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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A system administrator needs to install a GPU/DPU in a server. The server has a free PCI-e slot, there are enough free PCI-e lanes, and there is enough room for the card. Which procedure should be followed?

A) Ensure the server has enough power. Verify compatibility of cables with server ' s platform. Make sure the server is down to remove cables safely. Wear an ESD bracelet.
B) Ensure the server has enough power. Make sure the server is down to remove cables safely. Wear an ESD bracelet.
C) Ensure the server has enough power. Verify compatibility of cables with server ' s platform. Make sure the server is down to remove cables safely. Do not wear an ESD bracelet.
D) Ensure the server has enough power. Make sure the server is up and running with attached cables. Wear an ESD bracelet.

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

3. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

A) Elevated plasma catecholamines
B) High plasma cortisol
C) Low urinary metanephrines
D) Low renal vein renin
E) Increased thyrotropin (thyroid-stimulating hormone) level

4. A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

A) Angiotensin II receptor blocker
B) Nitrates
C) Cox-2 inhibitor
D) Calcium channel blocker
E) Alpha-blocker

5. A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

A) Send the son for a lipid profile test
B) Prescribe a weight-lifting exercise program for her son
C) Reassure the mother as children do not have elevated lipid levels
D) Request a serum homocysteine and hemoglobin A1c
E) Prescribe a low-fat diet for the son

Solutions: