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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 45-year-old man presents to your family practice for follow-up because he has had repeated transient ischemic attacks and had been advised not to drive. During the interview, you find out that he is still driving.
He explains that he only drives to the grocery store and his wife, who also has a driver ' s license, is always a passenger with him. He insists he can drive. You think that he should no longer be driving a car. Which one of the following is the best next step?

A) Refuse to treat him further unless he stops driving.
B) Physically take away his license.
C) Discuss this further with him.
D) Consult a neurologist to assess whether the patient is fit to drive.
E) Communicate your concerns to the motor vehicle licensing authority.

2. 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) Nifedipine
B) Hydralazine
C) Methyldopa
D) Labetalol
E) Ramipril

3. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Renal mass
B) Palpable spleen
C) Abdominal bruit
D) Shifting dullness
E) Generalized tenderness

4. A 30-year-old man (assigned female at birth) presents to your clinic for a periodic health examination. He declines a gynecologic examination because such examinations lead to intense emotional distress for him. He also believes that he does not require a Papanicolaou (Pap) test because he is not in a sexual relationship with a man. After acknowledging the patient ' s distress and providing education regarding the need for Pap screening, which one of the following would be the best next step?

A) Advise him to reconsider his decision and to allow the examination to proceed.
B) Record his directives in the chart.
C) Ask permission to learn more about his distress in a subsequent appointment.

5. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple, but does need to refer to a colleague who will.
B) An obligation to accept this couple as patients because physicians must treat all patients.
C) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.
D) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.
E) No obligation to accept this couple because of her inexperience caring for same-sex patients.

Solutions: