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

2. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Morning serum cortisol
B) Thyroid function testing
C) No investigations
D) Fasting lipid profile
E) Hemoglobin A1c

3. A 66-year-old woman with metastatic breast cancer presents with hard, difficult-to-pass stools. She has been experiencing this issue since starting morphine to control her pain. Which one of the following is the best next step?

A) Start docusate
B) Suggest increasing her physical activity
C) Prescribe senna
D) Add a bulk-forming fiber supplement to her diet
E) Lower her morphine dose

4. A 42-year-old woman presents with a 2-day history of a low-grade fever and a painful left breast mass. On examination, there is a fluctuant erythematous tender mass with surrounding induration in the left breast and enlarged lymph nodes in the left axilla. An ultrasound shows a loculated cystic mass. Which one of the following is the most likely diagnosis?

A) Fibrocystic changes
B) Ductal ectasia
C) Inflammatory breast cancer
D) Fibroadenoma
E) Abscess

5. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) Treadmill exercise test
B) #-Blocker
C) Holter monitoring
D) Echocardiogram

Solutions: