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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A) Bismuth sulfate.
B) Calcium carbonate.
C) Omeprazole.
D) Loperamide.
E) Metoclopramide.

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. An infrastructure engineer in an AI factory has successfully replaced a power supply unit on an NVIDIA DGX H100. After installation, both the IN and OUT LEDs on the new power supply illuminate solid green.
Which NVSM CLI command should the engineer use to quickly verify the overall system status and ensure it is operating as expected?

A) nvsm show power
B) nvsm show health
C) nvsm show powermode
D) nvsm show alerts

4. A 27-year-old woman presents with an enlarged thyroid. She had not noticed it herself until her mother brought it to her attention. She is asymptomatic from an endocrine perspective, and her serum thyroid- stimulating hormone (TSH) is normal.
Which one of the following is the most appropriate next step?

A) Serum calcium
B) Serum T3 and T4
C) Fine-needle aspiration of the thyroid
D) Computed tomography of the neck
E) Ultrasound of the thyroid

5. You performed a surgical procedure on a 32-year-old woman for a herniated disk that was causing neurologic impairment. At the 8-month follow-up visit, she has healed well; however, she requests a prescription renewal of her narcotic analgesics (hydromorphone). Her pharmacy confirms that the patient adheres to the dosage you prescribed, that she has not consulted other physicians, and that her behavior has always been respectful.
You think that she no longer requires narcotic analgesics. Which one of the following approaches is most helpful to the patient?

A) Decline the renewal of further hydromorphone and discharge the patient.
B) Change the patient's prescription from short-acting hydromorphone to once-daily methadone.
C) Advise the provincial or territorial agency responsible for following patients who have potential substance use disorders.
D) Counsel the patient regarding substance use disorder and arrange follow-up with her family physician.
E) Replace short-acting hydromorphone with transdermal fentanyl.

Solutions: