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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

A) Reassurance that this issue is common and transient.
B) Cognitive behavior therapy.
C) Speech therapy.
D) Audiology assessment.
E) Play therapy for adjustment issues.

2. A 40-year-old man presents to the emergency department with a 24-hour history of severe abdominal pain and recurrent vomiting. He has a long-term history of alcohol use disorder. His blood pressure is 90/60 mm Hg, and his heart rate is 120/min. The pain is located mostly in the epigastrium but radiates to the right upper quadrant and to his back. Radiographs of the abdomen and chest reveal some distended small bowel loops in his upper abdomen. Laboratory work results are pending. After fluid resuscitation, which one of the following is the best next step?

A) Computed tomography
B) Sengstaken-Blakemore tube
C) Ultrasonography
D) Upper gastrointestinal endoscopy
E) Immediate laparotomy

3. A 31-year-old woman, gravida 1, para 0, presents to Labour and Delivery with regular contractions at approximately 24 weeks' gestation. As you review her prenatal records, which one of the following is the most reliable way of establishing gestational age?

A) Symphysis fundal height.
B) Crown-rump length at 8-12 weeks.
C) Serial ultrasound in 3rd trimester.
D) Last menstrual period.
E) Mid 2nd trimester ultrasound.

4. A 12-year-old boy is brought by his mother to your clinic with a history of attention-deficit/hyperactivity disorder. His mother reports that he has been taking immediate-release methylphenidate for 2 years. Although the medication was initially effective, it no longer seems to work. The teachers say he is disorganized and fidgety, verbally interrupts class, and does not complete his work. His mother tells you that he does listen at home. Which one of the following is the most important next step in management?

A) Add risperidone and see the patient in 2 weeks.
B) Increase the methylphenidate and see the patient in 2 weeks.
C) Complete rating scales and increase methylphenidate.
D) Order an electroencephalogram.
E) Switch the methylphenidate to atomoxetine and see the patient in 2 weeks.

5. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?

A) Include trauma disclosure on the clinic ' s intake form.
B) Evaluate how the staff enjoyed the teaching session.
C) Display the cultural safety certificate in the waiting room.
D) Provide clinic information in the languages spoken by the community.

Solutions: