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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. Three months ago, a physician colleague approached you in the hospital corridor for advice regarding one of his patients. You are now being named by this patient in a malpractice action. Which one of the following is the most likely reason why you may be found liable?

A) You were given confidential patient health information
B) You did not see the patient
C) You were given the patient ' s name
D) You gave advice on how to treat the patient
E) You advised the physician to consult one of your colleagues

2. A 38-year-old woman has progressive renal failure despite optimal medical treatment for her glomerulonephritis. Her ex-husband asks if he might be considered as a kidney donor. They have joint custody of their 10-year-old son. Which one of the following is the best response to the ex-husband's request?

A) His request must be refused because of the risk of leaving their child with 2 unhealthy parents.
B) He may proceed with assessment for possible organ donation.
C) Advise against a donation because of their divorce.

3. A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?

A) His previous episode of alcohol withdrawal.
B) The quantity of alcohol he consumes daily.
C) His binge drinking.
D) His medical comorbidities.
E) The number of years he has consumed alcohol.

4. A 40-year-old woman presents to the Emergency Department with confusion and fever (38.5°C). She has a history of hypothyroidism managed with levothyroxine. Key findings include:
Blood pressure
114/78 mm Hg
Heart rate
85/min
Temperature
38.5°C
Hemoglobin
90 g/L 123-157 g/L
Platelet count
25 × 10#/L 130-400 × 10#/L
Peripheral blood film
Schistocytes present
Creatinine
200 #mol/L 50-90 #mol/L

A) Idiopathic thrombocytopenic purpura
B) Acute myelogenous leukemia
C) Human immunodeficiency virus
D) Thrombotic thrombocytopenic purpura
E) Cirrhosis

5. A 38-year-old man presents to the office for a follow-up visit. For several years, he has been having constant abdominal pain and intermittent constipation. He struggles to fall asleep because he is worried about his symptoms, and he often spends hours researching possible investigations and causes. Although he recently had extensive investigations, which have all had normal results, he continues to visit multiple physicians hoping for more investigations. He worries that he will die because no one is taking him seriously. Which one of the following is the best next step?

A) Prescribe a regular exercise routine.
B) Schedule monthly appointments to discuss the patient's concerns.
C) Repeat investigations to confirm the results are unchanged.
D) Consult general internal medicine.

Solutions: