if you have access to (no pun intended) the MDB file, just open it, open the table in Design view, highlight both columns, and click on the little key -- this makes them a composite primary key
if you do not have access to the MDB, you will have to talk to it using DDL -- see
Common DDL SQL for the Microsoft Access Database Engine
as for your other question, "how do I treat this table when creating queries?", i am afraid you will have to be more specific, i don't know what you mean by "treat"