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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum ferritin
B) Hemoglobin A1c
C) Serum alpha-1 antitrypsin
D) Serum cortisol
E) Serum amylase

2. You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

A) A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination
B) A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%
C) A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min
D) A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
E) A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation

3. A 64-year-old man presents with a 3-month history of gradually increasing neck pain and stiffness. The pain radiates into his upper back, and he is having difficulty driving because of limitation of neck rotation secondary to pain. Physical examination shows restricted neck motion in all directions and neck muscle spasms. There is no abnormality on neurologic examination. A radiograph shows narrowing of all of the cervical disc spaces with prominent osteophytes. Which one of the following is the most appropriate next step?

A) No further investigation.
B) Electromyography of upper limbs.
C) Lumbar puncture.
D) Computed tomography of neck.
E) Magnetic resonance imaging of the neck.

4. A 26-year-old woman, gravida 1, para 0, aborta 0, consults you at 36 weeks' gestation regarding newborn care. She has HIV. Which one of the following is the best advice regarding reducing the risk for transmission of HIV to her newborn?

A) Breastfeed her newborn during the colostrum period only.
B) Bottle-feed her newborn expressed breast milk.
C) Bottle-feed her newborn boiled expressed breast milk.
D) Avoid kissing her newborn.
E) Formula-feed her newborn.

5. A 35-year-old maintenance worker presents to your office because he thinks he has been exposed to asbestos and is afraid of developing asbestosis. He has no respiratory symptoms and is a non-smoker. Which one of the following is the best next step?

A) Ask him further about his work.
B) Order pulmonary function testing.
C) Refer him to a respirologist.
D) Order a chest radiograph.
E) Provide reassurance, since he is asymptomatic.

Solutions: