Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 60-year-old postmenopausal woman presents with 2 culture-proven uncomplicated urinary tract infections in the last 5 months. She finds them quite distressing and would like to prevent recurrence. Which one of the following is the best next step?

A) Refer for pelvic physiotherapy.
B) Reassure the patient.
C) Suggest that she begin regular probiotics.
D) Refer the patient for a cystoscopy.
E) Prescribe vaginal estrogen.

2. A same-sex couple asks to join a family physician's practice. The physician tells them that she does not treat same-sex couples and will refer them to a physician with more clinical experience with same-sex couples.
Which one of the following best describes the physician's obligation under the Canadian Charter of Rights and Freedoms?

A) No obligation to accept this couple, but does need to refer to a colleague who will.
B) No obligation to accept this couple because of her inexperience caring for same-sex patients.
C) An obligation to accept this couple as patients because physicians must treat all patients.
D) An obligation to accept this couple, as not doing so constitutes discrimination based on sexual orientation.
E) No obligation to accept this couple because of her right not to act in a manner contrary to her personal values.

3. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

A) Enforce mandatory influenza vaccination for LTC staff.
B) Order symptomatic LTC staff to stay home.
C) Ask all visitors to wear a mask.
D) Ensure that all visitors are immunized.

4. A 42-year-old woman presents to the emergency department with a 24-hour history of severe pain in her right eye. On examination, you notice a right conjunctival injection that is worst adjacent to the iris. Direct and consensual responses to light are intact but sluggish, with severe photophobia in the right pupil is slightly smaller than the left. The patient's visual acuity is 20/20 on the left and 20/40 on the right. Visual field testing results are normal. Intraocular pressure findings are normal. Slit-lamp examination findings of the cornea are normal, and there are no cells in the anterior chamber. You are unable to visualize her fundus. Which one of the following is the most likely diagnosis?

A) Scleritis.
B) Acute uveitis.
C) Acute angle-closure glaucoma.
D) Optic neuritis.
E) Viral conjunctivitis.

5. A 56-year-old woman with a 4-year history of fibromyalgia presents for follow-up. She reports that she is struggling with her health and daily life. She is unhappy with her lack of progress and says she feels tired all the time and stays in bed all day. When asked why, she states she is confused about why she is not getting better. Physical exam and investigations are unchanged from baseline. Which one of the following is the best next step?

A) Educate the patient about her illness
B) Prescribe cannabinoid therapy
C) Start a selective serotonin reuptake inhibitor
D) Initiate iron and vitamin B12 supplementation

Solutions: