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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dimensions of Care | 50% | - Health Promotion and Illness Prevention - Acute Care - Chronic Care - Assessment and Diagnosis |
| Topic 2: Physician Activities | 50% | - Management - Professional Behaviours - Psychosocial Aspects - Communication |
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 65-year-old man presents to your clinic with a 2-month history of persistent erectile dysfunction. He reports having difficulties maintaining an erection. His last hemoglobin A1c level result was 6.4% (4.8-6.0). He had a negative result on his cardiac stress test 1 month ago. He has been taking stable dosages of citalopram, metformin, and ramipril for the past 2 years. His physical examination findings are normal, and his mood appears euthymic. Which one of the following investigations should be ordered before initiating treatment with sildenafil?
- A. No further investigations.
- B. Echocardiography.
- C. Prostate-specific antigen.
- D. Urine culture.
- E. Complete blood count.
Correct Answer: A 🗳️
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You perform a literature search of journal articles on the effectiveness of a new antihypertensive for first-line treatment of people aged 35 to 50. You find reports of 4 good quality studies. Three of them show that statistically, the new drug is significantly more effective than the standard treatment, and one shows no difference. Before you conclude that the new antihypertensive is more effective in this group of patients, which one of the following concepts must be given consideration?
- A. Random error
- B. Publication bias
- C. The power of the studies
- D. Information bias
- E. Systematic error
Correct Answer: B 🗳️
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An 87-year-old man presents with a 2-week history of stiffness in both shoulders and both hips. On further questioning, he tells you that he has experienced a 2 kg unintentional weight loss over the last month. His past medical history is otherwise unremarkable and he is on no medications. On examination, he has limited range of motion due to pain in his shoulders and hips. The remainder of his examination, including muscle strength and joint exam, is normal. Which one of the following will you specifically ask about regarding his history?
- A. Night sweats
- B. Recent diarrheal illness
- C. Unilateral headache
- D. Tremor
- E. Anhedonia
Correct Answer: C 🗳️
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A 45-year-old man presents to your clinic for follow-up regarding his obsessive-compulsive disorder. He currently takes a high dosage of paroxetine, which he would like to discontinue because he feels well. His condition has been stable taking this medication since he was discharged from inpatient care 2 years ago.
Which one of the following is the most appropriate recommendation?
- A. Reduce the dosage of paroxetine by 50%.
- B. Discontinue paroxetine and refer for supportive psychotherapy.
- C. Switch paroxetine to sertraline.
- D. Maintain the current dosage of paroxetine.
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. Change the haloperidol to quetiapine
- B. Begin dantrolene
- C. Start lorazepam
- D. Arrange for an urgent laryngoscopy
- E. Provide reassurance
Correct Answer: A 🗳️
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