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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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Medical Council of Canada Qualifying Examination Part 1 Exam

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Total Questions : 348

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Question # 71

An 8-year-old boy is brought to the Emergency Department because he is experiencing sudden respiratory distress. You suspect that he has a spontaneous tension pneumothorax. On physical examination, which one of the following best supports this diagnosis?

Options:

A.  

Ecchymoses on the chest.

B.  

Bilateral wheezing.

C.  

Tracheal deviation.

D.  

Abdominal distension.

E.  

Inspiratory stridor.

Discussion 0
Question # 72

You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital 3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

Options:

A.  

Inform the patient that she will need parental consent to be assessed for MAI

D.  

B.  

Explain to the patient that she is not terminally ill.

C.  

Refer the patient to a psychiatrist.

D.  

Suggest a trial of home dialysis.

E.  

Explore the reasons for the patient ' s request for MAI

D.  

Discussion 0
Question # 73

A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend’s birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

Options:

A.  

Intravenous

B.  

Intramuscular

C.  

Subcutaneous

D.  

Intranasal

E.  

Inhaled

Discussion 0
Question # 74

A 32-year-old woman, gravida 1, para 0, aborta 1, and her partner present to the office for follow-up regarding a spontaneous abortion that occurred 6 weeks ago. On history, the patient smokes tobacco cigarettes occasionally. On examination, she is healthy and has a BMI of 25. Ultrasonography findings reveal an empty uterus with a 2-cm subserosal fibroid. The couple is planning another pregnancy and would like information on how to increase her chances of carrying a pregnancy to full term. Which one of the following is the best advice?

Options:

A.  

The patient should stop smoking.

B.  

The patient and her partner should abstain from sexual intercourse in the first trimester.

C.  

The patient should undergo excision of her fibroid.

D.  

The patient should defer conception for 6 months.

E.  

The patient should take 5 mg of folic acid daily.

Discussion 0
Question # 75

A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students. Which one of the following is the most effective intervention?

Options:

A.  

Organization of clinics to rapidly treat suspected cases with antivirals.

B.  

Exclusion of contacts from the school and workplace before symptoms develop.

C.  

Exclusion of clinical cases from the school and workplace.

D.  

Closing of the community’s post-secondary institution.

E.  

Administration of immunoglobulin to contacts.

Discussion 0
Question # 76

You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (≥ 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?

Options:

A.  

Remain silent to avoid any liability that may be incurred by offering help.

B.  

Give advice to the flight attendants on how to proceed but do not offer any direct assistance.

C.  

Offer assistance and document the encounter in your own records afterwards.

D.  

Offer assistance only after the patient and the airline agree to release you from any liability.

Discussion 0
Question # 77

A 79-year-old woman is brought by a long-term care (LTC) facility staff member to your clinic with concerning behaviours. On history, she was admitted to an LTC facility 6 months ago with vascular dementia. Three days ago, she became very aggressive towards her caregivers. There is no clear pattern to her aggression. Some staff members report that she is quieter than usual, whereas others report that she is agitated, talks to herself, and picks at her clothes. On examination, she appears very confused. She does not finish her answers and seems to “drift off” during conversation. Which one of the following is the most likely diagnosis?

Options:

A.  

Worsening of the patient’s vascular dementia.

B.  

Delirium.

C.  

Major depressive disorder.

D.  

Lewy body dementia.

E.  

Late-onset delusional disorder.

Discussion 0
Question # 78

One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

Options:

A.  

Remind the patient that they are responsible for calling for outstanding test results.

B.  

Review your clinic ' s filing procedures and make any needed improvements.

C.  

Send a letter of complaint to the radiology department for not sending a report.

D.  

Reassure the patient that this is a rare occurrence in your clinic.

Discussion 0
Question # 79

You are an attending physician at a palliative care unit and are asked to see an 80-year-old woman who is dying of lung cancer. She has been unresponsive for the last 2 days and had her last dose of morphine 4 hours ago. Her son just arrived in town this afternoon and pleads with you to wake her up so she can sign her will. Which one of the following is the best next step?

Options:

A.  

Hold scheduled doses of morphine.

B.  

Prescribe naloxone to increase her alertness.

C.  

Explain the normal changes at this stage of illness.

D.  

Arrange for a legal opinion.

E.  

Request a consultation with the hospital ethicist.

Discussion 0
Question # 80

A 27-year-old woman presents with an enlarged thyroid. She had not noticed it herself until her mother brought it to her attention. She is asymptomatic from an endocrine perspective, and her serum thyroid-stimulating hormone (TSH) is normal.

Which one of the following is the most appropriate next step?

Options:

A.  

Serum T3 and T4

B.  

Ultrasound of the thyroid

C.  

Computed tomography of the neck

D.  

Fine-needle aspiration of the thyroid

E.  

Serum calcium

Discussion 0
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