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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 32-year-old woman presents to the office with questions related to the mRNA vaccines that are approved for COVID-19. She is a health care worker. She gave birth to a healthy child 2 months ago. Before being immunized, which one of the following is the most important detail to elicit from the patient's history?

A) Work in a medical unit caring for patients with COVID-19.
B) Previous anaphylactic reaction to vaccine components.
C) Presently breastfeeding.
D) Current immunosuppression.

2. A 42-year-old man presents to your office with acute left knee pain and difficulty walking. He denies any trauma. He reports 2 painful episodes involving his right great toe in the last year. He smokes half a pack of cigarettes a day and drinks at least 3 beers daily. He has a temperature of 38.2°C and has a red, swollen and warm left knee. Which one of the following is the best next step?

A) Start acetaminophen.
B) Start indomethacin.
C) Order radiography of the knee.
D) Order blood cultures.
E) Aspirate the knee joint.

3. 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) Intravenous
C) Intramuscular
D) Subcutaneous
E) Intranasal

4. You are a physician working at a university campus health centre. Staff at the centre are thinking about initiating a campus-wide education campaign on stimulant medication use and misuse. From a physician's perspective, which one of the following is the key message to include in this campaign?

A) Improvement of study habits through educational initiatives.
B) Ethical perspectives regarding nonprescription stimulant medication use.
C) Legal perspectives regarding nonprescription stimulant medication use.
D) Prevalence of stimulant medication use by students on university campuses.
E) Adverse effects and health risks associated with stimulant medication use.

5. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Renal artery thrombosis
B) Essential hypertension
C) Ventricular septal defect
D) Reflux nephropathy
E) Aortic coarctation

Solutions: