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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 33-year-old primigravid woman presents to the office with gestational hypertension. Her pregnancy is at 37 weeks' gestation. The ultrasound findings are as follows:
Head circumference: 5th percentile
Biparietal diameter: 10th percentile
Abdominal circumference: 5th percentile
Femur length: 25th percentile
Amniotic fluid volume: 5.0 cm
Umbilical Doppler: Reversed end-diastolic flow
Which one of the following is the best next step?

A) Immediate delivery.
B) Induction of labour on the due date.
C) Biometry in 2 weeks.
D) Biophysical profile in 1 week.
E) Twice-weekly nonstress tests.

2. You are treating a 78-year-old man for recent onset of diarrhea, tenesmus, and minor bleeding when he wipes.
He has a history of prostate cancer that was treated by radiotherapy. Rectal examination findings are normal.
Colonoscopy reveals a pale rectum with ulcerations and areas of mucosal hemorrhage. Which one of the following is the most likely explanation for this clinical presentation?

A) Diverticulosis
B) Recurrent prostate cancer
C) Rectal cancer
D) Ulcerative colitis
E) Radiation proctitis

3. A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?

A) Encouragement to take walks of increasing distance.
B) Prescription of chlorpromazine in moderate doses.
C) Reassurance that this is not a serious disorder.
D) A trial of lithium carbonate.
E) Hospitalization for observation.

4. A 65-year-old man presents to your clinic with a 2-month history of persistent erectile dysfunction. He reports having difficulties maintaining an erection. His last hemoglobin A1c level result was 6.4% (4.8-6.0). He had a negative result on his cardiac stress test 1 month ago. He has been taking stable dosages of citalopram, metformin, and ramipril for the past 2 years. His physical examination findings are normal, and his mood appears euthymic. Which one of the following investigations should be ordered before initiating treatment with sildenafil?

A) Urine culture.
B) Echocardiography.
C) Prostate-specific antigen.
D) Complete blood count.
E) No further investigations.

5. A 22-year-old woman, gravida 1, para 0, aborta 0, comes to the office at 10 weeks ' gestation for her first prenatal visit. When you ask how she is doing, she becomes tearful and says she has had severe nausea and vomiting. She is not taking her prenatal vitamins regularly and feels very guilty about it. She is worried that she is harming the fetus. Which one of the following is the most appropriate management of this patient ' s case?

A) Tell her she should continue to take her prenatal vitamins daily regardless of nausea
B) Prescribe ginger tablets to be taken 4 times daily
C) Refer her for counselling to manage her feelings of guilt
D) Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins
E) Advise her to replace her vitamin with folic acid only until her nausea improves

Solutions: