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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 71-year-old man with stable chronic low back pain on hydromorphone (8 mg twice daily) presents upset, requesting an early refill. He reports his granddaughter has been stealing his medication and pressuring him for refills. Which one of the following is the best next step?
A) Begin tapering the hydromorphone.
B) Provide an early refill of hydromorphone.
C) Call the police and report the patient's granddaughter.
D) Arrange for daily dispensing of hydromorphone.
E) Increase the dispensed quantity of the patient's hydromorphone.
2. A 17-year-old boy presents to your clinic with a 6-month history of recurrent headaches. The headaches are excruciating, and he describes them as a stabbing pain, usually around his right eye. They occur several times daily for 2 to 3 weeks and recur every few months. The headaches are associated with tearing from his right eye and tend to get worse when he is overtired. Which one of the following is the most likely diagnosis?
A) Brain tumour
B) Cluster headache
C) Sinusitis
D) Post-concussive headache
E) Migraine
3. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?
A) Whether the underlying condition is due to self-induced illness.
B) The date the patient was placed on the waiting list.
C) The patient's value and contributions to society.
D) The patient has family members who rely on them for income.
E) The clinical severity of the patient's pulmonary disease.
4. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?
A) Cataracts.
B) Diabetic retinopathy.
C) Retinal vein occlusion.
D) Age-related macular degeneration.
E) Open-angle glaucoma.
5. A 35-year-old man comes to your office with a history of headaches that last 1 hour and are relieved by 1000 mg of acetaminophen. These headaches, which started 6 months ago after he got his first job as a lawyer, occur regularly. The patient wants a computed tomography scan of his head to rule out a tumour. Physical examination reveals no abnormality. Review of systems does not contribute any positive findings. Which one of the following is the best management?
A) Prescribe stronger pain relief medications.
B) Reassure the patient.
C) Refer the patient to a neurologist for further investigations.
D) Refer the patient to a psychiatrist for anxiety disorder.
E) Order a computed tomography of the head.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: E | Question # 4 Answer: D | Question # 5 Answer: B |



