Exam Name: MCCQE Part 1 Exam
Certification Provider: Medical Council of Canada
Corresponding Certification: MCCQE Part 1
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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Collaborator
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 66-year-old woman suffering from a progressive neurological disease is admitted to a long-term care centre. Her husband does not wish to participate in discussions about the seriousness of his wife ' s disease and is convinced that she will soon come back home. During his 2nd visit to the centre, he gives you a cheque for a substantial sum made out to you, the treating physician, for your own research. Which one of the following is the best response to your patient ' s husband?
- A. Suggest he donate to your medical group
- B. Refer the husband to the centre ' s social worker
- C. Accept the money as a contribution to the long-term care centre ' s fundraising campaign
- D. Decline to accept the cheque
- E. Inform him you would only be able to accept a smaller amount of money
Correct Answer: D 🗳️
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You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?
- A. Offer assistance only after the patient and the airline agree to release you from any liability.
- B. Remain silent to avoid any liability that may be incurred by offering help.
- C. Give advice to the flight attendants on how to proceed but do not offer any direct assistance.
- D. Offer assistance and document the encounter in your own records afterwards.
Correct Answer: D 🗳️
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A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?
- A. Arrange for serial home blood pressure monitoring.
- B. Start a calcium channel blocker.
- C. Refer for urgent temporal artery biopsy.
- D. Give a prescription for serotonin 5-HT receptor agonist (Triptan).
- E. Order computed tomography of the head.
Correct Answer: E 🗳️
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You are treating a 78-year-old man for recent onset of diarrhea, tenesmus, and minor bleeding when he wipes.
He has a history of prostate cancer that was treated by radiotherapy. Rectal examination findings are normal.
Colonoscopy reveals a pale rectum with ulcerations and areas of mucosal hemorrhage. Which one of the following is the most likely explanation for this clinical presentation?
- A. Radiation proctitis
- B. Diverticulosis
- C. Rectal cancer
- D. Ulcerative colitis
- E. Recurrent prostate cancer
Correct Answer: A 🗳️
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You are covering for your colleague who is on vacation this week. You receive the results from an ultrasonography that had been ordered for a 32-year-old woman, gravida 2, para 1, aborta 0. The ultrasonography-estimated fetal weight is below the fifth percentile for 30 weeks ' gestation; gestational age was confirmed by an earlier ultrasonogram. The amniotic fluid volume is within normal range. Her first child ' s birth weight was 2800 g at full term. Which one of the following is the best next step?
- A. Plan a follow-up appointment as soon as your colleague is back from vacation
- B. Ask the patient to present to the obstetrics ward for further fetal assessment
- C. Discuss the benefits of acetylsalicylic acid
- D. Reassure the patient that the fetus is probably at the lower range of normal weight
- E. Schedule an urgent uterine artery Doppler ultrasonography
Correct Answer: B 🗳️
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