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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are a family physician caring for a healthy 60-year-old woman. Which one of the following preventative interventions is most useful?

A) Cervical cytology every year.
B) Fasting blood glucose every year.
C) Fasting lipid profile every year.
D) Mammography every 2 years.
E) Bone densitometry every 2 years.

2. A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

A) Asking patients to call laboratories and imaging centres for their test results.
B) Having a tracking system for all investigative reports.
C) Requiring radiologists to phone the referring physician with every result.
D) Notifying patients only if there is an abnormal finding.
E) Booking return appointments with the referring physician to follow up every result.

3. A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a painful, red great toe. He is accompanied by an older woman who begins giving you the history as you enter the room. The patient is sitting on the examination table with the foot exposed, but he does not speak. Which one of the following is the best next step?

A) Ask the woman to provide legal documentation of her responsibility for the patient.
B) Establish the relationship between the woman and the patient and direct questions to the patient.
C) Have a nurse attend with you in case the patient needs restraint.
D) Allow the woman to continue with the history to expedite the patient encounter.
E) Examine the uncovered foot immediately to provide comfort to the patient sooner.

4. A 63-year-old man presents to the office with a 2-year history of episodic swallowing problems that have been increasing in frequency. He states that food seems to stick in his throat, and these episodes are often associated with coughing or regurgitating undigested food. Physical examination reveals that the patient has halitosis; otherwise, findings are normal. Which one of the following is the best next step to confirm the most likely diagnosis?

A) Computed tomography of the chest.
B) 24-hour esophageal pH monitoring.
C) Trial of a proton pump inhibitor.
D) Barium swallow.
E) Endoscopy.

5. A 53-year-old man with a history of bipolar I disorder is brought to the office by his family. Recently, he has been sleeping for 4 to 5 hours per night, has been fidgety, and is increasingly preoccupied with his granddaughter ' s safety. Five days ago, he consulted with your physician colleague and was instructed to exercise and meditate. Last night, he was found running in the street and attempted to hit a relative who was trying to calm him down. His son is dissatisfied with your physician colleague ' s management. Which one of the following is the most appropriate response?

A) Point out that exercise and meditation have been proven useful in managing bipolar I disorder.
B) Encourage the son to file a complaint.
C) Acknowledge your physician colleague ' s mistake and apologize.
D) Share that you would have prescribed a medication after the first assessment.
E) Explain that you will now assess the father and that your goal is to treat him.

Solutions: