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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?

A) Stricture formation
B) Length of Barrett segment
C) Grade of dysplasia
D) Family history of gastrointestinal malignancy
E) Depth of intestinal metaplasia

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

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

3. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

A) Reassure the parents and prescribe a topical antibiotic
B) Admit the patient and start antibiotic therapy
C) Recommend lacrimal sac massage
D) Prescribe an oral antibiotic and reassess in 48 hours
E) Advise warm compresses every 2 to 3 hours until discharge is cleared

4. A 53-year-old man with a history of bipolar I disorder is brought to the office by his family. Recently, he has been sleeping for 4 to 5 hours per night, has been fidgety, and is increasingly preoccupied with his granddaughter ' s safety. Five days ago, he consulted with your physician colleague and was instructed to exercise and meditate. Last night, he was found running in the street and attempted to hit a relative who was trying to calm him down. His son is dissatisfied with your physician colleague ' s management. Which one of the following is the most appropriate response?

A) Acknowledge your physician colleague ' s mistake and apologize.
B) Explain that you will now assess the father and that your goal is to treat him.
C) Share that you would have prescribed a medication after the first assessment.
D) Encourage the son to file a complaint.
E) Point out that exercise and meditation have been proven useful in managing bipolar I disorder.

5. A 24-year-old woman presents with rapidly increasing lower leg pain. Less than 24 hours ago, she fell off her bicycle and had some minor abrasions. On examination, she is in severe pain and appears anxious. Local examination of her leg reveals mild discoloration with marked tenderness but no swelling in her calf. Which one of the following is the most likely diagnosis?

A) Necrotizing fasciitis
B) Plantaris rupture
C) Baker ' s cyst
D) Deep vein thrombosis
E) Cellulitis

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