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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An 83-year-old woman presents to your office with a 2-day history of confusion. Her past medical history is significant for lung cancer, and she is being treated with radiation. On physical examination, she is euvolemic.
Her blood work reveals a serum sodium of 118 mmol/L (135-140) as compared with 134 mmol/L (8 days ago). Which one of the following will be most helpful in establishing the cause of her laboratory abnormality?

A) Serum osmolality
B) Urinalysis
C) Urine sodium
D) Creatinine clearance
E) Parathyroid hormone-related peptide

2. You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital
3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

A) Explore the reasons for the patient ' s request for MAID.
B) Suggest a trial of home dialysis.
C) Explain to the patient that she is not terminally ill.
D) Refer the patient to a psychiatrist.
E) Inform the patient that she will need parental consent to be assessed for MAID.

3. A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

A) Incidence rate
B) Treatment rate
C) Positive predictive value of the screening test
D) Positive biopsy rate
E) Case fatality rate

4. A 10-year-old boy and his mother present to your office with a concern about handwashing. The mother explains that her son has been at a new school for the past month and that teachers have noticed that he is washing his hands all day. He has also hidden hand sanitizer in his desk. The hand-cleaning is a response to a constant anxiety that his hands are dirty, and that he might pass an infection to someone. Which one of the following is the most appropriate initial management?

A) Fluoxetine 20 mg PO OD.
B) Recommendation of a teaching assistant.
C) Exposure and response prevention therapy.
D) Risperidone 0.5 mg PO QHS.
E) Return to his previous school.

5. An 18-year-old woman presents to the Emergency Department with a 3-day history of vomiting and right upper quadrant pain. She is alert but appears unwell and jaundiced. She was previously healthy and has not travelled recently. She has no risk factors for blood-borne pathogens. She denies hematemesis or hematochezia. On further history, she reports that she took a full bottle of pills that she found in her parents' medicine cabinet several hours before she started vomiting. Without intervention, which one of the following is the most likely outcome?

A) Ventricular fibrillation
B) Fulminant hepatic failure
C) Rapid-onset cerebral edema
D) Acute renal failure
E) Status epilepticus

Solutions: