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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question 1

You are called to attend an 18-year-old woman, gravida 2, para 1, aborta 0, who is in precipitous labour. She did not realize she was pregnant and has not had any prenatal care. After the delivery, you examine the newborn boy; he is vigorous, and it appears that he was born at full term. Physical examination findings of the newborn are normal. Review of the prenatal record from the mother ' s last pregnancy shows the following:
HIV: Negative
Hepatitis B surface antibody: Positive
Hepatitis C: Negative
Syphilis serology: Negative
The mother ' s previous child was placed in foster care. The mother is withdrawn and uncommunicative after delivery. Which one of the following is the best next step?

A. Collect urine from the newborn for a drug screen
B. Recommend immediate skin-to-skin care
C. Initiate feeding with donor breast milk
D. Administer hepatitis B vaccine to the newborn

Question 2

A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?

A. Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.
B. Prescribing cannabis.
C. Prescribing a short course of a short-acting opioid to be used only as needed.
D. Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
E. Referring the patient to substance use and mental health support services.

Question 3

A 40-year-old woman presents to your clinic for follow-up regarding her major depressive disorder, which is being treated with the starting dosage of escitalopram. Most of her symptoms have now improved. However, she has noted anorgasmia since taking this medication. This has significantly affected her relationship with her wife. Which one of the following is the best next step?

A. Maintain the current medication
B. Switch escitalopram to venlafaxine
C. Increase the patient ' s dosage of escitalopram
D. Add bupropion

Question 4

A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A. Prescribe a prophylactic antiviral medication
B. Recommend ceasing conception until 3 months after the couple ' s return to Canada
C. Refer the couple to an infectious disease specialist
D. Explain that condoms are ineffective in preventing sexual transmission of Zika virus
E. Request serologic testing

Question 5

An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

A. Ensure that all visitors are immunized.
B. Order symptomatic LTC staff to stay home.
C. Enforce mandatory influenza vaccination for LTC staff.
D. Ask all visitors to wear a mask.

Solutions: