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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 55-year-old man presents with vague abdominal pain and general weakness. His mother had colon cancer and died at age 60 years. His physical examination findings and complete blood count results are normal.
Which one of the following tests should be ordered first?

A) Colonoscopy
B) Magnetic resonance imaging of the abdomen
C) Air-contrast barium enema
D) Fecal immunochemical test (FIT)
E) Computed tomography colonography

2. A 25-year-old woman, gravida 1, para 1, aborta 0, gave birth to a newborn who is hypotonic with a large protruding tongue and brachycephaly. The newborn has a single palmar crease bilaterally and short, broad hands with a curved fifth digit. These features best support a clinical diagnosis of which one of the following?

A) Trisomy 21.
B) Fetal alcohol syndrome.
C) Congenital hypothyroidism.
D) Prader-Willi syndrome.
E) Turner syndrome.

3. A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?

A) Immunize the younger siblings with varicella vaccine.
B) Provide prophylactic antiviral agents for the siblings.
C) Treat the 7-year-old with antibiotics.
D) Avoid direct contact with oral secretions.
E) No prevention is required as this condition is not contagious.

4. A 79-year-old woman presents to the Emergency Department with sudden-onset severe chest and back pain that started 1 hour ago. She has a history of hypertension and looks unwell. Her vital signs are as follows:
blood pressure 168/108 mm Hg, heart rate 110/min, respiratory rate 22/min, temperature 36.7°C. Findings of a physical examination of the chest and abdomen are normal. An urgent computed tomography (CT) scan of the chest and abdomen shows an aortic dissection extending from the descending thoracic aorta to the upper abdominal aorta. The branches of the abdominal aorta are patent. Following initial resuscitation, which one of the following is the best next step?

A) Perform endovascular repair of the thoracic and abdominal aorta.
B) Start intravenous heparin.
C) Admit the patient to the Intensive Care Unit and repeat CT in 6 hours.
D) Initiate intravenous labetalol.
E) Conduct open repair of the thoracic and abdominal aorta.

5. A 20-year-old man is brought by a friend to the emergency department with an elevated temperature, generalized muscle rigidity, hypovolemia, a fluctuating level of consciousness, and impaired attention. The patient also may be responding to auditory hallucinations. The friend informs you that the patient overdosed with a prescribed medication. Which one of the following medications is most likely to cause these symptoms?

A) Lithium carbonate
B) Lamotrigine
C) Amitriptyline
D) Risperidone
E) Lorazepam

Solutions: