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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Send a letter of complaint to the radiology department for not sending a report.
B) Reassure the patient that this is a rare occurrence in your clinic.
C) Review your clinic ' s filing procedures and make any needed improvements.
D) Remind the patient that they are responsible for calling for outstanding test results.

2. A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago.
On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient ' s fever?

A) Bowel trauma during the operation.
B) Atelectasis
C) Septic pelvic thrombophlebitis.
D) Wound infection.
E) Pulmonary embolism.

3. A 70-year-old man presents with severe, postprandial, mid-abdominal pain which has become more severe over the past 6 to 9 months. It is associated with nausea but has not caused him to vomit or changed his bowel habits. He has lost 14 kg over the last 6 months. Abdominal and rectal examination is normal. Upper gastrointestinal series is unremarkable. Which one of the following is the most likely diagnosis?

A) Peptic ulcer disease
B) Mesenteric ischemia
C) Carcinoma of colon
D) Cholelithiasis
E) Mesenteric adenitis

4. A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A) Plan partial nephrectomy
B) Organize angiographic ablation of the renal mass
C) Repeat computed tomography in 6 months
D) Refer to radiation oncology
E) Arrange magnetic resonance imaging of the abdomen

5. A 26-year-old woman, gravida 1, para 0, aborta 0, consults you at 36 weeks' gestation regarding newborn care. She has HIV. Which one of the following is the best advice regarding reducing the risk for transmission of HIV to her newborn?

A) Formula-feed her newborn.
B) Avoid kissing her newborn.
C) Bottle-feed her newborn boiled expressed breast milk.
D) Bottle-feed her newborn expressed breast milk.
E) Breastfeed her newborn during the colostrum period only.

Solutions: