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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 38-year-old woman has progressive renal failure despite optimal medical treatment for her glomerulonephritis. Her ex-husband asks if he might be considered as a kidney donor. They have joint custody of their 10-year-old son. Which one of the following is the best response to the ex-husband's request?

A) His request must be refused because of the risk of leaving their child with 2 unhealthy parents.
B) He may proceed with assessment for possible organ donation.
C) Advise against a donation because of their divorce.

2. A 39-year-old woman comes to the office for a periodic health examination. She reports that her father had a recent diagnosis of breast cancer (at age 62 years) and that a paternal aunt had ovarian cancer in her early 40s.
The results of mammography are normal. Which one of the following is the most appropriate recommendation for this patient?

A) Annual mammography starting at age 50 years.
B) Bilateral mastectomy.
C) Prophylactic tamoxifen therapy.
D) Genetic screening.
E) Random fine-needle sampling of the breasts.

3. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Abdominal computed tomography.
B) Surgical debridement and delayed closure.
C) Exploratory laparotomy.
D) Antibiotic irrigation of the wound.
E) Primary repair of the laceration.

4. A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A) Malodorous urine
B) Recent circumcision
C) Macroscopic hematuria
D) Crying during micturition
E) Poor urinary stream

5. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order thyrotroph (thyroid-stimulating hormone) level.
B) Perform a 75 g oral glucose tolerance test.
C) Test capillary blood glucose 4 times a day.
D) Order an exercise stress test.
E) Order a urine albumin:creatinine ratio.

Solutions: