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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?

A) Medical imaging results
B) Required workplace accommodations
C) Physiotherapist ' s evaluation
D) Treatment options
E) Diagnosis

2. A 16-year-old boy presents to the emergency department with a 12-hour history of fever and rigors. He has sickle cell anemia. On examination, his vital signs include the following:
Heart rate
110/min (60-100)
Respiratory rate
20/min (12-18)
Temperature
38.8 °C, oral (36.5-37.5)
Which one of the following places this patient at risk for sepsis?

A) Chronic anemia
B) Functional asplenia
C) Neutrophil dysfunction
D) Immunoglobulin deficiency
E) Systemic iron overload

3. A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A) Arrange magnetic resonance imaging of the abdomen
B) Repeat computed tomography in 6 months
C) Refer to radiation oncology
D) Organize angiographic ablation of the renal mass
E) Plan partial nephrectomy

4. A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?

A) Methyldopa
B) Ramipril
C) Labetalol
D) Nifedipine
E) Hydralazine

5. You are called to attend an 18-year-old woman, gravida 2, para 1, aborta 0, who is in precipitous labour. She did not realize she was pregnant and has not had any prenatal care. After the delivery, you examine the newborn boy; he is vigorous, and it appears that he was born at full term. Physical examination findings of the newborn are normal. Review of the prenatal record from the mother ' s last pregnancy shows the following:
HIV: Negative
Hepatitis B surface antibody: Positive
Hepatitis C: Negative
Syphilis serology: Negative
The mother ' s previous child was placed in foster care. The mother is withdrawn and uncommunicative after delivery. Which one of the following is the best next step?

A) Initiate feeding with donor breast milk
B) Collect urine from the newborn for a drug screen
C) Recommend immediate skin-to-skin care
D) Administer hepatitis B vaccine to the newborn

Solutions: