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Practice test available

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Free demo available

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

2. A 54-year-old man presents to the office because of progressively severe frontal headaches that are worse in the morning. He also has a chronic productive cough. He has a 30 pack-year history of smoking tobacco cigarettes. His blood pressure is 160/95 mm Hg. Which one of the following is the best next step?

A) Arrange for serial home blood pressure monitoring.
B) Start a calcium channel blocker.
C) Refer for urgent temporal artery biopsy.
D) Order computed tomography of the head.
E) Give a prescription for serotonin 5-HT receptor agonist (Triptan).

3. A 45-year-old man presents to your family practice for follow-up because he has had repeated transient ischemic attacks and had been advised not to drive. During the interview, you find out that he is still driving.
He explains that he only drives to the grocery store and his wife, who also has a driver ' s license, is always a passenger with him. He insists he can drive. You think that he should no longer be driving a car. Which one of the following is the best next step?

A) Refuse to treat him further unless he stops driving.
B) Consult a neurologist to assess whether the patient is fit to drive.
C) Physically take away his license.
D) Discuss this further with him.
E) Communicate your concerns to the motor vehicle licensing authority.

4. A 36-year-old woman, gravida 1, para 0, aborta 0, presents to the Labour and Delivery unit of a primary care hospital. She is at 40 weeks' gestation. She is having contractions and leaking fluid. She is fearful and does not want to deliver vaginally. Which one of the following is the best next step?

A) Explain that a cesarean delivery is not an option.
B) Offer to organize a cesarean delivery.
C) Explore her concerns and explain pain management options.
D) Ask a colleague for a second opinion.
E) Suggest intravenous analgesia.

5. A 32-year-old woman presents to your outpatient clinic with concerns regarding a 6-month history of both a pulsatile buzzing sound in her ears and headaches. There is no history of hearing loss, vertigo, ear pain, or discharge from the ears. There is a long-standing history of prolonged exposure to occupational noise. She has a BMI of 32. Otoscopic examination is unremarkable, and there are no neck masses present. You determine that the buzzing sound is synchronous with her radial pulse. Which of the following investigations should be ordered next?

A) Electroencephalography
B) C-reactive protein
C) Magnetic resonance imaging of the brain
D) Audiogram

Solutions: