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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. Your colleague ' s receptionist asks you to assess her 4-year-old daughter who has had 2 episodes of acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Explain that there is no indication for the surgery but refer her daughter for consultation.
B) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
C) Decline to send her daughter for consultation and explain your decision.
D) Call the ENT consultant on call to discuss your dilemma.
E) Ask another family physician to see the daughter due to a conflict of interest.

2. An 18-year-old man presents to your clinic with a history of intermittent, dull, achy pain on the left side of his scrotum, and he has now noted left scrotal enlargement. On examination, you note a swelling in the left scrotum when he is standing that disappears when he is supine. Which one of the following is the most likely diagnosis?

A) Hydrocele.
B) Cryptorchidism.
C) Spermatocyte.
D) Intermittent testicular torsion.
E) Varicocele.

3. A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Aside from a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

A) Cushing disease
B) Type 2 diabetes
C) Sleep apnea
D) Chronic obstructive pulmonary disease
E) Acromegaly

4. An 84-year-old woman is brought by ambulance to the emergency department after she was found by a neighbour. She had fallen, sustained a hip fracture, and was unable to move for the past 2 days. After starting rehydration, she reports hip pain and numbness and tingling in both her legs. Physical examination reveals faint pulses in both legs and severely swollen lower legs that are painful to palpation. The urine in the Foley catheter bag seems to be darker than normal. Which one of the following is the best next step?

A) Myoglobin urine test.
B) Bilateral Doppler ultrasonography of the legs.
C) Compartment pressure measurements of the lower legs.
D) Surgical fixation of the patient ' s hip fracture.
E) Bilateral angiography of the lower legs.

5. A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?

A) Ask if tobacco smoke triggers the patient's asthma.
B) Counsel the patient on the health effects of tobacco.
C) Advise the patient to avoid tobacco exposure.
D) Update the chart to indicate that the patient smokes.

Solutions: