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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic's goal of responding to this report?

A) Include trauma disclosure on the clinic's intake form.
B) Evaluate how the staff enjoyed the teaching session.
C) Display the cultural safety certificate in the waiting room.
D) Provide clinic information in the languages spoken by the community.

2. A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?

A) Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.
B) Prescribing cannabis.
C) Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
D) Referring the patient to substance use and mental health support services.
E) Prescribing a short course of a short-acting opioid to be used only as needed.

3. A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

A) Positive biopsy rate
B) Case fatality rate
C) Incidence rate
D) Positive predictive value of the screening test
E) Treatment rate

4. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) #-Blocker
B) Echocardiogram
C) Holter monitoring
D) Treadmill exercise test

5. A 25-year-old woman who is at 8 weeks' gestation plans to travel to rural Cambodia to care for her ill mother.
Which one of the following treatments should be provided to her before the trip?

A) Hepatitis B immunoglobulin
B) Ciprofloxacin for travellers' diarrhea
C) Antimalarial chemoprophylaxis
D) Tetanus and diphtheria booster if last received more than 5 years ago

Solutions: