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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old woman presents to your office with a 6-week history of left lower quadrant pain and dyspareunia. A pelvic ultrasound is normal. Which one of the following is the most important immediate investigation?

A) Endometrial biopsy
B) Hysterosalpingography
C) Cervical swabs
D) Magnetic resonance imaging
E) Laparoscopy

2. You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

A) Avoid medications with anticholinergic potential
B) Screen the patient with the Mini-Mental Status Examination prior to surgery
C) Keep family visits to a minimum to avoid postsurgical overstimulation
D) Refrain from prescribing opiate analgesics to treat postoperative pain
E) Treat postsurgical insomnia with benzodiazepines

3. A 43-year-old car mechanic, with no prior history, comes to the Emergency Department because of a sudden loss of balance at work. He also feels lightheaded, slightly disoriented and nauseous. Physical examination and basic blood work-up are normal. He tells you this is the 3rd time this has happened at work. Which one of the following is the most likely diagnosis?

A) Ear infection.
B) Alcohol intoxication.
C) Lead intoxication.
D) Cerebellar tumour.
E) Organic solvent intoxication.

4. A 16-year-old girl presents to the clinic with concerns about her toenails. The lesions, as shown in the attached image, have been present for 2 to 3 months. She is otherwise healthy and is in training for a triathlon.
Which one of the following is the best next step?

A) Recommend that the patient's running shoes provide adequate toe space.
B) Advise the patient to carefully wash and dry feet after all activity.
C) Arrange for biopsy of the lesions.
D) Suggest that the patient avoid swimming pools and hot tubs.
E) Prescribe daily antifungal cream application.

5. A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?

A) Polycystic ovary disease.
B) Sertoli-Leydig cell tumour.
C) Hilar cell tumour.
D) Idiopathic hirsutism.
E) Adrenal hyperplasia.

Solutions: