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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

A) The provincial or territorial medical association
B) The provincial or territorial medical licensing authority
C) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
D) The provincial or territorial Ministry of Health
E) The board of the hospital or health region where the physician wants to practise

2. A 50-year-old man with prostate cancer, which is complicated by bony and cerebral metastases, presents to your office. He has a 24-hour history of increasing lower back pain and weakness in his legs. On examination, you note decreased knee and ankle reflexes on both sides. Earlier today he had fecal incontinence. Which one of the following is the best next step?

A) Dose of parenteral steroids.
B) Bed rest with subcutaneous analgesia.
C) Consult to surgery.
D) Stellate ganglion block.
E) Consult to radiotherapy.

3. A 32-year-old primigravid woman is receiving magnesium sulfate for tocolysis. Her pregnancy is at 26 weeks
' gestation. You suspect magnesium sulfate toxicity. Which one of the following is the first sign of magnesium sulfate toxicity?

A) Hypotension
B) Tachypnea
C) Absent patellar reflexes
D) Oliguria
E) Tachycardia

4. A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?

A) Cognitive behavior therapy
B) Carbamazepine
C) Risperidone
D) Electroconvulsive therapy
E) Valproic acid

5. A 26-year-old man presents to the office with a tender mass in his right neck. He was recently treated for a dental infection but is otherwise well. On examination, there is a 2-cm tender, mobile lymph node in the right anterior cervical chain. No other lymphadenopathy or abnormalities are found on physical examination.
Which one of the following is the best next step?

A) Lymph node biopsy
B) Computed tomography of the neck
C) Bone marrow biopsy
D) Ultrasonography of the spleen
E) Follow-up in 8 weeks

Solutions: