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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Dimensions of Care | 50% | - Health Promotion and Illness Prevention - Chronic Care - Assessment and Diagnosis - Acute Care |
| Physician Activities | 50% | - Psychosocial Aspects - Professional Behaviours - Management - Communication |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 2-year-old boy is brought by his parents to your clinic because of sudden onset of high fever, refusal to drink, and drooling. Examination reveals cervical lymphadenopathy as well as multiple ulcers on the inner lips, tongue, and gums. Which one of the following is the most likely diagnosis?
- A. Kawasaki disease
- B. Hand-foot and mouth disease
- C. Acute epiglottitis
- D. Herpetic gingivostomatitis
- E. Infectious mononucleosis
Correct Answer: D 🗳️
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A 78-year-old man, who is accompanied by his eldest son, presents for follow-up of his chronic kidney disease and neurocognitive disorder due to vascular disease. He is married and has 4 children. His creatinine clearance has slowly deteriorated over the last few years and has reached the stage where you are considering starting renal replacement therapy. After your discussion, it is clear that the patient, his son, and his wife want to start dialysis. Based on your assessment, it is clear that he does not understand the information you have relayed to him. You inform the patient that you believe he is incapable of making this decision and he agrees.
His son would prefer not to start dialysis as he is concerned about the impact this would have on his father's quality of life. Which one of the following is the best next step?
- A. Call the patient's wife as she is, by law, his substitute decision-maker.
- B. Schedule a follow-up visit with his wife and 4 children to review this decision.
- C. Follow the son's wishes to decline dialysis.
- D. Determine if the patient has a substitute decision-maker.
- E. Advise the patient against starting dialysis.
Correct Answer: D 🗳️
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An 18-month-old girl is brought in with a 3-day history of frequently passing loose stools. The stools are not bloody, but when she passes the stools, she is in obvious pain. She started vomiting earlier today, but she is still wetting diapers. On examination, she is mildly dehydrated but active and alert. Physical examination findings are otherwise normal. Which one of the following is the best management of this patient's case?
- A. Oral rehydration solution.
- B. No dairy for 2 weeks.
- C. Regular diet only when the diarrhea is resolved.
- D. Combination of apple juice and chicken broth.
- E. Loperamide.
Correct Answer: A 🗳️
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A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.
Which one of the following is the most likely diagnosis?
- A. Acute viral bronchiolitis.
- B. Retropharyngeal abscess.
- C. Airway foreign body.
- D. Croup.
- E. Laryngomalacia.
Correct Answer: B 🗳️
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You are conducting a virtual appointment by voice-only call with a 68-year-old man regarding back pain.
When he answers, you ask for him by name and identify yourself and the clinic from which you are calling.
Which one of the following is the best next step?
- A. Ask for additional confirmation of the patient ' s identity.
- B. Confirm the name of the patient ' s primary care provider.
- C. Establish the reason for the virtual care visit.
Correct Answer: A 🗳️
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