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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The patient has family members who rely on them for income.
B) The date the patient was placed on the waiting list.
C) The clinical severity of the patient's pulmonary disease.
D) Whether the underlying condition is due to self-induced illness.
E) The patient's value and contributions to society.

2. A 91-year-old man comes to the Emergency Department reporting blood in his stools, which has now resolved. He is able to give a history and mentions that this also happened 2 years ago. At that time, a colonoscopy was done and revealed diverticular disease as the cause. Which one of the following is the best next step?

A) Perform a computed tomography colonoscopy.
B) Order a fecal immunochemical test (FIT).
C) Reassure him that a colonoscopy does not need to be repeated.
D) Recommend a surgical resection of the diverticular disease.
E) Discuss the issue with his family before making a decision.

3. A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?

A) Acute viral bronchiolitis.
B) Retropharyngeal abscess.
C) Laryngomalacia.
D) Airway foreign body.
E) Croup.

4. A 60-year-old man is admitted to hospital, and lung cancer is diagnosed. When his family physician reviews the discharge summary, she reviews the patient's chart and finds a chest radiograph report from 1 year ago that mentions a suspicious nodule and recommends a computed tomography scan. The family physician recalls seeing this report and did not order the scan. Which one of the following is the family physician's best next step?

A) Forward the report to the oncology team that will be treating him.
B) Discipline the office staff for not bringing the report to her attention.
C) Call the radiologist who issued the report and determine why the patient was not contacted directly.
D) Communicate with the patient and arrange to disclose this information to him.
E) Do not disclose at this time.

5. A 19-year-old woman with a long-standing history of abuse and borderline personality disorder presents to your office. She has a number of superficial lacerations over her arms and legs. They look like they were caused by a sharp edge such as a knife. They are at various stages of healing, and some look like they are a few hours old, though none require stitches. Which one of the following is the most likely comment she would make about the injuries?

A) She feels better afterward.
B) She is too afraid to kill herself.
C) She is obsessed with the look of blood.
D) She is experimenting with body modification.
E) She uses them to get attention.

Solutions: