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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A physician attending a sporting event with his family provides emergency treatment to a 65-year-old man who suffers a seizure followed by a cardiac arrest. The patient is successfully resuscitated by the physician on the scene and transported to a hospital, where he is found to have critically low blood sugar and subsequently suffers irreversible brain damage. Which one of the following statements is most accurate?

A) The physician ' s medical licence requires him to treat anyone in need.
B) Professional ethics require physicians to render reasonable assistance to anyone in need.
C) The physician had a legal duty to accompany the patient in the ambulance.
D) The Good Samaritan laws require physicians to provide care to anyone in need.
E) The physician will be found negligent by the regulatory body.

2. A 42-year-old man comes to your family practice. He has started seeing a reflexologist to help manage his chronic back pain. He presents to you a letter from the reflexologist outlining the weekly necessary treatments, each costing $300, and a list of blood tests for the patient to have done. The patient asks you to order the laboratory testing and send the results to his "other doctor." Which one of the following is the best next step?

A) Tell your patient to stop seeing this practitioner.
B) Report the reflexologist to the regulatory authority for alternative and complementary practitioners.
C) Decline to order the tests but inquire further about his back pain.
D) Order the tests and arrange to send them to the reflexologist.
E) Report the reflexologist to the medical regulatory authority.

3. An investigator interested in the etiology of neonatal jaundice conducted a study where he selected 150 children diagnosed with this condition and 150 children born in the same time period and in the same hospital who did not have a diagnosis of neonatal jaundice. He then reviewed the delivery records of their mothers to determine various prenatal and perinatal exposures. This is an example of which one of the following?

A) Ecological study
B) Cross-sectional study
C) Clinical trial
D) Cohort study
E) Case-control study

4. A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?

A) Provide reassurance
B) Arrange for an urgent laryngoscopy
C) Change the haloperidol to quetiapine
D) Begin dantrolene
E) Start lorazepam

5. A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?

A) Change him to oral antibiotics, and finish his treatment as an outpatient.
B) Explain that his health is a priority and insist that he stay.
C) Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
D) Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.
E) Discharge the patient, but ensure he signs an " Against Medical Advice " form.

Solutions: