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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up. She reports that she is struggling with her health and daily life. She is unhappy with her lack of progress and says she feels tired all the time and stays in bed all day. When asked why, she states she is confused about why she is not getting better. Physical exam and investigations are unchanged from baseline. Which one of the following is the best next step?
A) Initiate iron and vitamin B12 supplementation
B) Start a selective serotonin reuptake inhibitor
C) Prescribe cannabinoid therapy
D) Educate the patient about her illness
2. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?
A) The board of the hospital or health region where the physician wants to practise
B) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
C) The provincial or territorial medical association
D) The provincial or territorial Ministry of Health
E) The provincial or territorial medical licensing authority
3. An 80-year-old woman presents to the Emergency Department with dizziness. She has a medical history of coronary artery disease. On examination, she is alert and oriented. Her vital signs are as follows:
Her electrocardiogram is shown in the image.
Which one of the following is the most likely diagnosis?
Blood pressure
80/60 mm Hg
Heart rate
40/min
Respiratory rate
12/min
Her electrocardiogram is shown in the attached image. Which one of the following is the most likely diagnosis?
A) Sinus bradycardia
B) First-degree atrioventricular block
C) Second-degree Mobitz type I atrioventricular block
D) Third-degree atrioventricular block
E) Junctional escape rhythm
4. A 76-year-old man is brought to the emergency department in an unresponsive state. He has a history of chronic kidney disease with a baseline serum creatinine level of 300 µmol/L (49-93) and a history of dilated cardiomyopathy with an ejection fraction of 30%. On assessment, he has no pulse or blood pressure. Cardiac monitor demonstrates a wide complex tachycardia. Which one of the following recently started medications is the most likely cause of this arrhythmia?
A) Diltiazem
B) Hydrochlorothiazide
C) Clopidogrel
D) Metoprolol
E) Spironolactone
5. An 87-year-old man presents with a 2-week history of stiffness in both shoulders and both hips. On further questioning, he tells you that he has experienced a 2 kg unintentional weight loss over the last month. His past medical history is otherwise unremarkable and he is on no medications. On examination, he has limited range of motion due to pain in his shoulders and hips. The remainder of his examination, including muscle strength and joint exam, is normal. Which one of the following will you specifically ask about regarding his history?
A) Tremor
B) Recent diarrheal illness
C) Night sweats
D) Anhedonia
E) Unilateral headache
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: E | Question # 3 Answer: D | Question # 4 Answer: E | Question # 5 Answer: E |
