MCCQE exam Study Plan part 1 Canada 2

MCCQE exam Study Plan Canada 2

MCCQE Part I Study Guide

Table of Contents Welcome to AMBOSS!........................................................................................................................ 3 Scoring System .................................................................................................................................. 4 Learning content S01: CARDIOVASCULAR MEDICINE

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S02: RESPIRATORY MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.

S03: ENDOCRINOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 S04: GASTROENTEROLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 S05: RENAL MEDICINE .

S06: HEMATOLOGY

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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 . . . . . . . . . . . . . . . . . . . . . . . . . .

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S15: PEDIATRIC MEDICINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 S16: NUTRITION / METABOLISM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 S17: CLINICAL PHARMACOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.9 S18: CLINICAL IMMUNOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 S19: CRITICAL CARE / ANAESTHESIA / EMERGENCY MEDICINE ................................................................. 51 S20: PUBLIC HEALTH / LAW / ETHICS .............................................................................................................. 52

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 ofÏcial 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 ofÒine 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!

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/

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

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

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

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

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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

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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 Hyperparathyroidism Parathyroid diseases Hypoparathyroidism

S03: ENDOCRINOLOGY Theme

Topic

Adrenal diseases

Adrenal insufÏciency 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

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Diabetes insipidus Breast cancer

Breast disorders Benign breast conditions Other

Insulinoma Glucocorticoids

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

S04: GASTROENTEROLOGY Theme

Topic

Gastrointestinal bleeding Approach to the patient with digestive 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

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 difÏcile 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

S04: GASTROENTEROLOGY Theme

Topic

Hepatitis A Hepatitis B Hepatitis C Diseases of the liver 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

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

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

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

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

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

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

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

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

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 Myasthenia gravis

Neuromuscular junction diseases Botulism Guillain-Barre syndrome

Guillain-Barré syndrome

Muscular dystrophies

Progressive muscular dystrophies

Myopathies

Myotonic syndromes

Pain syndromes

Complex regional pain syndrome

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

S08: NEUROLOGY Theme

Topic

Rare neurological diseases Transient global amnesia Other

Skull base syndromes Creutzfeldt-Jakob disease Myelopathy

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

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

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

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

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

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

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

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

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

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

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 insufÏciency 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

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

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

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

S15: PEDIATRIC MEDICINE Theme

GENERAL PAEDIATRICS Normal growth

Child development and milestones

National program for Child and Youth Health

See recommended resources Vaccination

National Vaccination Program Immunization schedule CARDIOLOGY Acyanotic congenital heart defects Congenital heart defects Cyanotic congenital heart defects HAEMATOLOGY/ONCOLOGY Anemia Anaemia 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

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 Fever and inflammation Approach to the child with fever Febrile seizures (Febrile seizure) Sepsis

Sepsis

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

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

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

EpiglotÝtis Sinusitis Rhinitis

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

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

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

S17: CLINICAL PHARMACOLOGY Theme

Topic

Fundamentals of pharmacology

Fundamentals of pharmacology Salicylate toxicity Metal toxicity

Toxicity and poisoning Organic solvent toxicity Poisoning

S18: CLINICAL IMMUNOLOGY Theme

Topic

Lymphatic system Lymphatics

Lymphatic techniques Lymphadenopathy

Transplantation

Transplantation Adaptive immune system

Immunology

Innate immune system Congenital immunodeficiency disorders

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

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