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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Physician Roles (CanMEDS Framework) | - Health Advocate
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
Question 1
A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?
A. Cognitive behavior therapy
B. Risperidone
C. Electroconvulsive therapy
D. Valproic acid
E. Carbamazepine
Question 2
An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, " I cannot let him go. That would be murder. " As the attending physician looking after her husband, which one of the following is the best next course of action?
A. Say nothing further and wait until she comes around to accepting his state
B. Seek advice from the provincial or territorial public guardian
C. Encourage her to imagine what her husband would have wanted
D. Remove him from life support as this would not be murder
E. Emphasize that the duration of his stay in the Intensive Care Unit will be limited
Question 3
A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?
A. Chest radiography.
B. Endoscopic retrograde cholangiography.
C. Cholescintigraphy (HIDA scan).
D. Abdominal radiography.
E. Ultrasound of abdomen.
Question 4
A 33-year-old man with severe bacterial meningitis is intubated and unresponsive in the Intensive Care Unit.
If he receives immediate treatment, his prognosis is excellent. If he does not, he will likely die. Three years ago, the patient had Huntington disease diagnosed, but he has been asymptomatic since then. His advance directive, which was made before this hospitalization, states that he should be allowed to die if he contracts a life-threatening illness. His parents demand that he be treated for the meningitis. Which one of the following is the best next step?
A. Order an electroencephalography
B. Ask for a current mental capacity assessment
C. Do not provide any treatment other than comfort measures
D. Initiate treatment, using the parents as substitute decision-makers
E. Consult a second physician for an opinion on emergent treatment
Question 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. Acute renal failure
B. Ventricular fibrillation
C. Fulminant hepatic failure
D. Rapid-onset cerebral edema
E. Status epilepticus
Solutions:
| Question 1 Answer: B | Question 2 Answer: C | Question 3 Answer: E | Question 4 Answer: C | Question 5 Answer: C |



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