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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?

A) Twin pregnancy.
B) Polyhydramnios.
C) Partial mole.
D) Fetal macrosomia.
E) Ovarian tumour and ascites.

2. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?

A) Order computed tomography of the head.
B) Refer for urgent temporal artery biopsy.
C) Arrange for serial home blood pressure monitoring.
D) Start a calcium channel blocker.
E) Give a prescription for serotonin 5-HT receptor agonist (Triptan).

3. A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

A) Arthrocentesis.
B) Arthroscopy.
C) Aspiration of the popliteal mass.
D) Ultrasound.
E) Computed tomography.

4. A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he has had for several years. He reports a "crawling" sensation on his skin. He is concerned that this rash may be caused by a parasite he may have picked up while serving in the military overseas. On examination, you note multiple crusted lesions on his forearms, neck, chest, scalp, and thighs. There is a complete sparing of the skin on his back. He brought a bottle with fibrous material of different colours that he picked from his wounds. He is otherwise healthy and reports no other symptoms except some chronic fatigue and insomnia related to the itching. Which one of the following treatments is the most appropriate?

A) Fluconazole
B) Butenafine
C) Permethrin
D) Ivermectin
E) Doxycycline

5. A 60-year-old man is admitted to hospital, and lung cancer is diagnosed. When his family physician reviews the discharge summary, she reviews the patient's chart and finds a chest radiograph report from 1 year ago that mentions a suspicious nodule and recommends a computed tomography scan. The family physician recalls seeing this report and did not order the scan. Which one of the following is the family physician's best next step?

A) Discipline the office staff for not bringing the report to her attention.
B) Do not disclose at this time.
C) Call the radiologist who issued the report and determine why the patient was not contacted directly.
D) Forward the report to the oncology team that will be treating him.
E) Communicate with the patient and arrange to disclose this information to him.

Solutions: