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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 19-year-old woman presents to the office. She is a new mother. She shares that she does not intend to vaccinate her son. Which one of the following is the best next step?

A) Contact child protection services.
B) Provide education on the risks and benefits of vaccination.
C) Tell the patient you cannot follow her in your practice but will refer her to a colleague.
D) Ask to speak with the patient ' s parents.
E) Explore with the patient her rationale for not vaccinating her child.

2. A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour.
Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother's efforts to calm him. During these episodes, he appears agitated and flushed. After 15-20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A) Non-rapid eye movement sleep arousal disorder.
B) Nightmare disorder.
C) Temper tantrums.
D) Panic disorder.
E) Nocturnal seizures.

3. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Brief psychotic disorder
B) Bipolar I disorder
C) Malingering
D) Delirium
E) Psychotic disorder secondary to traumatic brain injury

4. A 32-year-old woman presents to your outpatient clinic with concerns regarding a 6-month history of both a pulsatile buzzing sound in her ears and headaches. There is no history of hearing loss, vertigo, ear pain, or discharge from the ears. There is a long-standing history of prolonged exposure to occupational noise. She has a BMI of 32. Otoscopic examination is unremarkable, and there are no neck masses present. You determine that the buzzing sound is synchronous with her radial pulse. Which of the following investigations should be ordered next?

A) Electroencephalography
B) C-reactive protein
C) Magnetic resonance imaging of the brain
D) Audiogram

5. A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks ' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:
BP: 121/78 mm Hg
HR: 90 bpm
Temp: 38°C
Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.
Which one of the following is the best next investigation?

A) Computed tomography of the head
B) Amniocentesis with culture
C) Fetal ultrasonography
D) Lumbar puncture
E) Urine protein to creatinine ratio

Solutions: