Ii
I
, SECOND EDITION
Essentials for the
Canadian Medical
Licensing Exam
REVIEW AND PREP FOR MCCQE PART I
SHEEHAN H. CHOWDHURY, BSc, MD
Resident Physician
University of British Columbia
Vancouver, British Columbia, Canada
ADRIAN I. COZMA, MSc
M edical Student
University of Toronto
Toronto, O ntario, Canada
JEESHAN H. CHOWDHURY, DPh il, MD
CEO of ListRunner
San Francisco, California, USA
,A cquisitions Editor: M att H auber
Product D evelopm ent Editor: Christine Fahey
M ark eting M anager: M ichael M cM ahon
Production Project M anager: M arian Bellus
D esign Coordinator: H olly M cLaughlin
A rtist/Illustrator: Jennifer Clements
M anufacturing Coordinator: M argie O rzech
Prepress Vendor: S4Carlisle Publishing Services
Second edition
Copyright © 2017 Wolters Kluwer.
Copyright © 2010 Lippincott Williams & Wilkins, a Wolters Kluwer business.
Permission to reprint portions of the M edical Council of Canada (M CC) O bjectives for the Q ualifying Examination (w ww.mcc.ca) has been
granted by M CC . This permission does not constitute an endorsement by M CC or its employees of the textbook and /or its contents. The M CC
O bjectives O nline Web Service and all copyrighted & trademark information contained therein are the exclusive property of the M CC and its
contributors.
All rights reserved. This book is protected by copyright. N o part of this book may be reproduced or transmitted in any form or by any means,
including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written
permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. M aterials appearing in this book pre-
pared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 M arket Street, Philadelphia, PA 19103, via email at permissions@
lw w.com, or via our website at lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
978-1-4511-8688-8
Cataloging in Publication data available on request from publisher.
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy,
comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based on healthcare professionals’ examination of each patient and consideration of,
among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data, and other factors unique to
the patient. The publisher does not provide medical advice or guidance, and this work is merely a reference tool. H ealthcare professionals, and
not the publisher, are solely responsible for the use of this work, including all medical judgments, and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indica-
tions, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a
variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufactur-
er’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes
in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used, or has a narrow therapeutic
range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury or damage to persons
or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
LW W.com
DISCLAIM ER
Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. H owever, the authors,
editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and
make no warranty, express or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of
this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recom-
mended may not be considered absolute and universal recommendations.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this tex t are in accordance with
the current recommendations and practice at the time of publication. H owever, in view of ongoing research, changes in government regulations,
and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug
for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent
is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted
research settings. It is the responsibility of the healthcare provider to ascertain the FDA status of each drug or device planned for use in his or
her clinical practice.
To purchase additional copies of this book, call our customer service department at (800)638-3030 or fax orders to (301)223-2320. International
customers should call (301)223-230 0.
Visit Lippincott Williams & Wilkins on the Internet at http://w ww.lw w.com. Lippincott Williams & Wilkins customer service representatives
are available from 8:30 AM to 6 PM , EST.
, D edicated to our loving parents, Tofael and N adira Chow dhury, and
our brothers, R aiyan and R ezwan.
— Sheehan H . Chow dhury and Jeeshan H . Chow dhury
D edicated to my parents, Ioan and N atalia Cozm a, A lex andra, and
my m entors
— A drian I. Cozm a
I
, SECOND EDITION
Essentials for the
Canadian Medical
Licensing Exam
REVIEW AND PREP FOR MCCQE PART I
SHEEHAN H. CHOWDHURY, BSc, MD
Resident Physician
University of British Columbia
Vancouver, British Columbia, Canada
ADRIAN I. COZMA, MSc
M edical Student
University of Toronto
Toronto, O ntario, Canada
JEESHAN H. CHOWDHURY, DPh il, MD
CEO of ListRunner
San Francisco, California, USA
,A cquisitions Editor: M att H auber
Product D evelopm ent Editor: Christine Fahey
M ark eting M anager: M ichael M cM ahon
Production Project M anager: M arian Bellus
D esign Coordinator: H olly M cLaughlin
A rtist/Illustrator: Jennifer Clements
M anufacturing Coordinator: M argie O rzech
Prepress Vendor: S4Carlisle Publishing Services
Second edition
Copyright © 2017 Wolters Kluwer.
Copyright © 2010 Lippincott Williams & Wilkins, a Wolters Kluwer business.
Permission to reprint portions of the M edical Council of Canada (M CC) O bjectives for the Q ualifying Examination (w ww.mcc.ca) has been
granted by M CC . This permission does not constitute an endorsement by M CC or its employees of the textbook and /or its contents. The M CC
O bjectives O nline Web Service and all copyrighted & trademark information contained therein are the exclusive property of the M CC and its
contributors.
All rights reserved. This book is protected by copyright. N o part of this book may be reproduced or transmitted in any form or by any means,
including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written
permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. M aterials appearing in this book pre-
pared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 M arket Street, Philadelphia, PA 19103, via email at permissions@
lw w.com, or via our website at lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
978-1-4511-8688-8
Cataloging in Publication data available on request from publisher.
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy,
comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based on healthcare professionals’ examination of each patient and consideration of,
among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data, and other factors unique to
the patient. The publisher does not provide medical advice or guidance, and this work is merely a reference tool. H ealthcare professionals, and
not the publisher, are solely responsible for the use of this work, including all medical judgments, and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indica-
tions, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a
variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufactur-
er’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes
in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used, or has a narrow therapeutic
range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury or damage to persons
or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
LW W.com
DISCLAIM ER
Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. H owever, the authors,
editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and
make no warranty, express or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of
this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recom-
mended may not be considered absolute and universal recommendations.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this tex t are in accordance with
the current recommendations and practice at the time of publication. H owever, in view of ongoing research, changes in government regulations,
and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug
for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent
is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted
research settings. It is the responsibility of the healthcare provider to ascertain the FDA status of each drug or device planned for use in his or
her clinical practice.
To purchase additional copies of this book, call our customer service department at (800)638-3030 or fax orders to (301)223-2320. International
customers should call (301)223-230 0.
Visit Lippincott Williams & Wilkins on the Internet at http://w ww.lw w.com. Lippincott Williams & Wilkins customer service representatives
are available from 8:30 AM to 6 PM , EST.
, D edicated to our loving parents, Tofael and N adira Chow dhury, and
our brothers, R aiyan and R ezwan.
— Sheehan H . Chow dhury and Jeeshan H . Chow dhury
D edicated to my parents, Ioan and N atalia Cozm a, A lex andra, and
my m entors
— A drian I. Cozm a
