Free Medical Council of Canada MCCQE Exam Dumps Questions & Answers

A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonary embolism. Her condition is stabilized with intubation, hydration, inotropic support, and intravenous administration of heparin. Her partner provides you with a list of her medications. A combination oral contraceptive pill was recently prescribed. She smokes tobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

• A.  Discuss the case with the hospital ethics committee
• B.  Advise the patient's partner to seek legal advice
• C.  Report the prescribing physician to the provincial or territorial medical regulatory authority
• D.  Inform the patient's partner that the oral contraceptive pill may have caused her condition
• E.  Tell her partner that the physician should not have prescribed the oral contraceptive pill

A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

• A.  Case fatality rate
• B.  Positive predictive value of the screening test
• C.  Incidence rate
• D.  Positive biopsy rate
• E.  Treatment rate

A 20-year-old nulligravid woman presents with severe pain during menstruation. She is unable to take nonsteroidal anti-inflammatory drugs (NSAIDs) and is adamant about not taking any hormonal therapy. She has questions about non-medicinal therapeutic options. Which one of the following recommendations is the most appropriate?

• A.  Laparoscopic uterine nerve ablation (LUNA)
• B.  Progesterone-releasing intrauterine device
• C.  High-frequency transcutaneous electrical nerve stimulation (TENS)
• D.  Massage therapy
• E.  Spinal manipulation

A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Asidefrom a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

• A.  Chronic obstructive pulmonary disease
• B.  Type 2 diabetes
• C.  Cushing disease
• D.  Sleep apnea
• E.  Acromegaly

Your colleague's receptionist asks you to assess her 4-year-old daughter who has had 2 episodesof acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

• A.  Call the ENT consultant on call to discuss your dilemma.
• B.  Ask another family physician to see the daughter due to a conflict of interest.
• C.  Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
• D.  Explain that there is no indication for the surgery but refer her daughter for consultation.
• E.  Decline to send her daughter for consultation and explain your decision.