Free Medical Council of Canada MCCQE Exam Questions

Question 1

A 4-month-old boy is brought to the office by his parents to ask about the rotavirus vaccine. They would liketo avoid the possibility of the infant coming down with gastroenteritis. Their older child was hospitalized withgastroenteritis at age 10 months. They have a friend who had intussusception after getting the rotavirusimmunization, and they are worried about a possible link to the vaccine. Which one of the following is themost appropriate response?

A : The vaccine is recommended as the risk of intussusception is extremely low.

B : The risk of intussusception is markedly increased after vaccination but is offset by a decrease in severe diarrhea.

C : Intussusception is an easily treatable condition.

D : Intussusception only occurs in 1- to 3-year-old children, so any risk to the infant is minimal.

E : Rotavirus infection is generally self-limited, so routine vaccination is not encouraged unless there arecomorbidities.

Answer: A

Question 2

A 4-month-old boy is brought to the office by his parents to ask about the rotavirus vaccine. They would liketo avoid the possibility of the infant coming down with gastroenteritis. Their older child was hospitalized withgastroenteritis at age 10 months. They have a friend who had intussusception after getting the rotavirusimmunization, and they are worried about a possible link to the vaccine. Which one of the following is themost appropriate response?

A : The vaccine is recommended as the risk of intussusception is extremely low.

B : The risk of intussusception is markedly increased after vaccination but is offset by a decrease in severe diarrhea.

C : Intussusception is an easily treatable condition.

D : Intussusception only occurs in 1- to 3-year-old children, so any risk to the infant is minimal.

E : Rotavirus infection is generally self-limited, so routine vaccination is not encouraged unless there arecomorbidities.

Answer: A

Question 3

A 1-month-old boy is brought to your clinic after being born with asymmetric intrauterine growth restriction(third percentile at birth). He was born at 36 weeks’ gestation. He has been breastfeeding well and continuesto grow around the third percentile. Which one of the following would be the best next step?

A : High-dose vitamin D supplementation.

B : Early introduction of solid foods.

C : Switch to a hydrolyzed formula.

D : Caloric-fortified feeding.

Answer: D

Question 4

An 8-year-old boy is brought to the Emergency Department because he is experiencing sudden respiratorydistress. You suspect that he has a spontaneous tension pneumothorax. On physical examination, which one ofthe following best supports this diagnosis?

A : Ecchymoses on the chest.

B : Bilateral wheezing.

C : Tracheal deviation.

D : Abdominal distension.

E : Inspiratory stridor.

Answer: C

Question 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 : Replace short-acting hydromorphone with transdermal fentanyl.

B : Decline the renewal of further hydromorphone and discharge the patient.

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 : Change the patient’s prescription from short-acting hydromorphone to once-daily methadone.

Answer: D