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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionObjectives
Physician Roles (CanMEDS Framework)- Professional
  • 1. Patient safety and legal considerations
    • 2. Ethics and professional responsibility
      - Medical Expert
      • 1. Diagnostic reasoning and management planning
        • 2. Clinical knowledge across core specialties (internal medicine, surgery, pediatrics, OB/GYN, psychiatry)
          - Scholar
          • 1. Evidence-based medicine
            • 2. Continuous learning and clinical research interpretation
              - Leader (Manager)
              • 1. Resource stewardship
                • 2. Healthcare system navigation
                  - Communicator
                  • 1. Patient-centered communication
                    • 2. Informed consent and shared decision-making
                      - Collaborator
                      • 1. Referral and consultation processes
                        • 2. Interprofessional teamwork
                          - Health Advocate
                          • 1. Prevention and health promotion
                            • 2. Population health principles

                              Medical Council of Canada MCCQE Part 1 Sample Questions:

                              1. A 9-year-old girl from a remote community is brought to the clinic with a 2-week history of swelling in her neck. She has been afebrile but has had some night sweats. On examination, you note a fixed, unilateral, and nontender supraclavicular lymph node measuring 3 cm. The overlying skin color is unremarkable. In addition, you note a slightly enlarged spleen and liver. Which one of the following is the most likely diagnosis?

                              A) Acute bacterial lymphadenitis
                              B) Cat-scratch disease
                              C) Viral reactive lymphadenopathy
                              D) Lymphoma
                              E) Kawasaki disease


                              2. A 3-month-old girl is brought by her parents to the emergency department with a 3-day history of cough, coryza, and low-grade fever; she was previously well. In the last 24 hours, she has been noted to have rapid breathing with audible wheezing. Which one of the following pathogens is the most likely cause of the patient' s symptoms?

                              A) Chlamydia trachomatis.
                              B) Human metapneumovirus.
                              C) Influenzavirus A.
                              D) Human parainfluenzavirus 3.
                              E) Human respiratory syncytial virus.


                              3. You are counselling a couple that is concerned about the risk that their second child could be affected by the same X-linked recessive disorder (hemophilia A) as their last child, a boy. Neither parent has this disorder.
                              What is the probability that their second child will be affected?

                              A) 25% if the child is a boy
                              B) 50% if the child is a girl
                              C) 100% whether the child is a boy or a girl
                              D) 25% if the child is a girl
                              E) 50% if the child is a boy


                              4. You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

                              A) A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min
                              B) A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
                              C) A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation
                              D) A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination
                              E) A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%


                              5. A 20-year-old man is brought by a friend to the emergency department with an elevated temperature, generalized muscle rigidity, hypovolemia, a fluctuating level of consciousness, and impaired attention. The patient also may be responding to auditory hallucinations. The friend informs you that the patient overdosed with a prescribed medication. Which one of the following medications is most likely to cause these symptoms?

                              A) Lamotrigine
                              B) Amitriptyline
                              C) Lorazepam
                              D) Risperidone
                              E) Lithium carbonate


                              Solutions:

                              Question # 1
                              Answer: D
                              Question # 2
                              Answer: E
                              Question # 3
                              Answer: E
                              Question # 4
                              Answer: A
                              Question # 5
                              Answer: D

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