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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 31-year-old man presents with nocturnal non-exertional chest pain. During an exercise stress test, he does not experience chest pain, and there are no significant ST segment changes on the electrocardiogram. He achieves 17 metabolic equivalent of task (MET), a blood pressure of 190/96 mm Hg (resting blood pressure of
130/80 mm Hg), and a maximum heart rate of 162/min (85% of age-predicted maximum). Which one of the following is the most appropriate next step?

A) Prescribe acetylsalicylic acid and metoprolol
B) Offer reassurance
C) Advise against vigorous exercise
D) Prescribe hydrochlorothiazide
E) Schedule cardiac catheterization

2. A 15-year-old boy is brought to the office by his father because he is having headaches. When alone, the boy appears withdrawn and admits to suicidal ideation. He shares that he is gay but does not want to tell his parents. He says that he faked the headaches so that one of his parents would make an appointment for him.
Which one of the following is the best next step?

A) Refer the patient for an immediate mental health assessment.
B) Start an antidepressant medication.
C) Encourage the patient to disclose his sexual orientation to his parents.
D) Suggest that the patient join a group at school for peer support.

3. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Generalized tenderness
B) Shifting dullness
C) Abdominal bruit
D) Palpable spleen
E) Renal mass

4. A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?

A) His binge drinking.
B) The number of years he has consumed alcohol.
C) His previous episode of alcohol withdrawal.
D) The quantity of alcohol he consumes daily.
E) His medical comorbidities.

5. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple, but does need to refer to a colleague who will.
B) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.
C) No obligation to accept this couple because of her inexperience caring for same-sex patients.
D) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.
E) An obligation to accept this couple as patients because physicians must treat all patients.

Solutions: