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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:
You are a physician working at a university campus health centre. Staff at the centre are thinking about initiating a campus-wide education campaign on stimulant medication use and misuse. From a physician ' s perspective, which one of the following is the key message to include in this campaign?
- A. Adverse effects and health risks associated with stimulant medication use.
- B. Legal perspectives regarding nonprescription stimulant medication use.
- C. Ethical perspectives regarding nonprescription stimulant medication use.
- D. Prevalence of stimulant medication use by students on university campuses.
- E. Improvement of study habits through educational initiatives.
Correct Answer: A 🗳️
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A 16-year-old girl is brought to the Emergency Department with a 12-hour history of worsening right lower quadrant abdominal pain and nausea. She is in no distress and vital signs are normal. Her abdomen is soft but locally tender in the right iliac fossa, and bowel sounds are active. White blood cell count is 7.6 × 10#/L (4-
10), C-reactive protein is 2.3 mg/L ( < 10) and serum beta human chorionic gonadotropin is undetectable.
Ultrasound reveals a small amount of fluid in the pelvis, and the appendix is not clearly apparent. Which one of the following is the best next management step?
- A. Serial radiography of the abdomen.
- B. Enhanced computed tomography scan of the abdomen and pelvis.
- C. Laparoscopic appendectomy.
- D. Intravenous ceftriaxone and metronidazole.
- E. Monitoring and reassessment in 12 hours.
Correct Answer: E 🗳️
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A 71-year-old man is brought to the Emergency Department with sudden onset of shortness of breath and chest pain. He was discharged from hospital 1 week ago after a total hip arthroplasty. On examination, his respiratory rate is 32/min. There is visible respiratory distress, and chest auscultation is clear. Which one of the following is the most likely diagnosis?
- A. Myocardial infarction
- B. Pulmonary embolus
- C. Aortic dissection
- D. Cholesterol embolus
- E. Fat embolus
Correct Answer: B 🗳️
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A 68-year-old man presents with a 3-day history of multiple tender joints. On examination, he has a temperature of 38.2°C and swelling and redness of his left large toe. Which one of the following is the most likely diagnosis?
- A. Rheumatoid arthritis.
- B. Crystal-induced arthropathy.
- C. Osteoarthritis.
- D. Psoriatic arthritis.
- E. Viral arthritis.
Correct Answer: B 🗳️
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A 22-year-old woman is brought to the Emergency Department by her boyfriend, who says that she is experiencing a fentanyl overdose. She is unresponsive and cyanotic. She regains consciousness after naloxone is injected intravenously and demonstrates no further respiratory depression during 8 hours of observation.
She states that she is 22 weeks ' pregnant and wants to stop using opioids. Which one of the following is the best next step?
- A. Refer the patient for initiation of methadone
- B. Refer the patient for opioid use disorder counselling
- C. Prescribe medications for symptom control so that the patient can detoxify at home
- D. Admit the patient for medically supervised detoxification
Correct Answer: A 🗳️
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