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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A. Increase the frequency of follow-up visits
B. Taper the dosage of the opioid agonist
C. Prescribe a cannabinoid
D. Slowly taper and discontinue the opioid agonist
E. Discontinue take-home doses

Question 2

A 66-year-old woman with metastatic breast cancer presents with hard, difficult-to-pass stools. She has been experiencing this issue since starting morphine to control her pain. Which one of the following is the best next step?

A. Prescribe senna
B. Add a bulk-forming fiber supplement to her diet
C. Lower her morphine dose
D. Suggest increasing her physical activity
E. Start docusate

Question 3

You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital
3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

A. Suggest a trial of home dialysis.
B. Explore the reasons for the patient ' s request for MAID.
C. Refer the patient to a psychiatrist.
D. Explain to the patient that she is not terminally ill.
E. Inform the patient that she will need parental consent to be assessed for MAID.

Question 4

A 12-year-old boy is brought to the Emergency Department with a 2-week history of a limp with malaise, fever and left leg pain. On examination, he looks sick, has a temperature of 38.5°C and is able to weight-bear.
His hip examination reveals mildly decreased range of motion. Radiographs of the hip and femur show mild sclerosis of proximal femoral metaphysis. His C-reactive protein level is 15 mg/L ( < 8). Which one of the following is the most likely diagnosis?

A. Transient synovitis.
B. Osteomyelitis.
C. Undisplaced fracture of the proximal femur.
D. Legg-Calve-Perthes disease.
E. Stable slipped capital femoral epiphysis.

Question 5

An 83-year-old woman presents to your office with a 2-day history of confusion. Her past medical history is significant for lung cancer, and she is being treated with radiation. On physical examination, she is euvolemic.
Her blood work reveals a serum sodium of 118 mmol/L (135-140) as compared with 134 mmol/L (8 days ago). Which one of the following will be most helpful in establishing the cause of her laboratory abnormality?

A. Urine sodium
B. Parathyroid hormone-related peptide
C. Urinalysis
D. Creatinine clearance
E. Serum osmolality

Solutions: