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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Physician Activities | 50% | - Psychosocial Aspects - Professional Behaviours - Management - Communication |
| Dimensions of Care | 50% | - Chronic Care - Health Promotion and Illness Prevention - Assessment and Diagnosis - Acute Care |
Medical Council of Canada MCCQE Part 1 Sample Questions:
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. Shifting dullness
- B. Abdominal bruit
- C. Generalized tenderness
- D. Renal mass
- E. Palpable spleen
Correct Answer: E 🗳️
Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).
A 35-year-old maintenance worker presents to your office because he thinks he has been exposed to asbestos and is afraid of developing asbestosis. He has no respiratory symptoms and is a non-smoker. Which one of the following is the best next step?
- A. Order pulmonary function testing.
- B. Order a chest radiograph.
- C. Provide reassurance, since he is asymptomatic.
- D. Refer him to a respirologist.
- E. Ask him further about his work.
Correct Answer: E 🗳️
Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).
A 66-year-old woman with metastatic breast cancer presents with hard, difficult-to-pass stools. She has been experiencing this issue since starting morphine to control her pain. Which one of the following is the best next step?
- A. Start docusate
- B. Prescribe senna
- C. Suggest increasing her physical activity
- D. Add a bulk-forming fiber supplement to her diet
- E. Lower her morphine dose
Correct Answer: B 🗳️
Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).
A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?
- A. Aortic coarctation
- B. Reflux nephropathy
- C. Renal artery thrombosis
- D. Ventricular septal defect
- E. Essential hypertension
Correct Answer: A 🗳️
Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).
A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?
- A. Reassure the parents and prescribe a topical antibiotic
- B. Admit the patient and start antibiotic therapy
- C. Recommend lacrimal sac massage
- D. Advise warm compresses every 2 to 3 hours until discharge is cleared
- E. Prescribe an oral antibiotic and reassess in 48 hours
Correct Answer: B 🗳️
Explanation: Only visible for VCE4Plus members. You can sign-up / login (it's free).
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