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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonary embolism. Her condition is stabilized with intubation, hydration, inotropic support, and intravenous administration of heparin. Her partner provides you with a list of her medications. A combination oral contraceptive pill was recently prescribed. She smokes tobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

A) Discuss the case with the hospital ethics committee
B) Tell her partner that the physician should not have prescribed the oral contraceptive pill
C) Advise the patient ' s partner to seek legal advice
D) Report the prescribing physician to the provincial or territorial medical regulatory authority
E) Inform the patient ' s partner that the oral contraceptive pill may have caused her condition

2. A 30-year-old woman presents to your office with a 6-week history of left lower quadrant pain and dyspareunia. A pelvic ultrasound is normal. Which one of the following is the most important immediate investigation?

A) Laparoscopy
B) Magnetic resonance imaging
C) Hysterosalpingography
D) Cervical swabs
E) Endometrial biopsy

3. A 69-year-old woman with long-standing hypertension presents to the emergency department with a 2-hour history of persistent chest and back pain. A posteroanterior chest radiograph shows suspicious widening of the mediastinal shadow. Which one of the following is most likely to yield a clinical diagnosis?

A) Ventilation-perfusion lung scan
B) Pulmonary angiography
C) Computed tomography of the chest
D) Electrocardiography
E) Transthoracic echocardiography

4. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Action.
B) Contemplation.
C) Precontemplation.
D) Maintenance.
E) Preparation.

5. A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?

A) Organize hysteroscopy
B) Refer for hysterectomy and bilateral salpingo-oophorectomy
C) Arrange endometrial ablation
D) Obtain consent for dilatation and curettage
E) Prescribe topical progesterone

Solutions: