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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 26-year-old man presents with pain, numbness, and weakness in his right upper extremity. He works as a computer programmer, and his BMI is 32. Symptoms have worsened since he started spending more time on the keyboard. He reports that his right hand feels clumsier while he is typing. Physical examination reveals mild weakness in the intrinsic muscles of that hand, with a positive Tinel sign at the ulnar nerve. Which one of the following is the best next step?

A) Elbow extension brace for use during sleep.
B) Magnetic resonance imaging of the cervical spine.
C) Nerve conduction studies to localize the level of the lesion.
D) Wrist splint to test for carpal tunnel.
E) Physiotherapy.

2. In a research study, it is found that people who smoke tobacco cigarettes drink more coffee and have higher rates of lung cancer than people who do not smoke. However, the consumption of coffee alone is not associated with lung cancer. Which one of the following best describes the contribution of drinking coffee in the study?

A) Risk factor
B) Selection bias
C) Predictor
D) Confounder

3. A 72-year-old man presents to your clinic accompanied by his 70-year-old husband. The patient reports that, over the last several months, his libido has been very low. Which one of the following would be the best next step?

A) Interview the couple together
B) Refer for couple ' s counselling
C) Order serum testosterone levels
D) Assess for depression
E) Prescribe testosterone

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

5. You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

A) Keep family visits to a minimum to avoid postsurgical overstimulation
B) Treat postsurgical insomnia with benzodiazepines
C) Avoid medications with anticholinergic potential
D) Refrain from prescribing opiate analgesics to treat postoperative pain
E) Screen the patient with the Mini-Mental Status Examination prior to surgery

Solutions: