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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are taking over a practice from a retiring family physician. The practice has paper records of patients dating back many years, including records of former patients. Which one of the following organizations is the most appropriate to contact regarding medical record retention requirements?

A) The Medical Council of Canada.
B) The provincial/territorial regulatory authority.
C) The Canadian Medical Association.
D) Health Canada.
E) The College of Family Physicians of Canada.

2. A new patient, a 19-year-old man, presents to your office with low back pain. He has a history of opioid dependence and is now on a methadone maintenance treatment program. He is requesting opiate analgesics.
After examination, you decide not to prescribe opiates for pain control. The patient gets upset and threatens to file a complaint with your licensing authority. Which one of the following is the best next step?

A) Give a single opiate injection.
B) Call the police to have the patient removed from the office.
C) Send him for a lumbar spinal radiography.
D) Prescribe a small amount of oral opiate.
E) Direct him to his methadone management program.

3. Three months ago, a physician colleague approached you in the hospital corridor for advice regarding one of his patients. You are now being named by this patient in a malpractice action. Which one of the following is the most likely reason why you may be found liable?

A) You were given the patient ' s name
B) You were given confidential patient health information
C) You did not see the patient
D) You advised the physician to consult one of your colleagues
E) You gave advice on how to treat the patient

4. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

A) Low urinary metanephrines
B) Low renal vein renin
C) Increased thyrotropin (thyroid-stimulating hormone) level
D) Elevated plasma catecholamines
E) High plasma cortisol

5. An 18-month-old girl is brought in with a 3-day history of frequently passing loose stools. The stools are not bloody, but when she passes the stools, she is in obvious pain. She started vomiting earlier today, but she is still wetting diapers. On examination, she is mildly dehydrated but active and alert. Physical examination findings are otherwise normal. Which one of the following is the best management of this patient's case?

A) Combination of apple juice and chicken broth.
B) Oral rehydration solution.
C) Regular diet only when the diarrhea is resolved.
D) Loperamide.
E) No dairy for 2 weeks.

Solutions: