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Medical Council of Canada MCCQE Exam Syllabus Topics:

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

                              Medical Council of Canada MCCQE Part 1 Sample Questions:

                              A 22-year-old woman presents to the office for episodic mood changes that her boyfriend has noticed. During such episodes, she cries suddenly, is irritable and sad, and withdraws from socializing. Which one of the following would be most useful in establishing a diagnosis?

                              • A. Urine drug screen.
                              • B. Mood journal.
                              • C. Personality testing.
                              • D. Trial of lorazepam.
                              • E. Interviewing the boyfriend alone.
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).

                              An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
                              Temperature: 33°C
                              Respiratory rate: 22/min
                              Heart rate: 123/min
                              The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

                              • A. Continuous warm bladder irrigation.
                              • B. Perform a peritoneal lavage.
                              • C. Apply heating pads to extremities.
                              • D. Set the room temperature to 28°C.
                              • E. Start continuous arteriovenous rewarming.
                              Reveal Solution  Discussion  0

                              Correct Answer: D  🗳️

                              Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).

                              You are asked to see a 30-year-old woman, gravida 8, para 4, aborta 1, for symptoms of postpartum depression. She immigrated to Canada 8 months ago. She has been reluctant to speak to members of the medical team without her family members, even when an interpreter is present. Which one of the following is the best next step?

                              • A. Interview the patient and the family together
                              • B. Insist on conducting the interview with the patient alone
                              • C. Ask the patient to write down her history and have it translated
                              • D. Allow 1 family member to stay and act as the interpreter
                              Reveal Solution  Discussion  0

                              Correct Answer: A  🗳️

                              Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).

                              A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

                              • A. Borderline personality disorder.
                              • B. Bipolar II disorder.
                              • C. Antisocial personality disorder.
                              • D. Klinefelter syndrome.
                              • E. Narcissistic personality disorder.
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

                              Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).

                              An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

                              • A. Major depressive disorder.
                              • B. Obsessive-compulsive personality disorder.
                              • C. Generalized anxiety disorder.
                              • D. Obsessive-compulsive disorder.
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).

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