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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?

A) Chest radiography.
B) Ultrasound of abdomen.
C) Abdominal radiography.
D) Cholescintigraphy (HIDA scan).
E) Endoscopic retrograde cholangiography.

2. You are taking over a practice from a retiring family physician. The practice has paper records of patients dating back many years, including records of former patients. Which one of the following organizations is the most appropriate to contact regarding medical record retention requirements?

A) Health Canada.
B) The Canadian Medical Association.
C) The Medical Council of Canada.
D) The provincial/territorial regulatory authority.
E) The College of Family Physicians of Canada.

3. A 34-year-old woman, gravida 3, para 2, aborta 0, presents at 38 weeks ' gestation. She is in early labor with ruptured membranes. Her previous pregnancy was complicated by fever during labor. Which one of the following would increase the risk of fever recurrence?

A) Advanced maternal age
B) Epidural analgesia
C) Precipitous labor
D) Multiparity

4. A 25-year-old woman presents to the Emergency Department with a 2-hour history of pelvic pain associated with no other symptoms. The first day of her last menstrual period was 14 days ago. On examination, her vital signs are as follows:
Blood pressure
108/72 mm Hg
Heart rate
110/min
Temperature
37 °C
Abdominal examination reveals rebound tenderness and guarding. Pelvic examination reveals exquisite left adnexal tenderness. Which one of the following is the most likely diagnosis?

A) Endometriosis
B) Hemorrhagic ovarian cyst
C) Appendicitis
D) Diverticulitis
E) Adenomyosis

5. A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up. She reports that she is struggling with her health and daily life. She is unhappy with her lack of progress and says she feels tired all the time and stays in bed all day. When asked why, she states she is confused about why she is not getting better. Physical exam and investigations are unchanged from baseline. Which one of the following is the best next step?

A) Start a selective serotonin reuptake inhibitor
B) Initiate iron and vitamin B12 supplementation
C) Prescribe cannabinoid therapy
D) Educate the patient about her illness

Solutions: