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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A. Hemoglobin A1c
B. Serum amylase
C. Serum alpha-1 antitrypsin
D. Serum cortisol
E. Serum ferritin

Question 2

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

Question 3

A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?

A. Postpartum hemorrhage.
B. Pre-term delivery.
C. Gestational hypertension.
D. No identifiable risks.
E. Deep vein thrombosis.

Question 4

An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

A. Ensure that all visitors are immunized.
B. Order symptomatic LTC staff to stay home.
C. Enforce mandatory influenza vaccination for LTC staff.
D. Ask all visitors to wear a mask.

Question 5

A 40-year-old woman presents to the Emergency Department with confusion and fever (38.5°C). She has a history of hypothyroidism managed with levothyroxine. Key findings include:
Blood pressure
114/78 mm Hg
Heart rate
85/min
Temperature
38.5°C
Hemoglobin
90 g/L 123-157 g/L
Platelet count
25 × 10#/L 130-400 × 10#/L
Peripheral blood film
Schistocytes present
Creatinine
200 #mol/L 50-90 #mol/L

A. Idiopathic thrombocytopenic purpura
B. Human immunodeficiency virus
C. Acute myelogenous leukemia
D. Cirrhosis
E. Thrombotic thrombocytopenic purpura

Solutions: