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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Dimensions of Care | - Acute Care
|
| Topic 2: Physician Activities | - Assessment
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?
A. Subluxation of the lunate bone.
B. Undisplaced fracture of the distal radius.
C. Fracture of the carpal scaphoid.
D. de Quervain tenosynovitis.
Question 2
An 8-year-old girl is brought by her father to the office with a 2-week history of red, itchy, and watery eyes.
She is otherwise healthy. On examination, there is no discharge or difficulty with vision. Pupil examination findings are normal. The patient's eyes are shown in the referenced photo. Which one of the following topical therapies is the best recommendation?
A. Glucocorticoid.
B. Antihistamine.
C. Antifungal.
D. Antiviral.
E. Antibiotic.
Question 3
A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?
A. Counsel the patient on the health effects of tobacco.
B. Ask if tobacco smoke triggers the patient's asthma.
C. Update the chart to indicate that the patient smokes.
D. Advise the patient to avoid tobacco exposure.
Question 4
An otherwise healthy 43-year-old woman presents to your clinic for a left breast mass. Six months ago, she underwent a bilateral breast magnetic resonance imaging (MRI) after watching a television program on breast cancer prevention. An ultrasound-guided biopsy of a 1.5 cm mass confirmed, at the time, that she had fibroadenoma. The follow-up ultrasound now reveals a mass measuring 1.7 cm. Which one of the following is the best next step in the management of this patient?
A. Reassure the patient and reassess in 12 months.
B. Order a MRI of both breasts to rule out anything else.
C. Repeat the biopsy to confirm the diagnosis.
D. Administer prophylactic tamoxifen to decrease the risk of cancer.
E. Proceed with needle-localized left lumpectomy.
Question 5
A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?
A. Tubal pregnancy.
B. Threatened abortion.
C. Incomplete abortion.
D. Implantation bleeding.
E. Molar pregnancy.
Solutions:
| Question 1 Answer: C | Question 2 Answer: B | Question 3 Answer: B | Question 4 Answer: A | Question 5 Answer: E |



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