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Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

A) Collecting fees from patients who are seen after hours.
B) Collecting fees from patients for home visits.
C) Collecting fees from patients for uninsured services provided.
D) Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.
E) Offering rapid access to insured services for a fee.

3. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Thyroid function testing
B) Fasting lipid profile
C) Hemoglobin A1c
D) Morning serum cortisol
E) No investigations

4. An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, "I cannot let him go. That would be murder." As the attending physician looking after her husband, which one of the following is the best next course of action?

A) Encourage her to imagine what her husband would have wanted
B) Say nothing further and wait until she comes around to accepting his state
C) Remove him from life support as this would not be murder
D) Seek advice from the provincial or territorial public guardian
E) Emphasize that the duration of his stay in the Intensive Care Unit will be limited

5. You are called to the Emergency Department to see a 6-month-old boy with a 3-day history of fever. Physical examination reveals an irritable infant with a temperature of 38.1°C. His vital signs are:
Blood pressure: 87/50 mm Hg
Respiratory rate: 80/min
Heart rate: 140/min
Oxygen saturation: 92% on room air
The infant has no skin findings. On chest examination, you hear coarse crackles on the right side of the chest.
Which one of the following is the best next step in the management of this child?

A) Reassurance.
B) Oral antibiotics.
C) Oral steroids.
D) Intravenous antibiotics.
E) Intravenous fluids.

Solutions: