Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 68-year-old man with a history of diabetes, hypertension, delirium tremens, and tobacco addiction comes to the Emergency Department with his daughter. She tells you that his behavior has become unmanageable and she feels he may require an increased level of care. His vital signs are:
Blood pressure: 162/105 mm Hg
Heart rate: 112/min, regular
Temperature: 37.8°C
On history, his daughter explains she had to confiscate a half-empty bottle of alcohol from his room yesterday. He is now convinced that there are bugs crawling all over him and he will not relax. He appears pale, sweaty, and shaky. His most recent blood glucose is 7.8 mmol/L (3.8-11.1). Which one of the following is the best next step?

A) Interview the patient in private to ensure this is not a case of elder abuse.
B) Consult a Geriatric Psychiatrist to assess the patient.
C) Administer benzodiazepines and intravenous hydration.
D) Provide the family member with a prescription of antipsychotics for the patient.

2. A 39-year-old man presents to a psychiatrist. He says, " It often seems to me that I am not part of this world.
My voice sounds strange to me, and other people seem like figures in a dream. " He has had these feelings intermittently for about 2 years. There is no history of hallucinations, and there are no current indications of disorganized thinking. Which one of the following is the most likely diagnosis?

A) Persistent depressive disorder.
B) Depersonalization/derealization disorder.
C) Schizophrenia.
D) Delusional disorder.
E) Conversion disorder.

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

4. 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) Inhaled
B) Subcutaneous
C) Intramuscular
D) Intranasal
E) Intravenous

5. A 43-year-old car mechanic, with no prior history, comes to the Emergency Department because of a sudden loss of balance at work. He also feels lightheaded, slightly disoriented and nauseous. Physical examination and basic blood work-up are normal. He tells you this is the 3rd time this has happened at work. Which one of the following is the most likely diagnosis?

A) Ear infection.
B) Cerebellar tumour.
C) Lead intoxication.
D) Alcohol intoxication.
E) Organic solvent intoxication.

Solutions: