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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 17-year-old boy is brought by his 2 roommates to the emergency department (ED) after a party where he had been drinking and smoking cannabis. He reportedly was having a good time when he suddenly wanted to jump out of a window. His roommates describe him as "normal prior to a breakup with his girlfriend a week ago." He has since become anxious and unable to sleep. On examination, he is somnolent and appears intoxicated. Which one of the following is the most appropriate initial management?

A) Observe the patient in the ED for several hours.
B) Call the patient's parents to take him home.
C) Prescribe chlordiazepoxide and start an intravenous line.
D) Arrange for an involuntary admission to psychiatry.

2. An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

A) Start continuous arteriovenous rewarming.
B) Set the room temperature to 28°C.
C) Continuous warm bladder irrigation.
D) Apply heating pads to extremities.
E) Perform a peritoneal lavage.

3. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Renal mass
B) Palpable spleen
C) Generalized tenderness
D) Shifting dullness
E) Abdominal bruit

4. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient's fever?

A) Atelectasis
B) Pulmonary embolism.
C) Septic pelvic thrombophlebitis.
D) Wound infection.
E) Bowel trauma during the operation.

5. A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

A) Positive biopsy rate
B) Incidence rate
C) Case fatality rate
D) Positive predictive value of the screening test
E) Treatment rate

Solutions: