Medical Council of Canada MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?

A) No identifiable risks.
B) Pre-term delivery.
C) Postpartum hemorrhage.
D) Gestational hypertension.
E) Deep vein thrombosis.

2. A 42-year-old woman is admitted to the Intensive Care Unit with a massive pulmonary embolism. Her condition is stabilized with intubation, hydration, inotropic support, and intravenous administration of heparin. Her partner provides you with a list of her medications. A combination oral contraceptive pill was recently prescribed. She smokes tobacco cigarettes, and her BMI is 36. Which one of the following is the best next step?

A) Advise the patient ' s partner to seek legal advice
B) Inform the patient ' s partner that the oral contraceptive pill may have caused her condition
C) Report the prescribing physician to the provincial or territorial medical regulatory authority
D) Tell her partner that the physician should not have prescribed the oral contraceptive pill
E) Discuss the case with the hospital ethics committee

3. A 3-week-old boy is brought by his parents to your clinic for a well-child visit. The newborn was born at term after an uncomplicated pregnancy. He is exclusively breastfed and is thriving. Physical examination findings are normal except for jaundice. Total bilirubin is 172 #mol/L (#100), and conjugated bilirubin is 4 #mol/L (#5). Results of a complete blood count and reticulocyte count are within the normal range. The results of a direct antiglobulin (Coombs) test were negative. Which one of the following, if any, is the most appropriate investigation?

A) No investigation required.
B) Urine culture.
C) Test for galactosemia.
D) Hepatobiliary ultrasonography.
E) Liver enzymes and serum albumin.

4. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A) Request serologic testing
B) Recommend ceasing conception until 3 months after the couple ' s return to Canada
C) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
D) Prescribe a prophylactic antiviral medication
E) Refer the couple to an infectious disease specialist

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

Solutions: