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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 56-year-old woman presents to your office with a 9-month history of intolerable sweating, palpitations, and periodic anxiety. Her last period was 12 months ago. She continues to have regular Papanicolaou testing with no worrisome pathology. She is otherwise healthy. Which one of the following is the most effective treatment for these symptoms?

A) Estrogen in combination with progesterone
B) Evening primrose oil
C) Low-dose clonidine
D) Regular exercise, weight loss and smoking cessation
E) Antidepressant agent

2. A 60-year-old postmenopausal woman presents with 2 culture-proven uncomplicated urinary tract infections in the last 5 months. She finds them quite distressing and would like to prevent recurrence. Which one of the following is the best next step?

A) Refer the patient for a cystoscopy.
B) Prescribe vaginal estrogen.
C) Refer for pelvic physiotherapy.
D) Reassure the patient.
E) Suggest that she begin regular probiotics.

3. Three months ago, a physician colleague approached you in the hospital corridor for advice regarding one of his patients. You are now being named by this patient in a malpractice action. Which one of the following is the most likely reason why you may be found liable?

A) You were given the patient ' s name
B) You were given confidential patient health information
C) You gave advice on how to treat the patient
D) You did not see the patient
E) You advised the physician to consult one of your colleagues

4. A 40-year-old woman presents to your clinic for follow-up regarding her major depressive disorder, which is being treated with the starting dosage of escitalopram. Most of her symptoms have now improved. However, she has noted anorgasmia since taking this medication. This has significantly affected her relationship with her wife. Which one of the following is the best next step?

A) Add bupropion
B) Increase the patient ' s dosage of escitalopram
C) Maintain the current medication
D) Switch escitalopram to venlafaxine

5. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The patient's value and contributions to society.
B) The patient has family members who rely on them for income.
C) The date the patient was placed on the waiting list.
D) Whether the underlying condition is due to self-induced illness.
E) The clinical severity of the patient's pulmonary disease.

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