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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

A) 17/101.
B) 101/163.
C) 37/163.
D) 37/101.

2. A 17-year-old boy presents to your clinic with a 6-month history of recurrent headaches. The headaches are excruciating, and he describes them as a stabbing pain, usually around his right eye. They occur several times daily for 2 to 3 weeks and recur every few months. The headaches are associated with tearing from his right eye and tend to get worse when he is overtired. Which one of the following is the most likely diagnosis?

A) Cluster headache
B) Sinusitis
C) Post-concussive headache
D) Migraine
E) Brain tumour

3. A 45-year-old man with a developmental delay and a history of disruptive behavior presents to the clinic looking for his family doctor. He is well known to the clinic. He appears drunk and has accidentally broken 2 large beer bottles in the waiting room but remains calm. The office staff requests your help to deal with this situation. Which one of the following is the most appropriate initial step?

A) Assess the patient promptly.
B) Call the social work crisis intervention team.
C) Call the police, given the patient ' s presentation.
D) Tell the patient that his behavior is unacceptable and ask him to leave.
E) Instruct the office staff to ignore him and let him calm down.

4. A 16-year-old boy is brought to the office for examination, which reveals the lesion in the attached image and similar lesions on other parts of his body. You also notice multiple scattered subcutaneous tumors that he says have been there for a long time. Which one of the following is the most likely diagnosis?

A) Neurofibromatosis.
B) Lipomatosis.
C) Dermatofibromas.
D) Vitiligo.
E) Sarcoidosis.

5. An 18-month-old girl is brought in with a 3-day history of frequently passing loose stools. The stools are not bloody, but when she passes the stools, she is in obvious pain. She started vomiting earlier today, but she is still wetting diapers. On examination, she is mildly dehydrated but active and alert. Physical examination findings are otherwise normal. Which one of the following is the best management of this patient's case?

A) Oral rehydration solution.
B) No dairy for 2 weeks.
C) Combination of apple juice and chicken broth.
D) Regular diet only when the diarrhea is resolved.
E) Loperamide.

Solutions: