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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man ' s lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

A) The woman should take acyclovir throughout her pregnancy
B) The man should avoid performing oral sex during her pregnancy
C) The woman should have viral cultures of her cervix
D) The woman must have a cesarean delivery
E) The man needs herpes simplex virus type-specific serology

2. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Maintenance.
B) Precontemplation.
C) Contemplation.
D) Action.
E) Preparation.

3. You are working in a busy family practice. Your colleague ' s 48-year-old female patient presents with a 6- month history of fatigue and gastrointestinal symptoms. A recent colonoscopy was normal. Her chart indicates multiple investigations for similar symptoms over the past 2 years, all of which have been non- revealing. Your working diagnosis is somatic symptom disorder. Which one of the following is the most appropriate treatment?

A) Risperidone 0.5 mg daily
B) Amitriptyline 10 mg at bedtime
C) Citalopram 20 mg daily
D) Cognitive behavioral therapy
E) Exposure and response prevention therapy

4. A 60-year-old man presents because of a 6-month history of involuntary lip smacking and tongue movements.
His medical history is significant for schizophrenia, which has been very stable with haloperidol for the past
20 years. When educating the patient about these particular symptoms, which one of the following statements is accurate?

A) Anticholinergics are effective treatments for this condition
B) His condition is potentially irreversible
C) The symptoms will gradually decrease in intensity as he gets older
D) These movements occur in the majority of patients who are taking antipsychotics

5. A 36-year-old woman, gravida 1, para 0, aborta 0, presents to the Labour and Delivery unit of a primary care hospital. She is at 40 weeks' gestation. She is having contractions and leaking fluid. She is fearful and does not want to deliver vaginally. Which one of the following is the best next step?

A) Ask a colleague for a second opinion.
B) Explore her concerns and explain pain management options.
C) Explain that a cesarean delivery is not an option.
D) Offer to organize a cesarean delivery.
E) Suggest intravenous analgesia.

Solutions: