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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 53-year-old man with a history of bipolar I disorder is brought to the office by his family. Recently, he has been sleeping for 4 to 5 hours per night, has been fidgety, and is increasingly preoccupied with his granddaughter ' s safety. Five days ago, he consulted with your physician colleague and was instructed to exercise and meditate. Last night, he was found running in the street and attempted to hit a relative who was trying to calm him down. His son is dissatisfied with your physician colleague ' s management. Which one of the following is the most appropriate response?

A) Acknowledge your physician colleague ' s mistake and apologize.
B) Share that you would have prescribed a medication after the first assessment.
C) Encourage the son to file a complaint.
D) Point out that exercise and meditation have been proven useful in managing bipolar I disorder.
E) Explain that you will now assess the father and that your goal is to treat him.

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

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

3. A 9-year-old girl from a remote community is brought to the clinic with a 2-week history of swelling in her neck. She has been afebrile but has had some night sweats. On examination, you note a fixed, unilateral, and nontender supraclavicular lymph node measuring 3 cm. The overlying skin color is unremarkable. In addition, you note a slightly enlarged spleen and liver. Which one of the following is the most likely diagnosis?

A) Lymphoma
B) Cat-scratch disease
C) Viral reactive lymphadenopathy
D) Acute bacterial lymphadenitis
E) Kawasaki disease

4. A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?

A) Fetal macrosomia.
B) Partial mole.
C) Polyhydramnios.
D) Twin pregnancy.
E) Ovarian tumour and ascites.

5. A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A) Crying during micturition
B) Poor urinary stream
C) Macroscopic hematuria
D) Recent circumcision
E) Malodorous urine

Solutions: