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MCCQE Medical Council of Canada Qualifying Examination Part 1 Exam is now Stable and With Pass Result | Test Your Knowledge for Free

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MCCQE Practice Questions

Medical Council of Canada Qualifying Examination Part 1 Exam

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Total Questions : 348

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Question # 41

A 10-year-old girl is brought to the Emergency Department by her mother because her daughter is crying and says she " can’t pee. " Her daughter fell on the monkey bars at school earlier that day. On examination, there is a large vulvar bruise anteriorly. Which one of the following is the best next step?

Options:

A.  

Consult gynecology if bladder catheterization is difficult.

B.  

Discharge the patient home to do sitz baths.

C.  

Order complete blood count and coagulation studies.

D.  

Arrange a retrograde outpatient arthrography.

E.  

Ask the mother to leave the room and ask the patient if someone abused her.

Discussion 0
Question # 42

A 26-year-old woman, gravida 1, para 0, aborta 0, consults you at 36 weeks’ gestation regarding newborn care. She has HIV. Which one of the following is the best advice regarding reducing the risk for transmission of HIV to her newborn?

Options:

A.  

Bottle-feed her newborn boiled expressed breast milk.

B.  

Avoid kissing her newborn.

C.  

Formula-feed her newborn.

D.  

Bottle-feed her newborn expressed breast milk.

E.  

Breastfeed her newborn during the colostrum period only.

Discussion 0
Question # 43

You are 1 of 3 physicians on an interdisciplinary brain injury team at a hospital. The team ' s physiotherapist has concerns regarding a patient ' s medication. Which one of the following is the most appropriate course of action for communicating with the physiotherapist?

Options:

A.  

Do not discuss the patient ' s medication unless you have written consent from the patient.

B.  

Do not discuss the patient ' s medication because the physiotherapist is not involved in prescribing medications.

C.  

Contact the patient to confirm that you are allowed to answer the physiotherapist ' s question.

D.  

Discuss the medication with the physiotherapist even if you are not the physician most responsible for the patient.

Discussion 0
Question # 44

A 91-year-old man comes to the Emergency Department reporting blood in his stools, which has now resolved. He is able to give a history and mentions that this also happened 2 years ago. At that time, a colonoscopy was done and revealed diverticular disease as the cause. Which one of the following is the best next step?

Options:

A.  

Perform a computed tomography colonoscopy.

B.  

Order a fecal immunochemical test (FIT).

C.  

Reassure him that a colonoscopy does not need to be repeated.

D.  

Recommend a surgical resection of the diverticular disease.

E.  

Discuss the issue with his family before making a decision.

Discussion 0
Question # 45

A new patient, a 19-year-old man, presents to your office with low back pain. He has a history of opioid dependence and is now on a methadone maintenance treatment program. He is requesting opiate analgesics. After examination, you decide not to prescribe opiates for pain control. The patient gets upset and threatens to file a complaint with your licensing authority. Which one of the following is the best next step?

Options:

A.  

Prescribe a small amount of oral opiate.

B.  

Give a single opiate injection.

C.  

Direct him to his methadone management program.

D.  

Call the police to have the patient removed from the office.

E.  

Send him for a lumbar spinal radiography.

Discussion 0
Question # 46

A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100–125). The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

Options:

A.  

Omeprazole.

B.  

Metoclopramide.

C.  

Bismuth sulfate.

D.  

Calcium carbonate.

E.  

Loperamide.

Discussion 0
Question # 47

A 3-month-old girl is brought by her parents to the emergency department with a 3-day history of cough, coryza, and low-grade fever; she was previously well. In the last 24 hours, she has been noted to have rapid breathing with audible wheezing. Which one of the following pathogens is the most likely cause of the patient’s symptoms?

Options:

A.  

Human parainfluenzavirus 3.

B.  

Chlamydia trachomatis.

C.  

Human respiratory syncytial virus.

D.  

Human metapneumovirus.

E.  

Influenzavirus

A.  

Discussion 0
Question # 48

A 31-year-old man presents with nocturnal non-exertional chest pain. During an exercise stress test, he does not experience chest pain, and there are no significant ST segment changes on the electrocardiogram. He achieves 17 metabolic equivalent of task (MET), a blood pressure of 190/96 mm Hg (resting blood pressure of 130/80 mm Hg), and a maximum heart rate of 162/min (85% of age-predicted maximum). Which one of the following is the most appropriate next step?

Options:

A.  

Offer reassurance

B.  

Advise against vigorous exercise

C.  

Schedule cardiac catheterization

D.  

Prescribe acetylsalicylic acid and metoprolol

E.  

Prescribe hydrochlorothiazide

Discussion 0
Question # 49

You have just completed a well-baby check on a 6-month-old in the office where you have recently begun to practice. You ask the registered nurse to give the immunizations. She refuses, saying this is not within her scope of practice. Which one of the following is the best next step?

Options:

A.  

Insist that she give the immunizations as she should be competent to do so.

B.  

Offer to be present while she gives the immunizations so that she will be supervised.

C.  

Contact the provincial/territorial nursing regulatory body to make a complaint about her.

D.  

Recognize your error in making the request and refrain from asking again.

E.  

Give the immunizations yourself and then discuss the matter with the nurse later.

Discussion 0
Question # 50

A 10-day-old boy is brought to the Emergency Department with a fever. The newborn looks well. Other than a rectal temperature of 38.6 °C, findings of the physical examination are unremarkable. When you list all the recommended testing their baby will have to undergo, the parents become upset at all the testing their baby will have to undergo. Which one of the following is the best approach?

Options:

A.  

Inform the parents that child protection services may be contacted if they refuse care.

B.  

Advise the parents that their child will not remember painful procedures.

C.  

Reassure the parents that their child will be given an appropriate analgesic.

D.  

Proceed with testing and address the parents ' concerns afterwards.

E.  

Encourage the parents not to be present during the procedures.

Discussion 0
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