Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are evaluating a 75-year-old man with recently diagnosed prostate cancer and 2 painful metastases of the lumbar spine. Which one of the following therapeutic options is the most appropriate?

A) Oral anti-androgen plus gonadotropin-releasing hormone agonist
B) Intrathecal steroid injection
C) Surgical castration (orchidectomy)
D) Palliative radiotherapy to the lumbar spine
E) Fentanyl patch and breakthrough opioids

2. A 78-year-old woman is brought to the Emergency Department by her son because she has a sodium level of
124 mmol/L (136-146). The sodium was checked as part of a blood work panel ordered by her primary health care provider to investigate symptoms of urinary frequency, fatigue, and thirst. Today, she has a blood glucose level of 44.0 mmol/L (4.0-11.0). The original blood work done by her primary health care provider did not include glucose. The patient is treated for hyperglycemia and dehydration and begins insulin. The patient and her son repeatedly express their frustration that their primary health care provider missed the diagnosis. Which one of the following is the best next step?

A) Offer to find an alternate health care provider to assume the patient's primary care
B) Call the primary health care provider to alert them to their oversight
C) Explain that routine glucose screening was not indicated
D) Empathize with the patient and her son and agree that the health care provider did not meet the standard of care
E) Report the primary health care provider to the provincial or territorial medical regulatory authority

3. You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?

A) Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.
B) Do not discuss the patient ' s medication unless you have written consent from the patient.
C) Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.
D) Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.

4. A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?

A) Colposcopy.
B) Polypectomy.
C) Cryotherapy.
D) Serial cytology.
E) Punch biopsy.

5. A 26-year-old woman, gravida 1, para 0, aborta 0, presents to your office at 10 weeks' gestation to review the results of her antenatal blood work. She tested positive for hepatitis C. Which one of the following is most advisable to share with her regarding the risks to her and her unborn child?

A) It is safe to breastfeed.
B) She should terminate the pregnancy.
C) The infant will need to be treated with an antiviral.
D) She will likely develop hepatocellular carcinoma.
E) Pregnancy will increase her viral load.

Solutions: