Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple because of her inexperience caring for same-sex patients.
B) An obligation to accept this couple as patients because physicians must treat all patients.
C) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.
D) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.
E) No obligation to accept this couple, but does need to refer to a colleague who will.

2. A 10-year-old girl is brought to the Emergency Department by her mother because her daughter is crying and says she " can't pee. " Her daughter fell on the monkey bars at school earlier that day. On examination, there is a large vulvar bruise anteriorly. Which one of the following is the best next step?

A) Arrange a retrograde outpatient arthrography.
B) Discharge the patient home to do sitz baths.
C) Consult gynecology if bladder catheterization is difficult.
D) Order complete blood count and coagulation studies.
E) Ask the mother to leave the room and ask the patient if someone abused her.

3. You performed a surgical procedure on a 32-year-old woman for a herniated disk that was causing neurologic impairment. At the 8-month follow-up visit, she has healed well; however, she requests a prescription renewal of her narcotic analgesics (hydromorphone). Her pharmacy confirms that the patient adheres to the dosage you prescribed, that she has not consulted other physicians, and that her behavior has always been respectful.
You think that she no longer requires narcotic analgesics. Which one of the following approaches is most helpful to the patient?

A) Counsel the patient regarding substance use disorder and arrange follow-up with her family physician.
B) Advise the provincial or territorial agency responsible for following patients who have potential substance use disorders.
C) Replace short-acting hydromorphone with transdermal fentanyl.
D) Change the patient's prescription from short-acting hydromorphone to once-daily methadone.
E) Decline the renewal of further hydromorphone and discharge the patient.

4. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Ventricular septal defect
B) Aortic coarctation
C) Renal artery thrombosis
D) Essential hypertension
E) Reflux nephropathy

5. A 35-year-old woman presents to your clinic with double vision and a gritty sensation in her eyes for the past several weeks. On examination, you notice her eyes are bulging. There is inflammation of her conjunctivae and swelling around her eyes. Which one of the following is the most likely diagnosis?

A) Graves ophthalmopathy
B) Myasthenia gravis
C) Allergic conjunctivitis
D) Orbital pseudotumor
E) Periorbital cellulitis

Solutions: