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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Collaborator
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?
- A. 37/101.
- B. 37/163.
- C. 17/101.
- D. 101/163.
Correct Answer: D 🗳️
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A 10-year-old boy and his mother present to your office with a concern about handwashing. The mother explains that her son has been at a new school for the past month and that teachers have noticed that he is washing his hands all day. He has also hidden hand sanitizer in his desk. The hand-cleaning is a response to a constant anxiety that his hands are dirty, and that he might pass an infection to someone. Which one of the following is the most appropriate initial management?
- A. Return to his previous school.
- B. Fluoxetine 20 mg PO OD.
- C. Recommendation of a teaching assistant.
- D. Exposure and response prevention therapy.
- E. Risperidone 0.5 mg PO QHS.
Correct Answer: D 🗳️
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An 83-year-old woman presents to your office with a 2-day history of confusion. Her past medical history is significant for lung cancer, and she is being treated with radiation. On physical examination, she is euvolemic.
Her blood work reveals a serum sodium of 118 mmol/L (135-140) as compared with 134 mmol/L (8 days ago). Which one of the following will be most helpful in establishing the cause of her laboratory abnormality?
- A. Parathyroid hormone-related peptide
- B. Creatinine clearance
- C. Urinalysis
- D. Serum osmolality
- E. Urine sodium
Correct Answer: D 🗳️
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A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?
- A. Ileum
- B. Jejunum
- C. Stomach
- D. Esophagus
- E. Duodenum
Correct Answer: D 🗳️
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A prepubertal 9-year-old girl with severe developmental disability is brought to your office by her parents.
They are seeing you to discuss some difficulties that might occur with puberty. They are afraid that menses will complicate hygiene care and they have heard of significant mood/behavioural changes in this population when menses occur. Which one of the following recommendations is the most appropriate?
- A. Extended progestin-only method should not be initiated until after the onset of menses.
- B. Hormonal menstrual suppression is likely to increase behavioural and mood changes.
- C. Girls with developmental disability generally have chronic hypothalamic amenorrhea.
- D. Hysterectomy is the safest and most effective method to obtain menstrual suppression.
- E. Therapeutic amenorrhea with continuous combined oral contraceptive is contraindicated.
Correct Answer: A 🗳️
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