Hi
@akimhaneul !
The AAMC can and has asked about Carnot cycles, heat engines, and thermodynamics in this context. More important, however, is to understand the differences between adiabatic/isothermal/isobaric processes and expansion/compression and their associated thermodynamic changes. Understanding these will allow you to spot them in any context.
For example, the PV diagram for hart contraction is a much more medically relevant application of these principles than a simple heat engine, and thus, more likely to show up on the new MCAT. Use the Carnot cycle to understand these concepts, do not just memorize it.
Hope this helps, good luck!