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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An investigator interested in the etiology of neonatal jaundice conducted a study where he selected 150 children diagnosed with this condition and 150 children born in the same time period and in the same hospital who did not have a diagnosis of neonatal jaundice. He then reviewed the delivery records of their mothers to determine various prenatal and perinatal exposures. This is an example of which one of the following?

A) Cohort study
B) Clinical trial
C) Ecological study
D) Cross-sectional study
E) Case-control study

2. A 35-year-old woman presents to your clinic with double vision and a gritty sensation in her eyes for the past several weeks. On examination, you notice her eyes are bulging. There is inflammation of her conjunctivae and swelling around her eyes. Which one of the following is the most likely diagnosis?

A) Graves ophthalmopathy
B) Orbital pseudotumor
C) Periorbital cellulitis
D) Allergic conjunctivitis
E) Myasthenia gravis

3. You are conducting a virtual appointment by voice-only call with a 68-year-old man regarding back pain.
When he answers, you ask for him by name and identify yourself and the clinic from which you are calling.
Which one of the following is the best next step?

A) Confirm the name of the patient ' s primary care provider.
B) Ask for additional confirmation of the patient ' s identity.
C) Establish the reason for the virtual care visit.

4. An 88-year-old man is admitted to hospital with an upper gastrointestinal bleed. He is confused on admission, but his sensorium clears with resuscitation and stabilization. The patient lives in his own home with assistance from his children. Work-up shows metastatic gastric carcinoma for which no curative treatment can be offered. The family insists that the patient not be told the diagnosis because they fear he will have a "mental breakdown." Which one of the following is the best next step?

A) Ask the patient if he wants to know the diagnosis.
B) Consult palliative care.
C) Accept the family's request and do not tell the patient the diagnosis.
D) Be direct and tell the patient the diagnosis.

5. A 19-year-old woman returns to your clinic to discuss her recent laboratory tests. She initially presented with dysuria, dyspareunia, and abnormal uterine bleeding. Her vulvovaginal examination was normal. Her last sexual encounter was 3 weeks prior to the onset of her symptoms. Which one of the following pathogens is most likely to explain this clinical presentation?

A) Actinomyces israelii
B) Treponema pallidum
C) Human papillomavirus
D) Chlamydia trachomatis
E) Herpes simplex virus

Solutions: