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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 32-year-old woman presents to the office with questions related to the mRNA vaccines that are approved for COVID-19. She is a health care worker. She gave birth to a healthy child 2 months ago. Before being immunized, which one of the following is the most important detail to elicit from the patient ' s history?

A) Previous anaphylactic reaction to vaccine components.
B) Current immunosuppression.
C) Work in a medical unit caring for patients with COVID-19.
D) Presently breastfeeding.

2. A 63-year-old man presents to the office with a 2-year history of episodic swallowing problems that have been increasing in frequency. He states that food seems to stick in his throat, and these episodes are often associated with coughing or regurgitating undigested food. Physical examination reveals that the patient has halitosis; otherwise, findings are normal. Which one of the following is the best next step to confirm the most likely diagnosis?

A) Computed tomography of the chest.
B) Barium swallow.
C) Endoscopy.
D) Trial of a proton pump inhibitor.
E) 24-hour esophageal pH monitoring.

3. A 25-year-old woman, gravida 1, para 1, aborta 0, gave birth to a newborn who is hypotonic with a large protruding tongue and brachycephaly. The newborn has a single palmar crease bilaterally and short, broad hands with a curved fifth digit. These features best support a clinical diagnosis of which one of the following?

A) Fetal alcohol syndrome.
B) Trisomy 21.
C) Prader-Willi syndrome.
D) Turner syndrome.
E) Congenital hypothyroidism.

4. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Review your clinic ' s filing procedures and make any needed improvements.
B) Send a letter of complaint to the radiology department for not sending a report.
C) Reassure the patient that this is a rare occurrence in your clinic.
D) Remind the patient that they are responsible for calling for outstanding test results.

5. A 42-year-old man presents to your clinic for follow-up regarding his anxiety. He lost his job 1 year ago.
Since then, he constantly thinks about what happened, trying to understand what went wrong and how he could fix it or prevent it in the future. He is unable to sleep because of this. He has become socially isolated and when he does see friends, he worries constantly that he may say something hurtful. He wishes he could get past what happened and find another job but feels consumed by the fear that he may offend someone in the future. On history, his symptoms did not respond to escitalopram, sertraline, fluvoxamine, or venlafaxine, all at maximum tolerated doses. Which one of the following medications is the most appropriate?

A) Quetiapine
B) Paroxetine
C) Clomipramine
D) Vortioxetine
E) Amitriptyline

Solutions: