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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Reflux nephropathy
B) Aortic coarctation
C) Renal artery thrombosis
D) Essential hypertension
E) Ventricular septal defect

2. You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?

A) Ask your colleague to handle media inquiries
B) Ask your colleague to help triage incoming patients in the emergency department
C) Send your colleague to set up an emergency type O blood bank collecting unit
D) Send your colleague to the affected area to evaluate the health risks involved

3. A 34-year-old man presents to your office with a 2-week history of headaches and double vision when he looks to the right. On physical examination, you note that he is unable to gaze laterally with his right eye.
Which one of the following cranial nerves is most likely affected?

A) Optic.
B) Abducens.
C) Trochlear.
D) Oculomotor.
E) Trigeminal.

4. A 27-year-old man with a bowel obstruction secondary to a terminal ileum stricture has been on various medications since he was diagnosed with Crohn disease 8 years ago. You recommend a bowel resection, but he refuses this option because he is fearful of short bowel syndrome. He states that the only surgical procedure he will undergo is a bypass of the diseased segment so that the affected bowel will heal. You know that this is the wrong operation. Which one of the following is the best next step?

A) Administer a high dose of intravenous steroids for trial.
B) Decline to do the bypass but carefully explain why.
C) Obtain a formal competency assessment.
D) Transfer care to a colleague that you know is receptive to the patient's request.
E) Get consent for exploratory laparotomy and do a resection.

5. A 32-year-old woman presents to your outpatient clinic with concerns regarding a 6-month history of both a pulsatile buzzing sound in her ears and headaches. There is no history of hearing loss, vertigo, ear pain, or discharge from the ears. There is a long-standing history of prolonged exposure to occupational noise. She has a BMI of 32. Otoscopic examination is unremarkable, and there are no neck masses present. You determine that the buzzing sound is synchronous with her radial pulse. Which of the following investigations should be ordered next?

A) Electroencephalography
B) Magnetic resonance imaging of the brain
C) Audiogram
D) C-reactive protein

Solutions: