Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?

A) Airway foreign body.
B) Acute viral bronchiolitis.
C) Croup.
D) Laryngomalacia.
E) Retropharyngeal abscess.

2. A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

A) Speech therapy.
B) Reassurance that this issue is common and transient.
C) Cognitive behavior therapy.
D) Play therapy for adjustment issues.
E) Audiology assessment.

3. A 26-year-old woman, gravida 3, para 2, presents for her 1st antenatal visit. She states she is at 26 weeks ' gestation and is healthy. On abdominal examination, her fundus is palpated at the umbilicus. Which one of the following is the most likely explanation for this finding?

A) Dating error
B) Partial hydatidiform mole
C) Intrauterine growth restriction
D) Bicornuate uterus
E) Oligohydramnios

4. A 34-year-old man presents to your office with a 2-week history of headaches and double vision when he looks to the right. On physical examination, you note that he is unable to gaze laterally with his right eye.
Which one of the following cranial nerves is most likely affected?

A) Abducens.
B) Trigeminal.
C) Oculomotor.
D) Optic.
E) Trochlear.

5. An 85-year-old woman who is your patient has advanced metastatic lung cancer. You are visiting her at her home for palliative care. She has previously indicated to you and her family that she hoped to die at home and that comfort is her priority. She is now weak to get out of bed and has had no oral intake for 2 days. She is confused most of the time, with brief lucid episodes. Despite attentive symptom management, her family reports that she is suffering and asks that you increase her medications to expedite her death. Which one of the following is the best next step?

A) Contact the regional medical assistance in dying (MAID) team to assist in the family ' s request.
B) Add midazolam to ensure the patient is completely sedated.
C) Acknowledge the family ' s distress and offer support.
D) Obtain written consent from the family to expedite the patient ' s death.

Solutions: