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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

A) 37/163.
B) 101/163.
C) 37/101.
D) 17/101.

2. You are seeing a 78-year-old man for follow-up of metastatic cholangiocarcinoma diagnosed 8 months ago and currently being treated with thermotherapy. He has just completed his 2nd cycle and reports frequently feeling hopeless, worthless, and helpless, with no sense of a positive future. He states he is turning away invitations to socialize with family and friends. He feels like sleeping all the time and reports no appetite.
Which one of the following is the most likely diagnosis?

A) Hepatic encephalopathy
B) Major depressive episode
C) Side effects of chemotherapy
D) Brain metastasis
E) Normal grief reaction

3. A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A) Omeprazole.
B) Loperamide.
C) Metoclopramide.
D) Bismuth sulfate.
E) Calcium carbonate.

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

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

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

Solutions: