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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?

A) Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
B) Change him to oral antibiotics, and finish his treatment as an outpatient.
C) Explain that his health is a priority and insist that he stay.
D) Discharge the patient, but ensure he signs an " Against Medical Advice " form.
E) Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.

2. You have just completed a well-baby check on a 6-month-old in the office where you have recently begun to practice. You ask the registered nurse to give the immunizations. She refuses, saying this is not within her scope of practice. Which one of the following is the best next step?

A) Offer to be present while she gives the immunizations so that she will be supervised.
B) Insist that she give the immunizations as she should be competent to do so.
C) Recognize your error in making the request and refrain from asking again.
D) Contact the provincial/territorial nursing regulatory body to make a complaint about her.
E) Give the immunizations yourself and then discuss the matter with the nurse later.

3. A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?

A) Required workplace accommodations
B) Treatment options
C) Physiotherapist ' s evaluation
D) Diagnosis
E) Medical imaging results

4. A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

A) Booking return appointments with the referring physician to follow up every result.
B) Asking patients to call laboratories and imaging centres for their test results.
C) Having a tracking system for all investigative reports.
D) Notifying patients only if there is an abnormal finding.
E) Requiring radiologists to phone the referring physician with every result.

5. A 69-year-old woman with long-standing hypertension presents to the emergency department with a 2-hour history of persistent chest and back pain. A posteroanterior chest radiograph shows suspicious widening of the mediastinal shadow. Which one of the following is most likely to yield a clinical diagnosis?

A) Ventilation-perfusion lung scan
B) Electrocardiography
C) Computed tomography of the chest
D) Pulmonary angiography
E) Transthoracic echocardiography

Solutions: