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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 36-year-old woman, gravida 1, para 0, aborta 0, presents to the Labour and Delivery unit of a primary care hospital. She is at 40 weeks' gestation. She is having contractions and leaking fluid. She is fearful and does not want to deliver vaginally. Which one of the following is the best next step?

A) Explore her concerns and explain pain management options.
B) Offer to organize a cesarean delivery.
C) Explain that a cesarean delivery is not an option.
D) Ask a colleague for a second opinion.
E) Suggest intravenous analgesia.

2. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
B) Decline to send her daughter for consultation and explain your decision.
C) Ask another family physician to see the daughter due to a conflict of interest.
D) Call the ENT consultant on call to discuss your dilemma.
E) Explain that there is no indication for the surgery but refer her daughter for consultation.

3. A 25-year-old man presents to the Emergency Department with diffuse abdominal pain and anorexia. He was tackled in a football game yesterday. He reports a 3-week history of sore throat and fatigue. Vital signs are as follows:
Blood pressure: 95/45 mm Hg
Heart rate: 96/min
Temperature: 37.6°C
Which one of the following is the most likely diagnosis?

A) Ruptured duodenum
B) Pneumonia
C) Ruptured spleen
D) Appendicitis
E) Pyelonephritis

4. A 57-year-old man presents with low back pain. Radiographs of the lumbar spine show a narrowed disk space at L4-L5, anterior osteophyte formation at this level, and sclerosis of the L4-L5 end plates. Which one of the following is the most likely diagnosis?

A) Osteomyelitis of the lumbar spine.
B) Paget disease.
C) Metastatic disease from the prostate.
D) Spondylolysis and spondylolisthesis.
E) Degenerative disk disease.

5. A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?

A) Esophagus
B) Duodenum
C) Ileum
D) Jejunum
E) Stomach

Solutions: