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Last Updated: Sep 11, 2026
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Medical Council of Canada MCCQE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Physician Roles (CanMEDS Framework) | - Medical Expert
|
Medical Council of Canada MCCQE Part 1 Sample Questions:
While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?
- A. Anemia of chronic disease.
- B. Myelodysplasia.
- C. Thalassemia.
- D. Leukemia.
- E. Iron deficiency anemia.
Correct Answer: E 🗳️
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A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he has had for several years. He reports a "crawling" sensation on his skin. He is concerned that this rash may be caused by a parasite he may have picked up while serving in the military overseas. On examination, you note multiple crusted lesions on his forearms, neck, chest, scalp, and thighs. There is a complete sparing of the skin on his back. He brought a bottle with fibrous material of different colours that he picked from his wounds. He is otherwise healthy and reports no other symptoms except some chronic fatigue and insomnia related to the itching. Which one of the following treatments is the most appropriate?
- A. Ivermectin
- B. Fluconazole
- C. Doxycycline
- D. Butenafine
- E. Permethrin
Correct Answer: A 🗳️
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You are asked to see a 34-year-old patient at his long-term care facility for a 2-day history of fever. You diagnose a urinary tract infection. He has multiple sclerosis diagnosed 5 years ago and has lived in this long- term care facility for the past 2 years. He is bedbound and has an indwelling urinary catheter. For the past 3 months, he has been non-communicative. Prior to this, he had made it clear that he did not want any life- prolonging measures. Which one of the following is the best next step?
- A. Prescribe antipyretics.
- B. Start antibiotics while waiting to contact the family.
- C. Transfer him to the hospital.
- D. Call his family to consider antibiotics.
- E. Change his urinary catheter.
Correct Answer: A 🗳️
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A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?
- A. Start lorazepam
- B. Change the haloperidol to quetiapine
- C. Provide reassurance
- D. Arrange for an urgent laryngoscopy
- E. Begin dantrolene
Correct Answer: B 🗳️
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A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?
- A. Ischemic contracture of forearm.
- B. Unwillingness to return to school.
- C. Median nerve compression.
- D. Unrecognized scaphoid fracture.
- E. Complex regional pain syndrome.
Correct Answer: E 🗳️
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