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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old woman presents to your clinic requesting an increase in her stimulant dosage for the treatment of her adult attention-deficit/hyperactivity disorder. Her medical history includes hypertension and type 1 diabetes with associated nephropathy. She has been taking methylphenidate daily for 15 years. Which one of the following would need to be addressed before the dosage can be increased?

A) Average home blood pressure reading of 150/80 mm Hg.
B) Estimated glomerular filtration rate of less than 30 mL/min/1.73 m² (#60).
C) Random glucose level that is often higher than 18.0 mmol/L (4.0-11.0).

2. An 84-year-old woman is brought by ambulance to the emergency department after she was found by a neighbour. She had fallen, sustained a hip fracture, and was unable to move for the past 2 days. After starting rehydration, she reports hip pain and numbness and tingling in both her legs. Physical examination reveals faint pulses in both legs and severely swollen lower legs that are painful to palpation. The urine in the Foley catheter bag seems to be darker than normal. Which one of the following is the best next step?

A) Myoglobin urine test.
B) Surgical fixation of the patient ' s hip fracture.
C) Compartment pressure measurements of the lower legs.
D) Bilateral Doppler ultrasonography of the legs.
E) Bilateral angiography of the lower legs.

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

4. A 73-year-old woman is seen in the office 2 weeks after a coronary bypass surgical procedure. The site of saphenous vein removal in the left thigh shows an area of tenderness and a 3 × 5 cm palpable mass. The skin is intact. Her temperature is 37.7 °C, hemoglobin is 110 g/L (125-167), and white blood cell count is 8 × 10#
/L (4-10). Which one of the following is the most likely diagnosis?

A) Wound hematoma
B) Thrombophlebitis
C) Wound abscess
D) Acute venous bleeding
E) Femoral artery aneurysm

5. A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonary embolism. Her condition is stabilized with intubation, hydration, inotropic support, and intravenous administration of heparin. Her partner provides you with a list of her medications. A combination oral contraceptive pill was recently prescribed. She smokes tobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

A) Discuss the case with the hospital ethics committee
B) Advise the patient ' s partner to seek legal advice
C) Inform the patient ' s partner that the oral contraceptive pill may have caused her condition
D) Report the prescribing physician to the provincial or territorial medical regulatory authority
E) Tell her partner that the physician should not have prescribed the oral contraceptive pill

Solutions: