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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 45-year-old woman presents to the emergency department after being involved in a motor vehicle collision.
She reports severe right hip pain. On examination, the right hip is flexed and adducted. A radiograph shows a posterior dislocation. Which one of the following is the most appropriate management?

A) Open reduction under general anesthetic.
B) Gradual reduction with skeletal traction.
C) Total hip arthroplasty.
D) Closed reduction under sedation.

2. 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 alerts
B) nvsm show powermode
C) nvsm show power
D) nvsm show health

3. A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?

A) Send for hepatobiliary iminodiacetic acid (HIDA) scan
B) Broaden antibiotic therapy
C) Arrange for endoscopic retrograde cholangiopancreatography
D) Arrange for percutaneous cholecystostomy
E) Send for laparoscopic cholecystectomy

4. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Malingering
B) Psychotic disorder secondary to traumatic brain injury
C) Bipolar I disorder
D) Brief psychotic disorder
E) Delirium

5. A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A) Taper the dosage of the opioid agonist
B) Slowly taper and discontinue the opioid agonist
C) Increase the frequency of follow-up visits
D) Prescribe a cannabinoid
E) Discontinue take-home doses

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