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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?

A) Offer to prescribe cannabis.
B) Obtain a urine toxicology screen.
C) Provide a naloxone kit.
D) Prescribe a short course of tramadol.

2. A physician attending a sporting event with his family provides emergency treatment to a 65-year-old man who suffers a seizure followed by a cardiac arrest. The patient is successfully resuscitated by the physician on the scene and transported to a hospital, where he is found to have critically low blood sugar and subsequently suffers irreversible brain damage. Which one of the following statements is most accurate?

A) The Good Samaritan laws require physicians to provide care to anyone in need.
B) The physician ' s medical licence requires him to treat anyone in need.
C) Professional ethics require physicians to render reasonable assistance to anyone in need.
D) The physician will be found negligent by the regulatory body.
E) The physician had a legal duty to accompany the patient in the ambulance.

3. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

A) Diabetic retinopathy.
B) Open-angle glaucoma.
C) Age-related macular degeneration.
D) Cataracts.
E) Retinal vein occlusion.

4. You are asked to see a 34-year-old patient at his long-term care facility for a 2-day history of fever. You diagnose a urinary tract infection. He has multiple sclerosis diagnosed 5 years ago and has lived in this long- term care facility for the past 2 years. He is bedbound and has an indwelling urinary catheter. For the past 3 months, he has been non-communicative. Prior to this, he had made it clear that he did not want any life- prolonging measures. Which one of the following is the best next step?

A) Transfer him to the hospital.
B) Change his urinary catheter.
C) Call his family to consider antibiotics.
D) Start antibiotics while waiting to contact the family.
E) Prescribe antipyretics.

5. A 57-year-old man presents with low back pain. Radiographs of the lumbar spine show a narrowed disk space at L4-L5, anterior osteophyte formation at this level, and sclerosis of the L4-L5 end plates. Which one of the following is the most likely diagnosis?

A) Metastatic disease from the prostate.
B) Osteomyelitis of the lumbar spine.
C) Spondylolysis and spondylolisthesis.
D) Paget disease.
E) Degenerative disk disease.

Solutions: