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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An infrastructure engineer in an AI factory has successfully replaced a power supply unit on an NVIDIA DGX H100. After installation, both the IN and OUT LEDs on the new power supply illuminate solid green.
Which NVSM CLI command should the engineer use to quickly verify the overall system status and ensure it is operating as expected?

A) nvsm show health
B) nvsm show alerts
C) nvsm show power
D) nvsm show powermode

2. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?

A) Bowel trauma during the operation.
B) Septic pelvic thrombophlebitis.
C) Wound infection.
D) Atelectasis
E) Pulmonary embolism.

3. A 70-year-old woman presents to the Emergency Department with a 2-day history of dysuria and right flank pain. Upon arrival, she is quite unwell. Her vital signs are as follows: blood pressure 70/38 mm Hg, heart rate
130/min, respiratory rate 24/min, temperature 39.4 °C.
Due to difficulty obtaining peripheral access, a central line is inserted. There is a lot of ongoing bleeding around the line insertion site. Her blood work shows:
White blood cell count: 19.8 × 10#/L (4-10)
Hemoglobin: 101 g/L (123-157)
Platelets: 85 × 10#/L (130-400)
Blood film: schistocytes
INR: 1.9 (0.9-1.2)
Fibrinogen: < 1 g/L (2-4)
Which one of the following is the most likely cause of her ongoing bleeding?

A) Thrombotic thrombocytopenic purpura.
B) Disseminated intravascular coagulation.
C) Heparin-induced thrombocytopenia.
D) Idiopathic thrombocytopenic purpura.
E) Vitamin K deficiency.

4. A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A) Taper the dosage of the opioid agonist
B) Prescribe a cannabinoid
C) Discontinue take-home doses
D) Increase the frequency of follow-up visits
E) Slowly taper and discontinue the opioid agonist

5. A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

A) Requiring radiologists to phone the referring physician with every result.
B) Notifying patients only if there is an abnormal finding.
C) Asking patients to call laboratories and imaging centres for their test results.
D) Booking return appointments with the referring physician to follow up every result.
E) Having a tracking system for all investigative reports.

Solutions: