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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You performed a surgical procedure on a 32-year-old woman for a herniated disk that was causing neurologic impairment. At the 8-month follow-up visit, she has healed well; however, she requests a prescription renewal of her narcotic analgesics (hydromorphone). Her pharmacy confirms that the patient adheres to the dosage you prescribed, that she has not consulted other physicians, and that her behavior has always been respectful.
You think that she no longer requires narcotic analgesics. Which one of the following approaches is most helpful to the patient?

A) Change the patient's prescription from short-acting hydromorphone to once-daily methadone.
B) Decline the renewal of further hydromorphone and discharge the patient.
C) Replace short-acting hydromorphone with transdermal fentanyl.
D) Advise the provincial or territorial agency responsible for following patients who have potential substance use disorders.
E) Counsel the patient regarding substance use disorder and arrange follow-up with her family physician.

2. A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A) Empagliflozin.
B) Tamsulosin.
C) Fesoterodine.
D) Hydrochlorothiazide.
E) Nitrofurantoin.

3. A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?

A) Advise the patient to avoid tobacco exposure.
B) Ask if tobacco smoke triggers the patient's asthma.
C) Counsel the patient on the health effects of tobacco.
D) Update the chart to indicate that the patient smokes.

4. A 19-year-old woman returns to your clinic to discuss her recent laboratory tests. She initially presented with dysuria, dyspareunia, and abnormal uterine bleeding. Her vulvovaginal examination was normal. Her last sexual encounter was 3 weeks prior to the onset of her symptoms. Which one of the following pathogens is most likely to explain this clinical presentation?

A) Chlamydia trachomatis
B) Treponema pallidum
C) Herpes simplex virus
D) Human papillomavirus
E) Actinomyces israelii

5. A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?

A) Duodenum
B) Ileum
C) Jejunum
D) Stomach
E) Esophagus

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