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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are covering for your colleague who is on vacation this week. You receive the results from an ultrasonography that had been ordered for a 32-year-old woman, gravida 2, para 1, aborta 0. The ultrasonography-estimated fetal weight is below the fifth percentile for 30 weeks ' gestation; gestational age was confirmed by an earlier ultrasonogram. The amniotic fluid volume is within normal range. Her first child ' s birth weight was 2800 g at full term. Which one of the following is the best next step?

A) Discuss the benefits of acetylsalicylic acid
B) Ask the patient to present to the obstetrics ward for further fetal assessment
C) Reassure the patient that the fetus is probably at the lower range of normal weight
D) Plan a follow-up appointment as soon as your colleague is back from vacation
E) Schedule an urgent uterine artery Doppler ultrasonography

2. A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?

A) Start lorazepam
B) Arrange for an urgent laryngoscopy
C) Provide reassurance
D) Begin dantrolene
E) Change the haloperidol to quetiapine

3. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Malingering
B) Bipolar I disorder
C) Brief psychotic disorder
D) Psychotic disorder secondary to traumatic brain injury
E) Delirium

4. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Action.
B) Precontemplation.
C) Contemplation.
D) Preparation.
E) Maintenance.

5. A 35-year-old woman presents to your clinic for follow-up regarding her persistent primary immune thrombocytopenic purpura. She was admitted to hospital with a relapse and received treatment with dexamethasone, intravenous immunoglobulin, and rituximab. She was recently discharged from hospital with a platelet count of 55 × 10#/L (130-360), and also continues to take 10 mg of prednisone once daily. She is scheduled for a splenectomy in 4 weeks. Which one of the following is the best next step in preparation for the patient ' s surgical procedure?

A) Transfuse 5 units of platelets 1 week preoperatively
B) Stop prednisone 2 weeks preoperatively
C) Prescribe daily azithromycin 1 week preoperatively
D) Arrange for preoperative vaccination
E) Start calcium and vitamin D supplementation

Solutions: