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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 14-year-old girl, accompanied by her mother, presents to your office with a 3-month history of feeling " dizzy. " After you take an initial history, which one of the following is the most appropriate next step?
A) Order a urine pregnancy test
B) Obtain growth parameters and vital signs
C) Do a bedside glucometer reading
D) Perform a detailed cardiac and neurological examination
E) Interview the girl without the mother present
2. A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?
A) Undisplaced fracture of the distal radius.
B) Fracture of the carpal scaphoid.
C) Subluxation of the lunate bone.
D) de Quervain tenosynovitis.
3. While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?
A) Anemia of chronic disease.
B) Myelodysplasia.
C) Thalassemia.
D) Leukemia.
E) Iron deficiency anemia.
4. A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?
A) Sertoli-Leydig cell tumour.
B) Hilar cell tumour.
C) Idiopathic hirsutism.
D) Adrenal hyperplasia.
E) Polycystic ovary disease.
5. 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) Call the police, given the patient ' s presentation.
B) Instruct the office staff to ignore him and let him calm down.
C) Tell the patient that his behavior is unacceptable and ask him to leave.
D) Assess the patient promptly.
E) Call the social work crisis intervention team.
Solutions:
| Question # 1 Answer: E | Question # 2 Answer: B | Question # 3 Answer: E | Question # 4 Answer: C | Question # 5 Answer: D |
By Pandora
