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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Dimensions of Care | - Psychosocial Aspects
|
| Physician Activities | - Professionalism
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
A 4-month-old boy is brought to the office by his parents to ask about the rotavirus vaccine. They would like to avoid the possibility of the infant coming down with gastroenteritis. Their older child was hospitalized with gastroenteritis at age 10 months. They have a friend who had intussusception after getting the rotavirus immunization, and they are worried about a possible link to the vaccine. Which one of the following is the most appropriate response?
- A. Intussusception only occurs in 1- to 3-year-old children, so any risk to the infant is minimal.
- B. The vaccine is recommended as the risk of intussusception is extremely low.
- C. Rotavirus infection is generally self-limited, so routine vaccination is not encouraged unless there are comorbidities.
- D. The risk of intussusception is markedly increased after vaccination but is offset by a decrease in severe diarrhea.
- E. Intussusception is an easily treatable condition.
Correct Answer: B 🗳️
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A 62-year-old man, who has not seen a physician in 20 years, presents to your clinic with a burning sensation in his feet. The symptoms have been progressing slowly over the last 6 months. There is no associated motor weakness or skin changes. He reports no significant past medical history and takes no medications. His alcohol intake is minimal. On examination, he has reduced pinprick/vibration sensation and proprioception in the ankles with absent ankle reflexes. Which one of the following blood tests would you expect to be abnormal?
- A. Anti-acetylcholine receptor antibodies
- B. Hemoglobin A1c
- C. Uric acid
- D. Folate
- E. Ferritin
Correct Answer: B 🗳️
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A 3-week-old boy is brought by his parents to your clinic for a well-child visit. The newborn was born at term after an uncomplicated pregnancy. He is exclusively breastfed and is thriving. Physical examination findings are normal except for jaundice. Total bilirubin is 172 #mol/L (#100), and conjugated bilirubin is 4 #mol/L (#5). Results of a complete blood count and reticulocyte count are within the normal range. The results of a direct antiglobulin (Coombs) test were negative. Which one of the following, if any, is the most appropriate investigation?
- A. Liver enzymes and serum albumin.
- B. No investigation required.
- C. Test for galactosemia.
- D. Hepatobiliary ultrasonography.
- E. Urine culture.
Correct Answer: B 🗳️
Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?
- A. Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
- B. Explain that there is no indication for the surgery but refer her daughter for consultation.
- C. Call the ENT consultant on call to discuss your dilemma.
- D. Decline to send her daughter for consultation and explain your decision.
- E. Ask another family physician to see the daughter due to a conflict of interest.
Correct Answer: D 🗳️
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A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up. She reports that she is struggling with her health and daily life. She is unhappy with her lack of progress and says she feels tired all the time and stays in bed all day. When asked why, she states she is confused about why she is not getting better. Physical exam and investigations are unchanged from baseline. Which one of the following is the best next step?
- A. Initiate iron and vitamin B12 supplementation
- B. Start a selective serotonin reuptake inhibitor
- C. Prescribe cannabinoid therapy
- D. Educate the patient about her illness
Correct Answer: D 🗳️
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