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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Roles (CanMEDS Framework) | - Professional
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 72-year-old woman is brought to the Emergency Department by her daughter because of significant functional decline and progressive shortness of breath. She has widespread metastatic breast cancer and recently stopped chemotherapy due to progression and intolerance. She has been bedridden for 4 weeks. On examination:
BP: 100/70 mm Hg with pulsus paradoxus of 20 mm Hg
HR: 99/min
Temp: 36.5°C
SpO#: 94% room air
JVP: elevated
Heart sounds: muffled
Chest X-ray: large globular heart
Labs:
Hemoglobin: 90 g/L
Sodium: 118 mmol/L
Creatinine: 94 µmol/L
Which one of the following is the best next step?
A) Pericardiocentesis
B) Discussion on goals of care
C) Consult with the Intensive Care Unit
D) Blood transfusion
E) Normal saline infusion
2. A 27-year-old man with a bowel obstruction secondary to a terminal ileum stricture has been on various medications since he was diagnosed with Crohn disease 8 years ago. You recommend a bowel resection, but he refuses this option because he is fearful of short bowel syndrome. He states that the only surgical procedure he will undergo is a bypass of the diseased segment so that the affected bowel will heal. You know that this is the wrong operation. Which one of the following is the best next step?
A) Decline to do the bypass but carefully explain why.
B) Administer a high dose of intravenous steroids for trial.
C) Get consent for exploratory laparotomy and do a resection.
D) Obtain a formal competency assessment.
E) Transfer care to a colleague that you know is receptive to the patient's request.
3. A 67-year-old farmer presents with a 6-month history of progressive weakness in both arms. He now has difficulty in climbing but says he can still drive his tractor. Examination shows slight but definite atrophy of muscles of pectoral girdle, especially over his scapula. Fasciculations are visible. There is hyperreflexia of most tendon reflexes of arms and legs, left ankle clonus and left Babinski reflex. Which one of the following is the most likely diagnosis?
A) Parkinson disease.
B) Multiple sclerosis.
C) Amyotrophic lateral sclerosis.
D) Astrocytoma of pons.
E) Cerebellar degeneration.
4. A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?
A) Obtain a urine toxicology screen.
B) Provide a naloxone kit.
C) Offer to prescribe cannabis.
D) Prescribe a short course of tramadol.
5. A 46-year-old woman presents to the emergency department with left-sided pleuritic chest pain that improves when she sits up and leans forward. Her medical history is unremarkable and she takes no medications.
Examination reveals a pericardial friction rub; the findings are otherwise normal. An electrocardiogram reveals diffuse ST segment elevation and PR interval depression. An echocardiogram reveals a small pericardial effusion. Which one of the following is the most appropriate treatment?
A) Apixaban.
B) Pericardiocentesis.
C) Levofloxacin.
D) High-dose acetylsalicylic acid.
E) Metoprolol.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: D |



