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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

A) Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.
B) Collecting fees from patients for home visits.
C) Collecting fees from patients for uninsured services provided.
D) Offering rapid access to insured services for a fee.
E) Collecting fees from patients who are seen after hours.

2. A 39-year-old man presents to your clinic 4 months after a motor vehicle collision. He is trying to return to work but is having a difficult time because his job requires him to drive. He used to love his job, but he is worried about going back because every time he gets into a car, he is filled with dread, gets dizzy, and feels faint. He has regular nightmares about the incident. Which one of the following is the most likely diagnosis?

A) Posttraumatic stress disorder.
B) Panic disorder.
C) Generalized anxiety disorder.
D) Malingering.

3. A 37-year-old woman diagnosed with schizophrenia comes to her family physician because she has been choking on her food lately. She has a history of mild spasmodic dysphonia. She was recently started on haloperidol for auditory hallucinations. Which one of the following is the best short-term management?

A) Provide reassurance
B) Start lorazepam
C) Arrange for an urgent laryngoscopy
D) Change the haloperidol to quetiapine
E) Begin dantrolene

4. A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?

A) Incomplete abortion.
B) Molar pregnancy.
C) Implantation bleeding.
D) Tubal pregnancy.
E) Threatened abortion.

5. An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

A) Obsessive-compulsive personality disorder.
B) Generalized anxiety disorder.
C) Major depressive disorder.
D) Obsessive-compulsive disorder.

Solutions: