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Medical Council of Canada MCCQE Part 1 Sample Questions:

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

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

2. A 58-year-old woman presents to your office with refractory bipolar I disorder. She is on the following medications: lithium carbonate, valproic acid, and olanzapine. She also takes acetaminophen for osteoarthritis and pantoprazole for gastroesophageal reflux. Lately, she has noticed she bruises very easily. Laboratory work displays a platelet count of 70 × 10#/L (normal 130-400). Which one of the following is most likely to induce this side effect?

A) Valproic acid
B) Olanzapine
C) Acetaminophen
D) Lithium carbonate
E) Pantoprazole

3. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?

A) Refer for urgent temporal artery biopsy.
B) Start a calcium channel blocker.
C) Give a prescription for serotonin 5-HT receptor agonist (Triptan).
D) Order computed tomography of the head.
E) Arrange for serial home blood pressure monitoring.

4. You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?

A) Offer assistance and document the encounter in your own records afterwards.
B) Remain silent to avoid any liability that may be incurred by offering help.
C) Offer assistance only after the patient and the airline agree to release you from any liability.
D) Give advice to the flight attendants on how to proceed but do not offer any direct assistance.

5. A 24-year-old woman with chronic anorexia nervosa presents to the Emergency Department with diarrhea, chest pain and palpitations. She is noted to have a BMI of 13, a heart rate of 48/min, significant orthostatic hypotension and a temperature of 35.9 °C. Her electrocardiogram shows frequent premature ventricular contractions. Her blood work indicates elevated liver transaminases and evidence of acute kidney injury from dehydration. She agrees to admission for medical stabilization only if she does not receive fluids either orally or intravenously, as they will cause her to gain weight and to feel bloated. Which one of the following is the best next step?

A) Assess her capacity to consent for medical treatment
B) Refuse to admit her unless she agrees to full treatment
C) Obtain a psychiatric consultation
D) Ask her if she has a substitute decision-maker
E) Start intravenous fluids and physically restrain if necessary

Solutions: