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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 46-year-old woman presents to the emergency department with left-sided pleuritic chest pain that improves when she sits up and leans forward. Her medical history is unremarkable and she takes no medications.
Examination reveals a pericardial friction rub; the findings are otherwise normal. An electrocardiogram reveals diffuse ST segment elevation and PR interval depression. An echocardiogram reveals a small pericardial effusion. Which one of the following is the most appropriate treatment?

A) High-dose acetylsalicylic acid.
B) Metoprolol.
C) Pericardiocentesis.
D) Levofloxacin.
E) Apixaban.

2. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?

A) No prevention is required as this condition is not contagious.
B) Avoid direct contact with oral secretions.
C) Provide prophylactic antiviral agents for the siblings.
D) Treat the 7-year-old with antibiotics.
E) Immunize the younger siblings with varicella vaccine.

3. An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, " I cannot let him go. That would be murder. " As the attending physician looking after her husband, which one of the following is the best next course of action?

A) Encourage her to imagine what her husband would have wanted
B) Seek advice from the provincial or territorial public guardian
C) Remove him from life support as this would not be murder
D) Say nothing further and wait until she comes around to accepting his state
E) Emphasize that the duration of his stay in the Intensive Care Unit will be limited

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

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

5. A 65-year-old woman presents to the office for follow-up regarding vaginal bleeding. Her last visit was 2 months ago. At that visit, the results of a pelvic examination and a Papanicolaou test were normal. She also had an endometrial biopsy but there was " insufficient material for diagnosis. " She reports that she is still losing small amounts of blood almost every day. On history, she has been taking continuous combined hormone replacement therapy for 10 years because of vasomotor symptoms. Which one of the following is the most appropriate next step in management?

A) Change hormones to a selective estrogen receptor modulator.
B) Organize a hysteroscopy.
C) Decrease the dosage of progestin.
D) Order a colposcopy.
E) Refer for a hysterectomy.

Solutions: