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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?

A) Offer assistance and document the encounter in your own records afterwards.
B) Give advice to the flight attendants on how to proceed but do not offer any direct assistance.
C) Offer assistance only after the patient and the airline agree to release you from any liability.
D) Remain silent to avoid any liability that may be incurred by offering help.

2. A 39-year-old man presents to your clinic 4 months after a motor vehicle collision. He is trying to return to work but is having a difficult time because his job requires him to drive. He used to love his job, but he is worried about going back because every time he gets into a car, he is filled with dread, gets dizzy, and feels faint. He has regular nightmares about the incident. Which one of the following is the most likely diagnosis?

A) Posttraumatic stress disorder.
B) Malingering.
C) Panic disorder.
D) Generalized anxiety disorder.

3. An 18-month-old boy is brought to the office by his guardians for a well-child visit. His guardians are concerned that his eyes do not look the same. On examination, his eyes appear as shown in the referenced photo.
Which one of the following best represents the patient ' s condition?

A) Ptosis
B) Pseudostrabismus
C) Cataract
D) Strabismus

4. A 2-year-old boy is brought by his parents to your clinic because of sudden onset of high fever, refusal to drink, and drooling. Examination reveals cervical lymphadenopathy as well as multiple ulcers on the inner lips, tongue, and gums. Which one of the following is the most likely diagnosis?

A) Hand-foot and mouth disease
B) Kawasaki disease
C) Herpetic gingivostomatitis
D) Infectious mononucleosis
E) Acute epiglottitis

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

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