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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 3-year-old boy is brought to the office because he has progressive weight gain and short stature. He has marked truncal obesity, hypertrichosis of the upper lip, and facial swelling. Which one of the following is a physical examination most likely to reveal?

A) Thyroid goiter
B) Acanthosis
C) Hypertension
D) Cafe-au-lait spots
E) Hepatomegaly

2. A 24-year-old woman has had several episodes of left lower lobe pneumonia. She has a chronic productive cough with occasional blood-streaked sputum. Physical examination is normal except for rales at the left base.
Chest radiograph shows a linear infiltrate in this area. Which one of the following is the most likely diagnosis?

A) Chronic bronchitis
B) Bronchiectasis
C) Mitral stenosis
D) Pulmonary infarction
E) Pulmonary tuberculosis

3. A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A) Taper the dosage of the opioid agonist
B) Slowly taper and discontinue the opioid agonist
C) Prescribe a cannabinoid
D) Increase the frequency of follow-up visits
E) Discontinue take-home doses

4. A 20-year-old man is brought by a friend to the emergency department with an elevated temperature, generalized muscle rigidity, hypovolemia, a fluctuating level of consciousness, and impaired attention. The patient also may be responding to auditory hallucinations. The friend informs you that the patient overdosed with a prescribed medication. Which one of the following medications is most likely to cause these symptoms?

A) Lamotrigine
B) Risperidone
C) Lithium carbonate
D) Lorazepam
E) Amitriptyline

5. You are covering for your colleague who is on vacation this week. You receive the results from an ultrasonography that had been ordered for a 32-year-old woman, gravida 2, para 1, aborta 0. The ultrasonography-estimated fetal weight is below the fifth percentile for 30 weeks' gestation; gestational age was confirmed by an earlier ultrasonogram. The amniotic fluid volume is within normal range. Her first child's birth weight was 2800 g at full term. Which one of the following is the best next step?

A) Discuss the benefits of acetylsalicylic acid
B) Reassure the patient that the fetus is probably at the lower range of normal weight
C) Ask the patient to present to the obstetrics ward for further fetal assessment
D) Schedule an urgent uterine artery Doppler ultrasonography
E) Plan a follow-up appointment as soon as your colleague is back from vacation

Solutions: