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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?

A) Do not discuss the patient ' s medication unless you have written consent from the patient.
B) Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.
C) Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.
D) Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.

2. Following a potluck supper organized by the residency director of your training program, many of your fellow residents and other guests fall ill with gastroenteritis. Which one of the following is the best way to identify the source of this food-borne outbreak?

A) Perform a cohort study
B) Culture the stool of guests
C) Culture leftover food samples
D) Perform a hazard analysis of critical control points
E) Calculate food-specific attack rates

3. You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

A) A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%
B) A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination
C) A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation
D) A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
E) A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min

4. A 12-year-old boy is brought by his mother to your clinic with a history of attention-deficit/hyperactivity disorder. His mother reports that he has been taking immediate-release methylphenidate for 2 years. Although the medication was initially effective, it no longer seems to work. The teachers say he is disorganized and fidgety, verbally interrupts class, and does not complete his work. His mother tells you that he does listen at home. Which one of the following is the most important next step in management?

A) Complete rating scales and increase methylphenidate.
B) Add risperidone and see the patient in 2 weeks.
C) Order an electroencephalogram.
D) Increase the methylphenidate and see the patient in 2 weeks.
E) Switch the methylphenidate to atomoxetine and see the patient in 2 weeks.

5. A 25-year-old woman, gravida 1, para 1, aborta 0, gave birth to a newborn who is hypotonic with a large protruding tongue and brachycephaly. The newborn has a single palmar crease bilaterally and short, broad hands with a curved fifth digit. These features best support a clinical diagnosis of which one of the following?

A) Congenital hypothyroidism.
B) Fetal alcohol syndrome.
C) Prader-Willi syndrome.
D) Trisomy 21.
E) Turner syndrome.

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