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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You have just completed a well-baby check on a 6-month-old in the office where you have recently begun to practice. You ask the registered nurse to give the immunizations. She refuses, saying this is not within her scope of practice. Which one of the following is the best next step?

A) Recognize your error in making the request and refrain from asking again.
B) Contact the provincial/territorial nursing regulatory body to make a complaint about her.
C) Give the immunizations yourself and then discuss the matter with the nurse later.
D) Offer to be present while she gives the immunizations so that she will be supervised.
E) Insist that she give the immunizations as she should be competent to do so.

2. A 55-year-old man presents to the Emergency Department with intractable nausea and vomiting. He is diaphoretic, tremulous and tachycardic. In a private conversation with his spouse, you learn that for the last several weeks, he has been drinking 1.2 L of vodka daily. On questioning, he says that since he retired, he has been drinking socially and plans to continue doing so. With respect to his alcohol use, which one of the following best describes the patient's current stage of change?

A) Precontemplation.
B) Action.
C) Maintenance.
D) Contemplation.
E) Preparation.

3. A 25-year-old woman who is at 8 weeks ' gestation plans to travel to rural Cambodia to care for her ill mother. Which one of the following treatments should be provided to her before the trip?

A) Tetanus and diphtheria booster if last received more than 5 years ago
B) Antimalarial chemoprophylaxis
C) Hepatitis B immunoglobulin
D) Ciprofloxacin for travellers ' diarrhea

4. You are examining a full-term baby girl in the nursery. You notice that her left forefoot is adducted and supinated relative to the contralateral foot, which makes her left foot appear C-shaped. Which one of the following findings is most instrumental in deciding on the management of this issue?

A) Flexibility of the deformity
B) Syndactyly of 2nd and 3rd toes
C) Significant hallux valgus
D) Internal tibial torsion
E) Cephalohematoma

5. A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?

A) Methyldopa
B) Nifedipine
C) Labetalol
D) Ramipril
E) Hydralazine

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