Medical Council of Canada MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 27-year-old woman, gravida 2, para 1, aborta 0, presents to the office seeking guidance on the management of her baby once it is born. The patient is in renal failure and has been taking methadone for 3 years to manage her opioid use disorder. During her pregnancy, she has been taking a stable dose of 80 mg of methadone once daily. Which one of the following is the most appropriate next step?

A) Recommend formula feeding to prevent ongoing exposure through breast milk.
B) Discharge home after birth because neonatal withdrawal is unlikely on a stable maternal methadone dose.
C) Recommend hospitalization for at least 3 days to observe for neonatal abstinence.
D) Discuss risks of newborn opioid exposure and discourage its use to avoid neonatal opioid dependence.
E) Discuss the need for a test dose of naloxone and provide supportive care if required.

2. A 69-year-old man presents with a 4-day history of a painful right knee. On history, he denies any trauma or similar previous episodes. Examination reveals effusion of the right knee that is warm to the touch. Which one of the following is the best next step?

A) Serum uric acid level
B) Nonsteroidal anti-inflammatory drugs
C) Joint aspiration
D) Intravenous antibiotics
E) Right knee radiography

3. A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?

A) Threatened abortion.
B) Implantation bleeding.
C) Tubal pregnancy.
D) Molar pregnancy.
E) Incomplete abortion.

4. You are conducting a virtual appointment by voice-only call with a 68-year-old man regarding back pain.
When he answers, you ask for him by name and identify yourself and the clinic from which you are calling.
Which one of the following is the best next step?

A) Ask for additional confirmation of the patient ' s identity.
B) Confirm the name of the patient ' s primary care provider.
C) Establish the reason for the virtual care visit.

5. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?

A) Screen for recreational drug and alcohol use.
B) Investigate the patient ' s need for financial assistance.
C) Define the extent of the patient ' s gambling disorder.
D) Evaluate for depression.
E) Determine the risk of violence to the patient and her child.

Solutions: