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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
B) Explain that there is no indication for the surgery but refer her daughter for consultation.
C) Ask another family physician to see the daughter due to a conflict of interest.
D) Call the ENT consultant on call to discuss your dilemma.
E) Decline to send her daughter for consultation and explain your decision.

2. A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

A) Play therapy for adjustment issues.
B) Cognitive behavior therapy.
C) Audiology assessment.
D) Reassurance that this issue is common and transient.
E) Speech therapy.

3. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Reassure the patient that this is a rare occurrence in your clinic.
B) Remind the patient that they are responsible for calling for outstanding test results.
C) Send a letter of complaint to the radiology department for not sending a report.
D) Review your clinic ' s filing procedures and make any needed improvements.

4. A 32-year-old man presents to the clinic for assessment of a dog bite sustained 3 days ago while traveling in another country. He recalls having seen the dog eat where he was staying, and the animal did not appear well.
On examination, the patient has 2 distinct deep puncture wounds on his left leg. There is an erythematous border but no exudate. He is unsure of his immunization status. Which one of the following is the most appropriate management?

A) Irrigate the wounds with hydrogen peroxide
B) Arrange for wound debridement
C) Give rabies immunoglobulin and vaccine
D) Start antibiotic treatment with ciprofloxacin
E) Order serum creatine kinase

5. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum cortisol
B) Serum amylase
C) Serum alpha-1 antitrypsin
D) Hemoglobin A1c
E) Serum ferritin

Solutions: