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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?

A) Counsel the patient on the health effects of tobacco.
B) Ask if tobacco smoke triggers the patient's asthma.
C) Advise the patient to avoid tobacco exposure.
D) Update the chart to indicate that the patient smokes.

2. A 38-year-old woman, gravida 3, para 2, aborta 0, presents to the labour and delivery unit for induction of labour. Her pregnancy is at 42 weeks' gestation and has been uncomplicated to date. Which one of the following is the most appropriate information to provide to the patient?

A) Cesarean delivery is preferred.
B) Continuous electronic fetal monitoring in labour is recommended.
C) Prostaglandin induction of labour is contraindicated.

3. A 6-year-old girl is found to have a blood pressure of 130/75 mm Hg. She was born prematurely at 32 weeks ' gestation and required ventilation. There is a family history of hypertension in 3 grandparents. Clinical examination reveals a grade 1/6 mid-systolic murmur, no renal bruits, and femoral pulses are difficult to feel.
Which one of the following is the most likely diagnosis?

A) Ventricular septal defect
B) Aortic coarctation
C) Essential hypertension
D) Renal artery thrombosis
E) Reflux nephropathy

4. A 43-year-old man is referred to you for an incidental finding of elevated hemoglobin. Laboratory results are as follows:
Hemoglobin
185 g/L (130-170)
Mean corpuscular volume
92 fL (60-100)
White blood cells
7.8×1037.8×103 / L (4-10)
Platelets
250×103250×103 / L (130-400)
His BMI is 23. He has type 2 diabetes for which he takes gliclazide MR 60 mg daily. Which one of the following features on history could explain his laboratory abnormality?

A) Cirrhosis
B) Central sleep apnea
C) Hypothyroidism
D) Hypertension
E) Alcohol abuse

5. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Vaginal hysterectomy
B) Topical estrogen
C) Pelvic-floor physiotherapy
D) Urology consultation
E) No impact sports

Solutions: