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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 10-year-old girl is brought to the Emergency Department by her mother because her daughter is crying and says she " can't pee. " Her daughter fell on the monkey bars at school earlier that day. On examination, there is a large vulvar bruise anteriorly. Which one of the following is the best next step?

A) Consult gynecology if bladder catheterization is difficult.
B) Ask the mother to leave the room and ask the patient if someone abused her.
C) Discharge the patient home to do sitz baths.
D) Order complete blood count and coagulation studies.
E) Arrange a retrograde outpatient arthrography.

2. A 67-year-old woman presents with headaches, muscle weakness, pain in her shoulders and hips, weight loss, and depression. While also arranging appropriate investigations to confirm a diagnosis, which one of the following is the most important objective of treatment?

A) Alleviate the depression.
B) Prevent jaw claudication.
C) Prevent blindness.
D) Improve the shoulder and hip pain.
E) Prevent headaches from worsening.

3. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Morning serum cortisol
B) Hemoglobin A1c
C) Thyroid function testing
D) Fasting lipid profile
E) No investigations

4. A 71-year-old man with stable chronic low back pain on hydromorphone (8 mg twice daily) presents upset, requesting an early refill. He reports his granddaughter has been stealing his medication and pressuring him for refills. Which one of the following is the best next step?

A) Arrange for daily dispensing of hydromorphone.
B) Provide an early refill of hydromorphone.
C) Begin tapering the hydromorphone.
D) Call the police and report the patient's granddaughter.
E) Increase the dispensed quantity of the patient's hydromorphone.

5. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

A) Ask all visitors to wear a mask.
B) Order symptomatic LTC staff to stay home.
C) Enforce mandatory influenza vaccination for LTC staff.
D) Ensure that all visitors are immunized.

Solutions: