Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Borderline personality disorder.
B) Antisocial personality disorder.
C) Bipolar II disorder.
D) Klinefelter syndrome.
E) Narcissistic personality disorder.

2. An 85-year-old woman who is your patient has advanced metastatic lung cancer. You are visiting her at her home for palliative care. She has previously indicated to you and her family that she hoped to die at home and that comfort is her priority. She is now weak to get out of bed and has had no oral intake for 2 days. She is confused most of the time, with brief lucid episodes. Despite attentive symptom management, her family reports that she is suffering and asks that you increase her medications to expedite her death. Which one of the following is the best next step?

A) Acknowledge the family ' s distress and offer support.
B) Contact the regional medical assistance in dying (MAID) team to assist in the family ' s request.
C) Add midazolam to ensure the patient is completely sedated.
D) Obtain written consent from the family to expedite the patient ' s death.

3. A 39-year-old man presents to your clinic 4 months after a motor vehicle collision. He is trying to return to work but is having a difficult time because his job requires him to drive. He used to love his job, but he is worried about going back because every time he gets into a car, he is filled with dread, gets dizzy, and feels faint. He has regular nightmares about the incident. Which one of the following is the most likely diagnosis?

A) Generalized anxiety disorder.
B) Malingering.
C) Posttraumatic stress disorder.
D) Panic disorder.

4. You are on duty in the Emergency Department when 5 patients are brought in by ambulance after a high- speed motor vehicle collision. Which one of the following patients requires the most urgent medical care?

A) A 32-year-old man with a swollen and angulated thigh, a blood pressure of 112/96 mm Hg, and a pulse of 122/min
B) A 13-month-old child who is screaming constantly and for whom the triage nurse finds no obvious explanation
C) A 4-year-old girl with a visibly displaced ankle fracture, in great pain, with normal distal pulses and normal vital signs
D) A 23-year-old woman who lost consciousness for about 5 minutes and has a headache despite a normal neurological screening examination
E) A 72-year-old man with a history of myocardial infarction, with a blood pressure of 163/94 mm Hg, a heart rate of 92/min, and a capillary saturation of 95%

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

Solutions: