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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Action.
B) Maintenance.
C) Contemplation.
D) Preparation.
E) Precontemplation.

2. A 3-month-old girl is brought by her parents to the emergency department with a 3-day history of cough, coryza, and low-grade fever; she was previously well. In the last 24 hours, she has been noted to have rapid breathing with audible wheezing. Which one of the following pathogens is the most likely cause of the patient' s symptoms?

A) Chlamydia trachomatis.
B) Influenzavirus A.
C) Human parainfluenzavirus 3.
D) Human respiratory syncytial virus.
E) Human metapneumovirus.

3. A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A) Plan partial nephrectomy
B) Repeat computed tomography in 6 months
C) Organize angiographic ablation of the renal mass
D) Refer to radiation oncology
E) Arrange magnetic resonance imaging of the abdomen

4. A 15-year-old boy is brought to the Emergency Department by his parents because he fainted at home earlier in the day. They are recent immigrants, and there is a language barrier. Which one of the following is the best option for facilitating a thorough history-taking?

A) A relative of the patient who can act as an interpreter.
B) Using simple language and speaking slowly.
C) A virtual or in-person interpreter service.
D) A volunteer from the community who can act as an interpreter.
E) An available laboratory technician who can act as an interpreter.

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

Solutions: