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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. 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) Advise the patient to avoid tobacco exposure.
B) Counsel the patient on the health effects of tobacco.
C) Update the chart to indicate that the patient smokes.
D) Ask if tobacco smoke triggers the patient's asthma.

2. A 39-year-old man presents to a psychiatrist. He says, " It often seems to me that I am not part of this world.
My voice sounds strange to me, and other people seem like figures in a dream. " He has had these feelings intermittently for about 2 years. There is no history of hallucinations, and there are no current indications of disorganized thinking. Which one of the following is the most likely diagnosis?

A) Persistent depressive disorder.
B) Delusional disorder.
C) Conversion disorder.
D) Schizophrenia.
E) Depersonalization/derealization disorder.

3. A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?

A) Stricture formation
B) Length of Barrett segment
C) Depth of intestinal metaplasia
D) Family history of gastrointestinal malignancy
E) Grade of dysplasia

4. An 80-year-old woman presents to your office with weight loss and generalized weakness. Her husband calls you after the appointment and asks that his wife not be told if she is diagnosed with cancer as hearing this will likely " kill her. " Investigations subsequently show that she has metastatic lung cancer. Which one of the following is the best next step?

A) Tell her husband she has metastatic lung cancer.
B) Tell the patient she requires a computed tomography scan of the chest.
C) Arrange an urgent consultation with her children to confirm her wishes.
D) Telephone her to inform her she has a bad pneumonia and prescribe antibiotics.
E) Book an immediate appointment with your patient.

5. An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

A) Continuous warm bladder irrigation.
B) Start continuous arteriovenous rewarming.
C) Apply heating pads to extremities.
D) Set the room temperature to 28°C.
E) Perform a peritoneal lavage.

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