A brief introduction to the course

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?

A) Ramipril
B) Nifedipine
C) Labetalol
D) Methyldopa
E) Hydralazine

2. 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) Folate
C) Hemoglobin A1c
D) Ferritin
E) Uric acid

3. A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Aside from a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

A) Sleep apnea
B) Type 2 diabetes
C) Chronic obstructive pulmonary disease
D) Cushing disease
E) Acromegaly

4. A 29-year-old woman presents with vaginal spotting after 6 weeks of amenorrhea. She is asymptomatic otherwise. Serum #-hCG is 2150 IU/L, and pelvic ultrasound shows an empty uterus. She has been trying to conceive for 7 months. Which one of the following is the best next step?

A) Perform dilatation and curettage for chorionic villi.
B) Repeat serum #-hCG test in 48 hours.
C) Administer intramuscular methotrexate.
D) Repeat pelvic ultrasonography in 10 days.
E) Arrange exploratory laparoscopy.

5. There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

A) Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.
B) Collecting fees from patients for uninsured services provided.
C) Collecting fees from patients who are seen after hours.
D) Collecting fees from patients for home visits.
E) Offering rapid access to insured services for a fee.

Solutions: