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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. When updating the firmware on an NVLink switch transceiver, how can an engineer apply new firmware without interrupting the network?

A) mlxfwreset -d -lid 27 reset --yes to reset the transceiver
B) Physically disconnect and reconnect the transceiver.
C) nv action reboot system to force immediate activation.
D) flint -d -lid 27 --linkx --linkx_auto_update --activate

2. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Exploratory laparotomy.
B) Abdominal computed tomography.
C) Surgical debridement and delayed closure.
D) Primary repair of the laceration.
E) Antibiotic irrigation of the wound.

3. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order a urine albumin:creatinine ratio.
B) Test capillary blood glucose 4 times a day.
C) Order an exercise stress test.
D) Order thyrotroph (thyroid-stimulating hormone) level.
E) Perform a 75 g oral glucose tolerance test.

4. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

A) The board of the hospital or health region where the physician wants to practise
B) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
C) The provincial or territorial medical association
D) The provincial or territorial Ministry of Health
E) The provincial or territorial medical licensing authority

5. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

A) Low renal vein renin
B) Elevated plasma catecholamines
C) Increased thyrotropin (thyroid-stimulating hormone) level
D) Low urinary metanephrines
E) High plasma cortisol

Solutions: