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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An otherwise healthy 57-year-old man with a 20 pack-year history of smoking presents with a 2-day history of reddish-brown urine that has not cleared. There is no history of abdominal or flank pain. Urinalysis reveals
5 red blood cells per high power field. Which one of the following is the best next step?

A) Ultrasonography.
B) Intravenous pyelography.
C) Repeat urinalysis in a month.
D) Reassurance.
E) Cystoscopy.

2. A 39-year-old woman, gravida 2, para 1, aborta 0, presents with concerns that a friend has recently suffered from postpartum psychosis. She wonders if she is likely to suffer this disorder following delivery of her 2nd child. Which one of the following is most likely to increase your patient ' s risk?

A) Advanced maternal age
B) Being a multigravida
C) A history of panic disorder
D) A family history of bipolar disorder

3. A 61-year-old man presents to the office for follow-up of recent laboratory test results. He has hypertension for which he takes amlodipine daily. His blood pressure is 148/94 mm Hg. His creatinine level is 140 µmol/L (normal 70-120), and his urine protein-to-creatinine ratio is persistently elevated. You would like to prescribe ramipril, but he refuses to take any additional medication. Which one of the following is the best next step?

A) Explain to the patient the importance of preventing the progression of his chronic kidney disease.
B) Provide the patient with free samples of ramipril.
C) Inform the patient that he eventually may need dialysis if he refuses the medication.
D) Determine why the patient is refusing to take more medication.
E) Agree to stop the patient's amlodipine if he takes ramipril.

4. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The date the patient was placed on the waiting list.
B) The clinical severity of the patient's pulmonary disease.
C) Whether the underlying condition is due to self-induced illness.
D) The patient has family members who rely on them for income.
E) The patient's value and contributions to society.

5. A 15-year-old boy is brought to the office by his father because he is having headaches. When alone, the boy appears withdrawn and admits to suicidal ideation. He shares that he is gay but does not want to tell his parents. He says that he faked the headaches so that one of his parents would make an appointment for him.
Which one of the following is the best next step?

A) Refer the patient for an immediate mental health assessment.
B) Encourage the patient to disclose his sexual orientation to his parents.
C) Start an antidepressant medication.
D) Suggest that the patient join a group at school for peer support.

Solutions: