gait. Which one of the following is the most likely diagnosis?
- A. Normal pressure hydrocephalus
- B. Parkinson disease
- C. Lewy body dementia
- D. Alzheimer disease
- E. Frontotemporal dementia
Correct Answer: A 🗳️
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A 50-year-old man with prostate cancer, which is complicated by bony and cerebral metastases, presents to your office. He has a 24-hour history of increasing lower back pain and weakness in his legs. On examination, you note decreased knee and ankle reflexes on both sides. Earlier today he had fecal incontinence. Which one of the following is the best next step?
- A. Consult to surgery.
- B. Dose of parenteral steroids.
- C. Stellate ganglion block.
- D. Consult to radiotherapy.
- E. Bed rest with subcutaneous analgesia.
Correct Answer: B 🗳️
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A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he has had for several years. He reports a "crawling" sensation on his skin. He is concerned that this rash may be caused by a parasite he may have picked up while serving in the military overseas. On examination, you note multiple crusted lesions on his forearms, neck, chest, scalp, and thighs. There is a complete sparing of the skin on his back. He brought a bottle with fibrous material of different colours that he picked from his wounds. He is otherwise healthy and reports no other symptoms except some chronic fatigue and insomnia related to the itching. Which one of the following treatments is the most appropriate?
- A. Ivermectin
- B. Permethrin
- C. Fluconazole
- D. Butenafine
- E. Doxycycline
Correct Answer: A 🗳️
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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. Hydrochlorothiazide
- B. Spironolactone
- C. Metoprolol
- D. Clopidogrel
- E. Diltiazem
Correct Answer: B 🗳️
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A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?
- A. Recommend ceasing conception until 3 months after the couple ' s return to Canada
- B. Refer the couple to an infectious disease specialist
- C. Request serologic testing
- D. Explain that condoms are ineffective in preventing sexual transmission of Zika virus
- E. Prescribe a prophylactic antiviral medication
Correct Answer: A 🗳️
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