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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 33-year-old primigravid woman presents to the office with gestational hypertension. Her pregnancy is at 37 weeks' gestation. The ultrasound findings are as follows:
Head circumference: 5th percentile
Biparietal diameter: 10th percentile
Abdominal circumference: 5th percentile
Femur length: 25th percentile
Amniotic fluid volume: 5.0 cm
Umbilical Doppler: Reversed end-diastolic flow
Which one of the following is the best next step?

A) Immediate delivery.
B) Induction of labour on the due date.
C) Biometry in 2 weeks.
D) Twice-weekly nonstress tests.
E) Biophysical profile in 1 week.

2. A 65-year-old woman presents to the office for follow-up regarding vaginal bleeding. Her last visit was 2 months ago. At that visit, the results of a pelvic examination and a Papanicolaou test were normal. She also had an endometrial biopsy but there was " insufficient material for diagnosis. " She reports that she is still losing small amounts of blood almost every day. On history, she has been taking continuous combined hormone replacement therapy for 10 years because of vasomotor symptoms. Which one of the following is the most appropriate next step in management?

A) Change hormones to a selective estrogen receptor modulator.
B) Decrease the dosage of progestin.
C) Order a colposcopy.
D) Refer for a hysterectomy.
E) Organize a hysteroscopy.

3. A 6-year-old boy is brought to the Emergency Department by his daycare provider because he has an injured left arm. Physical examination findings show a swollen left arm just below the shoulder and bruising around both knees and the upper right arm. Radiographs of the left arm show a fracture with early callus formation around the proximal humeral shaft. Which one of the following is the most important next step?

A) Question the child about what happened to him.
B) Call the local police.
C) Contact the child's parents.
D) Inform child protection services.
E) Inform the hospital social worker.

4. A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?

A) Prescribe a short course of tramadol.
B) Obtain a urine toxicology screen.
C) Provide a naloxone kit.
D) Offer to prescribe cannabis.

5. There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?

A) Collecting fees from patients who are seen after hours.
B) Collecting annual fees from patients to supplement fees disbursed by the public payer for insured services.
C) Collecting fees from patients for uninsured services provided.
D) Offering rapid access to insured services for a fee.
E) Collecting fees from patients for home visits.

Solutions: