Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 79-year-old woman presents to the Emergency Department with sudden-onset severe chest and back pain that started 1 hour ago. She has a history of hypertension and looks unwell. Her vital signs are as follows:
blood pressure 168/108 mm Hg, heart rate 110/min, respiratory rate 22/min, temperature 36.7°C. Findings of a physical examination of the chest and abdomen are normal. An urgent computed tomography (CT) scan of the chest and abdomen shows an aortic dissection extending from the descending thoracic aorta to the upper abdominal aorta. The branches of the abdominal aorta are patent. Following initial resuscitation, which one of the following is the best next step?

A) Perform endovascular repair of the thoracic and abdominal aorta.
B) Conduct open repair of the thoracic and abdominal aorta.
C) Admit the patient to the Intensive Care Unit and repeat CT in 6 hours.
D) Initiate intravenous labetalol.
E) Start intravenous heparin.

2. A 72-year-old man has had 4 episodes of weakness in her right arm and leg lasting 10 to 15 minutes each.
During 1 episode, she had difficulty speaking and had blurring of the vision in the left eye. Which one of the following is the most likely diagnosis?

A) Occlusive disease of the left vertebrobasilar system.
B) Epilepsy.
C) Left intracerebral hemorrhage.
D) Occlusive disease of the left internal carotid artery.
E) Thrombosis of the left middle cerebral artery.

3. A 43-year-old car mechanic, with no prior history, comes to the Emergency Department because of a sudden loss of balance at work. He also feels lightheaded, slightly disoriented and nauseous. Physical examination and basic blood work-up are normal. He tells you this is the 3rd time this has happened at work. Which one of the following is the most likely diagnosis?

A) Alcohol intoxication.
B) Cerebellar tumour.
C) Ear infection.
D) Lead intoxication.
E) Organic solvent intoxication.

4. A 42-year-old man presents to your clinic for follow-up regarding his anxiety. He lost his job 1 year ago.
Since then, he constantly thinks about what happened, trying to understand what went wrong and how he could fix it or prevent it in the future. He is unable to sleep because of this. He has become socially isolated and when he does see friends, he worries constantly that he may say something hurtful. He wishes he could get past what happened and find another job but feels consumed by the fear that he may offend someone in the future. On history, his symptoms did not respond to escitalopram, sertraline, fluvoxamine, or venlafaxine, all at maximum tolerated doses. Which one of the following medications is the most appropriate?

A) Amitriptyline
B) Vortioxetine
C) Paroxetine
D) Quetiapine
E) Clomipramine

5. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?

A) Include trauma disclosure on the clinic ' s intake form.
B) Display the cultural safety certificate in the waiting room.
C) Evaluate how the staff enjoyed the teaching session.
D) Provide clinic information in the languages spoken by the community.

Solutions: