MCCQE Part I Study Guide Table of Contents Welcome to AMBOSS! Scoring System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Learning content S01: CARDIOVASCULAR MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 S02: RESPIRATORY MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. S03: ENDOCRINOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 S04: GASTROENTEROLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 S05: RENAL MEDICINE . S06: HEMATOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 S07: INFECTIOUS DISEASES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 S08: NEUROLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 S09: ONCOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 S10:. DERMATOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 S11: HEAD AND NECK / EYE / EAR NOSE AND THROAT . . . . . . . . . . . . . . . . . . . 30 S12: MUSCULOSKELETAL / ORTHOPAEDICS / RHEUMATOLOGY . . . . . . . . . . . . . . . 33 S13: OBSTETRICS & GYNAECOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 S14: PSYCHIATRY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 S15: PEDIATRIC MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 S16: NUTRITION / METABOLISM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 S17: CLINICAL PHARMACOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 . S18: CLINICAL IMMUNOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 S19: CRITICAL CARE / ANAESTHESIA / EMERGENCY MEDICINE . . . . . . . . . . . . . . . . 51 S20: PUBLIC HEALTH / LAW / ETHICS . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 > Table of Content | 2 Welcome to AMBOSS! Created by a team of dedicated physicians, AMBOSS is an interactive library of 20,000+ medical topics interlinked with a Question Bank with over 5,000 clinical case-based questions. With all the necessary resources in one place, AMBOSS delivers up-to-date medical knowledge to students, physicians, and faculty around the world. In this MCCQE Part I Study Guide, we’ve provided you with a comprehensive checklist of the Medical Expert Objectives linked to the corresponding AMBOSS articles. To use this resource for your studies, click on each topic and you will be directed to the assigned articles from the AMBOSS library. From the articles, you will also be able to access the corresponding questions in the AMBOSS Qbank. Click here to open library articles Click here to answer multiple choice questions We recommend that all candidates read the official MCC “Objectives for the Qualifying Examination” guidelines before commencing your studies. Links to important Canadian guidelines and clinical resources are also included in this Study Guide. With AMBOSS, you’ll be able to study for your exams online, but you can also access our study resources offline by downloading the AMBOSS Knowledge Library or QBank application for Android and iOS. Finally, the AMBOSS team is here to support you. If you have questions, suggestions or comments, please do not hesitate to contact us at hello@amboss.com. Happy studying! > Table of Content | 3 MCCQE Part I Additional tips and resources The Medical Council of Canada Qualifying Examination (MCCQE) Part I is the standardized, cumulative test for all medical students wishing to practice medicine in Canada. It is based on the MCC Objectives and covers the foundational medical knowledge and critical thinking expected of a physician in Canada. Additional tips and resources are listed below: General MCCQE Information https://www.mcc.ca/examinations/mccqe-part-i/ MCCQE Part I Scoring System https://www.mcc.ca/examinations/mccqe-part-i/scoring/ List of Suggested Reference Materials https://www.mcc.ca/examinations/list-of-suggested-reference-materials/ Clinical Guidelines- Joule (Canadian Medical Association) https://joulecma.ca/cpg/homepage Canadian Task Force on Preventive Health Care https://canadiantaskforce.ca/ > Table of Content | 4 S01: Cardiovascular Medicine Theme Topic Cardiorespiratory arrest Cardiopulmonary resuscitation (CPR) Cardiovascular examination Cardiovascular examination Approach to the patient with chest pain ECG Chest pain Approach to the patient with edema Edema Overview of cardiac arrhythmias (Cardiac arrhythmias) Atrial fibrillation Arrhythmias Paroxysmal supraventricular tachycardia Ventricular tachycardia Ventricular fibrillation Syncope Supraventricular premature beats Sick sinus syndrome Dysrhythmias Ventricular premature beats Atrioventricular block Long QT syndrome Acute and chronic heart failure Congestive heart failure Principles of coronary artery disease Atherosclerosis Ischemic heart disease and acute coronary syndromes Acute coronary syndrome Cardiac catheterization Coronary artery bypass grafting Hypertension Hypertension and hypertensive vascular disease Renal artery stenosis > Table of Content | 5 S01: Cardiovascular Medicine Theme Topic Valvular heart diseases Aortic valve stenosis Aortic regurgitation Mitral stenosis Valvular Heart Diseases Mitral regurgitation Mitral valve prolapse Infective endocarditis Rheumatic fever Pericarditis Pericardial disease and myocarditis Myocarditis Pericardial effusion and cardiac tamponade Thoracic aortic aneurysm Abdominal aortic aneurysm (AAA) Aortic dissection Aneurysm Endarterectomy Vascular diseases of the aorta and limbs Peripheral arterial disease Acute limb ischemia Carotid artery stenosis Chronic venous disease Cardiomyopathy Cardiomyopathy > Table of Content | 6 S01: Cardiovascular Medicine Theme Topic Antiarrhythmic drugs Antiplatelet agents Oral anticoagulants Parenteral anticoagulation Antiadrenergic agents Beta blockers Calcium channel blockers (CCB) Renin-angiotensin-aldosterone system inhibitors Cardiac drugs Amiodarone Nitrates Phosphodiesterase inhibitors Cardiac glycosides (Digitalis) Diuretics Parasympathomimetic drugs Muscarinic antagonists Sympathomimetic drugs Statins > Table of Content | 7 S02: Respiratory Medicine Theme Topic Approach to the patient with dyspnea Pulmonary examination Approach to the patient with cough Cough Airway management and ventilation Airway management and ventilation Asthma Chronic obstructive pulmonary disease Obstructive Pulmonary Diseases Bronchiectasis Cystic Fibrosis Pneumonia Respiratory infections Acute bronchitis Tuberculosis Lung cancer Lung cancer Interstital pulmonary disease Interstitial lung disease Pulmonary embolism Pulmonary vascular disease Deep vein thrombosis Pulmonary hypertension and cor pulmonale Pulmonary hypertension and cor pulmonale Sarcoidosis Asbestosis Pneumoconiosis Silicosis Rare pneumoconioses Atelectasis Atelectasis Acute respiratory distress syndrome Acute respiratory distress syndrome Pleura and mediastinal disorders Pneumothorax Pleural effusion Upper airway disease Obstructive sleep apnea > Table of Content | 8 S02: Respiratory Medicine Theme Topic Hypersensitivity and anaphylactic reactions Allergies, anaphylaxis Hypersensitivity pneumonitis Shock Pulmonary function testing Other Arterial blood gas analysis and pulse oximetry Beta-2 adrenergic agonists > Table of Content | 9 S03: ENDOCRINOLOGY Theme Topic Principles of endocrinology General endocrinology Diabetes mellitus Hyperglycemic crises Hypoglycemia Diabetes mellitus Antidiabetic drugs Inpatient management of hyperglycemia Insulin Lipid Disorders Dyslipidemias and disorders of lipoprotein metabolism Statins Second-line lipid-lowering agents Obesity Metabolic syndrome Thyroid gland and parathyroid glands Antithyroid drugs Goiter Thyroid antibodies Hyperthyroidism Graves disease Thyroid disorders Hypothyroidism Hashimoto’s thyroiditis Subacute thyroiditis Thyroid nodules Thyroid cancer (Thyroid carcinoma) Thyroid surgery Parathyroid diseases Hyperparathyroidism Hypoparathyroidism > Table of Content | 10 S03: ENDOCRINOLOGY Theme Topic Adrenal diseases Adrenal insufficiency Primary hyperaldosteronism/Conn syndrome Cushing’s syndrome Congenital adrenal hyperplasia Pheochromocytoma Metabolic bone disorders Osteomalacia and rickets Osteoporosis Bisphosphonates Laboratory evaluation of bone disease Paget disease of bone Hypopituitarism Hypothalamus and pituitary disease Hyperprolactinemia Acromegaly Pituitary adenoma Hypogonadism Hypogonadism Multiple endocrine neoplasia Multiple endocrine neoplasia Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diabetes insipidus Breast disorders Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Diabetes insipidus Breast cancer Benign breast conditions Other Insulinoma Glucocorticoids > Table of Content | 11 S04: GASTROENTEROLOGY Theme Topic Nausea and vomiting Approach to the patient with nausea and vomiting Case 5: Nausea Approach to the acute abdomen Acute abdomen Approach to the patient with dysphagia Case 22: Problems with swallowing Esophagus Esophageal cancer Esophageal perforation Esophageal barium swallow Achalasia Esophageal diverticula Esophagus, stomach and duodenum Gastroesophageal reflux disease Peptic ulcer disease Atrophic gastritis Gastrinoma (Zollinger-Ellison syndrome) Gastric cancer Boerhaave syndrome Acute pancreatitis Diseases of the Pancreas Chronic pancreatitis Pancreatic Carcinoma > Table of Content | 12 S04: GASTROENTEROLOGY Theme Approach to the patient with digestive bleeding Topic Gastrointestinal bleeding Mallory-Weiss syndrome Case 8: Altered bowel habits Acute appendicitis Crohn disease Ulcerative colitis Irritable bowel syndrome Colorectal cancer Colonic polyps Lynch syndrome (Hereditary nonpolyposis colon cancer) Bowel obstruction Bowel surgery Diseases of the Small and Large Intestines Abdominal hernias Inguinal hernia Femoral hernia Internal hernia Congenital diaphragmatic hernias Acquired diaphragmatic hernia Malabsorption Coeliac disease Lactose intolerance Intestinal ischemia > Table of Content | 13 S04: GASTROENTEROLOGY Theme Topic Diarrhea Food poisoning Bacterial gastroenteritis Norovirus infection Diarrhea, gastroenteritis and food borne gastric infections Rotavirus infection Botulism Diarrheagenic E. coli Clostridium difficile infection Amebiasis Giardiasis Rectal prolapse Hemorrhoids Thrombosed external hemorrhoid Anorectal Disorders Anal fissures Anal abscess and fistula Anal cancer Pilonidal cyst Approach to the jaundiced patient Jaundice and cholestasis Cirrhosis Alcoholic liver disease Ascites Diseases of the liver Portal hypertension Wilson disease Hemochromatosis Autoimmune hepatitis > Table of Content | 14 S04: GASTROENTEROLOGY Theme Topic Hepatitis A Hepatitis B Diseases of the liver Hepatitis C Hepatocellular carcinoma Benign Liver tumors and hepatic cysts Pyogenic liver abscess Cholelithiasis, choledocholithiasis, cholecystitis, and cholangitis Primary biliary cholangitis Gallbladder and biliary tract diseases Primary sclerosing cholangitis Cholangiocarcinoma Inherited hyperbilirubinemia (Gilbert's syndrome) Proton pump inhibitors Meckel diverticulum Other Pancreatic and hepatic surgery Carcinoid tumor > Table of Content | 15 S05: RENAL MEDICINE Theme Topic Diagnostic evaluation of the kidney and urinary tract Approach to the patient with urinary abnormalities Dehydration Sodium disorders Disorders of potassium balance Fluid and electrolyte imbalances Disorders of calcium balance Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Diabetes insipidus Acute kidney injury Pyelonephritis Urinary tract infections Acute kidney and urinary tract diseases Urethritis Nephrolithiasis Hematuria Chronic kidney disease Renal cell carcinoma Urothelial cancer Urinary incontinence Stress incontinence Chronic kidney and urinary tract diseases Urge incontinence Urinary retention Urinary tract obstruction Vesicoureteral reflux Retroperitoneal fibrosis > Table of Content | 16 S05: RENAL MEDICINE Theme Topic Glomerular diseases IgA nephropathy (Berger disease) Poststreptococcal glomerulonephritis Glomerular diseases Rapidly progressive glomerulonephritis Nephrotic syndrome Nephritic syndrome Proteinuria Renal Artery Stenosis Renal Artery Stenosis Congenital anomalies of the kidneys Hereditary renal disorders Polycystic Kidney Disease Renal tubular disorders Tubulointerstitial diseases Tubulointerstitial diseases Benign prostatic hyperplasia Prostate Prostatitis Prostate cancer Bladder exstrophy, abnormalities of the male urethra, and webbed penis Disorders of the glans penis and foreskin Scrotal abnormalities Epididymitis Male reproductive system Testicular tumors Carcinoma of the penis Genitourinary trauma Testicular torsion Priapism > Table of Content | 17 S05: RENAL MEDICINE Theme Topic Penile fracture Male reproductive system Erection and ejaculation disorders Semen analysis Edema Renal replacement therapy Other Diagnostic investigations in urology Diuretics > Table of Content | 18 S06: HEMATOLOGY Theme Topic Basics of haematology Basics of hematology Approach to the patient with adenopathy and splenomegaly Splenomegaly Lymphadenopathy Anemia Iron deficiency anemia Hemolytic anemia Hereditary spherocytosis Anemias Glucose-6-phosphate dehydrogenase deficiency Sickle cell anemia Vitamin B12 deficiency Porphyrias Hemolytic uremic syndrome (HUS) Hodgkin lymphoma Lymphomas Non-Hodgkin lymphomas MALT lymphoma Acute leukemia Leukemias Chronic myeloid leukemia Chronic lymphocytic leukemia Hemostasis and bleeding disorders Hemophilia Coagulation and bleeding disorders Hypercoagulable states Disseminated intravascular coagulation Haemoglobinopathies Thalassemia Myelodysplastic syndromes Myelodysplastic syndromes Polycythemia vera Myeloma and plasma cell disorders Multiple myeloma > Table of Content | 19 S06: HEMATOLOGY Theme Topic Blood products Transfusion Thrombocytopenia Platelet and vascular wall disorders Thrombotic thrombocytopenic purpura Myeloproliferative neoplasms Myeloproliferative neoplasms Amyloidosis Amyloidosis Antiplatelet agents Parenteral anticoagulation Oral anticoagulants Erythrocyte morphology and hemoglobin Other Myeloproliferative neoplasms Mycosis fungoides (Cutaneous T-cell lymphoma) Antiphospholipid syndrome Asplenia > Table of Content | 20 S07: INFECTIOUS DISEASES Theme Topic Bacteria overview Principles of microbiology General mycology Approach to the patient with fever Fever and inflammation The flu Influenza Sepsis and septic shock Sepsis Shock HIV/AIDs Human immunodeficiency virus (HIV) HIV-associated conditions Hospital acquired infections Nosocomial infections Syphilis Syphilis Sexually transmitted infections Candidiasis Gonorrhea Chancroid Sexually transmitted diseases Herpes simplex virus infections Cytomegalovirus infection Chlamydia infections Pelvic inflammatory disease Granuloma inguinale Legionnaires disease Legionellosis Collection of zoonotic diseases Lyme disease (Borreliosis) Typhoid fever, Paratyphoid fever Leptospirosis Zoonoses and arthropod-borne infections Diphtheria Listeriosis > Table of Content | 21 S07: INFECTIOUS DISEASES Theme Topic Dengue Malaria Zoonoses and arthropod-borne infections Toxoplasmosis Yellow fever Zika virus infection Immunosuppressants Immunosuppression Pneumocystis pneumonia Transplantation Aspergillosis Mononucleoside syndromes Infectious mononucleosis/Epstein Barr Virus Traveler’s diarrhea Traveller’s diseases Immunizations for travel Vaccination Immunization schedule Overview of antibiotic therapy Antiviral agents Other Antifungals Chloroquine and hydroxychloroquine Staphylococcal diseases Finger infections Tetanus > Table of Content | 22 S08: NEUROLOGY Theme Topic Neurological examination Neurological examination Headache Migraine Tension headaches Approach to the patient with headache Cluster headache Elevated intracranial pressure and brain herniation Dissection of the carotid and the vertebral artery Approach to the patient with syncope Syncope Lumbar Puncture Lumbar puncture Cranial nerve palsies Cranial nerve disorders Trigeminal neuralgia Facial nerve palsy/Bell palsy Disorders of the visual pathway Disorders of the visual pathway Parkinson disease Parkinson-plus syndromes Medication for Parkinson disease Huntington‘s disease Movement disorders Dystonia Tremor Tourette syndrome Spasticity Cerebellum Cerebellar syndromes Cerebellar disorders Wernicke encephalopathy and Korsakoff syndrome Spino-cereballar ataxia > Table of Content | 23 S08: NEUROLOGY Theme Topic Meningitis Infections of nervous system Herpes simplex encephalitis Brain abscess Complete spinal cord injury Spinal disorders Incomplete spinal cord syndromes Syringomyelia Spinal stenosis Bulbar palsy and pseudobulbar palsy Carpal tunnel syndrome Diabetes mellitus (diabetic neuropathy) Median nerve neuropathy Peripheral neuropathy Neuralgic amyotrophy Peripheral nerve injuries Polyneuropathy Radial neuropathies Ulnar nerve entrapment Motor neuron diseases Amyotrophic lateral sclerosis Spinal muscular atrophy Neurodegenerative Hereditary spastic paraplegia Multiple sclerosis Multiple sclerosis Neuromuscular junction diseases Myasthenia gravis Botulism Guillain-Barre syndrome Guillain-Barré syndrome Muscular dystrophies Progressive muscular dystrophies Myopathies Myotonic syndromes Pain syndromes Complex regional pain syndrome > Table of Content | 24 S08: NEUROLOGY Theme Topic Seizure disorders (Epilepsy) Seizure disorders and epilepsy Focal seizures and syndromes Anticonvulsant drugs Narcolepsy Sleep disorders Restless legs syndrome Cerebrovascular system Stroke Locked-in syndrome Wallenberg syndrome (lateral medulla syndrome) Cerebral aneurysms Cerebrovascular system Cerebral venous thrombosis Carotid-cavernous fistula Epidural hematoma Subdural hematoma Subarachnoid hemorrhage Intracerebral hemorrhage Traumatic brain injury Traumatic brain injury Brain tumours Brain tumours Astrocytoma Meningioma Acoustic neuroma Elevated intracranial pressure and brain herniation Intracranial pathology Idiopathic intracranial hypertension Hydrocephalus Hydrocephalus > Table of Content | 25 S08: NEUROLOGY Theme Topic Rare neurological diseases Transient global amnesia Other Skull base syndromes Creutzfeldt-Jakob disease Myelopathy > Table of Content | 26 S09: ONCOLOGY Theme Topic Principles of oncology General oncology Disorders of calcium balance Oncological emergencies Superior Vena Cava Syndrome Spinal cord compression Brain metastases Disordered cell growth Tumor markers Palliation Overview of palliative medicine Chemotherapeutic agents Principles of cancer treatment Opioids Antiemetics Paraneoplastic syndromes Paraneoplastic syndromes > Table of Content | 27 S10: DERMATOLOGY Theme Topic Principles of dermatology Principles of dermatology Benign skin lesions Collection of dermatological disorders Precancerous skin lesions Melanoma Skin cancers Squamous cell carcinoma Basal cell carcinoma (Basalioma) Skin and soft tissue infections Gas gangrene (Clostridial myonecrosis) Shingles Molluscum contagiosum Impetigo Skin and soft tissue infections Staphylococcal scalded skin syndrome Dermatophyte infections Tinea versicolor (Pityriasis versicolor) Scabies Lice infestation Erythrasma Atopic dermatitis Contact dermatitis Dermatitis (Eczema) Seborrheic dermatitis Stasis Dermatitis Lichen Simplex Chronicus Wound treatment Wounds Wound healing Burns Burns > Table of Content | 28 S10: DERMATOLOGY Theme Topic Acne vulgaris Acneiform Eruptions Rosacea Lichen planus Papulosquamous Diseases Pityriasis rosea Psoriasis Autoimmune blistering diseases Vesiculobullous Diseases Porphyrias Ichthyosis Heritable Disorders Vitiligo Neurocutaneous syndromes Stevens-Johnson syndrome Aphthous stomatitis Alopecia Other Photodermatoses Angioedema Erythema nodosum Erythema multiforme > Table of Content | 29 S11: HEAD AND NECK / EYE / EAR NOSE AND THROAT Theme Topic Ocular trauma Traumatic eye injuries Eye and orbit Orbit Orbital disorders Lacrimal apparatus Diseases of the lacrimal apparatus Lids and lashes Inflammation of the eyelids Conjunctivitis Conjunctiva Pterygium Sclera Scleritis and episcleritis Cornea Corneal disorders Diseases of the uvea Uveal tract Uveal melanoma Diseases of the lens Lens Cataract Diseases of the vitreous body Vitreous Endophthalmitis Diseases of the retina Retinal vessel occlusion Retina Retinal detachment Age-related macular degeneration Glaucoma Glaucoma Pupils Physiology and abnormalities of the pupil Horner syndrome Opthalmology miscellaneous Keratitis Ocular motility disorders and strabismus > Table of Content | 30 S11: HEAD AND NECK / EYE / EAR NOSE AND THROAT Theme Topic Hearing loss The Ear Otitis externa (Swimmer’s ear) Acute otitis media (Middle ear infection) Ear Chronic otitis media Cholesteatoma Otosclerosis Ménière disease Tinnitus Case 40: Dizziness Benign paroxysmal positional vertigo Dizziness and Vertigo Vestibular Neuronitis (labyrinthitis) Acoustic neuroma (vestibular schwannoma) Phobic postural vertigo Rhinosinusitis Rhinitis Sinusitis Nose Epistaxis Nasal papilloma > Table of Content | 31 S11: HEAD AND NECK / EYE / EAR NOSE AND THROAT Theme Topic Acute tonsillitis Larynx Laryngitis Throat Laryngeal carcinoma Pharyngeal cancer Juvenile nasopharyngeal angiofibroma Adenoid hypertrophy Miscellaneous ear, nose, and throat disorders Miscellaneous ear, nose, and throat disorders Diseases of the salivary glands Head and Neck Examination Head and Neck Overview of head and neck region Deep neck infections Congenital neck masses > Table of Content | 32 S12: MUSCULOSKELETAL / ORTHOPAEDICS / RHEUMATOLOGY Theme Topic Adaptive immune system Principles of immunology and rheumatology Autoantibodies in rheumatic diseases Immunosuppressants Rheumatoid arthritis Systemic lupus erythematosus Antiphospholipid syndrome Systemic connective tissue disease Systemic sclerosis (Scleroderma) Inflammatory myopathies (Myositis) Sjögren’s Syndrome Connective tissue diseases Seronegative spondyloarthropathies Ankylosing spondylitis Seronegative rheumatic disease Reactive arthritis (Reiter syndrome) Psoriasis Vasculitides Kawasaki disease Giant cell arteritis (Temporal arteritis) Vasculitides Granulomatosis with polyangiitis (Wegener granulomatosis) Thromboangiitis obliterans Raynaud phenomenon Henoch-Schonlein purpura Gout and other microcrystalline arthropathies Gout and hyperuricemia Osteoarthritis Degenerative joint disease Osteoarthritis of the hip and knee Fibromyalgia Non-articular rheumatism Polymyalgia rheumatica > Table of Content | 33 S12: MUSCULOSKELETAL / ORTHOPAEDICS / RHEUMATOLOGY Theme Topic Bone tumours Benign bone tumors Malignant bone tumors Compartment syndrome General principles of fractures Compartment syndrome General principles of fractures Conservative treatment of fractures (Conservative fracture management) Shoulder, axilla, and brachial plexus Shoulder dislocation Shoulder Soft tissue lesions of the shoulder Biceps tendon tear Clavicle Clavicle fracture Upper arm and elbow Humerus fracture Humerus and elbow Insertional tendiopathy (epicondylitis) Elbow dislocation Radial head subluxation (Pulled elbow) Forearm, wrist and hand Scaphoid fracture Forearm, wrist and hand Distal radius fractures Finger injuries Dupuytren’s contracture Vertebral fractures Spondylolisthesis Spine Degenerative disc disease Torticollis Pelvis Pelvic fracture Hip Hip fractures > Table of Content | 34 S12: MUSCULOSKELETAL / ORTHOPAEDICS / RHEUMATOLOGY Theme Topic The leg, ankle and foot Femur Femoral shaft fracture Osteonecrosis of the femoral head Patellar dislocation Knee and patellar Knee ligament injuries Meniscus tear (Meniscus rupture) Tibia Tibial fracture Ankle fracture Ankle and foot Achilles tendon rupture Foot deformities Sports injuries Sports injuries Pediatric fractures Pediatric fractures Septic arthritis (Infectious arthritis) Bone and joint infections Osteomyelitis Collection of orthopedic conditions Thoracic outlet syndrome Other (orthopedics) Osteochondritis dissecans Tenosynovitis > Table of Content | 35 S13: OBSTETRICS & GYNAECOLOGY Theme Topic Menopause, urogynaecology and prolapse Diagnostic procedures in gynecology Menopause Pelvic organ prolapse Stress incontinence Urinary incontinence Urinary tract infections Anomalies of the female genital tract Oncology and gynaecological surgery Human papillomavirus infection Cervical cancer (Cervical carcinoma) Breast cancer Vulvar and vaginal cancer Ovarian tumors Menstrual cycle and menstrual cycle abnormalities Hypogonadism Menstrual cycle, puberty and hormones Estrogen and associated diseases Disorders of sex development Endometriosis Endometrial cancer Uterine leiomyoma (Fibroids) Polycystic ovary syndrome (PCOS) Vaginal bleeding Pregnancy loss Ectopic pregnancy Vulvovaginitis Sexually transmitted infections > Table of Content | 36 S13: OBSTETRICS & GYNAECOLOGY Theme Topic Infertility Nonhormonal contraception Contraception, preconception and infertility Hormonal contraceptives Prenatal care Pregnancy The placenta, umbilical cord, and amniotic sac Hypertensive pregnancy disorders Gestational diabetes mellitus Gestational trophoblastic disease Antenatal care, fetal wellbeing and medical disorders in pregnancy Placental insufficiency Multiple pregnancy Intrauterine growth restriction Pharmacotherapy during pregnancy Chorioamnionitis, neonatal infection and omphalitis. Childbirth Mechanics of childbirth Labour and birthing Uterine rupture Preterm labor and birth Congenital TORCH infections Birth traumas Obstetric emergencies Postpartum hemorrhage Antepartum hemorrhage Postpartum period Puerperium Prenatal and postnatal physiology > Table of Content | 37 S14: PSYCHIATRY Theme Topic Autism spectrum disorder Tourette syndrome Neurodevelopmental disorders Emotional and behavioral disorders in children and adolescents Attention deficit hyperactivity disorder Personality disorders Personality disorders Disruptive, impulse-control, and conduct disorders Psychosomatic Somatic symptom and related disorders Schizophrenia Delusional disorder Psychosis Bipolar disorder Lithium Antipsychotics Major depressive disorder Anxiety disorders Depressive and anxiety disorders Antidepressants Suicidality Obsessive compulsive disorders Obsessive-compulsive disorder Feeding and eating disorders Eating disorders Trauma- and stressor-related disorders Trauma- and stressor-related disorders Dissociative disorders Dissociative disorders Elimination disorders Elimination disorders Sleep wake disorders Sleep disorders Sedative hypnotic drugs > Table of Content | 38 S14: PSYCHIATRY Theme Topic Sexual dysfunctions Sexuality and sexual medicine Alcohol use disorder (Alcoholism) Substance related and addictive disorders Substance-related and addictive disorders Wernicke encephalopathy and Korsakoff syndrome Major neurocognitive disorder Delirium Alzheimer’s disease Neurocognitive disorders Vascular dementia Frontotemporal dementia Parkinson-plus syndromes Psychotherapy and defense mechanisms Other Electroconvulsive therapy (ECT) Anticonvulsant drugs > Table of Content | 39 S15: PEDIATRIC MEDICINE Theme NEONATOLOGY The newborn infant Birth traumas Neonatal respiratory distress syndrome Teratogenic birth defects Assessment and care and major problems of the newborn Intrauterine Growth Restriction Congenital visceral malformations Hemolytic disease of the fetus and newborn Vitamin K deficiency bleeding of the newborn Sudden infant death syndrome Neonatal jaundice Neonatal jaundice (Icterus neonatorum) Neonatal screening The newborn infant Congenital TORCH infections Infectious diseases in pregnancy affecting the newborn HIV in pregnancy Perinatal hepatitis B Hypertensive pregnancy disorders Pregnancy disorders affecting the newborn Gestational diabetes mellitus Hyperthyroidism in pregnancy Neonatal sepsis Chorioamnionitis, neonatal infection, and omphalitis CHILD DEVELOPMENT, MILESTONES, AND GROWTH Child development and milestones Child development and milestones > Table of Content | 40 S15: PEDIATRIC MEDICINE Theme GENERAL PAEDIATRICS Normal growth Child development and milestones National program for Child and Youth Health See recommended resources National Vaccination Program Vaccination Immunization schedule CARDIOLOGY Congenital heart defects Acyanotic congenital heart defects Cyanotic congenital heart defects HAEMATOLOGY/ONCOLOGY Anaemia Anemia Thalassemia Diagnostic approach and referral criteria for paediatric neoplasia Acute leukemia Neuroblastoma Common paediatric tumours Wilms tumour (Nephroblastoma) Retinoblastoma ENDOCRINOLOGY, NUTRITION AND GROWTH Puberty disorders Puberty Disorders of sex development Tall stature and abnormally rapid growth Disordered growth Metabolic syndrome Short stature Diabetes Mellitus Diabetes mellitus > Table of Content | 41 S15: PEDIATRIC MEDICINE Theme INFECTIOUS DISEASES Measles Mumps Scarlet fever (Second disease) Rubella Fifth disease (Erythema infectiosum) Roseola infantum Chickenpox Atopic dermatitis Seborrheic dermatitis Dermatology and rashes Acne vulgaris Herpes simplex virus infections Molluscum contagiosum Impetigo Staphylococcal scalded skin syndrome Dermatophyte infections Tinea versicolor (Pityriasis versicolor) Scabies Lice infestation Approach to the child with fever Fever and inflammation Febrile seizures (Febrile seizure) Sepsis Sepsis > Table of Content | 42 S15: PEDIATRIC MEDICINE Theme NEUROLOGY Neurological infections Meningitis Poliomyelitis Craniosynostosis Neurology Hydrocephalus Craniovertebral junction anomalies Neural tube defects Seizure disorders Seizure disorders and febrile convulsions Generalized epilepsy in childhood Febrile seizures (Febrile seizure) CHILD PSYCHIATRY AND NEURODEVELOPMENT Child development and milestones Disruptive, impulse-control, and conduct disorders Child psychiatry and neurodevelopmental disorders Chromosomal aberrations Autism spectrum disorder Attention deficit hyperactivity disorder Cerebral Palsy Maltreatment in child and youth Child maltreatment > Table of Content | 43 S15: PEDIATRIC MEDICINE Theme PULMONOLOGY Bronchiolitis Croup Respiratory tract infections Pertussis Acute bronchitis Recurrent wheezing and asthma Urticaria, angioedema and anaphylaxis Asthma Hypersensitivity reactions Angioedema Obstructive sleep apnoea Obstructive sleep apnoea Food allergy Food allergies Cystic fibrosis Cystic fibrosis GASTROENTEROLOGY Hypertrophic pyloric stenosis Gastroesophageal reflux Acute appendicitis Esophageal atresia Approach to the vomiting child Duodenal atresia and stenosis Hirschsprung’s disease Necrotizing enterocolitis Intussusception Volvulus and intestinal malrotation Meckel diverticulum Inguinal hernia Approach to children with acute abdominal pain Testicular torsion Ovarian torsion Henoch-Schonlein purpura > Table of Content | 44 S15: PEDIATRIC MEDICINE Theme GASTROENTEROLOGY Approach to the constipated child Constipation Diarrhea Malabsorption Celiac disease Approach to the child with chronic diarrhoea and malabsorption Crohn disease Ulcerative colitis Lactose intolerance Irritable bowel syndrome Bacterial gastroenteritis Diarrheagenic E. coli Acute gastroenteritis Rotavirus infection Diarrhea Approach to the dehydrated child Dehydration OPTHALMOLOGY AND ENT Conjunctivitis Ophthalmology Strabismus Orbital cellulitis Acute otitis media Ear Chronic otitis media Otitis externa Acute tonsilitis Laryngitis Nose and throat Epiglottitis Sinusitis Rhinitis > Table of Content | 45 S15: PEDIATRIC MEDICINE Theme NEPHROLOGY Urinary tract infections Urinary tract infections Nephrotic syndrome Nephrotic syndrome Congenital anomalies of the kidneys Renal and urinary tract malformations Bladder exstrophy, abnormalities of the male urethra, and webbed penis Vesicoureteral reflux Nephritic syndrome Glomerulonephritis Poststreptococcal glomerulonephritis Henoch-Schönlein purpura Enuresis Elimination disorders MUSCULOSKELETAL Developmental dysplasia of the hip Legg-Calvé-Perthes disease Slipped capital femoral epiphysis Orthopedics Osgood Schlatter disease Transient synovitis Juvenile idiopathic arthritis Idiopathic scoliosis Osteomyelitis and infectious arthritis Septic arthritis Osteomyelitis Muscular dystrophy Progressive muscular dystrophies Muscular atrophy Spinal muscular atrophy OTHERS Cardiopulmonary resuscitation Paediatric basic life support Foreign body aspiration (FBA) Parenteral fluid therapy > Table of Content | 46 S15: PEDIATRIC MEDICINE Theme CONGENITAL AND INHERITED DISORDERS Basics of human genetics Down syndrome (Trisomy 21) Ehlers-Danlos syndrome and Marfan syndrome Inherited hyperbilirubinemia Inborn errors of carbohydrate metabolism Congenital immunodeficiency disorders Cleft lip and cleft palate (Cleft lip) Congenital adrenal hyperplasia Inborn errors of metabolism Rare inherited syndromes Choanal atresia Neurocutaneous syndromes > Table of Content | 47 S16: NUTRITION / METABOLISM Theme Topic Specialised nutrition support Vitamins Nutrition Vitamin B12 deficiency Folate deficiency Malabsorption Inborn errors of metabolism Lipids and fat metabolism Metabolism Inborn errors of carbohydrate metabolism Glycogen metabolism Glycolysis and gluconeogenesis Intravenous fluid therapy Electrolyte repletion Normal fluid and electrolyte imbalance Sodium disorders Potassium disorders Calcium disorders Acid-base balance Acid base disorders > Table of Content | 48 S17: CLINICAL PHARMACOLOGY Theme Topic Fundamentals of pharmacology Fundamentals of pharmacology Salicylate toxicity Metal toxicity Toxicity and poisoning Organic solvent toxicity Poisoning > Table of Content | 49 S18: CLINICAL IMMUNOLOGY Theme Topic Lymphatic system Lymphatics Lymphatic techniques Lymphadenopathy Transplantation Transplantation Adaptive immune system Immunology Innate immune system Congenital immunodeficiency disorders > Table of Content | 50 S19: CRITICAL CARE/ANAESTHESIA/ EMERGENCY MEDICINE Theme Topic Management of trauma patients Penetrating trauma Blunt trauma Splenic rupture Trauma General treatment of fractures Nonthrombotic embolism Rhabdomyolysis and crush syndrome Compartment syndrome Airway management and ventilation Perioperative management Surgery Laparoscopic surgery Airway management and ventilation Airway management and ventilation Pain management Opioids Local anesthetic agents Local and regional anesthesia Anaesthesia Non-opioid analgesics Inhalational anesthetics Intravenous anaesthetics Skeletal muscle relaxants Benzodiazepines Malignant hyperthermia Other Parenteral fluid therapy Hypothermia and frostbite > Table of Content | 51 S20: PUBLIC HEALTH / LAW / ETHICS Theme Topic Investigations Laboratory medicine Death Grief and end-of-life counseling Overview of palliative medicine Medical law and ethics Patient communication and counseling Principles of medical law and ethics Quality and safety Epidemiology Epidemiology Infection prevention and control If you have completed this study guide, you will have covered all of the requirements for the ‘Medical Expert’ objectives outlined by the Medical Council of Canada. However, you will also need to consult other resources for Canadian medical ethics, laws, and healthcare systems. To do this, you will find a list of resources here. Specifically, you should supplement this Study Guide with resources covering these topics: Population Health and Its Determinants Concepts of Health and Its Determinants Disaster Preparedness, Emergency Response, and Recovery Assessing and Measuring Health Status at the Population Level Interventions at the Population Level Administration of Effective Health Programs at the Population Level Outbreak Management Environment Health of Special Populations Work-related Health Issues Indigenous Health Legal, Ethical and Organizational Aspects of Medicine Consent Truth Telling Negligence Confidentiality Legal System > Table of Content | 52