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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 65-year-old man presents to your clinic with a 2-month history of persistent erectile dysfunction. He reports having difficulties maintaining an erection. His last hemoglobin A1c level result was 6.4% (4.8-6.0). He had a negative result on his cardiac stress test 1 month ago. He has been taking stable dosages of citalopram, metformin, and ramipril for the past 2 years. His physical examination findings are normal, and his mood appears euthymic. Which one of the following investigations should be ordered before initiating treatment with sildenafil?

A) Prostate-specific antigen.
B) Urine culture.
C) No further investigations.
D) Echocardiography.
E) Complete blood count.

2. A 45-year-old man is brought to the Emergency Department with chest pain. He has no significant medical history. He is anxious and agitated, and he reports severe central chest pain that began about 90 minutes ago.
His vital signs are as follows: blood pressure 200/110 mm Hg, heart rate 140/min, respiratory rate 30/min, oxygen saturation 98% on supplemental oxygen. Physical examination reveals a restless and slightly tremulous man. Pupils are 7 mm reactive. There are no focal neurologic signs. Cardiopulmonary examination is normal. The 12-lead electrocardiogram reveals sinus tachycardia; findings are otherwise normal. Which one of the following is the most likely cause of this clinical presentation?

A) Oxycodone.
B) Cocaine.
C) Alcohol.
D) Cannabis.
E) Heroin.

3. A 16-year-old girl presents to the clinic with concerns about her toenails. The lesions, as shown in the attached image, have been present for 2 to 3 months. She is otherwise healthy and is in training for a triathlon.
Which one of the following is the best next step?

A) Recommend that the patient's running shoes provide adequate toe space.
B) Advise the patient to carefully wash and dry feet after all activity.
C) Suggest that the patient avoid swimming pools and hot tubs.
D) Arrange for biopsy of the lesions.
E) Prescribe daily antifungal cream application.

4. You are conducting a virtual appointment by voice-only call with a 68-year-old man regarding back pain.
When he answers, you ask for him by name and identify yourself and the clinic from which you are calling.
Which one of the following is the best next step?

A) Establish the reason for the virtual care visit.
B) Confirm the name of the patient ' s primary care provider.
C) Ask for additional confirmation of the patient ' s identity.

5. When updating the firmware on an NVLink switch transceiver, how can an engineer apply new firmware without interrupting the network?

A) Physically disconnect and reconnect the transceiver.
B) mlxfwreset -d -lid 27 reset --yes to reset the transceiver
C) flint -d -lid 27 --linkx --linkx_auto_update --activate
D) nv action reboot system to force immediate activation.

Solutions: