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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?

A) Nifedipine
B) Methyldopa
C) Ramipril
D) Hydralazine
E) Labetalol

2. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Surgical debridement and delayed closure.
B) Primary repair of the laceration.
C) Abdominal computed tomography.
D) Exploratory laparotomy.
E) Antibiotic irrigation of the wound.

3. A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

A) Osgood-Schlatter disease
B) Osteomyelitis
C) Osteosarcoma
D) Patellar tendinitis
E) Chondromalacia patellae

4. An 80-year-old man is admitted to hospital with what turns out to be tuberculosis. The attending physician informs all staff at the hospital of the patient ' s identity and diagnosis. Which one of the following best describes privacy concerns in this situation?

A) Physicians ought only to reveal minimal patient-related information needed to protect others.
B) The patient is not owed a right to privacy as he is a risk to others.
C) Physicians cannot be held liable if there is a breach of patient privacy.
D) The patient must give consent before others are told of his illness.
E) Attending physicians may not disclose a patient ' s private health information to protect others.

5. A 3-year-old boy is brought to the office because he is not using his right arm after a fall from a swing.
Radiographs reveal a new fracture and old healing fractures. The parents deny any previous injuries. In addition to providing care for the fracture, which one of the following is the best next step?

A) Refer the family to the social work department.
B) Investigate the patient to rule out metabolic or endocrine disorders.
C) Monitor the patient for future injuries.
D) Advise the parents to better supervise the patient.
E) Notify child protection services.

Solutions: