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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionObjectives
Topic 1: Physician Roles (CanMEDS Framework)- Collaborator
  • 1. Interprofessional teamwork
    • 2. Referral and consultation processes
      - Scholar
      • 1. Evidence-based medicine
        • 2. Continuous learning and clinical research interpretation
          - Health Advocate
          • 1. Population health principles
            • 2. Prevention and health promotion
              - Medical Expert
              • 1. Diagnostic reasoning and management planning
                • 2. Clinical knowledge across core specialties (internal medicine, surgery, pediatrics, OB/GYN, psychiatry)
                  - Leader (Manager)
                  • 1. Resource stewardship
                    • 2. Healthcare system navigation
                      - Professional
                      • 1. Ethics and professional responsibility
                        • 2. Patient safety and legal considerations
                          - Communicator
                          • 1. Patient-centered communication
                            • 2. Informed consent and shared decision-making

                              Medical Council of Canada MCCQE Part 1 Sample Questions:

                              Question 1

                              You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

                              A. A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination
                              B. A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min
                              C. A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
                              D. A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%
                              E. A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation


                              Question 2

                              A 38-year-old woman, gravida 3, para 2, aborta 0, presents to the labour and delivery unit for induction of labour. Her pregnancy is at 42 weeks' gestation and has been uncomplicated to date. Which one of the following is the most appropriate information to provide to the patient?

                              A. Prostaglandin induction of labour is contraindicated.
                              B. Continuous electronic fetal monitoring in labour is recommended.
                              C. Cesarean delivery is preferred.


                              Question 3

                              You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?

                              A. Ask your colleague to help triage incoming patients in the emergency department
                              B. Ask your colleague to handle media inquiries
                              C. Send your colleague to the affected area to evaluate the health risks involved
                              D. Send your colleague to set up an emergency type O blood bank collecting unit


                              Question 4

                              A 76-year-old man is brought to the emergency department in an unresponsive state. He has a history of chronic kidney disease with a baseline serum creatinine level of 300 µmol/L (49-93) and a history of dilated cardiomyopathy with an ejection fraction of 30%. On assessment, he has no pulse or blood pressure. Cardiac monitor demonstrates a wide complex tachycardia. Which one of the following recently started medications is the most likely cause of this arrhythmia?

                              A. Hydrochlorothiazide
                              B. Clopidogrel
                              C. Metoprolol
                              D. Diltiazem
                              E. Spironolactone


                              Question 5

                              A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
                              The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?

                              A. Trichomonas vaginalis.
                              B. Gardnerella vaginalis.
                              C. Human papillomavirus.
                              D. Neisseria gonorrhoeae.
                              E. Chlamydia trachomatis.


                              Solutions:

                              Question 1
                              Answer: B
                              Question 2
                              Answer: B
                              Question 3
                              Answer: A
                              Question 4
                              Answer: E
                              Question 5
                              Answer: B

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