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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Primary repair of the laceration.
B) Abdominal computed tomography.
C) Surgical debridement and delayed closure.
D) Antibiotic irrigation of the wound.
E) Exploratory laparotomy.

2. 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, but does need to refer to a colleague who will.
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) No obligation to accept this couple because of her inexperience caring for same-sex patients.
E) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.

3. A 77-year-old woman is brought to the Emergency Department by ambulance because she has severe heel ulcers and dehydration. Her husband reports that she has been sick for the past 6 to 8 weeks with a cough and congestion. He shares that he has tried to bring her to medical attention on several occasions, but she refused.
The paramedics reported that her bed at home was soiled and that they could hardly reach her room due to clutter. On questioning, her answers seem reasonable. Which one of the following is the most critical next step?

A) Assess the risk of financial abuse by her husband
B) Find out whether the husband has a criminal record
C) Obtain pictures to confirm the state of their house
D) Determine whether the patient has alcohol or substance use disorder
E) Assess the patient's decision-making ability

4. A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?

A) Comment on the previous chest radiograph and the new one in your report
B) Create a report only after communicating with your medical regulatory authority
C) Remark only on the new chest radiograph in your report
D) Prepare a report only after communicating with your department head
E) Write a report only after communicating with your professional insurer

5. A 42-year-old man presents to your office with acute left knee pain and difficulty walking. He denies any trauma. He reports 2 painful episodes involving his right great toe in the last year. He smokes half a pack of cigarettes a day and drinks at least 3 beers daily. He has a temperature of 38.2°C and has a red, swollen and warm left knee. Which one of the following is the best next step?

A) Aspirate the knee joint.
B) Order radiography of the knee.
C) Start indomethacin.
D) Start acetaminophen.
E) Order blood cultures.

Solutions: