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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

A) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
B) The provincial or territorial medical licensing authority
C) The provincial or territorial Ministry of Health
D) The provincial or territorial medical association
E) The board of the hospital or health region where the physician wants to practise

2. A 19-year-old woman presents to the office. She is a new mother. She shares that she does not intend to vaccinate her son. Which one of the following is the best next step?

A) Explore with the patient her rationale for not vaccinating her child.
B) Tell the patient you cannot follow her in your practice but will refer her to a colleague.
C) Provide education on the risks and benefits of vaccination.
D) Contact child protection services.
E) Ask to speak with the patient's parents.

3. You are asked to see a 50-year-old man 2 hours after he underwent a laparotomy for gastric resection. Lab results are as follows:
pH
7.28 (7.35-7.45)
PaCO#
60 mm Hg (35-40)
PaO#
60 mm Hg (85-105) with 4 L/min via nasal prongs
Bicarbonate (HCO#)
24 mmol/L (24-30)
Which one of the following is most consistent with this clinical presentation?

A) Postoperative hypermetabolic period
B) Metabolic acidosis
C) Compensatory respiratory alkalosis
D) Normal recovery from an inhalation anesthetic
E) Respiratory insufficiency

4. A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?

A) Provide reassurance
B) Arrange for an urgent laryngoscopy
C) Start lorazepam
D) Change the haloperidol to quetiapine
E) Begin dantrolene

5. A 25-year-old woman presents to the Emergency Department with a 2-hour history of pelvic pain associated with no other symptoms. The first day of her last menstrual period was 14 days ago. On examination, her vital signs are as follows:
Blood pressure
108/72 mm Hg
Heart rate
110/min
Temperature
37 °C
Abdominal examination reveals rebound tenderness and guarding. Pelvic examination reveals exquisite left adnexal tenderness. Which one of the following is the most likely diagnosis?

A) Hemorrhagic ovarian cyst
B) Adenomyosis
C) Endometriosis
D) Appendicitis
E) Diverticulitis

Solutions: