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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Activities | - Assessment
|
| Dimensions of Care | - Chronic Care
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 35-year-old woman presents to your clinic for follow-up regarding her persistent primary immune thrombocytopenic purpura. She was admitted to hospital with a relapse and received treatment with dexamethasone, intravenous immunoglobulin, and rituximab. She was recently discharged from hospital with a platelet count of 55 × 10#/L (130-360), and also continues to take 10 mg of prednisone once daily. She is scheduled for a splenectomy in 4 weeks. Which one of the following is the best next step in preparation for the patient ' s surgical procedure?
- A. Transfuse 5 units of platelets 1 week preoperatively
- B. Prescribe daily azithromycin 1 week preoperatively
- C. Stop prednisone 2 weeks preoperatively
- D. Arrange for preoperative vaccination
- E. Start calcium and vitamin D supplementation
Correct Answer: D 🗳️
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A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?
- A. Provide reassurance
- B. Start lorazepam
- C. Arrange for an urgent laryngoscopy
- D. Change the haloperidol to quetiapine
- E. Begin dantrolene
Correct Answer: D 🗳️
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You are covering for your colleague who is on vacation this week. You receive the results from an ultrasonography that had been ordered for a 32-year-old woman, gravida 2, para 1, aborta 0. The ultrasonography-estimated fetal weight is below the fifth percentile for 30 weeks ' gestation; gestational age was confirmed by an earlier ultrasonogram. The amniotic fluid volume is within normal range. Her first child ' s birth weight was 2800 g at full term. Which one of the following is the best next step?
- A. Reassure the patient that the fetus is probably at the lower range of normal weight
- B. Schedule an urgent uterine artery Doppler ultrasonography
- C. Discuss the benefits of acetylsalicylic acid
- D. Plan a follow-up appointment as soon as your colleague is back from vacation
- E. Ask the patient to present to the obstetrics ward for further fetal assessment
Correct Answer: E 🗳️
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A 15-year-old boy is brought to the Emergency Department by his parents because he fainted at home earlier in the day. They are recent immigrants, and there is a language barrier. Which one of the following is the best option for facilitating a thorough history-taking?
- A. Using simple language and speaking slowly.
- B. A relative of the patient who can act as an interpreter.
- C. An available laboratory technician who can act as an interpreter.
- D. A virtual or in-person interpreter service.
- E. A volunteer from the community who can act as an interpreter.
Correct Answer: D 🗳️
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A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?
- A. Ramipril
- B. Labetalol
- C. Methyldopa
- D. Hydralazine
- E. Nifedipine
Correct Answer: A 🗳️
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