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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?

A) Determine the risk of violence to the patient and her child.
B) Screen for recreational drug and alcohol use.
C) Investigate the patient ' s need for financial assistance.
D) Evaluate for depression.
E) Define the extent of the patient ' s gambling disorder.

2. A 12-year-old girl presents to your office in late November with an exacerbation of asthma which has been well controlled since her diagnosis at age 5. The family has had cats for 3 years. Last June, they moved to a basement apartment. Which one of the following is the most likely cause of her asthma exacerbation?

A) Cat allergy
B) Pollen allergy
C) Mold allergy
D) Fungal infection
E) Cold intolerance

3. A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend's birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

A) Intramuscular
B) Subcutaneous
C) Intravenous
D) Inhaled
E) Intranasal

4. A 72-year-old woman presents with swelling of her right leg that developed overnight. She had an abdominal hysterectomy 10 days ago. On examination, there is pitting edema of the leg that extends from the foot to the groin. The calf is 3 cm larger in diameter than the calf on the left leg. Which one of the following is the most likely diagnosis?

A) Superficial thrombophlebitis.
B) Angioedema of the leg.
C) Inadvertent ligation of the iliac vein.
D) Phlegmasia cerulea dolens.
E) Iliofemoral vein thrombosis.

5. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order an exercise stress test.
B) Order a urine albumin:creatinine ratio.
C) Order thyrotroph (thyroid-stimulating hormone) level.
D) Perform a 75 g oral glucose tolerance test.
E) Test capillary blood glucose 4 times a day.

Solutions: