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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 32-year-old man presents to the clinic for assessment of a dog bite sustained 3 days ago while traveling in another country. He recalls having seen the dog eat where he was staying, and the animal did not appear well.
On examination, the patient has 2 distinct deep puncture wounds on his left leg. There is an erythematous border but no exudate. He is unsure of his immunization status. Which one of the following is the most appropriate management?

A) Arrange for wound debridement
B) Order serum creatine kinase
C) Give rabies immunoglobulin and vaccine
D) Start antibiotic treatment with ciprofloxacin
E) Irrigate the wounds with hydrogen peroxide

2. A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man ' s lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

A) The woman must have a cesarean delivery
B) The man needs herpes simplex virus type-specific serology
C) The woman should have viral cultures of her cervix
D) The man should avoid performing oral sex during her pregnancy
E) The woman should take acyclovir throughout her pregnancy

3. A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?

A) Comment on the previous chest radiograph and the new one in your report
B) Write a report only after communicating with your professional insurer
C) Remark only on the new chest radiograph in your report
D) Prepare a report only after communicating with your department head
E) Create a report only after communicating with your medical regulatory authority

4. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The patient's value and contributions to society.
B) The clinical severity of the patient's pulmonary disease.
C) The patient has family members who rely on them for income.
D) Whether the underlying condition is due to self-induced illness.
E) The date the patient was placed on the waiting list.

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

Solutions: