Medical Council of Canada MCCQE : MCCQE Part 1 Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 39-year-old woman comes to see you for her periodic health examination. Her father died at 55 of colon cancer, and she is concerned about the possible risk of her developing bowel cancer. Which one of the following would you advise her in terms of screening for colorectal cancer?

A) Double contrast barium enema now.
B) Computed tomography colonography at age 50.
C) Colonoscopy at age 40.
D) Immediate sigmoidoscopy.
E) Fecal immunochemical test (FIT) annually.

2. A 40-year-old woman has not left her house for 6 months. She says that she is trying to avoid the intense anxiety, palpitations, tremors, sweating, dizziness, choking sensation, and breathlessness that develops when she leaves home. Which one of the following is the best next step?

A) Encouragement to take walks of increasing distance.
B) Prescription of chlorpromazine in moderate doses.
C) Reassurance that this is not a serious disorder.
D) Hospitalization for observation.
E) A trial of lithium carbonate.

3. A 34-year-old woman, gravida 3, para 2, comes to your office for prenatal care. Past medical history includes
2 precipitous uncomplicated term deliveries of infants greater than 4200 g. Which one of the following is she most at risk of developing?

A) No identifiable risks.
B) Postpartum hemorrhage.
C) Pre-term delivery.
D) Gestational hypertension.
E) Deep vein thrombosis.

4. You are following an otherwise healthy 3-month-old girl whose severe bilateral sensorineural deafness was diagnosed after early identification through a universal newborn hearing screening program. She has reached the developmental milestones for her age and has no features of an underlying syndrome. There is no family history of hearing loss. The parents request information on the speech and language prognosis for their daughter. Which one of the following is the most appropriate response?

A) Sign language and a school for the hearing impaired will be needed.
B) Most children with this condition learn to hear and speak fluently with appropriate early intervention.
C) Significant limitation in expressive and receptive speech should be expected.
D) Long-term literacy is likely to be limited to a grade 4 level.
E) The prognosis is unpredictable and not well known.

5. A 26-year-old woman, gravida 2, para 1, presents with a positive pregnancy test. Her previous pregnancy was associated with preeclampsia, and she delivered a 1000 g boy at 34 weeks ' gestation. Her blood pressure is
130/86 mm Hg. Which one of the following is the best recommendation for this pregnancy?

A) Prophylactic labetalol.
B) Accurate dating by ultrasound.
C) Amniocentesis for karyotyping.
D) Genetic assessment and counseling.
E) Complete bed rest starting at 20 weeks ' gestation.

Solutions: