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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An otherwise well 18-month-old girl is brought to your family practice office for routine immunization. Her mouth is as shown in the attached image. She has no symptoms. Which one of the following is the most likely cause of this presentation?

Image description: Severe black and brown decay of multiple upper front teeth, with relatively spared lower teeth.

A) Lack of fluoride in drinking water.
B) Vitamin D deficiency.
C) Repeated courses of antibiotics.
D) Putting the child to bed with a bottle.
E) Use of oral iron supplements.

2. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility. He has a fever, fatigue, myalgia, and malaise. His test result is positive for influenza A virus. Two other residents and 1 LTC staff member have experienced the same symptoms. Which one of the following is the best next step to prevent further infections at the LTC facility?

A) Enforce mandatory influenza vaccination for LTC staff.
B) Ensure that all visitors are immunized.
C) Order symptomatic LTC staff to stay home.
D) Ask all visitors to wear a mask.

3. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum ferritin
B) Serum alpha-1 antitrypsin
C) Hemoglobin A1c
D) Serum amylase
E) Serum cortisol

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

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

5. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Aortic coarctation
B) Essential hypertension
C) Renal artery thrombosis
D) Ventricular septal defect
E) Reflux nephropathy

Solutions: