Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An 80-year-old woman presents to your office with weight loss and generalized weakness. Her husband calls you after the appointment and asks that his wife not be told if she is diagnosed with cancer as hearing this will likely " kill her. " Investigations subsequently show that she has metastatic lung cancer. Which one of the following is the best next step?

A) Tell her husband she has metastatic lung cancer.
B) Tell the patient she requires a computed tomography scan of the chest.
C) Arrange an urgent consultation with her children to confirm her wishes.
D) Telephone her to inform her she has a bad pneumonia and prescribe antibiotics.
E) Book an immediate appointment with your patient.

2. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Narcissistic personality disorder.
B) Bipolar II disorder.
C) Antisocial personality disorder.
D) Borderline personality disorder.
E) Klinefelter syndrome.

3. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple, but does need to refer to a colleague who will.
B) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.
C) An obligation to accept this couple as patients because physicians must treat all patients.
D) No obligation to accept this couple because of her inexperience caring for same-sex patients.
E) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.

4. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?

A) Wound infection.
B) Atelectasis
C) Septic pelvic thrombophlebitis.
D) Bowel trauma during the operation.
E) Pulmonary embolism.

5. The developers of a urinary protein dipstick test have indicated that they have reduced the problem of false positive results by changing the test so that it becomes positive at a higher concentration of protein. Which one of the following statements best describes how this screening test will be affected?

A) The positive predictive value will remain the same.
B) There will be more false negatives.
C) The accuracy of the test will be reduced.
D) Both sensitivity and specificity will improve.
E) The validity of the test will be reduced.

Solutions: