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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 39-year-old woman, gravida 2, para 1, aborta 0, presents with concerns that a friend has recently suffered from postpartum psychosis. She wonders if she is likely to suffer this disorder following delivery of her 2nd child. Which one of the following is most likely to increase your patient ' s risk?

A) Advanced maternal age
B) Being a multigravida
C) A history of panic disorder
D) A family history of bipolar disorder

2. A 38-year-old woman has progressive renal failure despite optimal medical treatment for her glomerulonephritis. Her ex-husband asks if he might be considered as a kidney donor. They have joint custody of their 10-year-old son. Which one of the following is the best response to the ex-husband's request?

A) His request must be refused because of the risk of leaving their child with 2 unhealthy parents.
B) He may proceed with assessment for possible organ donation.
C) Advise against a donation because of their divorce.

3. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) #-Blocker
B) Echocardiogram
C) Treadmill exercise test
D) Holter monitoring

4. You perform a literature search of journal articles on the effectiveness of a new antihypertensive for first-line treatment of people aged 35 to 50. You find reports of 4 good quality studies. Three of them show that statistically, the new drug is significantly more effective than the standard treatment, and one shows no difference. Before you conclude that the new antihypertensive is more effective in this group of patients, which one of the following concepts must be given consideration?

A) Systematic error
B) Random error
C) Publication bias
D) Information bias
E) The power of the studies

5. A 38-year-old man presents to the office for a follow-up visit. For several years, he has been having constant abdominal pain and intermittent constipation. He struggles to fall asleep because he is worried about his symptoms, and he often spends hours researching possible investigations and causes. Although he recently had extensive investigations, which have all had normal results, he continues to visit multiple physicians hoping for more investigations. He worries that he will die because no one is taking him seriously. Which one of the following is the best next step?

A) Prescribe a regular exercise routine.
B) Repeat investigations to confirm the results are unchanged.
C) Consult general internal medicine.
D) Schedule monthly appointments to discuss the patient's concerns.

Solutions: