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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

A) Generalized anxiety disorder.
B) Obsessive-compulsive disorder.
C) Obsessive-compulsive personality disorder.
D) Major depressive disorder.

2. A 30-year-old woman presents to your office with a 6-week history of left lower quadrant pain and dyspareunia. A pelvic ultrasound is normal. Which one of the following is the most important immediate investigation?

A) Hysterosalpingography
B) Laparoscopy
C) Endometrial biopsy
D) Magnetic resonance imaging
E) Cervical swabs

3. A 1-month-old breastfed baby is brought to your office by his parents for his well-baby check-up. He was born at 32 weeks' gestation. Growth parameters at birth revealed head circumference, weight and length at the
50th percentile. Today, his weight is at the 10th percentile. Which one of the following is the most appropriate plan of action?

A) Order a sweat chloride test.
B) Reassure the parents.
C) Supplement with formula feeding.
D) Obtain serology for celiac disease.
E) Observe the infant while feeding.

4. A 35-year-old woman presents to your clinic for follow-up regarding her persistent primary immune thrombocytopenic purpura. She was admitted to hospital with a relapse and received treatment with dexamethasone, intravenous immunoglobulin, and rituximab. She was recently discharged from hospital with a platelet count of 55 × 10#/L (130-360), and also continues to take 10 mg of prednisone once daily. She is scheduled for a splenectomy in 4 weeks. Which one of the following is the best next step in preparation for the patient ' s surgical procedure?

A) Prescribe daily azithromycin 1 week preoperatively
B) Transfuse 5 units of platelets 1 week preoperatively
C) Start calcium and vitamin D supplementation
D) Arrange for preoperative vaccination
E) Stop prednisone 2 weeks preoperatively

5. There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

A) Collecting fees from patients who are seen after hours.
B) Collecting fees from patients for home visits.
C) Collecting fees from patients for uninsured services provided.
D) Offering rapid access to insured services for a fee.
E) Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.

Solutions: