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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?

A) Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.
B) Ask him whether you can discuss your diagnosis and care with his daughter.
C) Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.
D) Contact the daughter to inform her of your findings and discuss possible investigations.
E) Respect his DNR wishes, and do nothing about the skin lesion.

2. A 3-year-old boy is brought to your office because his daycare teachers are concerned about his language development. His parents speak both English and French at home, and he can say around 15 words combined in both languages. His history reveals that he has minimal interest in playing with other children. Which one of the following is most appropriate?

A) Recommend use of one language at home.
B) Screen for autism spectrum disorder.
C) Evaluate for attention deficit hyperactivity disorder.
D) Refer to a pediatric neurologist.
E) Reassure that no intervention is needed.

3. A 19-year-old woman returns to your clinic to discuss her recent laboratory tests. She initially presented with dysuria, dyspareunia, and abnormal uterine bleeding. Her vulvovaginal examination was normal. Her last sexual encounter was 3 weeks prior to the onset of her symptoms. Which one of the following pathogens is most likely to explain this clinical presentation?

A) Treponema pallidum
B) Chlamydia trachomatis
C) Human papillomavirus
D) Herpes simplex virus
E) Actinomyces israelii

4. A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

A) Borderline personality disorder.
B) Narcissistic personality disorder.
C) Bipolar II disorder.
D) Antisocial personality disorder.
E) Klinefelter syndrome.

5. A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A) Omeprazole.
B) Calcium carbonate.
C) Loperamide.
D) Bismuth sulfate.
E) Metoclopramide.

Solutions: