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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 26-year-old woman, gravida 3, para 2, presents for her 1st antenatal visit. She states she is at 26 weeks ' gestation and is healthy. On abdominal examination, her fundus is palpated at the umbilicus. Which one of the following is the most likely explanation for this finding?

A) Partial hydatidiform mole
B) Dating error
C) Intrauterine growth restriction
D) Oligohydramnios
E) Bicornuate uterus

2. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A) Request serologic testing
B) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
C) Prescribe a prophylactic antiviral medication
D) Refer the couple to an infectious disease specialist
E) Recommend ceasing conception until 3 months after the couple ' s return to Canada

3. A 56-year-old man is admitted to hospital with pyelonephritis and started on intravenous antibiotics. On day 2 of his hospitalization, he continues to report right flank pain, but he is able to walk. His vital signs are as follows:
Temperature: 38.5°C
Blood pressure: 90/60 mm Hg
Heart rate: 105/min
The patient is mentating well but is concerned about his dog that is home alone due to his unexpected hospitalization. He requests to be released from hospital as he needs to make arrangements for his dog. Which one of the following is the best next step?

A) Discharge the patient, but ensure he signs an " Against Medical Advice " form.
B) Ensure he understands the risk and accept his decision to leave for a few hours while you hold his bed.
C) Offer to stop by his apartment on your way home, if he is agreeable to it and gives you the key.
D) Explain that his health is a priority and insist that he stay.
E) Change him to oral antibiotics, and finish his treatment as an outpatient.

4. A 45-year-old man with a developmental delay and a history of disruptive behavior presents to the clinic looking for his family doctor. He is well known to the clinic. He appears drunk and has accidentally broken 2 large beer bottles in the waiting room but remains calm. The office staff requests your help to deal with this situation. Which one of the following is the most appropriate initial step?

A) Tell the patient that his behavior is unacceptable and ask him to leave.
B) Assess the patient promptly.
C) Call the social work crisis intervention team.
D) Instruct the office staff to ignore him and let him calm down.
E) Call the police, given the patient ' s presentation.

5. A 29-year-old concert pianist with severe chronic kidney disease presents with a 6-month history of loss of appetite and pruritus. Although the issue of initiating dialysis has been discussed with him and his questions answered, he has declined dialysis thus far. You understand his concerns that it will interfere with his concert tour and recording schedule. Which one of the following is the best next step?

A) Offer to arrange for him to meet patients in the peritoneal dialysis clinic.
B) Explain to him you will see him again when he decides to start dialysis.
C) Explore employment alternatives that would better accommodate the dialysis schedule.
D) Warn him of the consequences of refusing dialysis.
E) Provide him access to his medical records and full chart.

Solutions: