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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 42-year-old man comes to your family practice. He has started seeing a reflexologist to help manage his chronic back pain. He presents to you a letter from the reflexologist outlining the weekly necessary treatments, each costing $300, and a list of blood tests for the patient to have done. The patient asks you to order the laboratory testing and send the results to his "other doctor." Which one of the following is the best next step?
A) Report the reflexologist to the regulatory authority for alternative and complementary practitioners.
B) Report the reflexologist to the medical regulatory authority.
C) Decline to order the tests but inquire further about his back pain.
D) Order the tests and arrange to send them to the reflexologist.
E) Tell your patient to stop seeing this practitioner.
2. A 40-year-old man presents to the emergency department with a 24-hour history of severe abdominal pain and recurrent vomiting. He has a long-term history of alcohol use disorder. His blood pressure is 90/60 mm Hg, and his heart rate is 120/min. The pain is located mostly in the epigastrium but radiates to the right upper quadrant and to his back. Radiographs of the abdomen and chest reveal some distended small bowel loops in his upper abdomen. Laboratory work results are pending. After fluid resuscitation, which one of the following is the best next step?
A) Immediate laparotomy
B) Computed tomography
C) Upper gastrointestinal endoscopy
D) Ultrasonography
E) Sengstaken-Blakemore tube
3. A 35-year-old patient presents to your clinic for assessment of a chronic rash. With the patient's consent, you take a photo of the rash and upload it to their electronic medical record. You explain that you would like to consult with a specialist. That evening, you post a description of the rash to your online physicians' group, being careful to anonymize the details. You get a direct message from a physician who says they have extra training in dermatology and they ask you for a photo of the rash. Which one of the following is the best next step?
A) Call the patient and ask permission to send the photo.
B) Verify the clinic contact details for the physician and send the photo via secure portal.
C) Explain to the physician why you cannot share any photos.
D) Text the anonymized photo directly to the physician.
4. A 16-year-old boy presents to the emergency department with a 12-hour history of fever and rigors. He has sickle cell anemia. On examination, his vital signs include the following:
Heart rate
110/min (60-100)
Respiratory rate
20/min (12-18)
Temperature
38.8 °C, oral (36.5-37.5)
Which one of the following places this patient at risk for sepsis?
A) Chronic anemia
B) Immunoglobulin deficiency
C) Systemic iron overload
D) Functional asplenia
E) Neutrophil dysfunction
5. A 64-year-old man presents with a 3-month history of gradually increasing neck pain and stiffness. The pain radiates into his upper back, and he is having difficulty driving because of limitation of neck rotation secondary to pain. Physical examination shows restricted neck motion in all directions and neck muscle spasms. There is no abnormality on neurologic examination. A radiograph shows narrowing of all of the cervical disc spaces with prominent osteophytes. Which one of the following is the most appropriate next step?
A) Lumbar puncture.
B) Magnetic resonance imaging of the neck.
C) Electromyography of upper limbs.
D) Computed tomography of neck.
E) No further investigation.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: E |








