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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Leader (Manager)
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?
A. Atelectasis
B. Bowel trauma during the operation.
C. Septic pelvic thrombophlebitis.
D. Pulmonary embolism.
E. Wound infection.
Question 2
A 14-year-old girl is brought to the Emergency Department with a 20-minute history of difficulty breathing that started during a school assembly. She has had similar symptoms 3 times in the last 2 weeks. These episodes develop rapidly and resolve gradually over several minutes. She reports tingling in her fingers and toes. On examination, her vital signs are as follows:
Blood pressure
120/80 mm Hg
Heart rate
100/min
Respiratory rate
22/min
Oxygen saturation on room air
95%
Temperature
36.9 °C, orally
Apart from mildly dilated pupils, her examination is otherwise normal. Which one of the following is the most likely diagnosis?
A. Pericarditis
B. Paroxysmal supraventricular tachycardia
C. Asthma
D. Panic attack
E. Cocaine use
Question 3
A 31-year-old woman, gravida 1, para 0, presents to Labour and Delivery with regular contractions at approximately 24 weeks' gestation. As you review her prenatal records, which one of the following is the most reliable way of establishing gestational age?
A. Symphysis fundal height.
B. Last menstrual period.
C. Serial ultrasound in 3rd trimester.
D. Mid 2nd trimester ultrasound.
E. Crown-rump length at 8-12 weeks.
Question 4
Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?
A. The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
B. The provincial or territorial Ministry of Health
C. The provincial or territorial medical licensing authority
D. The provincial or territorial medical association
E. The board of the hospital or health region where the physician wants to practise
Question 5
A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?
A. The date the patient was placed on the waiting list.
B. The patient's value and contributions to society.
C. The patient has family members who rely on them for income.
D. The clinical severity of the patient's pulmonary disease.
E. Whether the underlying condition is due to self-induced illness.
Solutions:
| Question 1 Answer: A | Question 2 Answer: D | Question 3 Answer: E | Question 4 Answer: C | Question 5 Answer: D |



