Medical Council of Canada MCCQE actual dump : MCCQE Part 1 Exam

A 3-year-old boy is brought to the office because he is not using his right arm after a fall from a swing.
Radiographs reveal a new fracture and old healing fractures. The parents deny any previous injuries. In addition to providing care for the fracture, which one of the following is the best next step?

• A. Notify child protection services.
• B. Advise the parents to better supervise the patient.
• C. Investigate the patient to rule out metabolic or endocrine disorders.
• D. Monitor the patient for future injuries.
• E. Refer the family to the social work department.

You are undertaking the retrospective analysis of a laboratory-confirmed influenza A virus outbreak that occurred in a long-term care facility last year. Among the 163 residents in the facility during the outbreak, 101 residents had new-onset fever, cough, myalgias, and congestion. Of these, 37 residents were transferred to acute care. Of these, 17 residents died. Which one of the following is the best estimate of the attack rate in residents at the facility?

• A. 17/101.
• B. 37/101.
• C. 37/163.
• D. 101/163.

A mother brings her 1-month-old infant for routine health examination. The infant was born at term with no complications. He is exclusively breastfed every 3-4 hours and growth parameters are normal. His mother tells you that feedings are difficult (the baby cries any time she tries to put him down) and that she is exhausted. Her husband has been on a military mission since the infant was 2-weeks-old. Which one of the following is the most appropriate next step in management?

• A. Suggest a switch to hypoallergenic infant formula.
• B. Inquire about symptoms of depression.
• C. Increase the frequency of the feeds.
• D. Reassure that this is a normal phase.
• E. Refer to a lactation consultant.

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

An 80-year-old woman presents to the Emergency Department with dizziness. She has a medical history of coronary artery disease. On examination, she is alert and oriented. Her vital signs are as follows:
Her electrocardiogram is shown in the image.
Which one of the following is the most likely diagnosis?
Blood pressure
80/60 mm Hg
Heart rate
40/min
Respiratory rate
12/min
Her electrocardiogram is shown in the attached image. Which one of the following is the most likely diagnosis?

• A. Third-degree atrioventricular block
• B. Sinus bradycardia
• C. First-degree atrioventricular block
• D. Second-degree Mobitz type I atrioventricular block
• E. Junctional escape rhythm