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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?

A) Obtain a urine toxicology screen.
B) Offer to prescribe cannabis.
C) Prescribe a short course of tramadol.
D) Provide a naloxone kit.

2. You are a family physician caring for a healthy 60-year-old woman. Which one of the following preventative interventions is most useful?

A) Cervical cytology every year.
B) Bone densitometry every 2 years.
C) Mammography every 2 years.
D) Fasting blood glucose every year.
E) Fasting lipid profile every year.

3. A 69-year-old woman with long-standing hypertension presents to the emergency department with a 2-hour history of persistent chest and back pain. A posteroanterior chest radiograph shows suspicious widening of the mediastinal shadow. Which one of the following is most likely to yield a clinical diagnosis?

A) Pulmonary angiography
B) Computed tomography of the chest
C) Electrocardiography
D) Transthoracic echocardiography
E) Ventilation-perfusion lung scan

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

5. A 67-year-old woman presents with headaches, muscle weakness, pain in her shoulders and hips, weight loss, and depression. While also arranging appropriate investigations to confirm a diagnosis, which one of the following is the most important objective of treatment?

A) Prevent headaches from worsening.
B) Prevent blindness.
C) Alleviate the depression.
D) Improve the shoulder and hip pain.
E) Prevent jaw claudication.

Solutions: