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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?

A) No prevention is required as this condition is not contagious.
B) Avoid direct contact with oral secretions.
C) Immunize the younger siblings with varicella vaccine.
D) Treat the 7-year-old with antibiotics.
E) Provide prophylactic antiviral agents for the siblings.

2. A mother brings her 4-week-old daughter to your office because she is concerned about the lesion shown in the attached image. Which one of the following is the most appropriate advice to give the mother?

A) The child is at increased risk of malignant melanoma.
B) The child likely has a bleeding disorder.
C) You have a duty to report her to child protective services.
D) The child should be referred to a dermatologist.
E) The lesion will likely fade away with time.

3. A 9-year-old girl from a remote community is brought to the clinic with a 2-week history of swelling in her neck. She has been afebrile but has had some night sweats. On examination, you note a fixed, unilateral, and nontender supraclavicular lymph node measuring 3 cm. The overlying skin color is unremarkable. In addition, you note a slightly enlarged spleen and liver. Which one of the following is the most likely diagnosis?

A) Kawasaki disease
B) Viral reactive lymphadenopathy
C) Lymphoma
D) Cat-scratch disease
E) Acute bacterial lymphadenitis

4. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Prescribe a weight-lifting exercise program for her son
B) Reassure the mother as children do not have elevated lipid levels
C) Request a serum homocysteine and hemoglobin A1c
D) Prescribe a low-fat diet for the son
E) Send the son for a lipid profile test

5. A 12-year-old boy is brought by his mother to your clinic with a history of attention-deficit/hyperactivity disorder. His mother reports that he has been taking immediate-release methylphenidate for 2 years. Although the medication was initially effective, it no longer seems to work. The teachers say he is disorganized and fidgety, verbally interrupts class, and does not complete his work. His mother tells you that he does listen at home. Which one of the following is the most important next step in management?

A) Add risperidone and see the patient in 2 weeks.
B) Switch the methylphenidate to atomoxetine and see the patient in 2 weeks.
C) Order an electroencephalogram.
D) Complete rating scales and increase methylphenidate.
E) Increase the methylphenidate and see the patient in 2 weeks.

Solutions: