Medical Council of Canada MCCQE Part 1 - MCCQE

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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 man, who has not seen a physician in 20 years, presents to your clinic with a burning sensation in his feet. The symptoms have been progressing slowly over the last 6 months. There is no associated motor weakness or skin changes. He reports no significant past medical history and takes no medications. His alcohol intake is minimal. On examination, he has reduced pinprick/vibration sensation and proprioception in the ankles with absent ankle reflexes. Which one of the following blood tests would you expect to be abnormal?

A) Anti-acetylcholine receptor antibodies
B) Folate
C) Ferritin
D) Hemoglobin A1c
E) Uric acid

2. 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) Advise the patient against starting dialysis.
B) Call the patient's wife as she is, by law, his substitute decision-maker.
C) Determine if the patient has a substitute decision-maker.
D) Schedule a follow-up visit with his wife and 4 children to review this decision.
E) Follow the son's wishes to decline dialysis.

3. A patient ' s mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?

A) Reporting standard error with point estimates of difference
B) Parental recall of vaccine administration
C) Vaccine company sponsorship of study
D) Not accounting for all potential confounders during recruitment
E) Recruitment of study families at an autism seminar

4. A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?

A) Medical imaging results
B) Physiotherapist ' s evaluation
C) Required workplace accommodations
D) Treatment options
E) Diagnosis

5. You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?

A) Ask him whether you can discuss your diagnosis and care with his daughter.
B) Respect his DNR wishes, and do nothing about the skin lesion.
C) Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.
D) Contact the daughter to inform her of your findings and discuss possible investigations.
E) Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.

Solutions: