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MCCQE PDF Practice Q&A's Total Questions: 357
  • Printable MCCQE PDF Format
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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionObjectives
Physician Activities- Management
  • 1. Therapeutic interventions
  • 2. Pharmacological and non-pharmacological treatment
  • 3. Follow-up planning
- Professionalism
  • 1. Physician health for sustainable practice
  • 2. Leadership and scholarly habits
  • 3. Lifelong learning
  • 4. Ethics and legal duties
  • 5. Self-awareness and reflection
- Communication
  • 1. Physician-patient communication
  • 2. Breaking bad news
  • 3. Team communication
  • 4. Informed consent
- Assessment
  • 1. History taking
  • 2. Investigations and diagnostic reasoning
  • 3. Physical examination
Dimensions of Care- Acute Care
  • 1. Emergency and critical care
  • 2. Acute presentations and stabilization
  • 3. Management of acute medical conditions
- Health Promotion and Illness Prevention
  • 1. Screening and periodic health exams
  • 2. Risk factor reduction
  • 3. Patient education
  • 4. Disease prevention measures
  • 5. Health maintenance
- Psychosocial Aspects
  • 1. Patient communication
  • 2. Mental health and behavioral sciences
  • 3. Psychosocial determinants of health
- Chronic Care
  • 1. Rehabilitation
  • 2. Chronic disease management
  • 3. Long-term care

Medical Council of Canada MCCQE Part 1 Sample Questions:

An 88-year-old man is admitted to hospital with an upper gastrointestinal bleed. He is confused on admission, but his sensorium clears with resuscitation and stabilization. The patient lives in his own home with assistance from his children. Work-up shows metastatic gastric carcinoma for which no curative treatment can be offered. The family insists that the patient not be told the diagnosis because they fear he will have a "mental breakdown." Which one of the following is the best next step?

  • A. Be direct and tell the patient the diagnosis.
  • B. Accept the family's request and do not tell the patient the diagnosis.
  • C. Ask the patient if he wants to know the diagnosis.
  • D. Consult palliative care.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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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. Amitriptyline
  • B. Lithium carbonate
  • C. Risperidone
  • D. Lorazepam
  • E. Lamotrigine
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

  • A. Osgood-Schlatter disease
  • B. Chondromalacia patellae
  • C. Osteosarcoma
  • D. Patellar tendinitis
  • E. Osteomyelitis
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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A 39-year-old man presents to your clinic 4 months after a motor vehicle collision. He is trying to return to work but is having a difficult time because his job requires him to drive. He used to love his job, but he is worried about going back because every time he gets into a car, he is filled with dread, gets dizzy, and feels faint. He has regular nightmares about the incident. Which one of the following is the most likely diagnosis?

  • A. Posttraumatic stress disorder.
  • B. Malingering.
  • C. Generalized anxiety disorder.
  • D. Panic disorder.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?

  • A. Trichomonas vaginalis.
  • B. Gardnerella vaginalis.
  • C. Human papillomavirus.
  • D. Chlamydia trachomatis.
  • E. Neisseria gonorrhoeae.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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